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  • Nc Dhsr Bed Breakdown Form

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BREAKDOWN OF ROOM NUMBERS AND BEDS WITHIN THOSE ROOMS NAME OF FACILITY: PROVIDER TOWN: NUMBER: If change in beds or room numbers the effective date of the change: CHECK ONLY ONE Room Number # of Beds.

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1-800-624-3004 (within N.C.) or 919-855-4500.

*Please note: If you have a complaint about services provided at a health care facility, please call the DHSR Complaint Intake Unit toll-free at 1-800-624-3004.

The NC DHHS Division of Health Service Regulation It handles complaints and investigations related to issues like: nursing homes; adult care homes; hospitals; home care, home health, or hospice agencies; and mental health group homes and other 24-hour facilities.

Drive, Raleigh, NC 27603, telephone 919-855-4800. The form for filing a complaint is appended to the end of this Grievance Procedure. Additionally, the form is available on the DHHS website and from the Department's Compliance Attorney.

Due to circumstances surrounding the COVID-19 situation, we are not able to process hard copy complaints that are mailed in to us the same way we have in the past and request that consumers submit complaints to us via the online form or by calling our consumer assistance line at (919) 716-6000.

File a complaint online. Contact the OSH Complaint Desk by phone at 919-779-8560 or 1-800-NC-LABOR (1-800-625-2267) (in-state only). Download the OSH complaint form in PDF format, complete it and then fax, email or mail it to the OSH Complaint Desk.

Please utilize the Complaint Form below to file the complaint. Please note if this complaint is concerning a care issue in a nursing home you need to call the Complaint Section for Nursing Homes under the Division of Health Service Regulation 919-855-4500.

Please utilize the Complaint Form below to file the complaint. Please note if this complaint is concerning a care issue in a nursing home you need to call the Complaint Section for Nursing Homes under the Division of Health Service Regulation 919-855-4500.

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© Copyright 1997-2025
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3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232