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 Doh 5273 PDF New York State Department of Health NY Gov 2022-2025

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Title of Webpage: 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. Anyone can file a complaint against a Nursing Home. All complaints are confidential and can be made anonymously. Due to HIPPA regulations, the department is restricted from releasing patient protected information regarding a complaint case. It is advisable to have one designated representative when filing a complaint on behalf of the family or a group of individuals since only the person who files the complaint will receive correspondences from the Nursing Home Complaint Program. You may submit this form multiple ways. Call the Nursing Home Complaint Hotline at 1-888-201-4563 Fill out the online Nursing Home Complaint Form located

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