

Stone Hearth Estates
110 20th Street, Suite 400, Gothenburg, NE

Stone Hearth Estates Admission Items
ADMISSION FORMS
Documents needed from Home
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Contact information for three people including address, phone number and email
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Please indicate who should be first contact
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Doctors, dentist, eye doctors, specialists
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Funeral arrangements if made
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POA (Power of Attorney)
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Living Will (if available)
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Insurance Cards (Medicare & Supplemental Insurance)
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Identification Card (Driver's License or ID Card)
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Personal Check for pro-rated rent and damage deposit
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Petty Cash for individuals unable to manage small personal needs
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Long-Term Care Insurance Policy
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If you own a policy
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Stone Hearth Documents
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Advance Directives
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Room Inspection
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Resident Rights
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Direction & Monitoring
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Service Agreement Addendum (pricing)
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Service Agreement (contract)
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Medication List
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Resident Handbook
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Auto Deposit Form
Documents Stone Hearth will submit to your Physician
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Medical History & Admission
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DNR or Code
WHAT DO I NEED FOR MY APARTMENT?
Furniture
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Bed- Our first-floor apartments best accommodate a twin-size bed, although a full-size bed is manageable.
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Comfortable chair(s).
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Chest of drawers, bedside tables, end tables, lamps.
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Pictures- please use small nails. Please do not use command strips as they can tear drywall. Also, please do not use tape on cabinetry.
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Television - REMOTE that came with device and HDMI cord.
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If you would like two televisions, or if would like your television hung, please check with your admissions coordinator.
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Certain brands work better with Spectrum: Sony, LG, Samsung, Panasonic, or Sharp; preferably not a Roku due to navigation difficulties.
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Personal Items
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Phone and charger- Landlines are available please discuss with your admissions coordinator
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Personal Items: razor, hair products, dental products, hearing aids and charger if used
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Clothing- now is a great time to consider what clothing items are used and closet space available.
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Incontinence products
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Bedding & Linens- bath towels, 'Two' sets of sheets, 'Two' mattress covers and/or soaker pads
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Shower curtain, skid free bathmat
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Square laundry basket
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Kitchenettes - three meals a day and snacks are provided. There is space for snacks, refrigerated drinks, and a coffee machine.
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Please text us an individual picture and then consider sending (text or email) wedding pictures, military and/or other pictures that tell a story.
