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       MySeniorSolution.comTM
                     South Dakota's Complete Resource Guide for Seniors

                   "Helping you make an informed decision"

Extended Care Cost of Living Worksheet

   **Be careful of the point system as you may accumulate additional fees each month.

Does the extended Care Facility you chose use the "point system" for billing charges?
Or is it a flat monthly fee?

 

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What is the base rent for the room desired?

____________

Is there an initial deposit or assessment fee? If so, how much

 

____________

Is there a fee for...

Assistance with personal care (bathing, dressing, etc.)

 

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Laundry service fee

____________

Housekeeping

____________

Meals

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Medication Management

____________

Telephone Service

____________

Television

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Transportation Recreation and Outings

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Grooming needs/supplies (pull ups, toothpaste, shampoo, etc.)

____________

Assistance with ambulation

____________

Misc.

____________

Misc.

____________

Misc.

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Hair care (Beauty shop)

____________

 

Total charges for the month

 

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