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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15519609/17/2014FORM

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Complaint in00153533 is a formal statement expressing dissatisfaction or disapproval of a particular situation or event.

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Complaint in00153533 should be filled out with detailed information about the situation, including dates, names of involved parties, and specific grievances.

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Complaint in00153533 must include details of the incident, the impact on the individual or entity filing the complaint, and any supporting evidence.

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