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PRINTED: 03/01/2024
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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Complaint in00426021 refers to a formal statement outlining grievances or issues related to a specific case or regulation identified by the code in00426021.
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Individuals or entities affected by the issues outlined in complaint in00426021 are required to file this complaint.
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Information that must be reported includes the details of the grievance, the parties involved, relevant dates, and any supporting documents that substantiate the complaint.
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