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PRINTED: 09/27/2024 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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The complaint in00441722- no deficiencies refers to a formal grievance that has been filed indicating that there are no deficiencies found in the subject matter of the complaint.
Individuals or entities that believe they have a grievance or issue needing formal resolution are required to file the complaint.
To fill out the complaint, the filer must provide detailed information regarding the issue, including their personal details, a description of the situation, and any relevant evidence.
The purpose of the complaint is to formally document an issue in order to seek resolution or clarification from the appropriate authorities.
Information that must be reported includes the complainant's contact information, a detailed description of the issue, and any supporting documents.
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