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PRINTED: 02/23/2024
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 in00427501- no deficiencies is a formal grievance filed to report an issue or concern, indicating that there are no deficiencies present in the assessment or process.
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Individuals or entities who believe they have encountered an issue related to in00427501 are required to file this complaint, especially those who are impacted by the situation.
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The purpose of the complaint in00427501- no deficiencies is to formally notify the relevant authorities or parties of an issue and seek resolution or further investigation.
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The information that must be reported includes the complainant's contact details, a description of the issue, any reference numbers, and supporting evidence if available.
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