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07/13/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER155571OMB NO. 0938039 (X2) MULTIPLE CONSTRUCTION A. BUILDING(X3) DATE SURVEY00COMPLETED06/15/2023B. WING STREET ADDRESS, CITY, STATE, ZIP CODNAME OF PROVIDER OR SUPPLIER11563 W 300 S DUNKIRK, IN 47336WATERS OF DUNKIRK SKILLED NURSING FACILITY, THE (X4) IDSUMMARY
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How to fill out complaint in00409625 - federalstate
How to fill out complaint in00409625 - federalstate
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What is complaint in00409625 - federalstate?
Complaint in00409625 - federalstate refers to a formal grievance or report filed to address specific violations or issues related to federal and state regulations.
Who is required to file complaint in00409625 - federalstate?
Individuals or entities who have experienced or witnessed violations of federal or state regulations are typically required to file complaint in00409625 - federalstate.
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To fill out complaint in00409625 - federalstate, one must provide accurate and detailed information regarding the incident, including the nature of the complaint, relevant dates, and any supporting evidence.
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The purpose of complaint in00409625 - federalstate is to formally report violations, seek resolution, and ensure compliance with applicable laws and regulations.
What information must be reported on complaint in00409625 - federalstate?
The information required on complaint in00409625 - federalstate includes the complainant's details, a description of the violation, dates, locations, and any witness information if applicable.
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