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Form 131 1/2021CHEMUNG COUNTY NURSING FACILITY 103 WASHINGTON STREET, P.O. BOX 588 ELMIRA, NEW YORK 149020588ADMISSION AGREEMENT The CHEUNG COUNTY NURSING FACILITY and ___ (resident or responsible
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How to fill out chemung county nursing facility

01
Obtain an application form for the Chemung County Nursing Facility. You can usually find this form on the facility's official website or request it directly from the admissions office.
02
Fill out the personal information section of the application form. This includes your full name, address, phone number, date of birth, and social security number.
03
Provide information about your medical history and current health condition. This may include any chronic conditions, recent hospitalizations, or prescribed medications.
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Indicate your preferred admission date and the type of care you require. The Chemung County Nursing Facility offers different levels of care, including long-term care, short-term rehabilitation, and memory care.
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Attach any supporting documents requested by the facility. This may include medical records, Medicare or Medicaid information, and power of attorney documents if applicable.
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Review your completed application form and make sure all information is accurate and up to date.
07
Submit the application form to the admissions office of the Chemung County Nursing Facility. You may need to include a copy of your insurance card or pay an application fee, if applicable.
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Wait for a response from the facility regarding the status of your application. They will usually contact you within a certain timeframe to discuss your application further or schedule an interview.
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If your application is accepted, you will receive further instructions on the next steps to complete the admission process. This may include signing additional forms, arranging payment or billing details, and completing a health assessment.

Who needs chemung county nursing facility?

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Chemung County Nursing Facility is designed to meet the needs of individuals who require skilled nursing care and assistance with Activities of Daily Living (ADLs). This may include elderly individuals who have difficulty with tasks such as bathing, dressing, toileting, and medication management.
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In addition, the facility also provides specialized memory care for individuals with dementia or Alzheimer's disease who require a secure and supportive environment.
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Furthermore, the Chemung County Nursing Facility offers short-term rehabilitation services for individuals recovering from surgery, illness, or injury. These individuals may require intensive therapy and nursing care before returning home.
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Overall, anyone who can benefit from 24/7 nursing care, assistance with daily tasks, and a supportive and therapeutic environment can consider the Chemung County Nursing Facility as an option.
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Chemung County Nursing Facility is a long-term care facility located in Chemung County, New York.
The facility administrators or authorized personnel are required to file the Chemung County Nursing Facility report.
The Chemung County Nursing Facility report can be filled out online through the designated portal provided by the county.
The purpose of the Chemung County Nursing Facility report is to provide vital information about the operation and quality of care at the nursing facility.
The report must include details about the number of residents, staff-to-resident ratios, incidents of abuse or neglect, and overall satisfaction of residents.
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