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04/25/2023PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICESOMB NO. 0938039STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIA(X2) MULTIPLE CONSTRUCTIONAND
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Complaint in00398647 substantiated a refers to a specific complaint that has been validated or confirmed based on evidence or findings.
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The information that must be reported includes the complainant's details, description of the incident, dates, evidence, and any witnesses to the situation.
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