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PRINTED: 03/21/2024
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 in00429675 refers to a specific grievance or issue filed with the relevant authority regarding a service, product, or action that is believed to be unsatisfactory or in violation of regulations.
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The purpose of the complaint is to formally address and resolve issues, ensure accountability, and seek remediation for any grievances experienced by the complainant.
What information must be reported on complaint in00429675 - no?
The complaint must include details such as the complainant's contact information, a clear description of the issue, any relevant dates, evidence of the grievance, and desired outcomes or resolutions.
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