Willow Marsh Manor Assisted Living Facility, LLC.

WILLOW MARSH MANOR ADMISSION DOCUMENTS AND PROCESS:

 

NEXT STEPS:

 

Step #1 - PROVIDE THE COMPLETED PHYSICIAN ASSESSMENT FORM BACK TO THE FACILITY,

Step #2 - WMM will send the completed Physician Assessment Forms over to our delegating nurse for review.  She will determine if our facility staff can provide the required level of care for your loved one, then 

Step #3 - We will need to schedule an in-person or virtual visit with your loved one to see their current level of mobility, responsiveness and ability to communicate their daily needs to complete our manager's assessment.

 

LICENSED PHYSICIAN COMPLETES THESE FORMS:

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1. Physician's Assessment

2. Medical Orders for Life Sustaining Treatment (MOLST)

3. Bed Rail Approval Form: Request approval for our facility to use (full or half ) hospital Bed Rails - Licensed Physician to complete and sign _allows your loved one to have a hospital bed in our facility with full or partial guard rails on it.

 

LICENSED PHYSICIAN PROVIDES COPIES OF THESE FORMS:

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1. List of approved medications

2. Immunizations Record to include any recent shots (e.g., flu

3. Copy of COVID 19 vaccination record  

 

FAMILY OR DESIGNATED POWER OF ATTORNEY COMPLETES THESE FORMS:

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1. Data Admission Sheet (2 pages)

2. Medical Fact Sheet Emergency Medical Sheet

3. Inventory of Personal Effects

4. Resident Emergency Contact Sheet

5. Getting to know your loved one – This is an EMAIL that lists out your loved one’s likes and dislikes, so we can serve them better.

6. Medical Emergency Contact Information (doctors’ info)

7. Burial Agreement – Instructions for responding to family wishes

8. (OPTIONAL) Application for Metro Access Transportation - set an appointment with Metro Access for review approval - if desired

 

FAMILY PROVIDES COPIES OF THESE FORMS BEFORE TO ADMISSION:

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1. Provide copies of Medical Cards - front and back

2. Power of Attorney Documents

3. Immunizations Record - Licensed Physician to print from medical records

4. Copy of COVID 19 vaccination record  

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QUESTIONS?  REACHOUT TO:

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Denise A. Webster / WMM ALF Manager/ Cell: 202-802-5099 / EMAIL: denise.a.webster@gmail.com