Decisions and Findings

Each month, the Certificate of Need Section makes decisions regarding applications under review to either conditionally approve the application or to disapprove it. The Certificate of Need Section also prepares "findings" which explain the basis for the decision.

April 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Alamance G-012301-22 Carolina Dialysis - Mebane 100545 ESRD Add no more than 2 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 27 dialysis stations upon completion of this project and Project ID# J-12080-21 (relocate 2 stations) 12/1/2022 4/19/2023 Denied Findings
Brunswick O-012325-23 Novant Health Brunswick Medical Center 061342 HOSPITAL Develop no more than one fixed MRI scanner pursuant to the need determination in the 2023 SMFP for a total of no more than two fixed MRI scanners upon project completion 3/1/2023 4/26/2023 Conditional Approval Findings
Cumberland M-012333-23 Cape Fear Valley Medical Center 943057 HOSPITAL Develop no more than 8 hospice inpatient beds pursuant to the need determination in the 2023 SMFP 3/1/2023 4/27/2023 Conditional Approval Findings
New Hanover O-012304-22 Wilmington Health on Silver Stream Lane 220781 ASC Develop a new ASF by relocating no more than three existing multispecialty GI endoscopy rooms and adding one new GI endoscopy room for a total of no more than four GI endoscopy rooms 12/1/2022 4/28/2023 Conditional Approval Findings
Orange J-012320-23 University of North Carolina Medical Center 923517 HOSPITAL Develop no more than 24 Level IV NICU beds for a total of no more than 82 neonatal beds, including 72 Level IV NICU beds and 10 Level III neonatal beds 3/1/2023 4/28/2023 Conditional Approval Findings
Orange J-012322-23 University of North Carolina Hospitals-Hillsborough 090274 HOSPITAL Acquire no more than one unit of fixed cardiac catherization equipment pursuant to the need determination in the 2023 SMFP 3/1/2023 4/28/2023 Conditional Approval Findings
Randolph G-012307-23 Randolph Hospital 933425 HOSPITAL Develop an inpatient dialysis service with no more than 3 stations 2/1/2023 4/6/2023 Conditional Approval Findings
Swain A-012312-23 Cherokee Dialysis Center 970527 ESRD Relocate existing dialysis facility 2/1/2023 4/27/2023 Conditional Approval Findings

March 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Beaufort Q-012310-23 Beaufort County Home 230038 ESRD Develop a new freestanding home dialysis training facility by relocating no more than two dialysis stations and the entire home training program from FMC Pamlico to be exclusively dedicated to home hemodialysis and peritoneal dialysis training and support services 2/1/2023 3/22/2023 Conditional Approval Findings
Edgecombe l-012298-22 FMC Tarboro 150155 ESRD Add no more than one dialysis station pursuant to Condition 2 of the facility need methodology for a total of no more than 19 dialysis stations upon completion of this project and Project ID# L-12103-21 (add 4 stations) 12/1/2022 3/17/2023 Conditional Approval Findings
Guilford G-012289-22 The Stanbridge 220735 ACH Develop a new ACH by relocating no more than 60 ACH beds, including 32 SCU beds, from Holden Heights 11/1/2022 3/28/2023 Conditional Approval Findings
Guilford G-012288-22 The Waverly at Oak Hollow 200746 ACH Relocate no more than 25 ACH beds from Holden Heights to The Waverly Oak Hollow which is a change of scope to Project ID# G-11965-20 (relocate 29 ACH beds from Guilford House and 11 ACH beds from Holden Heights) for a total of no more than 65 ACH beds 11/1/2022 3/23/2023 Conditional Approval Findings
Mecklenburg F-012285-22 Novant Health Matthews Medical Center 945076 HOSPITAL Acquire no more than 1 fixed MRI scanner  pursuant to the 2022 SMFP need determination for a total of no more than 2 fixed MRI scanners 11/1/2022 3/28/2023 Conditional Approval Findings
