Seniors and People with Disabilities Uniform Disclosure Statement Assisted Living/Residential Care Facility The purpose of this Uniform Disclosure Statement is to provide you with information to assist.
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How to use or fill out the Uniform Disclosure Statement (PDF) - Oregon.gov - Oregon online
The Uniform Disclosure Statement is a critical tool for individuals seeking to compare Assisted Living and Residential Care facilities in Oregon. This guide provides clear, step-by-step instructions to help users accurately complete the form online.
Follow the steps to successfully fill out the Uniform Disclosure Statement.
- Click ‘Get Form’ button to obtain the form and open it in your editor.
- Begin by filling out the facility type. Choose between Assisted Living Facility, Residential Care Facility, or Alzheimer's Endorsed.
- Enter the facility name, address, and telephone number in the specified fields.
- Indicate the number of apartments or units available within the facility.
- Complete the administrator section by providing their name, hire date, and contact details.
- Fill out the facility owner and operator information, including addresses and telephone numbers.
- Answer the questions regarding Medicaid acceptance and the policy on residents exhausting private funds.
- Complete the sections regarding smoking policies and pet policies, providing any additional specifications as needed.
- Proceed to the Required Services section, checking whether each service is included in the base rate or available at an extra cost.
- Detail the information under Activities of Daily Living, ensuring to provide frequency of services required.
- Continue to the Health Services section and indicate the oversight and coordination of health services.
- Fill in the Other Services and Amenities section, marking which services are included, arranged with outside providers, or not available.
- Complete the Deposits/Fees section by providing required information about various charges.
- Detail the Medication Administration policies, including staff responsibilities and pharmacy choices.
- Fill out the staffing section detailing the hours and roles of nursing and caregiving staff.
- Complete the Staff Training section, describing the training program and ongoing education plans.
- Conclude with the Discharge Transfer section, summarizing the policies regarding resident relocation.
- Once you have filled out all the sections, save your changes. You can then download, print, or share the completed form as necessary.
Ensure you engage thoroughly with the Uniform Disclosure Statement online to make informed decisions about assisted living options.
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