The included document is a questionnaire intended to help residents of nursing homes and families of residents in nursing homes talk to their chosen facility about treatment options. Not all homes are ready or able to provide certain kinds of care, so this questionnaire aims to help provide you or your loved one with the questions they need to ensure they are receiving the types of care they may require, now or in the future.

Some of these questions include:

  • Presence of CPR-certified Staff and Automatic Defibrillators?
  • What Kind of Tests Can Be Done?
  • Frequency of Doctor, Nurse Practitioner, and Physician Assistant Visits?
  • Specialists That Visit?
  • Diabetic Accommodations?
  • Agreements with a Hospice?
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Health-Related Services Questionnaire




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