The most effective way to get in touch with someone by mail is to contact the director for your local IRS district or your local taxpayer assistance center. You should allow 30 days for a response, although in recent years many responses have taken 45 days or longer.
Long-term care facilities include nursing homes, rehabilitation facilities, inpatient behavioral health facilities, and long-term chronic care hospitals.
On October 11, 2002, the Office of Long Term Care issued LTC-A-2002-24, to inform facilities of the federal requirement that facilities post the number of licensed staff for each shift for each day. Attached to that memo was the Centers for Medicare and Medicaid Servicesâ (CMS) S&C Letter 03-03.