Taking a look at your database, your tables are not normalized. In your table CareOptionTbl, you have repeating groups CareOption1, CareOption2... A care option should be a record in a related field, not as a field (or many fields) in 1 table.
If a facility can have many care options, you have a one-to-many relationship between facility and care options which would require a table structure similar to this:
FacilityCareOptionTbl
-pkFacCareOptID primary key, autonumber
-fkFacilityID foreign key to tblCCLFacilites
-CareOptionsID foreign key to CareOptionsList
I would also recommend that you have a autonumber primary key in your FacilityNameList table rather than using a text field. A text field generally slows down searches.
Also, I was confused why you had your facilities table as well as a redundant facilities listing table.
Also, each facility has various codes associated with it. It might also be best to have these as records in a separate but related table and distinguish by code type.
Also, it is generally recommended not to use spaces or special characters in your table and field names (i.e. ", #, %, ? etc.)
I've cleaned up your database somewhat; it is attached.