The California Department of Health has issued a new All Facilities Letter announcing the establishment of the Small House Skilled Nursing Facility Pilot Program. This program, authorized by Senate Bill 1228, allows for the creation of small house skilled nursing facilities (SHSNFs) as a sub-type of skilled nursing facilities licensed in California. The pilot program permits the California Department of Public Health to authorize and license up to ten pilot SHSNFs. Standards for the development and operation of these pilot facilities will be published by July 1, 2013. To obtain input from interested parties, a stakeholder group has been convened to participate in the standards-setting process. Additionally, an in-house workgroup has been formed to focus on specific types of standards. Healthcare facilities should be aware of this new pilot program and its potential implications for their operations.

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