Comprehensive Care Facility (Nursing Homes) Licensing and Certification Program

The Comprehensive Care Facility Licensing and Certification Program enforces the rules and regulations for long term care facilities. The Program staff conducts health and life safety code surveys and investigates complaints in order to assess the compliance of the facilities with the rules and regulations.

Announcements / Current News

There are no announcements at this time.

Contact the Program

Indiana Department of Health
Division of Long Term Care
2 North Meridian Street, 4B
Indianapolis, IN 46204
(317) 233-7442 (Long Term Care Receptionist)
(317) 233-1325 (IDOH Main Switchboard)
Map

Division Director
Brenda Buroker
bburoker@isdh.in.gov
(317) 234-7340
(317) 233-9691 [Administrative Assistant]
(317) 233-7322 [Fax]

Program Director, LTC Licensing and Enforcement Program
Miriam Buffington
mbuffington@isdh.in.gov
(317) 233-7613
(317) 234-3069 [Administrative Assistant]
(317) 233-7322 [Fax]

Questions: Ltcproviderservices@isdh.IN.gov

Report a Complaint, Incident or Crime to the IDOH

Report a complaint regarding a health care facility

Any individual may submit a complaint to the IDOH about care provided at any licensed or certified Indiana health care facility or entity. The IDOH investigates all complaints. The above link is to a page that provides information about the complaint process and how to report a complaint.

Report an incident regarding a health care facility

State or federal regulations require health facilities or entities to report certain types of “incidents” to the IDOH. The above link is to a page that provides information about the incident reporting process and how a health care facility or entity reports incidents. An Incident report form is provided for health care facilities to report incidents to the IDOH.

Report a reasonable suspicion of a crime against a long term care resident

Federal law requires “covered individuals” to report a reasonable suspicion of a crime against a long term care resident to the IDOH and a local law enforcement entity. Covered individuals include an owner, operator, employee, manager, agent, or contractor of the facility. The included facilities include a nursing home, hospice, or intermediate care facility for individuals with intellectual disabilities (ICF-IID). The above link is to a page that provides information for long term care providers about the crime reporting requirements and how to report a reasonable suspicion of a crime against a resident. A Reporting a crime form is provided for individuals to report suspected crimes to the IDOH.

Consumer Information

Facility Changes

Administrator or Director of Nursing Change Form

Application for Conversion from State Licensed Only to Medicare/Medicaid Participation

Application for Conversion Medicaid Facility Converting into Medicare and/or Medicaid Facility

Bed Changes, Remodeling, and Special Units Requests

Change of Ownership Medicaid Facility

Change of Ownership Medicare or Medicare/Medicaid Facility

Change of Ownership Residential Facility

Facility Closure Requirements

Facility Name Change

New Medicare or Medicare/Medicaid Facility

New Residential Care Facility

Replacement Facility

Forms

Administrator or Director of Nursing Change Form

Application for Approval of the 105 Hour Nurse Aide Training Program

Application for Approval of the Dining Assistant Program

Application for Approval of the Qualified Medication Aide Course

Health Care Engineering Plans Approval

Application for License to Operate a Health Facility

Application for Renewal of Health Facility License

Application for Small House Health Facility Approval

Bed Inventory

Centers of Medicare and Medicaid Services Forms

Employee Records

Federal Forms Home Page

Life Safety Code Waiver Request

Notice of Transfer and Discharge

Notice of Transfer and Discharge (Spanish)

Notice of Transfer and Discharge Request for Hearing

Nurse Aide Registry CNA Renewal

QMA Record of Annual In-service Training

Tuberculosis Waiver Request

Laws and Regulations

Federal Laws and Regulations

42 CFR 483 (Long Term Care Facilities)

Code of Federal Regulations (CFR) Homepage

State Operations Manual Appendix P (Survey Protocols)

State Operations Manual Appendix PP (Guidance to Surveyors)

State Operations Manual Appendix Q (Guidelines for Determining Immediate Jeopardy)

State Laws and Rules

Indiana Code 16-28-2; Licensure of Health Facilities

410 IAC 7-24; Retail Food Establishment Sanitation Requirements

410 IAC 16.2; Licensure of Health Facilities Rules

412 IAC 1; Emergency Relocation of Residents

412 IAC 2; Qualified Medication Aides

Indiana Law and Rules Homepage

Indiana Register

Limited Criminal History Search

Links

Long Term Care Consumer Organizations

Indiana Association of Area Agencies on Aging
4755 Kingsway Drive
Indianapolis, Indiana 46205
(317) 254-5465
http://www.iaaaa.org/

United Senior Action
P.O. Box 2922
Indianapolis, IN 46206
(317) 634-0872

Alzheimer's Association Greater Indiana
50 East 91st Street, Suite 100
Indianapolis, IN 46240
(800) 272-3900
http://www.alz.org/indiana/

National Citizens Coalition for Nursing Home Reform
1424 16th Street NW, Suite 202
Washington, D.C. 20036
(202) 332-2275
http://theconsumervoice.org/

AARP Indiana State Office
One North Capitol Avenue, Suite 1275
Indianapolis, Indiana 46204
(866) 448-3618
http://states.aarp.org/category/indiana/

Long Term Care Provider Associations

Hoosier Owners and Providers for the Elderly (HOPE)

Indiana Health Care Association (IHCA)

Indiana Assisted Living Association

Indiana Hospice and Palliative Care Association (IHPCA)

Leading Age Indiana

Ombudsman and Resident Protection Agencies

Office of the Long Term Care Ombudsman
402 West Washington Street, Room W451
Post Office Box 7083, MS 27
Indianapolis, Indiana 46207-7083
Information/complaint line: 800-622-4484 or 317-232-7134
Fax number: 317-972-3285
Email: LongTermCareOmbudsman@ombudsman.IN.gov
https://www.in.gov/ombudsman/long-term-care-ombudsman/contact-information/

Indiana Protection and Advocacy Services
4701 North Keystone Avenue, Suite 222
Indianapolis, Indiana 46205
(317) 722-5555 | (800) 622-4845
https://www.in.gov/idr/ipas-commission/

Professional Organizations

American Health Information Management Association

Association of Professionals in Infection Control and Epidemiology

Indiana Chapter of the American Physical Therapy Association

Indiana Medical Directors Association

Indiana Speech Language Hearing Association

Indiana State Medical Association

Indiana State Nurses Association

National Patient Safety Foundation

Quality Improvement Organizations

A Quality Improvement Organization (QIO) is a group of health quality experts, clinicians, and consumers organized to improve the care delivered to people with Medicare. QIOs work under the direction of the Centers for Medicare and Medicaid Services (CMS) to assist Medicare providers with quality improvement and to review quality concerns for the protection of beneficiaries of the Medicare Trust Fund.

State Government

Attorney General
402 West Washington Street, 5th Floor
Indiana Government Center South
Indianapolis, Indiana 46204
(317) 232-6201
https://www.in.gov/attorneygeneral/

Secretary of State
200 West Washington Street, Rm. 201
State House
Indianapolis, Indiana 46204
(317) 232-6532
https://www.in.gov/sos/

Indiana Family and Social Services Administration

Indiana Long Term Care Partnership Program

Indiana Professional Licensing Agency

Indiana Public Access Counselor

Community Benefit Planning