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Is there a special format for reports or complaints?

No, but you should include all of the following information with your complaint:

  • Name, address, and telephone.
  • Your relationship to the resident in the nursing home.
  • The resident’s full name and reason that he/she is in the home.
  • Times and dates that you observed the problems.
  • Names of staff who may be involved, including those that you have spoken to about your concerns.
  • Any medical records relating to the abuse or an autopsy if death occurred.

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