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PRINTED: 01/23/2023
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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What is complaint in00399283 - substantiated?
Complaint in00399283 has been validated and found to have sufficient evidence to support the claims made.
Who is required to file complaint in00399283 - substantiated?
The individual or entity affected by the issue addressed in the complaint is required to file it.
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To fill out the complaint, follow the provided guidelines, ensuring to include all necessary information and evidence supporting your claim.
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The purpose is to formally address and resolve issues related to the allegations that were found to have merit.
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The report must include details of the allegations, supporting evidence, and any relevant documentation.
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