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This visit was in conjunction with the Post Survey Revisit PSR to the Recertification and State Licensure Survey completed on 2/18/14. PRINTED 03/31/2014 FORM APPROVED DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION X1 PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER OMB NO. Investigation of Complaint IN00144573 completed on 2/18/14. Complaint number IN00145254-Substantiated. No deficiencies related to the allegations...
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