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Facility Construction Information

All construction must comply with the specific regulatory requirements for that facility type, including the physical plant standards that are located in Section 007. Construction means a facility or distinct part of a facility in which services are to be provided, which is enlarged, remodeled, or altered in any fashion, or is built from the ground up. Minor projects such as repairing or replacing existing materials do not fall under these requirements.

New Construction Project: The following information must be submitted to the Department PRIOR TO BEGINNING A CONSTRUCTION PROJECT:
  1. Pre-Construction Project Information Form
  2. Architect/Engineer Plan Certification Form to certify compliance with regulatory requirements;
  3. Construction plans which have been approved by a Nebraska-licensed architect or engineer and have a signed/dated seal. We prefer to receive the plans on CD.
    NOTE: Full-sized construction plans must also be submitted to the State Fire Marshal’s Office for review and approval. Contact Doug Hohbein, Plans Examination, at or 402-471-9474.
  4. Notification from the facility or owner with a description of the project
Upon receipt and review of the above documents, you will receive confirmation that construction has been approved to begin.

Construction or Physical Plant Waiver Form Click here for form.

Project Completion:  When the project is completed and PRIOR TO USE, the following information must be submitted to the Department:
2. Order Form/Certificate of Occupancy  
3. Floor plan/schematic  
4. Bed count/room listing 
5. OTHER: There may be other documentation required by the individual facility program area.
  • A walk-through inspection by DHHS surveyors may be required prior to final approval by the Department.
  • A NEW facility that has not been licensed yet will require additional documentation and authorization from the Department. Please have the facility contact the appropriate Program Manager for that facility type.
Upon receipt and review of the above documents, you will be notified by the Department when the project has been approved for use and occupancy.
Submit the above information to:
DHHS Division of Public Health
Licensure Unit/Acute Care Facilities
Attn: Facility Construction
301 Centennial Mall South
PO Box 94986
Lincoln, NE  68509-4986 
For questions regarding the construction process or documents, please send an email with your question to, or call 402-471-3484.
For questions regarding facility licensure regulations, licensure, or certification, please contact the program manager listed below for the facility type.
Long-Term Care and Assisted Living Facilities 402-471-3324

Hospitals, Ambulatory Surgery Centers, and Health Clinics, 402-471-3484

Outpatient, Day Treatment, Respite Care, and Hospice Services 402-471-3651 or 402-471-4967
Dialysis Facilities 402-471-3484 (Licensure) 402-471-3651 (Medicare certification only)

Mental Health Centers, Substance Abuse Treatment Centers, and Inpatient Care Facilities for the Intellectually Disabled 402-471-4975



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