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Licensed Facilities Renewal Application for Residential Care, Assisted Living and Nursing Facilities Applications must be received by the Licensing Unit: 45 days prior to license renewal dateInstructions:
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How to fill out nursing home services

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Contact the nursing home facility and schedule a tour.
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Review the services offered and ask about any additional services that may be available.
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Individuals who require around-the-clock medical care and assistance with daily activities.
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Nursing home services refer to medical care and assistance provided to individuals who reside in nursing homes and require help with daily activities.
Nursing homes and healthcare providers are required to file nursing home services.
Nursing home services can be filled out by healthcare providers through the appropriate forms provided by the government.
The purpose of nursing home services is to ensure that residents in nursing homes receive proper medical care and assistance with daily activities.
Information such as patient demographics, medical history, medications, treatments, and care plans must be reported on nursing home services.
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