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PRINTED 04/10/2017 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION X1 PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER HEARTH AT PRESTWICK X4 ID PREFIX TAG A. Complaint IN00224851 - Substantiated. No deficiencies related to the allegations are cited. Survey date April 6 2017 Facility number 003902 Provider number 003902 AIM number N/A Residential Census 112 The Hearth at Prestwick was found to be in compliance with 410 IAC 16. BUILDING X3 DATE...
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182 s cr 550 refers to a specific tax form or document that is used for reporting certain financial information.
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