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Hi Dodie, The Slim Edge has an easy DIY installation with an ergonomic control knob to control the pressure. You would need to see if it could be compatible with the assisted living facility's toilet. We would be happy to help. Please reach out to our Customer Service Team directly as they will be able to assist further. They can be reached M-F 9am-5pm CST at 847-458-2334 or toll free 877-339-5214. Thank you, Bio Bidet
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