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PRINTED: 10/02/2012 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.

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What is glenburn home?

Glenburn Home is a nursing home located in a rural area.

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The administrators of Glenburn Home are required to file.

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Glenburn Home should be filled out with accurate and up-to-date information.

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The purpose of Glenburn Home is to ensure the proper care and documentation of residents.

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Information such as patient care, medication administration, and health assessments must be reported on Glenburn Home.

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