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FOR BHF USELL1
2017
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2017)I.DPH License ID Number:
Facility
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Obtain the necessary admission forms from the facility or online.
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Individuals who require specialized medical care and assistance with daily activities.
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Patients recovering from surgery or serious illness who need round-the-clock nursing care.
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Seniors who can no longer live independently and require assistance with activities of daily living.
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