※From April of 2015, the requirements for admission to a special elderly care nursing home

have changed.For more information, please see the Ministry of Health, Labor and Welfare brochure.

Usage Charges

Classification	Nursing care required 1	Nursing care required 2	Nursing care required 3	Nursing care required 4	Nursing care required 5
Usage charges	158,460円	160,500円	162,690円	164,760円	166,770円

The above usage amount is the standard amount (in case of 10% payment).(As of August 2021)
Includes lodging expenses, utilities, and water expenses.

If you apply to your insurer (municipal or municipality) and have been certified for the maximum amount of nursing care insurance coverage, there are measures to reduce your expenses depending on your income.

The amount above includes the following:

• Living expenses: 3,000 yen per day x 30 days per month = 90,000 yen
• Food expenses: 1,630 yen per day x 30 days = 48,900 yen

※Regarding nursing care staff treatment improvement additions, we will add (basic nursing care fees + each addition) x 8.3% per month.
※Regarding nursing care staff specific treatment improvement additions, we will add (basic nursing care fee + each addition) x 2.7% per month.
※Regarding support additions such as base increase for nursing care staff, etc., we will add (basic nursing care fee + each addition) x 1.6% per month.
※In addition, various additional charges will be calculated.

For those who are thinking of using the facility

We will post files for the “Special Nursing Care Residence Application Form” and the “Letter of Opinion from Nursing Care Support Specialists, etc.”
If you print this out, fill it out, and come to the facility, you can shorten your reception time.

01-Application form for admission 02-Survey form 03-Opinion statement from nursing care support specialists, etc. 

〇 Please also bring a copy of your insurance card, such as your long-term care insurance provider’s card, copayment percentage certificate, and long-term care insurance payment limit certificate.
〇 Please bring a copy of your nursing care service usage slip for the past three months.
※If you cannot find it, please ask your care manager.
〇 Please apply for a certified survey form at the counter in charge of the city, ward, town or village where you live.

Basic Information About The Facility

Name of the facility	Cosmos Club Special Elderly Care Nursing Home
Address	1356 Nose, Aioi City, Hyogo Prefecture,678-0044.
Phone/FAX	TEL：0791-24-0600　FAX：0791-24-0900
Administrator Name	Facility Director Keiko Nakajima