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Privacy Notice for Residents

THE FOLLOWING NOTICE DESCRIBES HOW YOUR MEDICAL INFORMATION MAYBE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW THE INFORMATION CAREFULLY.

  • Your confidential healthcare information may be released to other healthcare professionals within the Nursing Home for the purpose of providing you with quality healthcare.
  • Your confidential healthcare information may be released to your insurance provider for the purpose of the Nursing Home receiving payment ‘for providing you with needed healthcare services.
  • Your confidential healthcare information may be released to public or law enforcement officials in the event of an investigation in which you are a victim of abuse, a crime or domestic violence.
  • Your confidential healthcare information may be released to other healthcare providers in the event you need emergency care.
  • Your confidential healthcare information may be released to a pubic health organization or federal organization in the event of a communicable disease or to report a defective device or untoward event to a biological product (food or medication).
  • Your confidential healthcare information may not be released for any other purpose than that which is identified in this notice.
  • Your confidential healthcare information may be released only after receiving written authorization from you. You may revoke your permission to release confidential healthcare information at any time.
  • You may be contacted by the Nursing Home to remind you of any appointments, healthcare treatment options or other health services that may be of interest to you.
  • You may be contacted by the Nursing Home for the purposes of raising funds to support the Nursing Home’s operations.
  • You have the right to restrict the use of your confidential healthcare information. However, the Nursing Home may choose to refuse your restriction if it is in conflict of providing you with quality healthcare or in the event of an emergency situation.
  • You have the right to receive confidential communication about your health status.
  • You have the right to make changes to your healthcare information.
  • You have the right to know who has accessed your confidential healthcare information and for what purpose.
  • You have the right to possess a copy of this Privacy Notice upon request. This copy can be in the form of an electronic transmission or on paper.
  • The Nursing Home is required by law to protect the privacy of its residents. It will keep confidential any and all resident healthcare information and will provide residents with a list of duties or practices that protect confidential healthcare information.
  • The Nursing Home will abide by the terms of this notice. The Nursing Home reserves the right to make changes to this notice and continue to maintain the confidentiality of all healthcare information. Residents will receive a mailed copy of any changes to this notice within 60 days of making the changes.
  • You have the right to complain to the Nursing Home if you believe your rights to privacy have been violated. If you feel your privacy rights have been violated, please mail your complaint to the Nursing Home:

ATTN: Administrator
Shady Lane Home
256 County House Road
Clarksboro, NJ 08020
(856) 224-6979

  • All complaints will be investigated. No personal issue will be raised for filing a complaint with the Nursing Home.
  • For further information about this Privacy Notice, please contact:
  • Director of Social Services, Admission Coordinator, and Privacy Officer
    (856) 224-6979