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FUNCTIONAL ASSESSMENT ARBOR
Resident Name:___DOB:___Sex:___Date:___
Physician:___Diagnosis:___
Bathing
___(1)
___(2)___(3)___(1)13 showers or 1 whirlpool stand by assist only no Hanson assistance):
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The highest care level is typically for individuals with the most significant health needs who require comprehensive medical and personal care support.
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Health care providers and facilities that administer care to individuals at the highest care level are required to file the necessary documentation.
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Information to be reported typically includes patient demographics, diagnosis, the extent of required care, and any other relevant medical information.
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