• 24-hour skilled nursing care 

• Rehabilitation services (physical, occupational, and speech therapy) 

• Medication management 

• Wound care 

• Assistance with activities of daily living 

• Dietary and nutritional services 

2. Regulations 

Skilled Nursing Facilities are governed by Arizona Revised Statutes Title 36, Chapter 4, Article 6, and federal regulations for Medicare and Medicaid certification. 

3. Licensing or Certification 

A license is required to operate a Skilled Nursing Facility in Arizona. Additionally, facilities must be Medicare-certified to receive payment under Medicare and Medicaid programs. 

4. Responsible State Agency 

The Arizona Department of Health Services (ADHS), specifically the Bureau of Long-Term Care Licensing in the Division of Public Health Services, is responsible for licensing Skilled Nursing Facilities. 

5. Application Process 

The application process is conducted through the ADHS. However, specific details about the online or mail-in application process are not provided. 

6. Required Documentation 

While specific documentation requirements are not listed, facilities likely need to provide: 

• Proof of compliance with ADHS licensing requirements 

• Medicare certification documentation 

• Staffing information and training records 

• Policies and procedures for resident care 

7. Timeline for Approval 

There is no information about the timeline for obtaining a license or certification. 

8. Pre-Application Process 

There is no explicit mention of a pre-application process. 

9. Pre-Application Training 

While specific pre-application training is not mentioned, ongoing staff training and education are required. 

10. Additional Notes 

• Skilled Nursing Facilities must operate under the supervision of a licensed administrator. 

• As of February 25, 2025, the income limit for Arizona Nursing Home Medicaid for a single applicant is $2,901/month. 

• The asset limit for a single applicant is $2,000 in countable assets. 

• Residents are only allowed to keep a personal needs allowance of $145.05/month. 

• Facilities must provide residents with a written description of their legal rights. 

• Staffing ratios and ongoing training for staff are regulated. 

• Strict records must be maintained for resident care plans, medication assistance, and any changes in condition.