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PRINTED: 10/08/2014 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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Complaint investigations are conducted on allegations of misconduct or violations of policies or laws.
Individuals or entities who have experienced or witnessed misconduct are required to file a complaint.
Complaints should be filled out by providing a clear description of the issue, relevant details, and any supporting evidence.
The purpose is to address and resolve allegations of misconduct, ensuring accountability and compliance with regulations.
Reported information must include the description of the complaint, involved parties, dates, locations, and any relevant documents.
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