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PRINTED: 11/01/2024 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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Complaint in00437871- no deficiencies refers to a formal statement alleging an issue or concern regarding compliance, which has been determined to have no deficiencies during the initial review process.
Individuals or organizations that have experienced or perceived issues relating to compliance that warrant reporting are required to file complaint in00437871- no deficiencies.
To fill out complaint in00437871- no deficiencies, one must complete the designated complaint form, providing accurate details of the issue, contact information, and any relevant supporting documentation.
The purpose of complaint in00437871- no deficiencies is to formally address concerns related to compliance and to ensure that necessary reviews are conducted to maintain standards.
Information that must be reported includes the complainant's contact details, a detailed description of the issue, relevant dates, and any supporting evidence that substantiates the claim.
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