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State of ConnecticutAnnual Report of Longer Care Facility Cost Year 2017 Name of Facility (as licensed) Apple Rehab Laurel Woods Address (No. & Street, City, State, Zip Code) 451 North High Street
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Gather all necessary information about the long term care facility you are filling out.
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Start by providing basic information about the resident or patient, such as their name, age, and contact details.
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Fill out the medical history section, including any known allergies, chronic conditions, or previous hospitalizations.
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Who needs long term care facilities?

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Individuals who require assistance with daily activities such as eating, bathing, dressing, and using the bathroom.
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Long term care facilities are residential settings that provide various levels of medical and personal care to individuals who are unable to perform daily activities independently due to aging, illness, or disability.
Operators and administrators of long term care facilities are typically required to file reports related to their facilities to state and federal health departments.
To fill out long term care facility reports, gather necessary data about the facility's operations, patient demographics, care levels, staffing, and financials. Then, complete the required forms according to the guidelines provided by the relevant authority.
The purpose of long term care facilities is to provide sustained care and support for individuals with chronic health conditions, disabilities, or other needs that require assistance with daily living activities over an extended period.
Information that must be reported typically includes facility licensing details, patient admission and discharge data, staffing levels, types of care provided, financial statements, and compliance with health and safety regulations.
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