Long Term Care Facilities - Skilled Nursing Facilities, Nursing Facilities, Intermediate Care Facilities

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An applicant for a Nursing Home license must meet the requirements in the Nursing Home Regulations and the Health Care Facility Act. See the Regulations and Statutes on this page.

Certificate of Need: New beds or relocation of beds to another facility must comply with the Certificate of Need Act.

An applicant must:

• Submit a written application
• Submit the required fee, and
• Pass an on-site inspection, when required.
  

Forms:

• Initial License Application
• Duplicate/Reissue Form
• Renewal Application
• Lawful Presence in the U.S. Attestation Form
• Alzheimer's Disclosure Information Form​​
  

Renewals 

Renewal Process: Notice of renewal is sent to the facility no later than 30 days prior to the expiration date.  A renewal must include a renewal application and the required fee.

Fees

Title 175 Chapter 12​ Regulations Governing Licensure of Skilled Nursing Facilities, Nursing Facilities, Intermediate Care Facilities 12-004.10

The licensee must pay fees for licensure and services as listed below:

1. Initial and renewal licensure fees:
   a. 1 to 50 Beds $1,550
   b. 51 to 100 Beds $1,750
   c. 101 or more Beds $1,950
2. Duplicate license: $10
3. Refunds for denied applications:
   a. If the Department did not perform an inspection, the license fee is refunded except for an administrative fee of $25.
   b. If the Department performed an inspection, the license fee is not refunded.

The Department must be notified in writing of the following changes:

• Ownership – an initial application is required within five working days 
• Location – an initial application is required within five working days 
• Facility name – form required within five working days 
• Administrator – form required within five working days
• New construction or remodel
• Licensure of beds
  - Change in number within 30 working days
  - Bed increase: Subject to the requirements in the Certificate of Need Act. 
  - Relocation: Licensed and not certified may be relocated within the facility at any time without notice. 

• Certification of Beds
  - Relocation: Requires a 30-day advance notice to the Department prior to the relocation.
  - Increases and decreases:
• Can only occur on the first day of the facility's cost reporting quarter.
• Written notice to the Department must be done 45 days in advance of the change.
• Only two changes per cost reporting year.

Types of inspections:

• Initial
• Compliance
• Focused

Medicare/Medicaid Surveys:
To determine compliance with operational standards, the Department surveys nursing homes annually using the Long Term Care Survey Process. The following links provide information on this process:

CMS.gov - Nursing Homes
CMS HHS Long Term Care Series on YouTube

Results of inspections/surveys and other facility related information can be found at:

• Nursing Home Compare
• License Look-up