Quoter | Fair Oaks Senior Care Online Needs Assessment Tool

Click here for Fair Oaks’ Statement Regarding COVID-19.

1515 Blackhawk Boulevard, South Beloit, IL 61080 815.389.3911

About
Our Community
Our Care
The Resident Experience
Blog
Contact
CAREERS
PAY ONLINE

REQUEST A TOUR

About

Our Community

Our Care

The Resident Experience

Contact

Step 1 of 16

6%

Are you inquiring for yourself or a loved one? * Required
- Myself
- A Loved One

What is your relationship? * Required
- Spouse
- Child
- Grandchild
- Niece
- Nephew
- Other

What type of senior community/care are you looking for?
- Assisted Living
- Memory Care
- Rehabilitation & Extended Stay
What type of senior community/care are you looking for your loved one?
- Assisted Living
- Memory Care
- Rehabilitation & Extended Stay

Are you looking for a rental-based or buy-in community?
- Rental-Based Community
- Buy-In Community

Do you need to sell your home?
- Yes
- No
Will your loved one need to sell their house?
- Yes
- No

Do you still live in your own home?
- Yes
- No
Does your loved one live in their own home?
- Yes
- No

Do you currently receive assistance with daily living activities?
- Yes
- No
Do you provide assistance with daily living activities to your loved one?
- Yes
- No

Is a doctor currently overseeing your care?
- Yes
- No
Is a doctor currently overseeing your loved one’s care?
- Yes
- No

Are you looking for a short-term rehabilitation or extended stay?
- Short-Term Rehabilitation
- Extended Stay

How long do you anticipate your stay will be?
Length of Stay
How long do you anticipate your stay will be?
Length of Stay

Do you currently have Medicare or managed care?
- Medicare
- Managed
Is your loved one currently covered by Medicare or managed care?
- Medicare
- Managed

Do you have a doctor overseeing your care?
- Yes
- No
Has your loved one received a diagnosis of Alzheimer’s or other form of dementia?
- Yes
- No

Are you looking to move immediately?
- Yes
- No
Are you looking to move your loved one immediately?
- Yes
- No

Have you ever lived in or had a respite stay at a memory care community?
- Lived/Living in a Memory Care Community
- Respite Stay Only
Has your loved one ever lived or had a respite stay in a memory care community?
- Lived/Living in a Memory Care Community
- Respite Stay

What amenities are you interested in during your time at Fair Oaks? * Required
- Recreational, Cultural and Social Activities
- Fitness Programs & Gym
- Housekeeping Services
- Assistance with Activities of Daily Living
- Medication Management
- Physical Therapy, Speech Therapy or Occupational Therapy
- Rehabilitation Gym

Please give us your contact information.
Name * Required
Email * Required
Phone * Required

Δ

Start Over

1515 Blackhawk Boulevard, South Beloit, IL 61080 815.389.3911

About

The Fair Oaks Difference
Employment Opportunities
FAQS
Privacy Policy
Cookie Policy
Do Not Sell My Info

Connect

Visit Fair Oaks
Contact Us
Tutera.com

Community

Rooms
Amenities

Follow Us

Newsletter

Keep up to date with fun activities and events!

© Copyright 2023 Fair Oaks Rehabilitation & Health Care Center, All Rights Reserved. | Privacy Policy

Web Design in Kansas City by Lifted Logic

Schedule a Tour Today!

Schedule Tour!

Thanks for your interest - how do we reach you?