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PRINTED: 03/30/2021 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 in00337677 substantiated no refers to a specific grievance that has been reviewed and determined to have no basis for further action.
Individuals or entities who have experienced a violation of rights or policies are typically required to file the complaint in order to seek resolution.
To fill out the complaint, one must provide detailed information about the incident, including dates, involved parties, and a description of the issue.
The purpose of the complaint is to formally document an issue and to initiate an investigation or review process to address the grievance.
The information that must be reported includes the complainant's details, the nature of the complaint, evidence supporting the claim, and any relevant dates.
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