Hospice Patients Alliance: Consumer Advocates

WHERE TO SEND A COMPLAINT:
DIRECTORY OF STATE ADDRESSES



Note: The U.S. Social Security Act mandates the establishment of minimum health and safety standards as published in Title 42 of the U.S. Code of Federal Regulations (CFR) chapter iv, part 418. The state departments of health, bureaus of licensing, maintain agreements with the U.S. Centers for Medicare Services (CMS), a division of the U.S. Department of Health and Human Services (DHHS).

Sections 1864 and 1874 of the U.S. Social Security Act direct the state agency to determine whether health care entities (including hospices) meet Federal standards for certification. Therefore, the state survey process is designed to ensure Medicare beneficiaries and Medicaid recipients receive quality services as defined by the regulations. States may "survey," or "inspect" a hospice agency as a regularly scheduled inspection, or they may survey the hospice in direct response to a complaint filed by you.

We recommend that you do not call by telephone. Complaints must be put in writing to be effective! Click here for complaint form to use.

If the hospice is "Joint Commission Accredited" by the Joint Commission on Accreditation of Healthcare Organizations (The Joint Commission), then you can also send a complaint to The Joint Commission'S offices at: 1 Renaissance Blvd., Oakbrook Terrace, Illinois 60181. You can also file a complaint with The Joint Commission directly on the Internet by accessing their website at: www.The Joint Commission.org




State Survey Agency Directory

Click on the First Letter of the State's Name
A C D F G H I K L M N O P R S T U V W
Please report any changes to Hospice Patients Alliance.
State State Survey Agency Name & Address Contact Numbers
Alabama

Division of Licensure and Certification
Alabama Department of Public Health
PO Box 303017
Montgomery, Alabama 36130-3017

Phone (334) 206-5077
Fax (334) 206-5088
EMail: Elva Goldman

Alaska

Medical Assistance
Health Facilities Licensing and Certification
4730 Business Park Boulevard, Suite 18, Bldg H
Anchorage, Alaska 99503-7137

Phone (907) 561-8081
Fax (907) 561-3011
EMail: Shelbert Larsen

Arizona

Assurance/Licensure, Health/Child Care Rev Svcs
Arizona Department of Health Services
1647 East Morten Avenue, Suite 220
Phoenix, Arizona 85020

Phone (602) 674-4200
Fax (602) 861-0645
EMail: Mary Wiley

Arkansas

Health Facilities Services
Arkansas Department of Health
Freeway Medical Twr, 5800 W 10th Street, Ste 400
Little Rock, Arkansas 72204

Phone (501) 661-2201
Fax (501) 661-2165
EMail: Renee Mallory

Office of Long Term Care, Medical Services
Arkansas Department of Human Services
PO Box 8059, Slot #402
Little Rock, Arkansas 72203-8059

Phone (501) 682-8486
Fax (501) 682-6171
EMail: Carol Shockley

California

Licensing and Certification Division
California Department of Health Services
PO Box 942732, 1800 3rd Street, Suite 210
Sacramento, California 94234-7320

Phone (916) 440-7360
Fax (916) 445-6979
Diane Schaffer
Fax (916) 445-6979

Colorado

Health Facilities Division, Building A, 2nd Floor
Colorado Dept of Public Health & Environment
4300 Cherry Creek Drive, South
Denver, Colorado 80222-1530

Phone (303) 692-2904
Toll free (800) 886-7689 x 2904 Fax (303) 753-6214
EMail: hfdintake@cdphe.state.co.us

Connecticut

Division of Health Systems Regulation
Connecticut Department of Public Health
410 Capitol Avenue, MS#12HSR
Hartford, Connecticut 06134-0308

Phone (860) 509-7400
Fax (860) 509-7543
Cynthia Denne

Delaware

Office of Health Facilities Licensing and Certification
2055 Limestone Road, Suite 200
Wilmington, Delaware 19808

Phone (302) 995-8521
Fax (302) 995-8529
EMail: Use the contact us link at Delaware's website

District of Columbia

Health Regulation Administration
825 North Capitol St. NE
Washington, DC 20002

Phone (202) 442-5888
Fax (202) 442-9430
EMail: Denise S. Pope, RN, MSN

Florida

Division of Health Quality Assurance
Agency for Health Care Administration
2727 Mahan Drive, Room 200
Tallahassee, Florida 32308-5403

