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Interest in
Independent LivingAssisted LivingMemory Care

Requires Use Of
CaneWalkerScooterWheelchairNone

Room Preference
SharedStudio1 Bedroom2 Bedroom

Medicine Management
Can Take on OwnNeeds AssistancePill Box SetupInsulin Injections

Price Range
$2000-$3000$3000-$4000$4000-$5000$5000 or greater

Memory
Alert & OrientedShort Term Memory LossSevere Memory Loss

Requires Assistance With
DressingGroomingBathingFeedingTransferring From Bed or ChairVisual ImpairmentHearing Impairment

Risk of Wandering
YesNo

Toileting
ContinentIncontinentWears Briefs/Pull-ups

Comments