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This document serves as a financial reporting form for long-term care facilities in Illinois, detailing their operational statistics, costs, ownership information, and more for the fiscal year 2004.
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How to fill out STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES

01
Obtain the STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT form from the official website or local office.
02
Review the instructions accompanying the form to understand the requirements.
03
Gather all necessary financial documents, including income statements, expense reports, and balance sheets for the reporting period.
04
Fill out the basic identification section with the facility's name, address, and identification number.
05
Accurately report the total revenue generated by the facility during the specified period.
06
Detail the total expenses incurred by the facility, categorizing them as needed.
07
Provide information on staffing levels and patient census according to the reporting guidelines.
08
Double-check all entries for accuracy and compliance with the guidelines.
09
Sign and date the report, confirming that all information is truthful and accurately represents the facility's finances.
10
Submit the completed report by the specified deadline, maintaining a copy for your records.

Who needs STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES?

01
Long-term care facility administrators and financial officers.
02
Healthcare organizations that receive funding from the Illinois Department of Public Aid.
03
Regulatory bodies overseeing the financial operations of long-term care facilities.
04
Auditors and accountants preparing financial assessments for long-term care facilities.
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The Illinois Department of Public Health is responsible for ensuring nursing homes comply fully with mandatory state regulations.
Nursing Home / Institutional Medicaid Coverage includes payment for room and board, as well as all necessary medical and non-medical goods and services, such as: Personal care assistance with the Activities of Daily Living (mobility, bathing, dressing, eating, toileting) Skilled nursing care. Physician's visits.
In Illinois, the Illinois Department of Public Health (IDPH) plays a pivotal role in ensuring that nursing home facilities comply with safety standards and that residents receive the quality care they deserve by investigating complaints against nursing homes.
Abuse And Neglect. Among the most serious complaints about nursing homes are those regarding abuse and neglect by staff members. Whether they are the result of a lack of employees, improper training, or intentional misconduct, these allegations are not to be taken lightly.
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The Division of Assisted Living is responsible for all state licensure and survey processes for Assisted Living and Shared Housing establishments. Regulations were adopted in December of 2001 and IDPH began licensing establishments in July of 2002. The Office is located in the Springfield Central Office.
These facilities are licensed, regulated and inspected by the Illinois Department of Public Health. The Department also assists the U.S. Centers for Medicare and Medicaid Services (CMS) with certifying these facilities for participation in federal payment reimbursement programs.
The Department's 24-hour a day Nursing Home Hotline (800-252-4343) receives nearly 19,000 calls and, as a result, staff respond to more than 5,000 complaints.
Nursing Home / Institutional Medicaid Coverage includes payment for room and board, as well as all necessary medical and non-medical goods and services, such as: Personal care assistance with the Activities of Daily Living (mobility, bathing, dressing, eating, toileting) Skilled nursing care. Physician's visits.

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The State of Illinois Department of Public Aid Financial and Statistical Report for Long-Term Care Facilities is a mandatory reporting document that collects financial and operational data from long-term care facilities in Illinois to ensure compliance with state regulations and to assist in financial monitoring and planning.
All licensed long-term care facilities in the state of Illinois that receive public funding or participate in state assistance programs are required to file this report.
The report should be filled out by gathering financial statements, statistical data, and operational details as specified in the reporting guidelines provided by the Illinois Department of Public Aid. Facilities must ensure that all required sections are completed accurately and submitted by the specified deadline.
The purpose of the report is to provide the Illinois Department of Public Aid with crucial financial and statistical data that helps to assess the financial health of long-term care facilities, determine reimbursement rates, and ensure compliance with state regulations.
The report must include information on revenues, expenses, occupancy rates, staffing levels, resident demographics, and any other operational data required by the Illinois Department of Public Aid to evaluate the facility's performance.
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