Nursing Home Administrator
Table of Contents
- Licensure Application
- Continuing Education
- Forms
- Dear Chief Executive Officer Letters
- Dear Administrator Letters (DAL)
- Instruction Manual For Conducting Patient Review Instrument
- Licensed Nursing Home Administrators in New York State
- Medicare Part D
- Gold STAMP Pressure Ulcer Improvement Initiative
Licensure Application
- Nursing Home Administrator Licensure Qualifications
- Nursing Home Administrator Licensure Application and Instructions (PDF, 173KB, 6pg.)
Continuing Education
- Guidelines
- Questions and Answers
- Reporting Form Instructions
- Reporting Form (PDF, 116KB, 2pg.)
Forms
- Hospital and Community Patient Review Instrument (H/C-PRI) (PDF, 42KB, 4pg.)
- Hospital and Community Patient Review Instrument Instructions (PDF, 64KB, 19pg.)
Dear Chief Executive Officer Letters
- Transitional Care Units - Purpose, Requirements, and Process - October 16, 2012
- Transitional Care Units - Purpose, Requirements, and Process - Application Deadline Extended to 9/21/2011
- Transitional Care Unit - Frequently Asked Questions - Revised September 2011
- Transitional Care Units - Purpose, Requirements, and Process - September 1, 2010
- Pre-Admission Screening and Resident Review (PASRR) Requirements (PDF, 175KB, 3pg.)
- Medical Orders for Life Sustaining Treatment (MOLST) (PDF, 55KB, 1pg.)
Dear Administrator Letters (DAL)
- DAL - Requirements Reminder for Individualized Discharge Care Planning for PASRR Purposes - February 25, 2013
- NH DAL 12-07: Transitional Care Unit Demo Program - October 16, 2012
- NH DAL 12-05: Nursing Home Sharps Collection Programs - August 8, 2012
- NH DAL 12-03: Video and/or Audio Surveillance Equipment Requirements - May 22, 2012
- Advisory - February 22, 2012 - Changes to Nurse Aide Training Programs
- NH DAL 11-13: Guidelines on Medical Direction and Medical Care in Nursing Homes - January 20, 2012
- Role of the Medical Director in the Nursing Home (PDF, 72KB, 13pg.)
- Role of the Attending Physician in the Nursing Home (PDF, 75KB, 14pg.)
- NH DAL 12-01: Discrimination on the Basis of Disability is Prohibited under the Americans with Disabilities Act (ADA) - January 11, 2012
- DHCBS DAL 11-11: Aide Training Requirements for Veterans with Medical Training - November 9, 2011
- NH DAL 11-10: Changes to Nursing Home Certified Nurse Aide (CNA) Competency Exam Program – October 7, 2011
- NH DAL 11-12: Incident Reporting System – October 4, 2011
- Incident Reporting Manual, Revised 6/14/12 (PDF, 113KB, 37pg.)
- Incident Reporting Power Point Presentation (PDF, 1.73MB, 47pg.)
- Incident Reporting Form Instructions (PDF, 272KB, 7pg.)
- Incident Reporting Questions and Answers (PDF, 159KB, 7pg.)
- NH DAL 11-11: Nursing Home Discharge Requirements - September 29, 2011
- NH DAL 11-09: Adult Day Health Care Program Survey Report - August 2011
- NH DAL 11-08: PASRR/Significant change in Status Requirements - August 2, 2011
- DHCBS DAL 11-08: 2011 Long Term Home Health Care Program Maximum Allowable Monthly Expenditure Cap - July 19, 2011
- NH DAL 11-05: Heat Advisory - June 20, 2011
- DHCBS DAL 11-06: LTHHCP Additional Capacity - June 2, 2011
- NH DAL 11-04: Unsafe Wandering - High Risk Season - May 31, 2011
- NH DAL 11-03: NY MDS 3.0 Errata Letter - Sections S Instructions and NY Appendix A (Errata) - April 15, 2011
- NH DAL 11-02: NY MDS 3.0 Requirements (Letter)- Sections S, Z and Attachments A, B - March 8, 2011
- DAL 10-11 - Cold Weather Advisory - December 10, 2010
- Transitional Care Unit - Frequently Asked Questions - October 8, 2010
- Transitional Care Units - Purpose, Requirements, and Process - September 1, 2010
- DAL 10-10 - Implementation of NYS Sections S and Z for MDS 3.0 Requirements - August 24, 2010
- DAL 10-09 - Minimum Data Set (MDS) Version 3.0 Section Q Designation of Local Contact Agencies - September 21, 2010
- DAL 10-09 - Program Survey Report Questionnaire - August 17, 2010
- Adult Day Health Care Program (ADHCP) Survey Report and Instructions (PDF, 68KB, 11pg.)
