Senior Residential Facility in Bedford, Ohio

APPLICATION Materials

Application for Admission – Part 2

Financial Disclosure

Thank you for considering residency at Light of Hearts Villa. To aid us in assessing whether you meet our financial criteria, we would like to review your financial resources. As a new resident, we require documentation showing the financial ability to get through one full year of private pay prior to accepting the Medicaid Assisted Living Waiver or other resources. Once determined, we can then establish a clear understanding of the financial responsibility you will be undertaking. We require this information of all residents; it is a part of our admissions process here at Light of Hearts Villa. Please enclose all requested documents. All information will be kept confidential. If you choose our facility, this form will become part of your admission agreement.

Please include copies of your most recent bank statements, investment statements,
and other pertinent financial documents with this disclosure. You will need to have the following documents available to complete this form:

  • Copy of Photo ID – front and back
  • Copy of Medicare Card – front and back
  • Copy of Insurance Card – front and back
  • Copy of Prescription Card – front and back
  • Copy of Covid Vaccine Card – front and back
  • Living Will – if you have one
  • POA Document – if you have one
  • POA for Health Care – must have
  • Copies of recent bank statements, investment statements, and other pertinent financial documents

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NEWS & updates

Light of Hearts Villa Celebrates Deficiency-Free Survey

Light of Hearts Villa, a senior living community in Bedford, Ohio, received zero deficiencies during their annual state survey this past month. An accomplishment that is not easily attainable in the highly regulated world of assisted living. But what exactly does having “zero deficiencies” mean?

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Light the Way Gala 2023

Our annual Light the Way Gala celebrated an incredible evening of generosity and support, raising over $120,000 for the Sister Helen T. Scasny, SC Benevolent Fund. This sold-out event on September 29, attended by over 250 people, illuminated the unwavering commitment of the community to the mission of Light of Hearts Villa.

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