Phone (850) 487-2527
Fax (850) 487-6240
EMail: Pete J. Buigas

Georgia

Office of Regulatory Services
Georgia Department of Human Resources
2 Peachtree Street NW, 21 st Floor, Suite 21-325
Atlanta, Georgia 30303-3167

Phone (404) 657-5700
Fax (404) 657-5708
EMail: Martin Rotter

Hawaii

Hawaii State Department of Health
Office of Health Care Assurance
601 Kamokila Blvd. Room 395
Kapolei, Hawaii 96707

Gerald Chung
Phone (808) 692-7420
Fax (808) 692-7447
EMail: HMFBMED

Idaho

Bureau of Facility Standards, Division of Medicaid
Idaho Department of Health and Welfare
450 West State Street, 3rd Floor
Boise, Idaho 83720-0036

Phone (208) 334-1864
Fax (208) 332-1888
EMail: Loreha Todd

Laboratory Improvement Section, Division of Health
Idaho Department of Health and Welfare
2220 Old Penitentiary Road
Boise, Idaho 83712-8299

Phone (208) 334-2235 x245
Fax (208) 334-2382
EMail: D. Eisentrager

Illinois

Office of Health Care Regulation
Illinois Department of Public Health
525 West Jefferson Street, 5th Floor
Springfield, Illinois 62761

Phone (217) 782-2913
Fax (217) 524-6292
EMail: William Bell

Indiana

Health Care Regulatory Services Commission
Indiana State Department of Health
2 North Meridian Street, Section 3B
Indianapolis, Indiana 46204

Phone (317) 233-7022
Fax (317) 233-7053
Gerald Coleman

Iowa

Health Facilities Division
Iowa Department of Inspections and Appeals
3rd Floor, Lucas State Office Building
Des Moines, Iowa 50319-0083

Phone (515) 281-4233
Fax (515) 242-5022
EMail: Marvin Tooman

Kansas

Bureau of Health Facility Regulation, Div of Health
Kansas Department of Health and Environment
900 SW Jackson, Suite 1001, Landon State Ofc Bldg
Topeka, Kansas 66612-1290

Phone (913) 296-1240
Fax (913) 296-1266
EMAIL: Joseph Kroll

Kentucky

Division of Licensing and Regulation
Kentucky Cabinet for Human Resources
275 East Main Street, 4E-A
Frankfort, Kentucky 40621-0001

Phone (502) 564-2800
Fax (502) 562-6546
EMail: Rebecca Cecil

Louisiana

Health Standards Section
Louisiana Department of Health and Hospitals
PO Box 3767
Baton Rouge, Louisiana 70821-3767

Phone (225) 342-0415
Fax (225) 342-5292
EMail: Lisa M. Deaton, RN

Maine

Division of Licensing and Certification
Maine Department of Human Services - BMS
11 State House Station, 35 Anthony Avenue
Augusta, Maine 04333-0011

Phone (207) 624-5443
Fax (207) 624-5378
EMail: Louis Doroqi

Maryland

Office of Health Care Quality
Maryland Department of Health and Mental Hygiene
201 W. Preston Street
Baltimore, Maryland 21201-2399

Phone (410) 767-6500 or 877-463-3464

Massachusetts

Division of Health Care Quality
Massachusetts Department of Public Health
10 West Street, 5th Floor
Boston, Massachusetts 02111

Phone (617) 753-8100
Fax (617) 753-8125
EMail: Paul Dreyer

Michigan

Michigan Department of Consumer & Industry Svcs
Bureau of Health Systems
Division of Health Facility Licensing & Certification
PO Box 30664
G. Mennen Williams Bldg, 525 W Ottawa, 5th Floor
Lansing, Michigan 48909

Phone (517) 241-2626
Fax (517) 241-2629
EMail: Gladys Thomas

Minnesota

Facility and Provider Compliance Division
Minnesota Department of Health
PO Box 64900
St Paul, Minnesota 55164-0900

Phone (651) 215-8715
Fax (651) 215-8710
EMAIL: Linda Sutherland

Mississippi

Health Facilities Licensure and Certification
Mississippi State Department of Health
PO Box 1700
Jackson, Mississippi 39215-1700

Phone (601) 354-7300
Fax (601) 354-7230
EMail: Vanessa Phipps

Missouri

Division of Health Standards and Licensure
Missouri Department of Health
PO Box 570
912 Wildwood Drive
Jefferson City, Missouri 65102-0570

