THE AUTOMATED DISCHARGE PLANNER'S PROGRAM

COMMUNITY PROFILE INPUT

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Community Name
LicenseNo
Corporate Name
Corporate Contract
Administrator
Marketing Director
Address
City
State
County
Zip
Phone
Fax
Cell
Email Address
Website
Special Affiliation
Years of Ownership

FACILITY TYPE (Select all that apply)

ALF
ALZ
BNC
CCRC
ILC
SNF
Total Beds
ON SITE PERSONNEL (Select all that apply)

RN
LVN
CNA
Cargiver
Social Worker
OS_Other
Ratio (Staff to Resident>
Languages
Hours Nurses Available
Staff Turnover Rate
PrivateRoomRate
Available Private Rooms
Room Description (Male/Female/etc.)
Shared Room Rate
Available Shared Room
Shared Room Description (Male/Female, etc)
Dementia Unit Room
Dementia RoomsAvailable
Dementia Room Description
CareFees
Care Fees Range
Community Fees Range
Pet Fees
Incontinence Fees
Supply Fees
Other Fees
SSI Accepted
SERVICES AND AMMENITIES (Select all that apply)

Bathing Dressing
Grooming Incontinence Care
Medication Management Walk Assistance
Special Diet Religious Services
Transportation Meal Tray
Exercise Feeding
Banking Housekeeping
InHousePT ActivitiesPrograms
AsianPrograms SpanishPrograms
Transfer Assistance Kitchenette
CableTV Gym
Pool Spa
Library Call System
Beauty Shop Restaurant
GameRoom Personal Telephone
Gift Shop Mailing Service
Special Outings Computer Access
Family Events
ActivityRoom
FamilyOvernight
What Makes Your Facility Unique





CONTACT US TODAY

ABOUT SENIOR SOLUTIONS
174 West Foothill Blvd, #240,
Monrovia, CA 91016
626-359-0108
info@aboutseniorsolutions.com


       










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