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FOR BHF USELL1 2021STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2021) I.DPH License ID Number: Facility

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Tri-State Village Nursing and Rehabilitation Center may need tri-state-village-nrsg-rhb-2021-0055400 for maintaining records and documentation.

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What is tri-state-village-nrsg-rhb-0055400?

tri-state-village-nrsg-rhb-0055400 is a specific form used for reporting nursing home information.

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Nursing home facilities are required to file tri-state-village-nrsg-rhb-0055400.

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To fill out tri-state-village-nrsg-rhb-0055400, one must provide detailed information about the nursing home's operation and residents.

What is the purpose of tri-state-village-nrsg-rhb-0055400?

The purpose of tri-state-village-nrsg-rhb-0055400 is to ensure transparency and quality of care in nursing home facilities.

What information must be reported on tri-state-village-nrsg-rhb-0055400?

Information such as resident demographics, staff numbers, health and safety measures, and quality of care indicators must be reported on tri-state-village-nrsg-rhb-0055400.

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