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PRINTED: 06/20/2024 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 in00431729- no deficiencies is a formal statement expressing dissatisfaction with the services provided, where no deficiencies were identified.
Any individual or entity who has received services and wishes to express dissatisfaction with the services, despite no deficiencies being identified, is required to file a complaint in00431729- no deficiencies.
The complaint in00431729- no deficiencies can be filled out by providing a detailed description of the dissatisfaction with the services received, along with any relevant supporting documentation.
The purpose of the complaint in00431729- no deficiencies is to provide a channel for individuals or entities to express dissatisfaction with services provided, even if no deficiencies were identified.
The complaint in00431729- no deficiencies must include details of the services received, the reasons for dissatisfaction, and any supporting documentation that may help clarify the issues raised.
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