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FOR BHF USELL1
2014
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2014)I.DPH License ID Number:
Facility
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To fill out the Burgess Square Healthcare Center form, follow these steps:
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Start by providing your personal information, including your name, address, and contact details.
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Provide information about your insurance coverage, including the policy number and any relevant contact details.
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Who needs burgess square hlthcare ctr?
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Burgess Square Healthcare Center is designed to meet the needs of individuals requiring skilled nursing care, rehabilitation services, or long-term care.
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The center caters to individuals who may have chronic illnesses, disabilities, or those recovering from surgery or injury.
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Patients who require specialized medical care, physical therapy, or assistance with daily activities can benefit from the services provided by Burgess Square Healthcare Center.
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What is burgess square hlthcare ctr?
Burgess Square Healthcare Center is a skilled nursing facility located in the city of Westmont, Illinois.
Who is required to file burgess square hlthcare ctr?
The facility administrator or designated representative is required to file Burgess Square Healthcare Center reports.
How to fill out burgess square hlthcare ctr?
The form can be filled out online or submitted via mail, following the instructions provided by the regulatory agency.
What is the purpose of burgess square hlthcare ctr?
The purpose of Burgess Square Healthcare Center reports is to provide data on the facility's operations and compliance with regulations.
What information must be reported on burgess square hlthcare ctr?
Information such as patient census, staffing levels, quality measures, and financial data must be reported on Burgess Square Healthcare Center forms.
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