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08/20/2024PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBEROMB NO. 0938039 (X2) MULTIPLE CONSTRUCTION A. BUILDING(X3) DATE SURVEY00COMPLETED07/25/2024B. WING STREET ADDRESS, CITY, STATE, ZIP CODNAME OF PROVIDER OR SUPPLIER1301 N RITTER AVE INDIANAPOLIS, IN 46219ROSEWALK AT LUTHERWOODS (X4) IDSUMMARY STATEMENT OF DEFICIENCIEIDPREFIX(EACH
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