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PRINTED: 01/10/2024 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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The complaint in00424438 refers to a formal grievance or issue that has been reported regarding a specific case or incident identified by the number 00424438.

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Information that must be reported includes the complainant's details, a description of the issue, dates, relevant evidence, and any previous attempts at resolution.

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