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Government of the District of Columbia Department of Health Care FinanceIntermediate Care Facility/ Nursing Facility Level of Care Form 1728SECTION A: BENEFICIARY Last Name:First:MI:Medicaid ID:SSN:Birth
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Intermediate care facility nursing provides long-term skilled nursing care for patients who require assistance with activities of daily living but do not need to be in a hospital.
Intermediate care facility nursing is typically filed by licensed nurses and nursing facility administrators.
To fill out intermediate care facility nursing, you will need to gather information on the patients' medical history, current medications, treatment plans, and any changes in their health status.
The purpose of intermediate care facility nursing is to provide specialized care and support to patients who require ongoing medical attention in a non-hospital setting.
Information such as patients' vital signs, medication administration, wound care, nutritional intake, and any changes in their health condition must be reported on intermediate care facility nursing.
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