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FACILITY NAMENursing Home Information Changes Did facility information change? License NUMBERNoCMS FEDERAL Number yes, complete applicable change(s) below. NEW FACILITY NAME (ATTACH LETTER FROM LICENSEE
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Step 1: Collect all necessary information about the assisted living facility, including its name, address, contact details, and ownership.
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Step 2: Fill out the facility's basic information, such as the type of facility, the number of beds available, and the date it was established.
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Step 3: Provide details about the facility's amenities and services, including any special programs or activities offered.
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Step 4: Describe the facility's staffing and care services, including the number and qualifications of staff members, medical services provided, and any specialized care available.
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Step 5: Include information about the facility's admission process, including any specific requirements or criteria for potential residents.
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Step 6: Specify the facility's pricing and payment options, including the cost of living at the facility and any available financial assistance programs.
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Step 7: Include any additional information or special considerations that may be relevant for potential residents or their families.
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Step 8: Review and double-check all the filled out information for accuracy and completeness before submitting.

Who needs assisted living facility information?

01
Individuals or families who are looking for an assisted living facility for themselves or their loved ones.
02
Healthcare professionals who need to refer their patients to appropriate assisted living facilities.
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Government agencies or organizations involved in supporting senior citizens or individuals with disabilities.
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Real estate agents or brokers who are working with clients interested in assisted living facilities.
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Assisted living facility information includes details about the services, amenities, and regulations of a facility that provides housing and support services for individuals who need assistance with activities of daily living.
Assisted living facility administrators or managers are required to file the information.
Assisted living facility information can be filled out by providing accurate and up-to-date details about the facility's services, amenities, and regulations.
The purpose of assisted living facility information is to inform residents, families, and regulators about the services and quality of care provided by the facility.
Information such as services offered, staff qualifications, safety measures, and resident rights must be reported on assisted living facility information.
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