The Division of Licensing Services' Office of Long-Term Care Licensing licenses and inspects Arizona nursing homes facilities. Long-Term Care staff also perform Medicaid certification inspections for Arizona's Intermediate Care Facilities for the Mentally Retarded (ICF/MR).

• Governor Declared Emergency Waiver Request Form
• Medicare (CMS) 1135 Waiver Request Form
• Behavioral Health Rule Change
• Online Complaint Form
• Credit Card Payment Form and Instructions

Find more information related to long-term care licensing (nursing homes):

Consumer Information  |  Enforcement/Complaints  |  Facility Information

Provider Information  |  Rules/Regulations  |  Training/Licensing

Consumer Information

• Arizona Ombudsman
• H1N1 Influenza Information
• Profiling Arizona's Nursing Home Residents
• Medicare Nursing Home Evaluation Checklist
• The Nursing Home Survey Process
• A Consumer's Guide to Nursing Homes
• Resident Rights

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Enforcement/Complaints

• Complaint Form
• Abuse in Nursing Homes - What to do
• Complaint Process
• ADHS Enforcement Actions

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Facility Information

• Facility Search
  (including inspection reports)
• Arizona Nursing Homes and ICF/MRs List
  (provided in three downloadable formats)
• Nursing Home Comparison
  (CMS website with recent survey data)

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Provider Information

• Required Documentation of Citizenship or Immigration Status
  (all licensees and/or certification holders)
• H1N1 Guidelines - Inpatient Facilities
• House Bill 2366
• Sprinkler Requirement for Long Term Care Facilities
• Most Cited Deficiencies
• Reportable Event Record
• Enclosed Beds Alert
• Incident Reporting Phone Line
• Fingerprinting FAQs
• Fingerprint Substantive Policy
• Adult Protective Services – Filing an Abuse/Neglect/ Exploitation Report
• Adult Protective Services Appeal Process and Registry

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Rules/Regulations

• CMS State Operations Manual – Appendices
• Code of Federal Regulations – Requirements for Medicare certification
  (Title 42-Public Health)
• Arizona Department of Health Services Office of Administrative Rules
• Arizona Administrative Code – State Requirements for Licensing
• Arizona Administrative Code R9-1-412 – Physical Plant Health and Safety Codes and Standards

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Training/Licensing

• Initial and Renewal Applications & Forms

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