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PRINTED: 06/17/2019
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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What is hillcrest church rest home?
Hillcrest Church Rest Home is a residential facility for elderly individuals run by a church.
Who is required to file hillcrest church rest home?
The management or administration of the church responsible for operating the rest home is required to file.
How to fill out hillcrest church rest home?
The form for filing the rest home typically includes information on the facility's residents, staff, finances, and operations.
What is the purpose of hillcrest church rest home?
The purpose of Hillcrest Church Rest Home is to provide care and accommodation for elderly individuals in a religious setting.
What information must be reported on hillcrest church rest home?
Information such as resident demographics, staff credentials, financial statements, and daily activities must be reported.
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