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Quality Indicator Survey

Washington, DC, is implementing the Federal Quality Indicator Survey (QIS) nursing home survey process in Fiscal Year 2011 for certified Medicare and/or Medicaid nursing home providers.

Washington DC Implementation of the Quality Indicator Survey (QIS) [PDF], February 8, 2011 - Powerpoint Presentation

QIS Forms

Quality Indicator Survey Forms consist of the following categories:

  • Offsite Preparation
  • Entrance Conference
  • Mandatory Facility Tasks
  • Stage 1 Forms
  • Stage 2 CE Pathways
  • Triggered Facility Tasks
Contact Phone: 
(877) 672-2174
Contact Fax: 
(202) 727-8471
Contact TTY: 
711
Office Hours: 
Monday to Friday 8:15 am to 4:45 pm
Service Location: 

Health, Department of

GIS Address: 
2201 Shannon Place SE
City: 
Washington
State: 
DC
Zip: 
20020