Phone (573) 751-6271
Fax (573) 526-3621
EMAIL: Lois Kollmeyer

Institutional Services, Division of Aging
Missouri Department of Social Services
PO Box 1337
615 Howerton Court
Jefferson City, Missouri 65102-1337

Phone (573) 526-0721
Fax (573) 751-8493
EMail: Bryan Forbis

Montana

Quality Assurance, Certification Bureau
Montana Department of Health and Human Services
2401 Colonial Dr., 2nd Floor
PO Box 202953
Helena, Montana 59620-2953

Phone (406) 444-2099
Fax (406) 444-3456
EMail: Temporary until new Bureau Chief 4/10/00

Nebraska

Health Facility Licensure and Inspection
Nebraska Department of Health
PO Box 95007
Lincoln, Nebraska 68509-5007

Phone (402) 471-0179
Fax (402) 471-0555
EMail: Helen Meeks

Nevada

Bureau of Licensure and Certification/EMS
Nevada Department of Human Resources
1550 E College Parkway, Suite 158
Carson City, Nevada 89710

Phone (702) 687-4475
Fax (702) 687-6588
EMAIL: Richard Panelli

Bureau of Licensure and Certification/EMS
Nevada Department of Human Resources
4220 South Mary Parkway, Suite 810
Las Vegas, Nevada 89119

Phone (702) 486-6815
Fax (702) 486-6520
EMAIL: Lisa Jones

New Hampshire

Ofc of Prog Support, Licensing & Regulation Svcs
Health Facilities Administration
New Hampshire Dept of Health & Human Services
129 Pleasant Street, Brown Bldg.
Concord, New Hampshire 03301

Phone (603) 271-4966
Fax (603) 271-5590
EMail: Raymond Rusin

New Jersey

Long Term Care Assessment and Survey
Division of Long Term Care Systems Development and Quality
New Jersey State Department of Health & Senior Services
PO 367
Trenton, New Jersey 08625-0367

Phone (609) 633-8980
Fax (609) 633-9060
EMail: Elinor Fritz

Barbara Goldman, Director
Long Term Care Licensing and Certification
Division of Long Term Care Systems
New Jersey Department of Health and Senior Services
PO Box 367
Trenton, New Jersey 08625-0367

Phone (609) 633-9034
email: Barbara Goldman

Beth Jacobs, Acting Director
Inspections, Compliance and Enforcement
Division of Health Care Systems Analysis
New Jersey Department of Health and Senior Services
PO Box 360
Trenton, New Jersey 08625-0360

Phone: 609-341-3005
Fax 609-943-3013
email: Beth Jacob

New Mexico

Bureau of Health Facility Licensing and Certification
New Mexico Department of Health
525 Camino de Los Marquez, Suite 2
Santa Fe, New Mexico 87501

Phone (505) 827-4200
Fax (505) 827-4203
EMail: Matthew Gervase

New York

Office of Continuing Care
New York State Department of Health
161 Delaware Avenue
Delmar, New York 12054

Phone (518) 474-7055
Fax (518) 478-1014
EMail: LE102

Health Care Standards and Surveillance
New York State Department of Health
Hedley Park Place, 433 River Street, Suite 303
Troy, New York 12180

Phone (518) 402-1045
Fax (518) 402-1042
EMail: WM002

New York State Department of Health
Office of Managed Care
Empire State Plaza, Corning Tower Building
Room 2001
Albany, New York 12237

Phone (518) 474-5737
EMail: EJA

North Carolina

Certification Section, Division of Facility Services
North Carolina Department of Human Resources
PO Box 29530
Raleigh, North Carolina 27626-0530

Phone (919) 733-7461
Fax (919) 733-8274
EMail: Stephen White

North Dakota

Health Resources Section, Div of Health Facilities
North Dakota Dept of Health & Consolidated Labs
600 East Boulevard Avenue
Bismarck, North Dakota 58505-2352

Phone (701) 328-2352
Fax (701) 328-1890
EMail: Darleen Bartz

Ohio

Division of Quality Assurance
Ohio Department of Health
246 N. High Street
Columbus, Ohio 43266-0118

Phone (614) 466-7857
Fax (614) 644-0208
EMail: Rebecca Maust

Oklahoma

Special Health Services - 0237
Oklahoma State Department of Health
1000 N.E. Tenth Street
Oklahoma City, Oklahoma 73117-1299

Phone (405) 271-4200
Fax (405) 271-3442

Oregon

Health Care Licensure and Certification Section
Oregon Health Department
PO Box 14450
Portland, Oregon 97214-0450

