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DEPARTMENT OF HEALTH SERVICES Division of Medicaid ServicesSTATE OF WISCONSINF01812 (9/2017)WISCONSIN MEDICAID PROGRAM 2017 NURSING HOME COST REPORT Completion of this form is required by Section
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Willowfield Nursing & Rehabilitation is a skilled nursing facility that provides medical care and therapy services to patients who require rehabilitative care.
Willowfield Nursing & Rehabilitation is required to be filed by the management or administrative team of the facility.
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The purpose of Willowfield Nursing & Rehabilitation is to document and report the facility's activities, services, and financial information to regulatory authorities.
Information such as patient admissions, discharges, medical treatments, staff qualifications, and financial performance must be reported on Willowfield Nursing & Rehabilitation.
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