The provider disclosure statement shall include:
(1) a description of the facility as an independent living, assisted living, or nursing care facility, or a combination of facility types;
(2) a general description of medical services provided at the facility in addition to assisted living services and nursing care services;
(3) a statement as to whether the facility accepts Medicare and Medicaid reimbursements; and
(4) notice of the online federal nursing care facility database and the online federal nursing care facility database's Internet address.