ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type(desc) Letter Date Subject Status Notes
NH 022-064 12/16/2022 CMS Released QSO-23-01-NH with Revisions to Special Focus Facility Program Current
NH 022-013 02/11/2022 CR-103E Filed to Extend Emergency Rules Amending NH Requirements for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms Current
NH 018-016 06/07/2018 Clostridium Difficile Infection (CDI) “Toolkit” Current
NH 020-017 04/08/2020 Updated COVID-19 Information: Use of Alternate Space as Resident Rooms, Governor Proclamations, and CMS Waivers Current
NH 024-033 11/15/2024 Processing of Background Checks While Washington State Administrative Office of the Courts i Experiencing an Outage Current
NH 020-065 09/16/2020 COVID-19 Proclamations Extended Through October 1, 2020 Current
NH 017-030 11/03/2017 Proposed Amendments to Chapter 388-97 WAC (Direct Care Hours) Current
NH 024-043 09/04/2024 REMINDER OF REQUIREMENTS RELATED TO RESIDENTS’ RIGHT TO VOTE Current
NH 021-055 07/08/2021 Changes to Background Check Disqualifiers Current
NH 020-028 04/30/2020 QSO 20-28-NH: Five Star Quality Rating System Updates, Staff Counts and Frequently Asked Questions Current
NH 019-017 08/30/2019 Upcoming Changes to MDS & Case Mix Current
NH 015-022 06/16/2015 Assigned RCS Field Managers Current
NH 013-005 04/17/2013 S&C 13-14: Luer Misconnection Adverse Events Current
NH 022-002 01/06/2022 CMS Changes to COVID-19 Survey Activities and Increased Oversight Current
NH 023-032 10/05/2023 Resuming the Exception Requests to the 24-Hour RN Staffing Requirement and Process Update Current

Superseded June 30, 2025

NH 024-052 10/28/2024 Pre-Admission Screening and Resident Review (PASRR) Webinar 2024 Current
NH 014-023 10/24/2014 Use of Arbitration Agreements Current
NH 019-029 12/13/2019 Nursing Assistant Testing Process Change Current
NH 024-033 07/25/2024 Emergency Preparedness Considerations for Extreme Heat Current
NH 022-032 05/26/2022 CR-103E Filed to Extend Emergency Rules Amending or Suspending NH Requirements Related to PASRR Current
NH 022-012 02/10/2022 Clarification on NH Safe Start for LTC Plan Visitation Requirements and CMS QSO-20-39-Revised Current
NH 024-059 12/06/2024 QSO-25-07-NH, Revised LTC Surveyor Guidance: Significant Revisions to Enhance Quality and Oversight of the LTC Survey Process Current

Superseded March 19, 2025

NH 024-060 12/16/2024 Reminder of Communications Requirements with Home and Community Services Current
NH 015-012 04/20/2015 Information Required When Informing RCS of New Administrator Current
NH 024-019 04/11/2024 CMS Released QSO-24-08-NH, Enhanced Barrier Precautions in Nursing Homes Current