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PRINTED: 02/05/2016 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 in00192001 - substantiated is a formal document outlining a specific issue or concern that has been proven to be true.
The individual or organization who has evidence or information regarding the substantiated complaint is required to file it.
To fill out complaint in00192001 - substantiated, one must provide detailed description of the issue, evidence supporting the claim, and any relevant information.
The purpose of complaint in00192001 - substantiated is to address and resolve the proven issue or concern effectively.
Information such as details of the complaint, supporting evidence, dates, and names of individuals involved must be reported on complaint in00192001 - substantiated.
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