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FOR BHF USELL1 2018STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2018) I.DPH License ID Number:

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Countryview Care Center is a nursing home facility.

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Countryview Care Center is required to file their annual report.

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Countryview Care Center must fill out the report with all the necessary information requested.

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The purpose of Countryview Care Center report is to provide information about the facility's operations.

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The report must include financial information, number of residents, staff information, and any incidents or citations.

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