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DEPARTMENT OF HEALTH SERVICES Division of Long Term Reinstate OF WISCONSINF01812 (9/2016)WISCONSIN MEDICAID PROGRAM 2016 NURSING HOME COST REPORT Completion of this form is required by Section 1.171
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Grays Nursing Home is a facility that provides care for elderly individuals who require assistance with daily activities and medical needs.
The administrators or owners of Grays Nursing Home are required to file necessary documentation and reports related to the facility.
To fill out Grays Nursing Home forms, one must provide accurate information about the residents, staff, services provided, and any incidents that occurred within the facility.
The purpose of Grays Nursing Home is to provide a safe and comfortable environment for elderly individuals who need assistance with their daily activities and medical care.
Information such as resident demographics, medical conditions, medications, care plans, incidents reports, staff qualifications, and facility compliance must be reported on Grays Nursing Home.
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