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5-Step Enrollment for Long-term Care Facilities

Note: Once your facility is enrolled in NHSN, you can add additional reporting options using your monthly reporting plan within the NHSN application. You do not need to re-enroll for each type of infection reported.

Step 1: Training and Preparation


Print and follow detailed checklist [PDF - 118 KB] to ensure successful and efficient enrollment.

Complete the Facility Contact form [PDF - 63 KB]

and the Annual Facility Survey for LTCF [PDF - 66 KB] January 2015
Table of Instructions – Annual Facility Survey for LTCF [PDF - 100 KB]

Be sure to complete required training: Overview of the Long-term Care Facility Component [PDF - 342 KB] January 2015
Enrollment training [PDF - 1.8 MB] January 2015

For complete detailed enrollment instructions, please download the NHSN Facility Administrator Enrollment Guide.

Be sure to check trusted websites and spam blockers





Time to complete step 1: 2 hours, 45 minutes

down arrow

Step 2: Register

Rules of behavior screen

Agree to Rules of Behavior and register facility with NHSN using CMS Certification Number (CCN) or CDC assigned enrollment ID.



Time to complete step 2: 10 minutes

blue barAfter registration, you will receive two emails: ‘Welcome to NHSN!’
arrives from NHSN immediately and ‘Invitation to Register’
arrives from SAMS-no-reply within 24 hours.down arrow

Step 3a: Register with SAMS

person sitting at computer

From the ‘Invitation to Register’ email, log in to SAMS with your username (i.e., email address) and temporary password provided. Accept the SAMS Rules of Behavior and complete the online SAMS registration form.

Getting Secure Access to NHSN for LTCF Users –SAMS [PDF - 1 MB] October 2014

Time to complete step 3a: 16 minutes

blue barWithin 24 hours of successful online registration,
receive SAMS ‘Identity Verification Request’ email. down arrow

Step 3b: Complete and Submit Identify Proofing Verification


From the ‘Identify Verification Request’ email, print the Identity Verification Form, complete it, and take it to a notary public for endorsement. Fax the form and supporting documentation to CDC. You will receive ‘SAMS Account Activation’ and ‘SAMS Activity Authorization’ emails when your access is approved.

To access SAMS, you must receive your SAMS grid card, which will be delivered to your home address via U.S. mail within 7-10 days of your SAMS approval email. If you do not receive your grid card within 10 days, please contact for assistance.


Time to complete step 3b: 35 minutes

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Step 4: Submit NHSN Forms Electronically

person sitting at computer

Log in to SAMS using your password and SAMS grid card and select ‘NHSN Enrollment.’ Submit required NSHN forms, including facility contact information.

Time to complete step 4: 32 minutes

blue barImmediately after submitting forms, receive NHSN email,
subject "NHSN facility enrollment submitted."down arrow

Step 5: Sign and Send Consent

monitor and envelop

Using the above NHSN email, open, print, and sign the consent form. Ensure two signatures are on the form and fax to CDC.

Tip: To open the consent form, you may need to log in to SAMS using your grid card and password, and then copy and paste the link into that browser window.

Time to complete step 5: 10 minutes

blue barWithin 3 business days, receive NHSN email, subject ‘NHSN enrollment approved.’ down arrow

Congratulations, enrollment is complete!

Continue to NHSN SET-UP (required before beginning reporting)



CMS requirements click here for more information

Contact NHSN:
  • Centers for Disease Control and Prevention
    National Healthcare Safety Network
    1600 Clifton Rd
    Atlanta, GA 30333
  • Contact
Contact Us:
  • Centers for Disease Control and Prevention
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    Atlanta, GA 30333
  • 800-CDC-INFO
    TTY: (888) 232-6348
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  • Contact CDC–INFO The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Road Atlanta, GA 30329-4027, USA
800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 - Contact CDC–INFO
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