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PRINTED: 07/23/2019 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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Individuals who require assistance with daily activities such as grooming, medication management, and meal preparation
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Carillon assisted living is a senior living community that provides assistance with daily activities and health care services.
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The administrator or manager of the carillon assisted living facility is required to file the necessary forms.
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The forms can be filled out online or by mail. The administrator must provide information about the facility and its residents.
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The purpose of carillon assisted living forms is to provide regulatory agencies with information about the facility and the care provided to its residents.
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Information such as the number of residents, types of care provided, staff qualifications, and any incidents or complaints must be reported.
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