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(asc) Notes
NH 020-028 04/30/2020 QSO 20-28-NH: Five Star Quality Rating System Updates, Staff Counts and Frequently Asked Questions Current
NH 016-005 02/25/2016 Update Regarding Expectations For E-Cigarettes & Vaping Devices Current
NH 024-040 08/26/2024 UPDATES TO INTERESTED PARTIES’ MEETINGS AMENDING RULES TO IMPLEMENT SUBSITUTE HOUSE BILL 1218 Current
NH 025-053 10/16/2025 UPDATED GUIDANCE FOR MELATONIN USE IN NURSING HOMES (NHs) Current
NH 021-087 11/05/2021 Respirator Fit Testing and Respiratory Protection Program Resource Current
NH 018-022 09/18/2018 QSO 17-30 Revised 07.06.2018 Clarifying Requirements to Reduce Legionella Risk in Healthcare Facility Water Systems Current
NH 014-001 03/07/2014 CR 102 Filed: Formal Phase of Proposed Amendments to Chapter 388-97 WAC (Background Checks) Current
NH 023-020 04/28/2023 Updates to the NH Compare Website & 5 Star Quality Rating System: Adjusting Ratings Based on Erroneous Schizophrenia Coding and Posting Dispute Resolution Information Current
NH 021-016 03/29/2021 Updates to the Safe Start for LTC Recommendations & Requirements Current
NH 020-061 08/28/2020 QSO-20-35-ALL - Enforcement Cases Held During the Prioritization Period & Revised Survey Prioritization Current
NH 016-038 11/16/2016 Supplemental 3.4 HPRD Instructions & Reporting Template for NH Facilities Current
NH 025-011 03/26/2025 QSSAM-25-1-ALL: Clarification of CMS' Provider Enrollment Site Visits and Specific Disclosure Requirements for SNF and NF Current
NH 022-028 05/05/2022 QSO-22-15-NH & NLTC & LSC Announcing Discontinuation of Several Waivers in 30 and 60 Day Current

Superseded August 8, 2025

NH 019-028 11/27/2019 QSO-20-03-NH Phase 3 Interpretive Guidance, Arbitration Agreement Requirements and Announcement of New Resources Current
NH 015-010 03/30/2015 CR-101 Filed Amending Sections to Chapter 388-97 WAC Current
NH 024-009 03/08/2024 Reporting and Instructions of Minimum Staffing Standards 3.4 Hours of Direct Care Per Resident Per Day (HPRD) Temporary Inclusion of Previously Unreported Hours for State Q2, Q3, and/or Q4, 2023 Current
NH 021-056 07/12/2021 Skilled Nursing Facility Survey: Identification of Barriers to Admission of Residents with Opiate Use Disorders Current
NH 020-092 12/02/2020 Rapid Response Short-Term Crisis Staffing Current
NH 025-043 09/16/2025 REQUIREMENTS FOR NURSING HOMES KEEPING NALOXONE (NARCAN) IN STOCK Current
NH 022-058 10/07/2022 Epidemic Preparedness and Response Guidelines Current
NH 017-024 08/11/2017 S&C 17-38-LSC Fire & Smoke Door Annual Testing Requirements in Health Care Occupancies Current
NH 012-011 09/17/2012 Influenza and Pneumococcal Immunization Reminders Current
NH 020-097 12/11/2020 UPDATE ON NHSN AND STATE REPORTING PORTAL FOR COVID-19 DATA Current
NH 020-029 04/30/2020 Minor or Simple Edits to Statements of Deficiencies Current
NH 016-006 03/21/2016 Service Episode Records for PASRR Level II Developmental Disability Clients Current