Temporary Condition Questionnaire Your Community Name(Required) Name(Required) First Last Phone(Required)Email(Required) Do you ever have bedfast residents due to a temporary condition?(Required) Yes No Do you CURRENTLY have any bedfast residents due to a temporary condition?(Required) Yes No If you have a bedfast resident, under a temporary condition, what is your risk mitigation plan to insure that you are able to safely evacuate that resident during an emergency? Please include the details of your staffing and emergency preparedness plans regarding this matter.(Required)If a resident is under a temporary condition, under the care of Hospice/Hosparus, do you require that Hospice/Hosparus emoloyees or family members provide around the clock care for that resident through their final days? Please share your policy details around this, if you have one.(Required)If you are a licensed PC Home, do you ever have residents that require a 2-person assist?(Required) Yes No N/A - my community is a certified ALC
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