RANCHO MIRAGE SENIOR LIVING, LLC Facility Admission Agreement Rancho Mirage Senior Living, LLC License #: (pending) RESIDENTIAL CARE ADMISSION AGREEMENTFacility Admission Agreement • December 4th, 2022
Contract Type FiledDecember 4th, 2022This month-to-month residence and care admission agreement (“Agreement”) is made by and between WINE COUNTRY ASSISTED LIVING, located at 5 SHASTA LAKE DRIVE, RANCHO MIRAGE, CA., 92270, (hereinafter referred to as “facility”) and name of resident (hereinafter referred to as “resident”) and name of responsible party (if applicable; hereinafter referred to as “responsible party”).