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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: Facility

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What is short form sheltered care?

Short form sheltered care is a simplified version of reporting for care facilities that have fewer residents or provide limited services.

Who is required to file short form sheltered care?

Facilities that meet the criteria for short form reporting based on their size and services provided are required to file short form sheltered care.

How to fill out short form sheltered care?

Short form sheltered care can be filled out by providing basic information about the facility, number of residents, services offered, and any incidents that occurred during the reporting period.

What is the purpose of short form sheltered care?

The purpose of short form sheltered care is to streamline the reporting process for small care facilities and ensure that they are still meeting regulatory requirements.

What information must be reported on short form sheltered care?

Information such as number of residents, services provided, incidents, staffing levels, and any changes in ownership or management must be reported on short form sheltered care.

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