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The purpose of this disclosure form is to
provide consumers, prospective residents and their families, with
a uniform means of reviewing basic information. It is easier to
compare policies and services of several residences if each
residence provides the same information in the same way and in the
same place on a standard form. Required information on the disclosure form
includes basic fees, additional services offered, any charges for
additional services, dementia specific care provided, staffing
over a 24-hour period, and possible reasons for discharge.
Of course, the assisted living disclosure form
is in no way a replacement for a visit to each assisted living
home, and reading the disclosure form is never a substitute for a
close reading of the facility contract.
Download a sample copy of the Texas Assisted Living Disclosure
Statement Form here...
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