Steps For A Change of Ownership For Adult Care Homes With Seven or More Beds

Please read and follow these steps to complete a change of ownership successfully. Download a Change Licensure Application Packet (PDF, 144 KB).

  1. The prospective licensee shall provide the Healthcare Planning and Certificate of Need Section of the Division of Health Service Regulation NC DHSR: Certificate of Need (ncdhhs.gov) with prior written notice as required by G.S. 131E-184(a)(8) prior to the purchase of the building. The applicant will need one of the following documents:
    • A letter of exemption from review from the Healthcare Planning and Certificate of Need Section prior to the purchase of the building (when the applicant or prospective licensee plans to purchase the building).
    • A letter notifying Healthcare Planning and Certificate of Need Section of the intent to change licensee (when licensee is changing but ownership of building is not).
  2. The current licensee shall provide written notification of a planned change of licensee to the Division of Health Service Regulation, the county department of social services, and the residents or their responsible persons at least 30 days prior to the date of the planned change of licensee.
  3. The prospective licensee shall submit the following license application material to the Division of Health Service Regulation:

    (a)  The Change Licensure Application for Adult Care Home (7 or more Beds) that is available on the internet website, NC DHSR ACLS: Change Licensure Application Packet for Adult Care Home (ncdhhs.gov) at no cost and includes the following:

    • facility administrator and building owner information;
    • operation disclosure including new licensee information and management company, if any; and
    • ownership disclosure including new owners, principles, affiliates, shareholders, and members;

     (b) A fire and building safety inspection report from the local fire marshal dated within the past 12 months

     (c) A sanitation report from the sanitation division of the county health department dated within the past 12 months

     (d) A nonrefundable license fee as required by G.S. 131D-2.5.

     (e) Certificate of occupancy or certificate of compliance from local building officials upon completion of any construction or renovation

     (f) Signed letter from previous owner relinquishing ownership (this letter must specify the date of the change in ownership)

     (g) Copy of CON letter (Licensure applications cannot be processed without approval or exemption by CON) NC DHSR: Certificate of Need (ncdhhs.gov)(h) Non-refundable licensure fee of $360.00 plus a per-bed fee of $17.50 by check, money order or certified check and made payable to the "NC Division of Health Service Regulation".

  4. Note: A compliance history check will be conducted on the prospective licensee. Based on the results of this review, additional information may be requested.
  5. The Construction Section of the DHSR must approve any proposed structural changes of building before a license can be approved.
  6. Unpaid fines for penalties imposed will result in denial of licensure. License applications will not be processed if there are outstanding/unpaid fines for penalties.
  7. New and existing applicants will be required to submit Policy and Procedures for review.
  8. Upon receipt of the above documents, the Adult Care Licensure Section will review and contact the prospective licensee for additional information if needed. If all documentation is complete and approved, the Adult Care Licensure Section will process the Change of Ownership and issue a new license to the prospective licensee.

Any information not included in the packet will render the application incomplete and it will not be processed.

Mailing address of Raleigh Adult Care Licensure Section:

Regular Mail:      Express/Overnight Mail:
Division of Health Service Regulation   Division of Health Service Regulation
Adult Care Licensure Section   Adult Care Licensure Section
2720 Mail Service Center   801 Biggs Drive
Raleigh NC 27699-2720   Raleigh, North Carolina 27603
Attn: License Materials Enclosed   Attn: License Materials Enclosed

Adult Care Licensure Section (Raleigh Office) : 919-855-3765