Greenhurst Nursing Center
MAINTENANCE REQUEST
Task Type
[Please Select One]
GEN
Bed Repair / Mattress Change
Clean-Up / Floor Care
Electrical / Lighting
Equipment Repairs
Fire Safety
General Maintenance
Health & Safety
Heating / Cooling
Mechanical Lifts
Nurse Call System
Painting / Touch Ups
Pest Control
Plumbing
Resident / Family Request
Building Area
[Please Select One]
100 Hall
200 Hall
300 Hall
400 Hall
Dining
Grounds
Kitchen
Laundry
Lobby
Nurses Station
Physical Therapy
Facility
Fleet
Room#
Details
Your Name
Your Email Address
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Possible Duplicate Task
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Date Created:
{date_created}
Type:
{type}
Area:
{area}
Room:
{room}
Comments:
{comments}
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