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PRINTED 09/20/2016 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION X1 PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER RIVERWALK COMMONS X4 ID PREFIX TAG A. 2-5 in regard to the PSR to the State Residential Licensure Survey. QR completed by 11474 on September 19 2016. Survey dates September 16 2016 Facility number 004417 Provider number 004417 AIM number N/A Residential Census 82 Sample 3 Riverwalk Commons was found to be in compliance with 410...
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