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PRINTED 09/30/2016 FORM APPROVED Indiana State Department of Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION X1 PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER LAKE PARK RESIDENTIAL CARE X4 ID PREFIX TAG A. Survey date September 28 2016 Facility number 001136 Provider number 001136 AIM number N/A Residental Census 122 Lake Park Residential Care was found to be in compliance with 410 IAC 16. BUILDING X3 DATE SURVEY COMPLETED B. WING 001136 NAME OF PROVIDER OR SUPPLIER X2 MULTIPLE...
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How to fill out lake park residential care
01
Gather all necessary personal information and documents.
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Contact Lake Park Residential Care to inquire about the application process.
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Complete the application form accurately and provide all required information.
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Submit the completed application form along with any additional documents requested.
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Wait for the facility to review your application and make a decision.
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If accepted, schedule a tour of the facility and meet with the staff.
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If satisfied with the facility, sign any necessary contracts or agreements.
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Provide any additional information or medical records as requested.
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Prepare for the move-in process by packing personal belongings and notifying relevant parties.
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Arrive at Lake Park Residential Care on the scheduled move-in date and complete any remaining paperwork.
Who needs lake park residential care?
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Elderly individuals who require assistance with activities of daily living.
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What is lake park residential care?
Lake Park Residential Care is a facility that offers housing, meals, and personal care services for individuals who may need assistance with activities of daily living.
Who is required to file lake park residential care?
The administration or management of Lake Park Residential Care is required to file the necessary paperwork and reports.
How to fill out lake park residential care?
To fill out Lake Park Residential Care forms, one must provide accurate and up-to-date information about residents, services provided, and any incidents that may have occurred.
What is the purpose of lake park residential care?
The purpose of Lake Park Residential Care is to provide a safe and supportive environment for individuals who may require assistance with daily living activities.
What information must be reported on lake park residential care?
Information that must be reported on Lake Park Residential Care includes resident demographics, services provided, and any incidents that may have occurred within the facility.
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