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https://apps.health.ny.gov/surveyd8/nursing-home-complaint-form
Nursing Home Complaint Form. Contact Information. Providing information about you will allow Department staff to contact you should additional information be needed. It is our policy to keep your name confidential. It may be necessary to share the nature of your complaint or the resident's name or your name with the facility.
https://www.in.gov/isdh/21533.htm
Reporting a Complaint about a Health Care Facility About the health care facility complaint process. The Indiana State Department of Health (ISDH) is attentive to your concerns about the quality of care and services provided by an Indiana health care facility.
https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/complaints-nursing-home-and-healthcare-facilities
More information on how to file a complaint can be found in this Guide to Filing a Complaint Against a Health Care Facility. To file a complaint you may obtain a complaint form for completion by clicking this Complaint Form link. Telephone: 1-800-342-0553 1-800-669-3534 Home Health Hotline
https://hhs.texas.gov/about-hhs/your-rights/complaint-incident-intake
You can also report care concerns about home health and hospice agencies and intermediate care facilities. Agents answer calls Monday through Friday from 7 a.m. – 7 p.m. If you call outside those hours, leave a message; an employee will call you back by the next workday ...
https://consumercomplaints.fcc.gov/hc/en-us
FCC Home Complaint Center Home. Consumer Complaint Center File an informal consumer complaint / Tell your story. Para presentar una queja en español, llamar al: 888-CALL-FCC (888-225-5322) By filing a consumer complaint and telling your story, ...
https://www.medicare.gov/sites/default/files/2018-07/nursing-home-complaint-form.pdf
Nursing Home Complaint Form Section 1. Person Filling Out the Complaint Form You are not required to fill out this Section to file a Complaint. However, the State Survey Agency will not be able to contact you to obtain additional information or reach you to notify you of the results of the investigation. ...
https://health.maryland.gov/bonha/Pages/complaint.aspx
Complaint Information The Complaint Process. If you wish to file a complaint about the care or treatment you or a family member received or did not receive at a nursing home facility, please call the Office of Health Care Quality at (410) 402-8108, or file a complaint.. To file a complaint specifically against an individual who is a Maryland Licensed Nursing Home Administrator, please mail a ...
https://www.colorado.gov/pacific/cdphe/health-facilities-complaints
If you file a complaint, our investigators don't share your name with the health care entity unless you instruct us otherwise. In some cases, the health care entity may be able to figure out your identity because of the nature of the complaint.
https://www.medicare.gov/claims-appeals/how-to-file-a-complaint-grievance
Find out how to file a complaint (also called a "grievance") if you have a concern about the quality of care or other services you get from a Medicare provider. Contact your State Health Insurance Assistance Program (SHIP) for local, personalized Medicare counseling.
http://business.nv.gov/Homeowner/Homeowners_Association_Complaints/
You may hand deliver or mail your completed complaint form and attachments to the Compliance Section at the Nevada Real Estate Division. Note: A notary is available at no charge. Please call first if you will require this service. Filing a complaint against a homeowners association board member or unit owner
https://www.michigan.gov/lara/0,4601,7-154-89334_63294_63384_70218-339092--,00.html
The Department will not disclose the name of a complainant or the resident named in the complaint during a nursing home investigation without written consent. However, the investigation can proceed more quickly if the complaint can be discussed at the time of the investigation.
http://www.ahca.myflorida.com/MCHQ/Field_Ops/CAU.shtml
The Complaint Administration Unit receives and processes complaints about the quality of care provided in Florida's health care facilities. If you wish to file a complaint against a licensed health care facility regulated by the Agency for Health Care Administration, please contact us at 1-888-419-3456 / 800-955-8771 Florida Relay Service (TDD number) or use our Licensed Health Care Facility ...
https://www.cdph.ca.gov/Programs/CHCQ/LCP/CalHealthFind/Pages/ComplaintInvestigationProcess.aspx
CHCQ’s Professional Certification Branch (PCB) also investigates complaints against hemodialysis technicians, home health aides, nurse assistants, and nursing home administrators. You can file a complaint with the Professional Certification Branch by calling the complaint hotline at 916-492-8232 or by calling the main PCB line at 916-445-4423 ...
https://www.health.ny.gov/facilities/nursing/complaints.htm
The New York State Department of Health, Nursing Homes and ICF/IID Surveillance is responsible for investigating complaints and incidents for nursing homes in New York State, which are related to State and/or Federal regulatory violation. A complaint against a nursing home should be submitted in ...
https://apps.health.ny.gov/nursing_homes/complaint_form/complain.action
Nursing Home Complaint Form Instructions. The New York State Department of Health, Division of Nursing Home and ICF/IID Surveillance is responsible for investigating complaints about resident abuse, neglect, mistreatment and incidents occurring in nursing homes in New York State that are related to a State and/or Federal regulatory violation.
https://www.tn.gov/health/health-professionals/hcf-main/filing-a-complaint.html
Complaint Review Process. Upon receipt of the complaint, the Division of Health Care Facilities’, Centralized Complaint Intake Unit staff will review the complaint and assign it a priority code according to the severity of the alleged violation. The complaint will be …
https://info.ncdhhs.gov/dhsr/ciu/filecomplaint.html
Complaints may be shared with our unit by telephone, by facsimile or by postal mail. Our division is only able to investigate complaints regarding incidents that have occurred in the past year and issues that are regulated by federal regulations or state statutes.. Each complaint is prioritized for investigation according the seriousness of the situation.
http://www.hcd.ca.gov/manufactured-mobile-home/mobile-home-ombudsman/mobilehome-assist-center-filing-a-complaint.shtml
Complaint form (Spanish) (PDF) For Employee Housing Act complaints: Complaint form (English) (PDF) Complaint form (Spanish) (PDF) Problem with the Forms? If you have a problem with the online complaint forms or downloading complaint forms, contact HCD at (800) 952-8356 or email: [email protected]. Request a Complaint Form Be Mailed
https://www.hud.gov/complaints_home
HUD handles complaints in several categories: Housing discrimination: Federal law prohibits housing discrimination based on your race, color, national origin, religion, sex, family status, or disability.If you have been trying to buy or rent a home or apartment and you believe your rights have been violated, you can file a fair housing complaint.
https://www.mass.gov/how-to/file-a-complaint-regarding-a-nursing-home-or-other-health-care-facility
What you need for File a complaint regarding a nursing home or other health care facility Things to consider before you fill out a complaint. Facilities are required to have a process for responding to concerns regarding the care of residents/patients.Location: 67 Forest Street, Marlborough, MA 01752
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