Phone (503) 731-4013
Fax (503) 731-4080
EMail: Kathleen Smail

Client Care Monitoring Unit
Senior and Disabled Services
Oregon Department of Human Resources
500 Summer Street, 2nd Floor
Salem, Oregon 97310-1015

Phone (503) 945-6456
Fax (503) 373-7902
EMail: Dan Barker

Pennsylvania

Bureau of Quality Assurance
Pennsylvania Department of Health
P.O. Box 90
Harrisburg, Pennsylvania 17108

Phone (717) 787-8015
Fax (717) 787-1491
Dean F. Glick

Puerto Rico

Secretariat for the Regulation and Accreditation of Health Facilities (SARAFS)
1090 Marginal Ruiz Soler
Bayamón, PR 00961-7329

Phone (787) 782-8666
Toll Free 1-877-297-8666

Fax 787-706-8104

Rhode Island

Division of Facilities Regulation
Rhode Island Department of Health
3 Capitol Hill
Providence, Rhode Island 02908-5097

Phone (401) 222-2566
Fax (401) 222-3999
EMail: Facility Regulations

South Carolina

Bureau of Certification
SC Department of Health & Environmental Control
2600 Bull Street
Columbia, South Carolina 29201-1708

Phone (803) 737-7205
Fax (803) 737-7292
EMail: Karen Price

South Dakota

Office of Health Care Facilities
Licensure and Certification
Health Systems Development and Regulation
South Dakota Department of Health
615 East 4th Street
Pierre, South Dakota 57501-5070

Phone (605) 773-3356
Fax (605) 773-6667
EMail: Joan Bachman

Tennessee

Office of Health Care Facilities
Tennessee Department of Health
665 Mainstream Drive, 2nd Floor
Nashville, Tennessee 37243

Phone:
Complaints regarding facilities: 877-287-0010
Complaints regarding home health & hospice: 800-541-7367
Fax: 615-253-4356

Texas

Health Facility Compliance Division
Texas Department of Health
1100 West 49th Street
Austin, Texas 78756

Phone (512) 834-6752
Fax (512) 834-6653

Long Term Care - Regulatory
Texas Department of Human Services
701 West 51st Street, P.O. Box 149030
Austin, Texas 78751

Phone (512) 834-6696
Fax (512) 834-6756
EMail: Jim Lehrman

Utah

Medicare/Medicaid Prgm Cert/Resident Assessment
Division of Health Systems Improvement
PO Box 16990
Salt Lake City, Utah 84114-2905

Phone (801) 538-6559
Fax (801) 538-6163
EMail: Allan Elkins

Vermont

Division of Licensing and Protection
Vermont Department of Aging and Disabilities
103 South Main Street
Waterbury, Vermont 05671-2306

Phone (802) 241-2345
Fax (802) 241-2358
EMail: Laine Lucenti

Virginia

The Center for Quality Health Care Services
and Consumer Protection
Virginia Department of Health
3600 West Broad Street, Suite 216
Richmond, Virginia 23230

Phone (804) 367-2102
Fax (804) 367-2149
EMail: Nancy Hofheimer

Washington

Facilities and Services Licensing
PO Box 47852
Olympia, Washington 98504-7852

Phone (360) 705-6652
Fax (360) 705-6654
EMail: Gary Bennett

Residential Care Services
Washington Department of Social & Health Services
PO Box 45600
Olympia, Washington 98504-5600

Phone (360) 493-2560
Fax (360) 438-7903
EMail: Patricia Lashway

West Virginia

Office of Health Facility Licensure and Certification
West Virginia Dept of Health and Human Resources
1900 Kanawha Boulevard East, Building 3, Suite 550
Charleston, West Virginia 25304

Phone (304) 558-0050
Fax (304) 558-2515
EMail: John Wilkinson

Wisconsin

Bureau of Quality Assurance
Wisconsin Dept of Health and Family Services
PO Box 2969
Madison, Wisconsin 53701-2969

Phone (608) 267-7185
Fax (608) 267-0352
EMail: Susan Schroeder
Support Contact
Phone (608) 266-8847
EMail: Denise LeCaptain

Wyoming

Health Facilities Program
Wyoming Department of Health
First Bank Building, 8th Floor
Cheyenne, Wyoming 82002-0480

Phone (307) 777-7121
Fax (307) 777-5970
EMail: Jane Taylor




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