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DEPARTMENT OF HEALTH SERVICES Division of Medicaid ServicesSTATE OF WISCONSINF01812 (9/2017)WISCONSIN MEDICAID PROGRAM 2017 NURSING HOME COST REPORT Completion of this form is required by Section
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Brookside Care Center is a long-term care facility that provides skilled nursing care to individuals who require assistance with activities of daily living.
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Brookside Care Center is required to be filed by the management or owners of the facility, as well as by any regulatory bodies overseeing the operation of the center.
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