Mecklenburg F-012287-22 OrthoCarolina University 220734 DXCTR Acquire no more than 1 fixed MRI scanner  pursuant to the 2022 SMFP need determination 11/1/2022 3/28/2023 Denied Findings
Mecklenburg F-012280-22 Atrium Health Pineville 110878 HOSPITAL Develop no more than 5 acute care beds pursuant to the 2022 SMFP need determination for a total of no more than 308 acute care beds upon completion of this project, Project ID #F-12084-21 (relocate 26 beds to Atrium Health Steele Creek), and Project ID #F-12147-21 (develop 25 beds) 11/1/2022 3/24/2023 Conditional Approval Findings
Mecklenburg F-012281-22 Carolinas Medical Center 943070 HOSPITAL Develop no more than 38 acute care beds pursuant to the 2022 SMFP need determination for a total of no more than 1,255 acute care beds upon completion of this project, Project ID #F-12006-20 (add 87 beds), and Project ID #F-12149-21 (add 75 beds) 11/1/2022 3/24/2023 Conditional Approval Findings
Mecklenburg F-012282-22 Atrium Health University City 923516 HOSPITAL Develop no more than 8 acute care beds pursuant to the 2022 SMFP need determination for a total of no more than 120 acute care beds upon completion of this project and Project ID #F-12146-21 (add 8 beds) 11/1/2022 3/24/2023 Conditional Approval Findings
Mecklenburg F-012293-22 Novant Health Presbyterian Medical Center 943501 HOSPITAL Develop no more than 30 acute care beds pursuant to the 2022 SMFP need determination for a total of no more than 542 acute care beds upon completion of this project, Project ID #F-8765-11 (add 14 beds), Project ID #F-11625-18 (relocate 36 beds to develop Novant Health Ballantyne Medical Center), and Project ID #F-12144-21 (add 15 beds) 11/1/2022 3/24/2023 Conditional Approval Findings
Moore H-012284-22 Southern Pines Surgery Center 220730 ASC Acquire and relocate no more than two ORs from Surgery Center of Pinehurst to develop a new ASC with four procedure rooms 11/1/2022 3/29/2023 Denied Findings
Moore H-012290-22 Sandhills Health & Rehabilitation, LLC 220736 NH Develop a new NF by relocating no more than 86 NF beds from St. Joseph of the Pines 11/1/2022 3/22/2023 Conditional Approval Findings
New Hanover O-012295-22 The Luminance at Riverlights 160565 ACH Relocate no more than 20 ACH beds from Castle Creek Memory Care to The Luminance at Riverlights which is a change of scope to Project ID# O-11964-20 (relocate 40 ACH beds from New Hanover House) for a total of no more than 60 ACH beds 11/1/2022 3/28/2023 Conditional Approval Findings
Pitt Q-012294-22 Greenville MRI, LLC 030544 DXCTR Acquire no more than one fixed MRI scanner pursuant to the 2022 SMFP need determination for a total of no more than 3 fixed MRI scanners upon project completion 11/1/2022 3/29/2023 Denied Findings
Pitt Q-012286-22 Orthopaedics East & Sports Medicine Center 220733 DXCTR Acquire no more than one fixed MRI scanner  pursuant to the 2022 SMFP need determination 11/1/2022 3/29/2023 Conditional Approval Findings
Pitt Q-012297-22 FMC Dialysis Services East Carolina University 960406 ESRD Relocate the entire facility and add no more than six dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 47 stations upon project completion 12/1/2022 3/3/2023 Conditional Approval Findings

February 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Alexander E-012300-22 Fresenius Medical Care of Alexander County 090725 ESRD Add no more than 5 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 18 dialysis stations upon project completion 12/1/2022 2/24/2023 Conditional Approval Findings
Burke E-012305-22 UNC Health Blue Ridge 943191 HOSPITAL Add no more than one GI endoscopy room at the Morganton campus for no more than two GI endoscopy rooms 12/1/2022 2/27/2023 Conditional Approval Findings
