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.
| County | Project ID | Facility | FID | Facility Type | Project Description | Application Review Date | Decision Date | Decision | Findings |
|---|---|---|---|---|---|---|---|---|---|
| Buncombe | B-012618-25 | Arden Dialysis | 150248 | ESRD | Add no more than 2 in-center dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 16 in-center stations upon project completion | 4/1/2025 | 6/25/2025 | Conditional Approval | Findings |
| Catawba | E-012629-25 | Catawba Valley Medical Center | 933080 | HOSPITAL | Acquire no more than one unit of fixed cardiac catherization equipment pursuant to the 2025 SMFP need determination for a total of no more than two units of fixed cardiac catherization equipment | 5/1/2025 | 6/6/2025 | Conditional Approval | Findings |
| Davidson | G-012624-25 | Lexington Medical Center | 943307 | HOSPITAL | Develop no more than two additional operating rooms pursuant to the 2025 SMFP need determination for a total of no more than six operating rooms | 5/1/2025 | 6/24/2025 | Conditional Approval | Findings |
| Granville | K-012584-25 | Fresenius Kidney Care Butner Dialysis | 250046 | ESRD | Develop a new dialysis facility by relocating no more than 6 dialysis stations from FMC Dialysis Services of Oxford and no more than 7 dialysis stations from FMC Dialysis Services Neuse River for a total of no more than 13 stations upon project completion | 2/1/2025 | 6/20/2025 | Conditional Approval | Findings |
| Hoke | N-012631-25 | FirstHealth Moore Regional Hospital - Hoke Campus | 100390 | HOSPITAL | Cost overrun and change of scope for Project ID# N-8838-12 (develop 28 additional acute care beds) | 5/1/2025 | 6/20/2025 | Conditional Approval | Findings |
| Moore | H-012637-25 | FirstHealth Moore Regional Hospital | 943358 | HOSPITAL | Acquire no more than one fixed MRI scanner pursuant to the 2025 SMFP need determination for a total of no more than three fixed MRI scanners | 5/1/2025 | 6/27/2025 | Conditional Approval | Findings |
| Wake | J-012605-25 | WakeMed Fuquay-Varina Healthplex | 250155 | HOSPITAL | Develop a freestanding emergency department | 3/1/2025 | 6/27/2025 | Conditional Approval | Findings |
| Wake | J-012599-25 | PruittPlace-Raleigh | 250153 | ACH | Develop a new 60-bed ACH facility by relocating 60 ACH beds from Spring Arbor of Raleigh | 3/1/2025 | 6/20/2025 | Conditional Approval | Findings |
| Wake | J-012596-25 | Mayview Assisted Living Center | 170322 | ACH | Change of scope for CON Project ID# J-12452-23 (Develop 27 ACH beds for a total of 102 ACH beds) to acquire and relocate no more than 20 ACH beds from Spring Arbor of Raleigh, and develop only 7 ACH beds pursuant to Policy LTC-1, for a total of 102 ACH beds upon project completion | 3/1/2025 | 6/5/2025 | Conditional Approval | Findings |
| County | Project ID | Facility | FID | Facility Type | Project Description | Application Review Date | Decision Date | Decision | Findings |
|---|---|---|---|---|---|---|---|---|---|
| Brunswick | O-012614-25 | Southeastern Dialysis Center-Shallotte | 960145 | ESRD | Add no more than 4 in-center dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 19 in-center stations upon project completion | 4/1/2025 | 5/2/2025 | Conditional Approval | Findings |
| Buncombe | B-012612-25 | Deerfield Episcopal Retirement Community, Inc. | 923135 | NH | Change of scope for Project ID# B-12194-22 (Develop 39 ACH beds pursuant to Policy LTC-1) to develop no more than 22 ACH beds pursuant to Policy LTC-1 and no more than four NF beds pursuant to Policy NH-2 for a total of no more than 84 ACH beds and 66 NF beds upon project completion | 3/1/2025 | 5/29/2025 | Conditional Approval | Findings |
| Buncombe | B-012615-25 | Weaverville Dialysis | 000318 | ESRD | Add no more than 10 in-center dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 30 stations upon project completion | 4/1/2025 | 5/15/2025 | Conditional Approval | Findings |
| Cabarrus | F-012601-25 | Atrium Health Cabarrus | 943049 | HOSPITAL | Relocate two operating rooms from Gateway Surgery Center to the Atrium Health Cabarrus main campus | 3/1/2025 | 5/27/2025 | Conditional Approval | Findings |
