Senior Residential Facility in Bedford, Ohio

APPLICATION Materials

APPLICATION MATERIALS

PART 1

Emergency Contact Information + Applicant’s Consent to Release Medical Information

Before spending your valuable time on these application materials, the very first step is scheduling your tour and meeting with our team to ensure the resident is appropriate for our community based on their needs. If you haven’t done so yet, please click here to schedule your tour before proceeding with the following application materials. Thank you for your interest in joining our family at Light of Hearts Villa!

The first step in the process is a very important one as it allows us to gather all of the crucial information to your care. Once completed and signed, this will allow us to contact your physician regarding the general status of your health, the medications you are currently taking, and the ability of Light of Hearts Villa to meet your needs. You may need to schedule a visit with your Physician at this time.

Please note: history and physical documentation is only current for 90 days, keep in mind your time frame for move-in. 

Click on the button below to start the application progress.

Part 2

Financial Disclosure + Resident Profile

To verify that income guidelines are met, we must receive this completed form in a timely manner. Please do not forget to include copies of your most recent bank statements, investment statements and other pertinent financial documents with that disclosure. 

Before clicking on the button below to begin completing the form, make sure you have the following materials nearby:

  • 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

Part 3

Personal Meeting & Assessment

Part 4

Residency Agreement

Part 5

Move in + Enjoy!

Have you scheduled your tour?

Giving

ways to give
why give
naming opportunities
memorial gifts

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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