Nursing Homes

• Water Supply Systems regulated by Chapter 64E-8 F.A.C.
• Onsite Sewage Disposal Systems regulated by Chapter 64E-6, F.A.C.
  Please visit the Department of Health’s website at http://www.doh.state.fl.us/Environment/ostds/form/formmemo.htm  and select the Interagency Coordination Regarding Regulated Establishments document.  The approval form is at the end of this document.  
• 2012 Legislative Notice 
• 2013 Hurricane Preseason Letter (1.48 MB PDF)
• 2010 Medicaid Lease Bond Memo

Consumer Guides

• Nursing Home Guide
• Nursing Home Watchlist
• Nursing Home Guide/Watch List Posting Instructions
• Guía de Hogares de Ancianos (Spanish Nursing Home Guide)

Nursing Home Gold Seal Award / Governor's Panel on Excellence in Long-Term Care

• Gold Seal Applications must be submitted by March 15, 2013 per Florida Administrative Code 59A-4.2015
  
• Facilities Qualifying through December 31, 2012

Applications and Forms (Documents to download as PDF files)

• Gold Seal Application
• Other Applications and Forms

Transfer & Discharge Forms

• Transfer_Discharge_Notice
  • Spanish Version
• Transfer_Discharge_Fair_Hearing_Request
  • Spanish Version
• Transfer_Discharge_LTC_Ombudsman_Request
  • Spanish Version

Miscellaneous Forms

• Adverse_Incident_Report_15_days
• Attestation of Residency
• Bed Change Request Form
• Bed_Change_Request_Instructions
• Bed_Change_Room_List_Form
• Emergency Management Planning
• Fire Incident Reporting and System Failure
• Fire Incident Reporting Form
  

  Hotline Posters are available online only; please note the smaller version is acceptable regarding surveys.

• Hotline Poster (can be printed on 8 1/2" x 14" or 11" x 17") - English
• Hotline Poster (can be printed on 8 1/2" x 14" or 11" x 17") - Creole
• Hotline Poster (can be printed on 8 1/2" x 14" or 11" x 17") - Spanish 
• Hotline Poster (can be printed up to 36" x 48" - special paper/printer required) - English 
• Hotline Poster (can be printed up to 36" x 48" - special paper/printer required) - Creole 
• Hotline Poster (can be printed up to 36" x 48" - special paper/printer required) - Spanish 

Regulations

• Nursing Home Statutes -- Florida Statutes (F.S.), Chapter 400, Part II
• Nursing Home Rules -- Florida Administrative Code (F.A.C.), Chapter 59A-4
  • AHCA Declaratory Statement of American Health Associates Clinical Laboratory, Inc.
• Nursing Home Federal Code -- Code of Federal Regulations (CFR), Title 42, Part 483

Archives

• Best Practices for Compliance to Food Sanitary Conditions, January, 2004
• Best Practices for Compliance to Resident Dignity, February, 2005
  • Best Practices for Compliance to Resident Dignity--Powerpoint Presentation, February, 2005
  • Attachment C: Draft Guidance to Surveyors (Reasonable Person Concept), February, 2005
    
• Culture Change Information, December 4, 2008
• Determination of Nurse Staffing Adequacy in Nursing Homes
  • Calculating Staffing for Long Term Facilities, July, 2011
  • Minimum Staffing Hours per Day Reference Sheet, July, 2011
• Emergency Water Issues and One Week Non-Perishable Food Supply document, March 2003
• Federal 5-Day Incident Reporting, March 4, 2008
  • Federal 5-Day Incident Reporting Form (example), March 4, 2008
• Hurricane Preparedness Notice and Form for NHs and ICFs, July, 2005
• Joint Training AHCA Presentation, January, 2011
  • Survey Expectations and Regulatory Update
  • MDS 3.0 Preadmission Screening and Resident Review (PASRR)
  • MDS 3.0 Section F -- Preferences for Customary Routine and Activities
  • MDS 3.0 Coding of Section M -- Pressure Ulcers
  • MDS 3.0 Section Q -- Participation in Assessment and Goal Setting
• Nursing Home Round Table Presentation-Orlando, November, 2007
• Poster Questions & Answers document May 11, 2000
• Quality Indicator Survey (QIS) Training Resource Manual, August, 2011
  • Overview of the QIS Process
• Quality of Long-Term Care Facility Improvement Trust Fund (Nursing Homes only)
  An effort to use federal Civil Money Penalty funds (fines) to support innovative ideas that directly impact quality of care or quality of life of nursing home residents beyond minimum standards.
• Recommended Guidelines for Adult Protective Services re: Sexual Offenders/Predators, March, 2010
• Recommended Guidelines for Nursing Homes re: Sexual Offenders/Predators, March, 2010
• Reporting Requirements for Abuse and Neglect, March 6, 2003
• SB 1202 Questions & Answers, February 15, 2002
• Statewide Provider Training, September, 2001
• Statewide Provider Training 1, September, 2002
• Statewide Provider Training 2, September, 2002
• Statewide Provider Training, November, 2003
• Statewide Provider Training, January, 2005
• Surveyor Guidance for Hot Water Temperatures, January, 2002
• Surveyor Guidance for Taking Food Temperatures, March, 2003