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06/08/2021PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBEROMB NO. 0938039 (X2) MULTIPLE CONSTRUCTION A. BUILDING(X3) DATE SURVEY00COMPLETED05/19/2021B. WING STREET ADDRESS, CITY, STATE, ZIP CODNAME OF PROVIDER OR SUPPLIER4301 WASHINGTON AVE EVANSVILLE, IN 47714OASIS ASSISTED LIVING, INC (X4) IDSUMMARY STATEMENT OF DEFICIENCIEIDPREFIX(EACH
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Complaint in00352705 - substantiated refers to a specific complaint that has been investigated and found to have merit, indicating that the allegations made within it are validated.
Any individual or organization that has experienced an issue or has concerns regarding a specific matter related to complaint in00352705 is required to file this complaint.
To fill out the complaint in00352705 - substantiated, you should complete the designated form with accurate details, including personal information, a description of the complaint, and any relevant documentation or evidence.
The purpose of complaint in00352705 - substantiated is to formally address and resolve issues or grievances that have been confirmed through evidence, ensuring that corrective actions can be taken to prevent future occurrences.
The information that must be reported includes the complainant's details, a clear description of the issue, date and time of the incident, any witnesses or supporting evidence, and the expected outcome or resolution sought.
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