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FOR OF USELL1 2005 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2005)I.DPH Facility ID Number: Facility Name:0044768II.CERTIFICATION
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Maryhaven NSG & Rehabilitation is a skilled nursing facility that provides medical care and rehabilitation services to individuals who require short-term or long-term care.
Maryhaven NSG & Rehabilitation is required to be filed by the facility administrator or designated personnel responsible for submitting the necessary paperwork.
To fill out Maryhaven NSG & Rehabilitation, the designated personnel must provide information about the facility, services offered, patient demographics, medical treatments provided, and any other relevant details.
The purpose of Maryhaven NSG & Rehabilitation is to ensure that the facility is operating in compliance with regulations, providing quality care to patients, and maintaining accurate records of services rendered.
Information that must be reported on Maryhaven NSG & Rehabilitation includes patient census data, treatment plans, medication administration records, staffing levels, and any incidents or accidents that occurred within the facility.
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