Form 5588-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the last day of the calendar month covered by the report in the box labeled 'For Month Ending'.
  3. Complete lines 1 through 13 for each level of care. For example, on line 1, enter the total number of veteran residents remaining at the end of the prior month.
  4. Continue filling out admissions and discharges on lines 2 through 6, ensuring accurate counts for changes in resident status.
  5. For line 13, calculate and enter the total veteran days of care provided during the month, including any special cases as outlined in the instructions.
  6. On Page 2, input current operating bed capacities and ensure they match approved numbers. Provide details for any closed beds if applicable.
  7. Finally, certify that all information is correct by signing and dating where required before submitting your completed form.

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2016 4.9 Satisfied (39 Votes)
2009 4.3 Satisfied (127 Votes)
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