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

Facility Information Facility Search:  Including Inspection Reports Listing of Arizona Nursing Homes and ICF/MRs. In three downloadable formats  Nursing Home Compare-  CMS website with  recent survey data Training/Licensing Initial and Renewal Applications & Forms Consumer Information 2009 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 Note:  Some of the files on this page are in PDF format.  Acrobat Reader™ must be downloaded and installed on your computer to read them. Rules/Regulations CMS State Operations Manual: Appendices Code of Federal Regulations:  Requirements for Medicare certification (Title 42-Public Health) Code of Federal Regulations: New Life Safety Code Requirements [PDF 93K] 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

Enforcement/Complaints Complaint Form Abuse in Nursing Homes - What to do Complaint Process ADHS Enforcement Actions Provider Information Required Documentation of Citizenship or Immigration Status of All Licensees and/or Certification Holders -view details H1N1 Guidelines - Inpatient Facilities House Bill 2366 Sprinkler Requirement for Long Term Care Facilities Most Cited Deficiencies Reportable Event Record Alert - Enclosed Beds 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