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Non-Discrimination and Accessibility Statement As a recipient of Federal financial assistance, Community Nursing Inc. d/b/a The Village Health & Rehabilitation complies with applicable Federal civil rights laws and does not exclude, deny benefits to, or otherwise discriminate against any person on the basis of race, color, national origin, sex, age, disability, or any other protected status in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, and in staff and employee assignments to individuals, whether carried out by The Village Health & Rehabilitation directly or through a contractor or any other entity with which The Village Health & Rehabilitation arranges to carry out its programs and activities. This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, Section 1557 of the Patient Protection and Affordable Care Act of 2010, and Regulations of the U.S. Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of Federal Regulations Parts 80, 84, and 91 and 92. The Village Health & Rehabilitation: Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages If you need these services, contact The Village Health & Rehabilitation’s Executive Director whose contact information is provided below. If you believe that The Village Health & Rehabilitation has failed to provide these services or discriminated in another way on the basis of race, color, national origin, sex, age, disability, or any other protected status, you can file a grievance The Village Health & Rehabilitation’s Executive Director, 2651 South Avenue West, Missoula, MT 59804, (406) 728-9162 (telephone), TTY 711, (406) 543-8128 (Fax). If you need help filing a grievance, the Executive Director is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH Building, Washington, D.C. 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

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  • Non-Discrimination and Accessibility Statement

    As a recipient of Federal financial assistance, Community Nursing Inc. d/b/a The Village Health

    & Rehabilitation complies with applicable Federal civil rights laws and does not exclude, deny

    benefits to, or otherwise discriminate against any person on the basis of race, color, national

    origin, sex, age, disability, or any other protected status in admission to, participation in, or

    receipt of the services and benefits under any of its programs and activities, and in staff and

    employee assignments to individuals, whether carried out by The Village Health &

    Rehabilitation directly or through a contractor or any other entity with which The Village Health

    & Rehabilitation arranges to carry out its programs and activities.

    This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964,

    Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, Section 1557

    of the Patient Protection and Affordable Care Act of 2010, and Regulations of the U.S.

    Department of Health and Human Services issued pursuant to these statutes at Title 45 Code of

    Federal Regulations Parts 80, 84, and 91 and 92.

    The Village Health & Rehabilitation:

    Provides free aids and services to people with disabilities to communicate effectively with us, such as:

    o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic

    formats, other formats)

    Provides free language services to people whose primary language is not English, such as:

    o Qualified interpreters o Information written in other languages

    If you need these services, contact The Village Health & Rehabilitation’s Executive Director

    whose contact information is provided below.

    If you believe that The Village Health & Rehabilitation has failed to provide these services or

    discriminated in another way on the basis of race, color, national origin, sex, age, disability, or

    any other protected status, you can file a grievance The Village Health & Rehabilitation’s

    Executive Director, 2651 South Avenue West, Missoula, MT 59804, (406) 728-9162

    (telephone), TTY 711, (406) 543-8128 (Fax). If you need help filing a grievance, the Executive

    Director is available to help you.

    You can also file a civil rights complaint with the U.S. Department of Health and Human

    Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint

    Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S.

    Department of Health and Human Services, 200 Independence Avenue, SW, Room 509F, HHH

    Building, Washington, D.C. 20201, 1-800-368-1019, 800-537-7697 (TDD). Complaint forms are

    available at http://www.hhs.gov/ocr/office/file/index.html.

    http://www.hhs.gov/ocr/office/file/index.html

  • Notice of Language Assistance Services

    10/1/2018

    English ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-844-674-8457 (TTY: 711).

    Spanish ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-674-8457 (TTY: 711).

    Chinese 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-844-674-

    8457 (TTY: 711).

    Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-844-674-8457 (TTY: 711).

    Russian ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-844-674-8457 (телетайп: 711).

    Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-844-674-8457 (TTY: 711).

    Arabic 844-1 برقم اتصل .بالمجان لك تتوافر اللغوية المساعدة خدمات فإن اللغة، اذكر تتحدث كنت إذا :ملحوظة- .(711 :والبكم الصم هاتف رقم) 674-8457

    Korean 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수

    있습니다. 1-844-674-8457 (TTY: 711)번으로 전화해 주십시오.

    German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-844-674-8457 (TTY: 711).

    Japanese 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。

    1-844-674-8457（TTY: 711）まで、お電話にてご連絡ください。

    French ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-844-674-8457 (TTY : 711).

    Amharic ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት

    ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ 1-844-674-8457 (መስማት ለተሳናቸው: 711).

    Mon-Khmer, Cambodian

    ប្រយ័ត្ន៖ បរើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, បសវាជំនួយខ្ននកភាសា បោយមិនគិត្ឈ្ន លួ

    គឺអាចមានសំរារ់រំបរ ើអ្នក។ ចូរ ទូរស័ព្ទ 1-844-674-8457 (TTY: 711)។

    Karen ymfol.fymfo;= erh>fuwdR unD usdmftCd˜ erReh>f usdmftw>frRp>Rv> wv>mfbl.fv>mfphR eDwrHRb.foheh.fvDR² ud;

    1-844-674-8457 (TTY: 1-711).

