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DEPARTMENT OF HEALTH SERVICES Division of Long Term Reinstate OF WISCONSINF01812 (4/2015)WISCONSIN MEDICAID PROGRAM 2014 NURSING HOME COST REPORT Completion of this form is required by Section 1.171
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Odd Fellow Home is a residential facility operated by the Odd Fellows organization for elderly individuals in need of care and support.
The administrators or owners of the Odd Fellow Home are required to file reports related to the facility.
The administrators or owners must provide information about the residents, staff, services offered, and any incidents or updates at the facility.
The purpose of Odd Fellow Home is to provide a safe and supportive environment for elderly individuals in need of care.
Information such as resident demographics, staff qualifications, services provided, and any incidents or updates at the facility must be reported.
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