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If the assignment is accepted the Mentor RN shall contact the Mentee RN to schedule The Mentor RN must email completed form to Becky. Mentor RN name Email City Phone In-Home/Home Health agency name if applicable The above named Mentor is authorized to provide up to 10 hours of field orientation for LTC Community Nursing Program Coordinator Date Additional information from DHS central office Mentor RN referral accepted declined Mentor RN signature Clear Form Print Form Page 1 SDS 1402A 11/13....
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What is long term care community?
A long term care community is a residential facility that provides care for individuals who need assistance with daily activities such as eating, bathing, and medication management.
Who is required to file long term care community?
Long term care communities are typically required to be filed by the facility management or owners.
How to fill out long term care community?
Long term care community forms can usually be filled out online through the appropriate regulatory agency's website or by submitting a paper form by mail.
What is the purpose of long term care community?
The purpose of a long term care community is to provide a safe and supportive environment for individuals who need assistance with daily activities.
What information must be reported on long term care community?
Information that must be reported on a long term care community includes the facility's name, address, number of residents, services offered, and any violations or compliance issues.
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