    Ukrainian УВАГА! Якщо ви розмовляєте українською мовою, ви можете звернутися до безкоштовної служби мовної підтримки. Телефонуйте за номером 1-844-674-

    8457 (телетайп: 711).

  • Notice of Language Assistance Services

    10/1/2018

    Navajo D77 baa ak0 n7n7zin: D77 saad bee y1n7[ti’go Diné Bizaad, saad bee 1k1’1n7da’1wo’d66’, t’11 jiik’eh, 47 n1 h0l=, koj8’ h0d77lnih 1-844-674-

    8457 (TTY: 711).

    Persian (Farsi) با. باشد می فراهم شما برای رايگان بصورت زبانی تسهيالت کنيد، می گفتگو فارسی زبان به اگر: توجه

    1-844-674-8457 (TTY: 711)بگيريد تماس.

    Serbo-Croatian OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 1-844-674-8457 (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 711).

    Thai เรียน: ถา้คณุพูดภาษาไทยคณุสามารถใช้บริการช่วยเหลือทางภาษาไดฟ้รี โทร 1-844-674-8457 (TTY: 711).

    Armenian ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խոսում եք հայերեն, ապա ձեզ անվճար կարող են տրամադրվել լեզվական աջակցության ծառայություններ: Զանգահարեք 1-844-674-8457 (TTY (հեռատիպ)՝ 711):

    Hmong LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1- 844-674-8457 (TTY: 711)

    French Creole (Haitian Creole)

    ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-844-674-8457 (TTY: 711)

    Portuguese ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-844-674-8457 (TTY: 711).

    Italian ATTENZIONE: In caso la lingua parlata sia l'italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-844-674-8457 (TTY: 711)

    Cushite XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-844-674-8457 (TTY: 711).

    Laotian ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ,

    ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ,

    ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-844-674-8457 (TTY: 711).

    Romanian ATENȚIE: Dacă vorbiți limba română, vă stau la dispoziție servicii de asistență lingvistică, gratuit. Sunați la 1-844-674-8457 (TTY: 711).

    Nepali ध्यान दिनुहोस्: तपारं्इल ेनेपाली बोल्नुहुन्छ भने तपारं्इको नननतत भाषा सहायता सेवाहरू ननिःशलु्क

    रूपमा उपलब्ध छ । फोन गनुुहोस् 1-844-674-8457 (टिटिवार्इ: 711) ।

    Sudanic MAANDO: To a waawi [Adamawa], e woodi ballooji-ma to ekkitaaki wolde caahu. Noddu 1- 844-674-8457 (TTY: 711).

  • Notice of Language Assistance Services

    10/1/2018

    Syriac ܐܵܢ ܐܸܢ: ܙܼܘܵܗܪ

    ܲܚܬܘ ܢ ܹܟܐ ܼܐܲ

    ܲܡܸܙܡܼܝܬܘ ܐ ܼܗܲ

    ܵܵܝܐ ܸܠܵܫܢ

    ܵܪܲܢ ،ܵܐܬܘ

    ܲܢ ܵܡܨܼܝܬܘ

    ܲܒܠܼܝܬܘ ܢܐܕܼܩܲ

    ܹܬܐ ܐ ܸܚܠܼܡܲܵܪܬ ܼܝܲ ܐ ܕܼܗܲ

    ܵܐܼܝܬ ܒܸܠܵܫܢ

    ܵܵܓܢ ܢ. ܼܡܲ

    ܲܠ ܩܪܘ ܐ ܼܥܲ

    ܵ (TTY: 711) 8457-674-844-1ܸܡܢܵܝܢ

    Punjabi ਧਿਆਨ ਧਿਓ :ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋਜੇ , ਤਾਾਂ ਭਾਸ਼ਾ ਧਵਿੱਚ ਸਹਾਇਤਾ ਸੇਵਾ ਤੁਹਾਡ ੇਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ। 1-

    844-674-8457 (TTY: 711) 'ਤੇ ਕਾਲ ਕਰੋ।

    Hindi ध्यान िें: यदि आप ह िंदी बोलते हैं तो आपके नलए मफु्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-

    844-674-8457 (TTY: 711) पर कॉल करें।

    Polish UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-844-674-8457 (TTY: 711)

    Gujarati સચુના: જો તમ ેગજુરાતી બોલતા હો, તો નન:શલુ્ક ભાષા સહાય સવેાઓ તમારા માટ ેઉપલબ્ધ છે. ફોન કરો 1-844-674-8457 (TTY: 711).

    Norwegian MERK: Hvis du snakker norsk, er gratis språkassistansetjenester tilgjengelige for deg. Ring 1-844-674-8457 (TTY: 711)

    Pennsylvanian Dutch

    Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-844-674-8457 (TTY: 711).


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