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FOR BHF USELL1
2019STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2019)
I.DPH License ID Number:
Facility
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To fill out Caseyville Nursing & Rehabilitation form, follow the steps below:
02
Obtain a copy of the form from the facility or their website.
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Fill in your personal information accurately, including your name, address, contact details, and date of birth.
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Provide your medical history, including any diseases or conditions you have or had in the past.
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Caseyville Nursing & Rehabilitation is a healthcare facility that provides skilled nursing care and rehabilitation services to patients.
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The purpose of Caseyville Nursing & Rehabilitation is to provide high-quality care and improve the health outcomes of patients.
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All relevant patient information, treatment plans, progress notes, and any other data required for proper care and record-keeping.
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