Nursing Home Affidavit of Truth

Nursing Home Affidavit of Truth

I, [Your Name], being duly sworn, hereby depose and state as follows:

  1. I am over the age of eighteen and competent to make this affidavit.

  2. I am a resident of [Your Address] and have personal knowledge of the matters set forth herein.

  3. I am a resident of [Your Company Name] nursing home located at [Your Company Address].

I hereby affirm that the following statements are true and accurate to the best of my knowledge:

  1. The nursing home staff has consistently provided me with attentive and compassionate care since my admission on [Month Day, Year].

  2. I have never experienced any form of neglect, abuse, or mistreatment during my stay at [Your Company Name].

  3. The facilities at [Your Company Name] are maintained in a clean and sanitary condition, ensuring the comfort and well-being of all residents.

  4. The nursing home administration has been responsive to any concerns or inquiries I have raised regarding my care or living conditions.

I understand that making false statements in this affidavit may subject me to penalties under the law.


[Your Name]

Sworn to and subscribed before me this [Day] day of [Month], [Year].


[Name of Notary Public]

Notary Public, State of [State Name]

My Commission Expires: [Month Day, Year]

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