(a)  A legal entity shall submit an application for licensure for a new facility to the Nursing Home Licensure and Certification Section of the Division of Health Service Regulation at least 30 days prior to a license being issued or patients admitted.

(b)  The application shall contain the following:

(1)           legal identity of applicant (licensee) and mailing address;

(2)           name or names under which the facility is presented to the public;

(3)           location and mailing address of facility;

(4)           ownership disclosure;

(5)           bed complement;

(6)           magnitude and scope of services offered;

(7)           name and current license number of the administrator;

(8)           name and current license number of the director of nursing; and

(9)           name and current license number of the medical director.


History Note:        Authority G.S. 131E‑104; 131E-102;

Eff. January 1, 1996;

Amended Eff. July 1, 2012;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015.