NORTH CAROLINA NHA STUDY SET 2
QUESTION SET WITH RATIONALES AND LONG-
TERM CARE POLICY AND LEADERSHIP
CONCEPTS REVIEW 2026
◉ To whom is the new facility licensure submitted to?
Answer: nursing home licensure and certification section of the
department of health service regulations.
◉ Which components is contained in the new facility application?
Answer: 1. legal entity of applicant and mailing address
2. name or names under which the facility is presented to 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 administrator
8. name and current license number of DON
9. name and current license number of MD
◉ Before issuing a license, DHHS must do what?
,Answer: The Department of Health and Human Services shall issue a
license to the licensee of the facility following review of operational
policies and procedures and verification of compliance with laws
and rules
Only one license shall be issued to each facility
◉ Are licenses transferable?
Answer: licenses are not transferable
◉ Where should a license be posted?
Answer: the license shall be posted in a prominent location,
accessible to public view, within the licensed premises
◉ Bad capacity and services provided must be in compliance with
what?
Answer: bed capacity and services provided must be in compliance
with GS 131E article 9 regarding Certificate of Need.
◉ How long does a license remain in effect, unless which conditions
occur?
Answer: A license remains in effect up to 12 months, unless any of
the following occurs
,1. dhhs imposes an administrative sanction which specifies license
expiration
2. closure
3. change of ownership
4. change of site
5. change in bed complement
6. failure to comply with rule .2104 of this section
◉ When do license get renewed?
Answer: dhhs shall renew the facility's license at the end of each
calendar year
◉ Under which conditions must occur for dhhs to renew license?
Answer: 1. licensee maintain and submits to dhhs at least 30 days
prior to expiration
2. facility is in conformance with GS 131E-102(c)
◉ A combination facility must specify what on a license renewal
application?
Answer: A combination facility shall specify on the annual license
renewal application with which rules for the adult care home beds it
plans to comply for the upcoming year. Facility may chose from the
following
1. nursing home licensure rules under this subchapter
, 2. adult care home licensure under 10A NCAC 13F
3. a combination of both.
◉ What changes could occur that would result in filing for a new
license? How long prior does the facility need to submit new
application?
Answer: The facility shall notify the nursing home licensure and
certification section of department of health service regulation in
writing at least 30 days prior to the following occurrences
1. change in name/names the facility it presented to the public
2. change in legal identity (licensee) which has ownership
responsibility and liability (new owner must submit)
3. change in licensed bed capacity
4. change in location of facility
◉ Which occurrence must the facility notify dhhs within one
working day?
Answer: facility shall notify nursing home licensure and certification
section of department of health service regulation following the
occurrence of
1. change in administrator
2. change in don
3. change in magnitude or scope of practice
4. change in facility mailing address or phone number
QUESTION SET WITH RATIONALES AND LONG-
TERM CARE POLICY AND LEADERSHIP
CONCEPTS REVIEW 2026
◉ To whom is the new facility licensure submitted to?
Answer: nursing home licensure and certification section of the
department of health service regulations.
◉ Which components is contained in the new facility application?
Answer: 1. legal entity of applicant and mailing address
2. name or names under which the facility is presented to 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 administrator
8. name and current license number of DON
9. name and current license number of MD
◉ Before issuing a license, DHHS must do what?
,Answer: The Department of Health and Human Services shall issue a
license to the licensee of the facility following review of operational
policies and procedures and verification of compliance with laws
and rules
Only one license shall be issued to each facility
◉ Are licenses transferable?
Answer: licenses are not transferable
◉ Where should a license be posted?
Answer: the license shall be posted in a prominent location,
accessible to public view, within the licensed premises
◉ Bad capacity and services provided must be in compliance with
what?
Answer: bed capacity and services provided must be in compliance
with GS 131E article 9 regarding Certificate of Need.
◉ How long does a license remain in effect, unless which conditions
occur?
Answer: A license remains in effect up to 12 months, unless any of
the following occurs
,1. dhhs imposes an administrative sanction which specifies license
expiration
2. closure
3. change of ownership
4. change of site
5. change in bed complement
6. failure to comply with rule .2104 of this section
◉ When do license get renewed?
Answer: dhhs shall renew the facility's license at the end of each
calendar year
◉ Under which conditions must occur for dhhs to renew license?
Answer: 1. licensee maintain and submits to dhhs at least 30 days
prior to expiration
2. facility is in conformance with GS 131E-102(c)
◉ A combination facility must specify what on a license renewal
application?
Answer: A combination facility shall specify on the annual license
renewal application with which rules for the adult care home beds it
plans to comply for the upcoming year. Facility may chose from the
following
1. nursing home licensure rules under this subchapter
, 2. adult care home licensure under 10A NCAC 13F
3. a combination of both.
◉ What changes could occur that would result in filing for a new
license? How long prior does the facility need to submit new
application?
Answer: The facility shall notify the nursing home licensure and
certification section of department of health service regulation in
writing at least 30 days prior to the following occurrences
1. change in name/names the facility it presented to the public
2. change in legal identity (licensee) which has ownership
responsibility and liability (new owner must submit)
3. change in licensed bed capacity
4. change in location of facility
◉ Which occurrence must the facility notify dhhs within one
working day?
Answer: facility shall notify nursing home licensure and certification
section of department of health service regulation following the
occurrence of
1. change in administrator
2. change in don
3. change in magnitude or scope of practice
4. change in facility mailing address or phone number
