Facility Data Reports

The Agency is striving to meet all of your data needs. Please take the time to send a note, fax, or e-mail message indicating the data you would like to have available and a time frame needed and staff will evaluate the possibility of capturing this data.

"A health care reporter required to file a Mandatory Report shall maintain a current listing with the Agency of the name, title, phone number and e-mail address of at least two individuals designated as the contact of record for purposes of all reports filed with the Agncy and shall designate at least one such contact person as the primary contact in each report that is filed.  The failure to maintain a current contact listing shall not constitute grouns for the waiver of any penalties imposed under this rule."  Ala. Admin. r 410-1-3-.11 (3) (7)

Should there be a need to change the contact of record for the purposes of the mandatory report, a form can be found on the Forms page.

Below the report listings is a link for Adobe Acrobat Reader as it is required to view the files.

Please note: Any data entered into the interactive form cannot be saved to your computer unless you have full version Adobe Acrobat software.  If you are using Adobe Reader to access the interactive form, please make sure to print out one copy to mail, and another to save in a file for future reference.  Thank you.

Page last updated: 02/15/2024

Facility Annual Reporting
 
Ambulatory Surgery Center (Form ASC-1)
Introduction Letter Interactive Report Instructions
2020 2020-I 2020
2021 2021-I 2021
2022 2022-I 2022
2023 2023-I 2023

 

Home Health (Form DM-1)
Introduction Letter Interactive Report Instructions
2020 2020-I 2020
2021 2021-I 2021
2022 2022-I 2022
2023 2023-I 2023

 

Hospice
Introduction Letter Interactive Report Instructions
2020 2020-I 2020
2021 2021-I 2021
2022 2022-I 2022
2023 2023-I 2023

 

Hospital (Form BHD-134A)
Introduction Letter Interactive Report Instructions
2020 2020-I (Full Report)
2020-I (Annual Report ONLY)
2020-I (Patient Origin ONLY)
2020
2021 2021-I (Full Report)
2021-I (Annual Report ONLY)
2021-1 (Patient Origin ONLY)
2021
2021-Rehab-Letter 2021-Rehab-Supplement
IRF POS Header Template
Rehab-Instructions
2022 2022-I (Full Report)
2022-I (Rehab Data ONLY)
2022-I (Annual Report ONLY)
2022-1 (Patient Origin ONLY)
2022
2023 2023-I (Full Report)
2023-I (Rehab Data ONLY)
2023-I (Annual Report ONLY)
2023-1 (Patient Origin ONLY)
2023

 

Nursing Home (Form SNF-F1)
Introduction Letter Interactive Report Instructions
2020 2020-I 2020
2021 2021-I 2021
2021-Rehab-Letter 2021-Rehab-Supplement
SNF POS Header Template
Rehab-Instructions
2022 2022-I
2022 SNF POS Header Template
2022
2023 2023-I 2023

 

Specialty Care Assisted Living Facility (Form SCALF-1)
Introduction Letter Interactive Report Instructions
2020 2020-I 2020
2021 2021-I 2021
2022 2022-I 2022
2023 2023-I 2023
2024 2024-I 2024

 

 

 



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