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PRINTED: 02/27/2019 FORM APPROVEDDivision of Health Service Regulation STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:(X2) MULTIPLE CONSTRUCTION A.
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Patients in need of specialized medical care and supervision.
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Golden years family care is a program that provides support and care services for elderly individuals who need assistance with daily activities.
Family members or legal guardians of elderly individuals who are eligible for the program are required to file golden years family care.
To fill out golden years family care, family members or legal guardians must provide personal information about the elderly individual, details about their medical condition and care needs, and information about the caregiver providing the support.
The purpose of golden years family care is to ensure that elderly individuals receive the necessary support and care services to maintain their quality of life and independence.
Information such as personal details of the elderly individual, their medical history and care needs, information about the caregiver providing support, and any additional services required must be reported on golden years family care.
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