Matulaitis Nursing Home
Rehabilitation & Hospice Care
Phone: 860-928-7976
Fax: 860-963-1920
Admission Form
You will find the following forms within the pdf link that follows:
Application for Admission, Preadmission Physical Examination, Authorization for Release of Information, End of Life Policy, and Transfer of Assets.
Application Packet
Admission
It is the policy of Matulaitis Nursing Home to admit and treat all residents without regard to race, national origin, religion, sex, age or financial status.
Matulaitis Nursing Home is licensed by the State of Connecticut Public Health Department as a Nursing Home for Chronic and Convalescent Care – Skilled Nursing Facility. That includes Rehabilitation and Hospice Care in addition to Nursing. All beds are certified for participation in the Medicare and Medicaid programs.
Persons interested in having prospective residents considered for admission to the facility should obtain the “Application for Admission,” the “Preadmission Physical Examination," the “Authorization for Release of Information,” the receipt of Matulaitis Nursing Home’s "End of Life Policy" and the “Transfer of Assets” forms from the social worker. You will find the full application packet that contains all of these forms to the left of this page or you can call us at 860-928-7976 for more information.
Applicants on the waiting list are offered admittance to Matulaitis Nursing Home in order as vacancies occur. An applicant offered admission must be seen by his/her physician within 30 days prior to admission.