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ADDRESS: ,
PHONE: WEBSITE:
       
TYPE OF COMMUNITY:

YEAR ESTABLISHED:
NUMBER OF BEDS:

ACTIVITIES OF DAILY LIVING
 
Taking Medication
Preparing Meals
Dressing
Grooming
Bathing Showering
Toileting
Eating
Mobility
 
MEDICAL SERVICES
 
Alzheimer’s Care No
Cardiovascular Care No
Dialysis Treatment No
Hospice Care No
IV Therapy No
Psychologist No
Nutritionist No
Registered Nurses on Staff No
Licensed Practical Nurse No
Licensed Vocational Nurses No
Certified Nursing Assistant No
Respiratory Therapy No
Cancer Care No
Physical Rehabilitation No
Occupational Therapy No
Speech Therapy No
On-Staff Physician No
Wellness Programs No
Dialysis No
Diabetic Care No
Incontinence Care
No
24 Hour Nursing Supervision No
 
ASSISTANCE OFFERED
 
Taking Medication No
Preparing Meals No
Dressing No
Grooming No
Bathing Showering No
Toileting No
Eating No
Mobility No
 
OTHER
 
Entry Fee? No
For Profit/Not for Profit No
Accreditations/Certifications?
 
PAYMENT TYPES
 
Medicaid No
Medicare No
Private Pay No
Private Health Insurance No
HMO No
Veterans Assistance No
 
AMENITIES
 
Kitchenettes No
Smoking Allowed No
Pets Allowed No
Washer/Dryer Connections No
Laundry Room No
Linen Service (Included) No
Linen Service (Available) No
Housekeeping (Included) No
Housekeeping (Available) No
Fitness Center No
Pool No
Walking Trails No
Exercise Classes No
Scheduled Transportation No
Spa No
Lake No
Picnic Areas No
Resident Parking No
Covered Parking No
Emergency Call System No
Arts & Crafts No
Internet Access No
Whirlpool Baths No
Cable TV (Available) No
Cable TV (Included) No
Lounges No
Fishing No
Cafeteria No
Three Meals Daily (Included) No
Three Meals Daily (Additional Fee) No
Two Meals Daily (Included) No
Two Meals Daily (Additional Fee) No
One Meal Daily (Included) No
One Meal Daily (Additional Fee) No
Storage Facilities No
Medication Management No
Salon No
Library No
Coffee Shop No
Personal PO Boxes No
Social Services No
Utilities Included (All) No
Utilities Included (Some) No
Chapel No
Maintenance Services No
 
COSTS & FEES
OTHER CHARGES: