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STATE OF NEBRASKA ROSTER LONG TERM CARE FACILITIES Nursing Facilities Skilled Nursing Facilities Intermediate Care Facilities Long Term Care Hospitals Department of Health and Human Services Division
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How to fill out intermediate care facilities

01
Gather all necessary documents and forms required for the application process.
02
Ensure you meet the eligibility criteria for intermediate care facilities.
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Contact the nearest intermediate care facility for an application form or download it from their website.
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Complete the application form accurately with all the required information.
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Attach any supporting documents required by the facility, such as medical records or proof of income.
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Submit the completed application form and supporting documents to the facility either in person or by mail.
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Wait for a response from the facility regarding the status of your application.
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If approved, schedule a visit to the facility for an assessment and a tour of the premises.
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Once you are satisfied with the facility, sign any necessary agreements and contracts.
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Provide any additional information or documentation requested by the facility.
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Prepare for the transition to the intermediate care facility, including packing personal belongings and making necessary arrangements.
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Follow the instructions provided by the facility regarding admission procedures and timelines.

Who needs intermediate care facilities?

01
Individuals who require ongoing medical care and supervision but do not need the level of care provided in a hospital.
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Individuals recovering from a surgery or illness who need assistance with daily activities.
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Elderly individuals who can no longer safely live independently and require assistance with daily living.
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People with disabilities who need support and care beyond what can be provided in their own homes.
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Individuals with chronic health conditions that require regular monitoring and specialized care.
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Individuals with cognitive impairments who need a structured and supportive environment.
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People with complex medical needs who require skilled nursing and therapy services.
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Intermediate care facilities are residential care facilities that provide care and services to individuals who require assistance with activities of daily living, but do not need the level of care provided in a nursing home.
Intermediate care facilities are required to be filed by the administrators or owners of the facility.
To fill out intermediate care facilities, administrators or owners must provide information on the facility's operation, services provided, and the individuals served.
The purpose of intermediate care facilities is to provide a safe and supportive environment for individuals who need assistance with daily activities.
Information such as the facility's name, address, capacity, services offered, and any incidents or complaints must be reported on intermediate care facilities.
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