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Attachment 5 New York State Department of Health Center for Health Care Quality and Surveillance Division of Adult Care Facility/Assisted Living Surveillance ASSISTED LIVING PROGRAM 4500 CONVERSION
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Assisted living program 4500 is a form used to report information about assisted living facilities.
Assisted living facilities are required to file assisted living program 4500.
Assisted living program 4500 can be filled out by providing all the requested information about the facility.
The purpose of assisted living program 4500 is to ensure transparency and accountability in assisted living facilities.
Assisted living program 4500 must include information about the facility's operation, residents, and staff.
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