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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15570807/15/2015FORM
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Step 1: Obtain the admission application form from the hillside manor nursing home.
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Step 2: Fill out the personal information section, including your name, date of birth, address, and contact information.
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Step 3: Provide information about your medical history, including any chronic conditions, allergies, and medications you are currently taking.
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Step 4: Fill out the emergency contact information in case of any medical emergencies.
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Step 5: Indicate your preferences and requirements for the nursing home, such as special dietary needs, mobility assistance, or specific medical services.
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Step 6: Review the completed application form for accuracy and make sure all necessary information is provided.
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Step 7: Submit the filled-out application form to the hillside manor nursing home either in person or by mail.
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Step 8: Wait for the nursing home to review your application and contact you for further instructions or arrangements.
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Step 9: If accepted, follow the instructions provided by the nursing home for the admission process.

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People who require specialized medical care and assistance with daily activities.
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Hillside Manor Nursing Home is a long-term care facility that provides nursing care and support services to elderly residents.
The operators or owners of Hillside Manor Nursing Home are required to file necessary paperwork and reports.
Operators or owners need to accurately fill out all required forms and provide necessary information about the facility.
The purpose of Hillside Manor Nursing Home is to provide high-quality care and support services to elderly residents who require nursing care.
Information such as patient demographics, medical history, care plans, and staffing levels must be reported on Hillside Manor Nursing Home.
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