A person can operate a nursing home after obtaining a license from the Division of Health Service Regulation (DHSR). A person may operate a nursing home or a combination home in the same building or in two or more buildings adjoining, or next to each other on the same site.
Once DHSR determines the nursing home complies with North Carolina laws and rules, DHSR will license the applicant. DHSR charges the applicant a nonrefundable initial license fee in the amount of $470.00 plus a nonrefundable initial per bed fee of $19.00.
Each nursing home must renew its license annually. Upon approval of the yearly renewal application, DHSR renews the license to operate. The nonrefundable annual license renewal fee is $420.00 base fee, plus a per-bed fee of $17.50. DHSR will not renew a license if outstanding fees and penalties imposed by the state against the home have not been paid.
The information below provides step-by-step guidance on how to establish nursing home beds as a part of a continuing care retirement community and in a nursing home.
These are the forms needed for making a change to the number of certified beds in a nursing facility. A floor plan is also required.