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STATE LICENSING COMPLIANCE REPORT Report #: HL400466820CDate Concluded: August 14, 2024Name, Address, and County of Facility Investigated: Goodwill Foundation Inc 6257 Rhode Island Avenue North Brooklyn

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How to fill out nursing home capacity waiver

01

Obtain the nursing home capacity waiver form from the relevant authority or website.

02

Read the instructions provided with the form carefully to understand the requirements.

03

Fill in the personal details section, including the name, address, and contact information of the applicant.

04

Provide information about the nursing home, including its name, address, and license number.

05

Specify the reasons for requesting the capacity waiver, detailing any special circumstances or needs.

06

Attach any supporting documentation required, such as medical records or statements from healthcare providers.

07

Review the completed form for accuracy and completeness before submission.

08

Submit the form by the specified deadline using the recommended submission method (mail, fax, or online).

Who needs nursing home capacity waiver?

01

Individuals seeking admission to a nursing home that exceeds its stated capacity.

02

Patients requiring specialized care that may not be available in their current facility.

03

Family members or guardians of individuals who need nursing home placement urgently due to health concerns.

04

Healthcare providers or social workers advocating for patients needing immediate nursing home services.

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What is nursing home capacity waiver?

A nursing home capacity waiver is a formal request that allows nursing homes to exceed their licensed capacity under specific conditions, usually during periods of increased demand or emergencies.

Who is required to file nursing home capacity waiver?

Nursing homes that wish to exceed their licensed capacity must file a nursing home capacity waiver with the appropriate regulatory authorities.

How to fill out nursing home capacity waiver?

To fill out a nursing home capacity waiver, providers need to obtain the waiver form from their state’s health department, provide required information about current capacity and potential additional residents, and submit the completed form along with any necessary documentation.

What is the purpose of nursing home capacity waiver?

The purpose of a nursing home capacity waiver is to temporarily allow facilities to admit more residents than they are normally licensed to accommodate, ensuring care during times of increased need.

What information must be reported on nursing home capacity waiver?

Information that must be reported typically includes the nursing home's current capacity, the number of additional residents requested, justification for the increase, and plans for ensuring adequate care and staffing.

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