| Carteret | P-012606-25 | Carteret General Hospital | 923076 | HOSPITAL | Acquire a fixed PET/CT simulator pursuant to Policy TE-4 | 3/1/2025 | 5/29/2025 | Conditional Approval | Findings |
| Cumberland | M-012620-25 | Fresenius Kidney Care Rockfish | 170017 | ESRD | Add no more than 9 in-center dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 25 in-center stations upon completion of this project and Project ID# M-12586-25 (relocate 9 stations) | 4/1/2025 | 5/7/2025 | Conditional Approval | Findings |
| Durham | J-012609-25 | Duke University Hospital | 943138 | HOSPITAL | Cost overrun for Project ID #J-12083-21 (acquire one fixed PET/CT scanner) | 3/1/2025 | 5/29/2025 | Conditional Approval | Findings |
| Durham | J-012617-25 | Research Triangle Park Dialysis | 140143 | ESRD | Add no more than 3 in-center dialysis stations pursuant to Condition 1 of the facility need methodology for a total of no more than 13 in-center stations upon project completion | 4/1/2025 | 5/9/2025 | Conditional Approval | Findings |
| Forsyth | G-012591-25 | North Carolina Baptist Hospital | 943495 | HOSPITAL | Acquire one fixed MRI scanner pursuant to 2025 SMFP need determination by converting an existing research MRI scanner to clinical use | 3/1/2025 | 5/29/2025 | Conditional Approval | Findings |
| Gaston | F-012585-25 | Fresenius Kidney Care Mt. Holly Dialysis | 250047 | ESRD | Develop a new dialysis facility by relocating no more than 5 dialysis stations from FKC North Gaston and no more than 7 dialysis stations from FMC South Gaston for a total of no more than 12 stations upon project completion | 2/1/2025 | 5/6/2025 | Conditional Approval | Findings |
| Mecklenburg | F-012622-25 | Fresenius Kidney Care Southeast Mecklenburg County | 160337 | ESRD | Add no more than 3 in-center dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 20 in-center stations upon project completion | 4/1/2025 | 5/5/2025 | Conditional Approval | Findings |
| Moore | H-012616-25 | Carthage Dialysis | 080621 | DXCTR | Add no more than 1 in-center dialysis station pursuant to Condition 2 of the facility need methodology for a total of no more than 15 in-center dialysis stations upon project completion | 4/1/2025 | 5/20/2025 | Conditional Approval | Findings |
| Wake | J-012589-25 | The Rosewood Health Center | 050891 | NH | Develop no more than 4 additional NF beds pursuant to Policy NH-2 for a total of no more than 61 NF beds and 4 ACH beds upon project completion | 3/1/2025 | 5/14/2025 | Conditional Approval | Findings |
| Washington | R-012619-25 | FMC Dialysis Services of Plymouth | 001549 | ESRD | Add no more than 1 in-center dialysis station pursuant to Condition 2 of the facility need methodology for a total of no more than 16 stations upon completion of this project and Project ID #R-12466-24 (relocate one station) | 4/1/2025 | 5/9/2025 | Conditional Approval | Findings |
| County | Project ID | Facility | FID | Facility Type | Project Description | Application Review Date | Decision Date | Decision | Findings |
|---|---|---|---|---|---|---|---|---|---|
| Pender | O-012613-25 | Woodbury Wellness Center | 923206 | NH | Relocate 43 NF beds from Pender Memorial Hospital for a total of no more than 155 NF beds and 68 ACH beds upon project completion | 3/1/2025 | 4/22/2025 | Conditional Approval | Findings |
| Wake | J-012604-25 | WakeMed Cary Hospital | 990332 | HOSPITAL | Develop no more than 6 additional Level III neonatal beds for a total of no more than 14 neonatal beds upon project completion | 3/1/2025 | 4/10/2025 | Conditional Approval | Findings |
| County | Project ID | Facility | FID | Facility Type | Project Description | Application Review Date | Decision Date | Decision | Findings |
|---|---|---|---|---|---|---|---|---|---|
| Buncombe | B-012567-24 | Novant Health Asheville Imaging Center | 240865 | DXCTR | Develop a diagnostic center | 11/1/2024 | 3/28/2025 | Denied | Findings |
| Cumberland | M-012586-25 | Fresenius Kidney Care Spring Lake Dialysis | 250045 | ESRD | Develop a new dialysis facility by relocating no more than 6 dialysis stations from FMC Services of West Fayetteville and no more than 9 dialysis stations from FKC Rockfish for a total of no more than 15 stations upon project completion | 2/1/2025 | 3/7/2025 | Conditional Approval | Findings |
| Durham | J-012576-24 | UNC Durham County Imaging | 240872 | DXCTR | