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PRINTED 01/23/2014 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION X1 PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER PARKVIEW LAGRANGE HOSPITAL X4 ID PREFIX TAG A. BUILDING X3 DATE SURVEY COMPLETED B. WING 005085 NAME OF PROVIDER OR SUPPLIER X2 MULTIPLE CONSTRUCTION 11/12/2013 STREET ADDRESS CITY STATE ZIP CODE 207 N TOWNLINE RD LAGRANGE IN 46761 SUMMARY STATEMENT OF DEFICIENCIES EACH DEFICIENCY MUST BE PRECEDED BY FULL REGULATORY OR LSC...

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