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PRINTED 03/14/2017 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION X1 PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER X2 MULTIPLE CONSTRUCTION A. BUILDING B. WING 010667 NAME OF PROVIDER OR SUPPLIER BROOKDALE SOUTH BEND X4 ID PREFIX TAG X3 DATE SURVEY COMPLETED 03/10/2017 STREET ADDRESS CITY STATE ZIP CODE 17441 SR 23 SOUTH BEND IN 46635 SUMMARY STATEMENT OF DEFICIENCIES EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC IDENTIFYING...
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What is brookdale south bend?
Brookdale South Bend is a senior living community in South Bend, Indiana.
Who is required to file brookdale south bend?
The management of Brookdale South Bend is responsible for filing the necessary documents.
How to fill out brookdale south bend?
To fill out Brookdale South Bend, the management needs to provide information about the facility, residents, and services offered.
What is the purpose of brookdale south bend?
The purpose of Brookdale South Bend is to provide a comfortable and caring environment for seniors.
What information must be reported on brookdale south bend?
Information such as resident demographics, health care services, and facility amenities must be reported on Brookdale South Bend.
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