- DAL 10-08 - Reserved Bed Day Reimbursement to RHCFs for Medicaid Eligible Individuals Aged Twenty-One and Older, July 19, 2010
- DAL 10-07 - Quality Indicator Survey (QIS), July 9, 2010
- DAL 10-06 - Access to Medical Records, July 13, 2010
- DAL 10-05 - Heat Advisory, July 6, 2010
- DAL 10-04 - Family Health Care Decisions Act, May 28, 2010
- DAL 10-03 - Nursing Care Quality Protection Act, April 9, 2010
- DAL 10-02 - Unsafe Wandering - High Risk Season, May 10, 2010
- DAL 10-01 - Carbon Monoxide Detectors, March 25,2010
- DHCBS DAL 10-04 - Money Follows the Person (MFP) Demonstration Identification of and Outreach to Nursing Home Residents Project, February 24, 2010
- Automatic Sprinkler System, October 22, 2009
- DAL 09-08 - Revised SCREEN Form Implementation (November 12, 2009)
- DAL - H1N1 Respiratory Protection - November 12, 2009
- DPL - How Approved Immunization Providers Pre-Register for Novel Influenza A (H1n1) Monovalent Vaccine to be Administered to Your Patients, Residents and Staff
- DAL 09-07 - Program Survey Report Questionnaire
- DAL 09-06 - Administrator Notification to BENHA
- DAL 09-05 - CHRC Live Scan Implementation
- DAL 09-03 - Proposed SCREEN Revisions
- DAL 09-02 - Weekly Bed Census Data Survey
- DAL 09-01 - Adult Day Health Care Program Acuity Survey
- DAL 08-08 - Criminal History Record Check Employment Determinations
- DAL 08-07 - Program Survey Report Questionnaire
- DAL 08-06 - Heat Advisory
- DAL 08-05 - Unsafe Wandering - High Risk Season (PDF, 45KB, 2pg.)
- DAL 08-03 - IRS Economic Stimulus Payments (PDF, 55KB, 1pg.)
- DRS 08-02 - Home Based Primary Care for the Elderly Demonstration Program
- DAL 08-01 - Information Needed When Leaving a Message for the Centralized Complaint Intake Program (PDF, 66KB, 3pg.)
- DAL 07-13 - Charity Care
- DAL 07-11 - Paid Feeding Assistants (PDF, 42KB, 2pg.)
- Feeding Assistant Program for Nursing Homes (PDF, 163KB, 92pg.)
- DAL 07-09 Heat Advisory (PDF, 66KB, 3pg.)
- DAL 07-08 FDA Notification of Food Recall (PDF, 55KB, 2pg.)
- DAL 07-07 Distribution of Program Survey Report Questionnaire (PDF, 29KB, 1pg.)
- Program Survey Report Questionnaire (PDF, 31KB, 11pg.)
- DAL 07-06 - 24/7 Emergency Contact with New York State Department of Health (PDF, 64KB, 1pg.)
- DAL 07-05 - Patients who are Difficult to Place Survey on the Nursing Home Surveillance and Reporting System (PDF, 53KB, 2pg.)
- DAL 07-04 - Unsafe Wandering - High Risk Season (PDF, 26KB, 2pg.)
- DAL 07-03 (Revised) - Adult Day Health Care Programs, Criminal History Record Check (CHRC) Program Revised (PDF, 25KB, 1pg.)
- DAL 07-03 - Adult Day Health Care Programs, Criminal History Record Check (CHRC) Program (PDF, 37KB, 3pg.)
- DAL 07-02 - Additional Information Regarding Criminal History Record Check (CHRC) Program (PDF, 35KB, 3pg.)
- DQS/DAL Distribution Notice (PDF, 17KB, 1pg.)
- DAL 07-01-04 - Resident Advance Directories and Basic Life Support
- DAL 06-23 - Transfer and Discharge Rights
- DAL 06-22 - Pressure Ulcer Care (PDF, 27KB, 3pg.)
- DAL 06-21 - Cold Weather Advisory (PDF, 29KB, 5pg.)
- DAL 06-20 - Flu Season (PDF, 17KB, 2pg.)
- DAL 06-19 - Nurse Aide Registry (NAR) (PDF, 20KB, 3pg.)
- DAL 06-18 - Partnering for Successful Discharge Planning Conference (PDF, 16KB, 2pg.)
- DAL 06-17 - Revised Informal Dispute Resolution (IDR) Process (PDF, 29KB, 4pg.)
- DAL 06-16 - Long-term Care Facility Associated Legionellosis (Legionnaires' Disease) (PDF, 33KB, 2pg.)
- DAL 06-15 - Dementia Grant Program Request for Applications (RFA) (PDF, 15KB, 1pg.)
- DAL 06-14 - Protection of Resident Funds (PDF, 23KB, 2pg.)
- DAL 06-13 Nursing Home Closure Guidelines (PDF, 42KB, 5pg.)
- DAL 06-12 New CHRC Program Implementation (PDF, 50KB, 6pg.)
- DAL 06-11 Unsafe Wandering - High Risk Season (PDF, 27KB, 2pg.)