Craven P-012306-22 CCHC Endoscopy Center 061311 ASC Add no more than one GI endoscopy room for a total of no more than four GI endoscopy rooms upon project completion 12/1/2022 2/20/2023 Conditional Approval Findings
Cumberland M-012270-22 Cape Fear Valley Medical Center 943057 HOSPITAL Develop a hospital based outpatient 4-station dialysis facility pursuant to Policy ESRD-3 10/1/2022 2/24/2023 Conditional Approval Findings
Currituck R-012271-22 Sentara Advanced Imaging Solutions-Moyock 220669 DXCTR Develop one fixed MRI scanner pursuant to the 2022 SMFP need determination 10/1/2022 2/27/2023 Conditional Approval Findings
Edgecombe L-012277-22 FMC Tarboro 150155 ESRD Cost overrun for Project ID# L-12103-21 (add 4 dialysis stations for a total of 18) 11/1/2022 2/17/2023 Conditional Approval Findings
Pasquotank R-012266-22 Chesapeake Regional Imaging Centers-Elizabeth City 220668 DXCTR Develop one fixed MRI scanner pursuant to the 2022 SMFP need determination 10/1/2022 2/27/2023 Denied Findings
Pitt Q-012302-22 Carolinas Endoscopy Center 061341 ASC Add no more than one GI endoscopy room for no more than four GI endoscopy rooms upon project completion 12/1/2022 2/24/2023 Conditional Approval Findings

January 2023

County Project ID Facility FID Facility Type Project Description Application Review Date Decision Date Decision Findings
Chatham J-012246-22 Chatham County Rehabilitation Center 130367 NH Change of Scope and Cost Overrun for Project ID # J-11656-19 (Relocate no more 6 ACH beds from Liberty Commons Nursing and Rehab Center of Halifax County and no more than 30 ACH beds from Cross Creek Healthcare of Hyde County for a total of no more than 105 NF beds and 36 ACH beds upon project completion) 9/1/2022 1/27/2023 Conditional Approval Findings
Chowan R-012268-22 Chowan Home Dialysis 200027 ESRD Develop one dialysis station to be used exclusively for home hemodialysis training and support services 10/1/2022 1/25/2023 Denied Findings
Gaston F-012299-22 Fresenius Medical Care Belmont 050039 ESRD Add no more than 9 dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 28 dialysis stations upon project completion 12/1/2022 1/27/2023 Conditional Approval Findings
Iredell F-012267-22 Iredell Memorial Hospital, Incorporated 933284 HOSPITAL Develop a new facility with 4 stations pursuant to Policy ESRD-3 10/1/2022 1/27/2023 Conditional Approval Findings
Iredell F-012283-22 Lake Norman Radiation Oncology-Mooresville 220729 LINAC Replace linear accelerator 11/1/2022 1/25/2023 Conditional Approval Findings
Mecklenburg F-012303-22 Brookshire Dialysis 150477 ESRD Add no more than 9 dialysis stations pursuant to Condition 1 of the facility need methodology for a total of no more than 20 stations upon project completion 12/1/2022 1/27/2023 Conditional Approval Findings
Mecklenburg F-012257-22 Atrium Health Pineville 110878 HOSPITAL Acquire no more than one additional linear accelerator pursuant to the need determination in the 2022 SMFP for a total of no more than two linear accelerators 9/1/2022 1/26/2023 Conditional Approval Findings
Mecklenburg F-012278-22 Fresenius Kidney Care Regal Oaks 150024 ESRD Cost overrun for Project ID# F-12162-21 (add 2 dialysis stations for a total of 21 stations upon completion of this project and Project ID #F-12136-21) 11/1/2022 1/20/2023 Conditional Approval Findings
Mecklenburg F-012279-22 Atrium Health Ballantyne Emergency Department 220728 HOSPITAL Cost overrun for Project ID #F-12088-21 (develop a satellite ED) 11/1/2022 1/18/2023 Conditional Approval Findings
Pender O-012276-22 Valleygate Dental Surgery Center Coast 220727 ASC Develop a new ASC by relocating no more than one OR from Valleygate Dental Surgery Center of Fayetteville with one procedure room 11/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012248-22 KM Surgery Center 220571 ASC Develop a multi-specialty ASF with no more than one OR pursuant to the 2022 SMFP with two procedure rooms upon project completion 9/1/2022 1/27/2023 Denied Findings
