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Indiana state form 48896

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The document outlines the requirements for facilities operating Alzheimer's and dementia special care units in Indiana, as mandated by Indiana Code 12-10-5.5. It includes instructions for completing and submitting a disclosure form annually, detailing information about the facility, its care programs, staffing patterns, admission processes, care planning, unit design features, activities for residents, family support services, and guidelines for the use of restraints. The form must be submitted by December 31st each year with specific data current as of December 1.

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