- DAL 06-10 Storm and Alarm Systems (PDF, 22KB, 1pg.)S
- DAL 06-09 Physician's Assistants Authorization to Write Inpatient Medical Orders (PDF, 16KB, 1pg.)
- DAL 06-08 Heat Advisory (PDF, 26KB, 2pg.)
- DAL 06-07 Program Survey Report Questionnaire (PDF, 69KB, 12pg.)
- DAL 06-06 Smoke Detectors in Nursing Homes (PDF, 43KB, 3pg.)
- DAL 06-04 Unsafe Wandering - High Risk Season (PDF, 32KB, 2pg.)
- DAL 06-03 Guidelines for Tuberculosis Control in Long Term Care Facilities (PDF, 94KB 4pg.)
- DAL 06-02 Evacuation Transportation Survey on The Nursing Home Surveillance and Reporting System (PDF, 38KB, 2pg.)
- DAL 06-01 Medicare Part D Authorized Representatives (PDF, 19KB, 3pg.)
- DAL 05-22 MI MRDD Survey Letter (PDF, 1.31MB, 16pg.)
- DAL 05-21 Nurse Aide Training Programs Certification and Renewal (PDF, 29KB, 4pg.)
- Nursing Home Nurse Aide Training Program for Nurse Aide Certification (PDF, 390KB, 215pg.)
- DAL 05-20 MDS Validation (PDF, 16KB, 1pg.)
- MDS Validation Attachment (PDF, 22KB, 1pg.)
- DAL 05-19 Influenza Survey Nursing Home Surveillance and Reporting System (PDF, 349KB, 13pg.)
- DAL 05-18 Influenza and Pneumococcal Immunizations (PDF, 30KB 3pg.)
- DAL 05-17 - Cold Weather Advisory (PDF, 32KB, 5pg.)
- DAL 05-16 - Quality Improvement Practices and Initiatives in Nursing Homes (PDF, 15KB, 1pg.)
- DAL 05-15 - Nursing Home Surveillance and Reporting System (PDF, 15KB, 2pg.)
- DAL 05-13 - Medicaid Bed Hold (PDF, 22KB, 1pg.)
- Determining Bed Reservation Payment Eligibility (PDF, 40KB, 2pg.)
- DAL 05-12 - Quality Improvement Practices and Initiatives in Nursing Homes (PDF, 19KB, 2pg.)
- DAL 05-11 - Emergency Preparedness and Attachments (PDF, 36KB, 3pg.)
- Surge Capacity Assessment (PDF, 27KB, 2pg.)
- Comprehensive Emergency Management Program Worksheet (PDF, 32KB, 2pg.)
- Evacuation Plan Worksheet (PDF, 27KB, 2pg.)
- Surge Capability Planning (PDF, 27KB, 1pg.)
- DAL 05-10 - Nursing Home Requirements to Report to Department of Health (PDF, 48KB, 7pg.)
- DAL 05-09 - Nurse Aide Training Program Approvals (PDF, 19KB, 2pg.)
- DAL 05-06 - Heat Advisory (PDF, 22KB, 2pg.)
- DAL 04-08 Cold Weather Advisory 11/23/04 (PDF, 36KB, 5pg.)
- DAL 04-06 Family Councils 10/08/04 (PDF, 24KB, 2pg.)
- DAL 04-04 Veterans Affairs Notifications 10/08/04 (PDF, 21KB, 1pg.)
- DAL 04-02 Revised Interim Policy for Transfer/Discharge of Nursing Home Residents 12/01/04 (PDF, 18KB, 4pg.)
- DAL 03-A - Nursing Home Informal Dispute Resolution Process (PDF, 20KB, 7pg.)
- DAL 03-06 - Sprinkler Head Recall 8/22/03 (PDF, 16KB, 2pg.)
- DAL 01-10 - Basic Principles of the Disease Anthrax.
- Additional information regarding Anthrax, Bioterrorism Readiness, and Communicable Disease Reporting, can be found on the Department's Bioterrorism Readiness page.
- DAL 01-09 - Certified Nurse Aide Registry Report of Findings and Convictions
- DAL 01-08 - Patient Abuse Reporting Requirement for Residents of Nursing Homes
- Fentanyl Alert for Administrators, October 29, 2001 - Diversion of the Drug Fentanyl in Hospital and Other Healthcare Institutions
Instruction Manual For Conducting Patient Review Instrument
Licensed Nursing Home Administrators in New York State
Medicare Part D
- Medicare Part D Questions and Answers Regarding Residents' Designated Representatives (PDF, 8KB, 1pg.)
Gold STAMP Pressure Ulcer Improvement Initiative
- OLTC DRS - Gold STAMP Pressure Ulcer Improvement Initiative CMS Stakeholder's Conference PowerPoint Presentation - 9/28/2010 (PPT, 505KB, 25 slides)
- Gold STAMP Program to Reduce Pressure Ulcers
