ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type Letter Date Subject Status(desc) Notes
NH 022-044 07/22/2022 QSO-22-18-ALL: Clarifying Vaccination Expectations for Surveyors Performing Federal Oversight and Rescinding QSO-10-22-ALL Current
NH 018-008 04/13/2018 Clarification: RN Hours for Meeting 24 Hour RN Staffing Requirement Current
NH 016-015 06/06/2016 24-Hour Requirement in Nursing Homes Update Current
NH 021-073 09/17/2021 COVID-19, Influenza and Pneumococcal Reminder Current
NH 020-046 07/17/2020 QSO 20-34-NH: Ending of PBJ Waiver and Changes to Info Posted on NH Compare and Five Star Quality Rating System Due to COVID-19 Public Health Emergency Current
NH 024-042 08/29/2024 EMERGENCY MEDICAL SERVICES AND LONG-TERM CARE WEBINAR Current
NH 014-011 08/13/2014 Handling of E. WA Wildfires & Emergency Preparedness Planning Reminder Current
NH 021-010 02/01/2021 COVID-19 Vaccination Information Current
NH 019-013 06/21/2019 Nationwide Shortage of Tuberculin Skin Test Antigen Solution Current
NH 017-005 02/22/2017 CDC Guidance for Water Management Plans 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 020-078 10/30/2020 Update to Reporting COVID Test Results Current
NH 026-005 01/29/2026 CR-103P (PERMANENT RULE) FILED TO REPEAL SECTIONS OF CHAPTER 388-97 WAC THAT ARE NO LONGER IN USE (NURSING HOMES) Current
NH 023-022 05/19/2023 Launch of CareLearn Retention Toolkit Current
NH 025-012 03/28/2025 Update to RCS Staff Mask Wearing in LTC Settings During Respiratory Illness Season Current
NH 015-018 05/18/2015 S&C 15-36: Requesting an Appeal with the Departmental Appeals Board (DAB) Current
NH 021-042 05/25/2021 CR-103E Filed to Extend Emergency Rules Amending NH Requirements and Two CR-101s Filed to Consider Permanently Amending Some NH Rules Current
NH 020-014 03/26/2020 QSO-20-20-All Prioritization of Survey Activities & Focused Infection Control/PPE Reviews Current

Superseded August 8, 2025

NH 022-045 08/03/2022 CMS QSO-22-19-NH: Announcing Revisions to Surveyor Guidance for Phases 2 & 3, Arbitration Agreements, Investigating Complaints and Facility Reported Incidents, and the Psychosocial Outcome Severity Guide Current
NH 013-004 04/15/2013 S&C 13-13: New Dining Standards of Practice Resources Current
NH 018-009 04/13/2018 Specialized Infection Prevention & Control Training Current
NH 025-045 09/25/2025 EXPIRED CENTERS FOR MEDICARE AND MEDICAID (CMS) MEMOS AND UPDATED PRACTICE GUIDANCE Current
NH 016-016 06/09/2016 Character, Competence & Suitability for Owner or Designee Current
NH 021-075 09/24/2021 Interim Final Rule: CMS-3401-IFC: Additional Policy & Regulatory Revisions Related to LTC Facility COVID Testing Requirements Current

Superseded August 8, 2025

NH 020-047 07/17/2020 Clarification of NH #2020-038 and CMS QSO 20-31-AL: Enhanced Enforcement Standards for Infection Control Current