Get Avon Nursing Home-2004-0006510.pdf - State Of Illinois - Www2 Illinois

Filling out the Avon Nursing Home financial and statistical report for long-term care facilities can seem daunting. However, with the right guidance, you can complete this document efficiently and accurately, ensuring compliance with state requirements. This comprehensive guide will walk you through each section and field of the form.

Follow the steps to accurately complete the form.

1. Press the ‘Get Form’ button to access the document. This will allow you to open the form in your preferred document editing tool.
2. Begin filling out Section I with the IDPH Facility ID number and the name of the facility. Make sure to accurately enter the information as it appears on the official records to avoid any discrepancies.
3. In Section II, pay special attention to the important notice regarding the mandatory disclosure of information. This section emphasizes that failure to provide necessary information by the due date may affect program payments.
4. Continue to Section III, where you will document the statistical data. Enter the number of beds available at the facility and the levels of care provided. It is crucial that these figures align with your facility's license.
5. In Section IV, you will note the accounting basis used. Select between accrual and modified cash, ensuring it reflects your facility’s operations to maintain accuracy.
6. Move to Section V, which requires detailed accounting of costs. Round all figures to the nearest dollar and ensure that all categories of expenses are fully represented. This section demands thoroughness as it presents the operational expenditures for your facility.
7. For Section VI, list any non-allowable expenses and provide justifications as necessary. This helps maintain transparency in your financial reporting.
8. As you fill out remaining sections, including those related to ownership costs, staffing, special services, and the balance sheet, remain consistent in your data entry to ensure completeness and accuracy.
9. After completing all sections, save your changes. You may want to download a copy of the completed form or print it for your records.
10. Once all information is complete and double-checked, share the document as required to ensure timely submission.

Take the first step in managing your facility’s documentation effectively by completing the Avon Nursing Home report online today!