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DEPARTMENT OF HEALTH SERVICES Division of Long Term Reinstate OF WISCONSINF01812 (4/2015)WISCONSIN MEDICAID PROGRAM 2014 NURSING HOME COST REPORT Completion of this form is required by Section 1.171
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Ellsworth Care Center LLC is a long-term care facility that provides skilled nursing and rehabilitation services to residents.
Ellsworth Care Center LLC is required to file by the owners or operators of the facility.
To fill out Ellsworth Care Center LLC, you must provide information about the facility's operations, finances, and compliance with state and federal regulations.
The purpose of Ellsworth Care Center LLC is to ensure that the facility is meeting the needs of its residents and operating in compliance with all relevant laws and regulations.
Information that must be reported on Ellsworth Care Center LLC includes financial statements, staffing levels, resident demographics, and quality of care measures.
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