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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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How to fill out duquoin nursing rehab

How to fill out duquoin nursing rehab
01
Complete the admission application with personal information
02
Provide medical history and current medications
03
Submit insurance information and emergency contacts
04
Schedule a tour of the facility and meet with staff for a comprehensive assessment
Who needs duquoin nursing rehab?
01
Individuals in need of short-term or long-term rehabilitation services
02
Patients recovering from surgery or illness requiring skilled nursing care
03
Elderly individuals in need of assisted living services and support
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What is duquoin nursing rehab?
Duquoin Nursing Rehab is a healthcare facility that provides nursing and rehabilitation services to patients.
Who is required to file duquoin nursing rehab?
The facility administrators or authorized staff members are required to file duquoin nursing rehab.
How to fill out duquoin nursing rehab?
To fill out duquoin nursing rehab, the required information must be entered into the designated sections of the form.
What is the purpose of duquoin nursing rehab?
The purpose of duquoin nursing rehab is to collect data on the nursing and rehabilitation services provided by the facility.
What information must be reported on duquoin nursing rehab?
Information such as patient demographics, types of services provided, and quality of care indicators must be reported on duquoin nursing rehab.
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