Incomplete VA Form By the Assisted Living Facility.
are specific statements an Assisted Living Facility needs to include on VA Form
21-0779. This Form is actually a nursing home affidavit but can be used by an
Assisted Living Facility.
of using the Form, the Facility can write a letter containing all the required
the Facility uses the Form or its own letter, it should confirm that the
Facility is providing a protective environment. The problem with VA
Form 21-0779 is that there is no space for the details. Therefore, an
attachment to the Form with the details should be prepared and signed.
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