Wake J-012250-22 Wake Endoscopy Center-Holly Springs 220577 ASC Develop a new ASF with no more than two GI endoscopy rooms 9/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012252-22 Oakview ASC, LLC 220579 ASC Develop a single-specialty ophthalmic ASF with no more than one OR pursuant to the need determination in the 2022 SMFP with one procedure room 9/1/2022 1/27/2023 Denied Findings
Wake J-012253-22 Triangle Vascular Care 220580 ASC Develop a ASF with no more than one OR pursuant to the need determination in the 2022 SMFP and two procedure rooms for vascular access procedures 9/1/2022 1/27/2023 Denied Findings
Wake J-012261-22 Duke Health Green Level Ambulatory Surgical Center 180422 ASC Develop no more than two additional operating rooms pursuant to the need determination in the 2022 SMFP which is a change in scope to CON Project ID# J-11557-18 (develop a new ASF with one operating rooms and five procedure rooms)  for a total of 3 operating rooms and 3 procedure rooms upon completion of this project and Project ID# J-11557-18 9/1/2022 1/27/2023 Denied Findings
Wake J-012263-22 Duke Raleigh Hospital 923421 HOSPITAL Develop no more than 45 additional acute care beds pursuant to the need determination in the 2022 SMFP for a total of no more than 191 acute care beds upon completion of this project and Project ID# J-12029-21 (Develop a new separately licensed 40-bed hospital [Duke Green Level Hospital] by relocating no more than 40 acute care beds and two shared operating rooms from Duke Raleigh Hospital) 9/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012264-22 WakeMed Garner Hospital 220581 HOSPITAL Develop a new hospital with a total of 31 acute care beds and 2 operating rooms by developing no more than 9 new acute care beds and two new operating rooms pursuant to the need determinations in the 2022 SMFP and relocating no more than 22 acute care beds from the WakeMed Raleigh Campus. 9/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012258-22 UNC REX Hospital 953429 HOSPITAL Add no more than 36 acute care beds pursuant to the need determination in the 2022 SMFP for a total of no more than 475 acute care beds at UNC REX Hospital upon project completion 9/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012259-22 UNC REX Holly Springs Hospital 070823 HOSPITAL Add no more than 9 acute care beds pursuant to the need determination in the 2022 SMFP for a total of no more 59 acute care beds upon project completion 9/1/2022 1/27/2023 Denied Findings
Wake J-012260-22 UNC REX Hospital 953429 HOSPITAL Develop no more than two additional ORs pursuant to the need determination in the 2022 SMFP 9/1/2022 1/27/2023 Denied Findings
Wake J-012291-22 WakeMed 943528 HOSPITAL Cost overrun for Project ID# J-010165-13 (reconvert 21 NF beds at WakeMed Fuquay-Varina to acute care beds) 11/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012292-22 WakeMed North Hospital 990974 HOSPITAL Cost overrun for Project ID# J-010166-13 (reconvert 3 NF beds at WakeMed Fuquay-Varina and 13 NF beds from WakeMed Zebulon-Wendell to acute care beds) 11/1/2022 1/27/2023 Conditional Approval Findings
Wake J-012265-22 WakeMed Behavioral Health Center 220582 MHH Develop a psychiatric hospital by relocating no more than 50 psychiatric inpatient beds from Broughton Hospital pursuant to Policy PSY-1 and developing no more than 100 additional psychiatric inpatient beds for a total of no more than 150 psychiatric inpatient beds upon project completion 9/1/2022 1/18/2023 Conditional Approval Findings
Wilson L-012269-22 Wilson Home Dialysis 200032 ESRD Develop one dialysis station to be used exclusively for home hemodialysis training and support services, which is a Change of Scope for CON Project ID# L-11836-20 10/1/2022 1/25/2023 Denied Findings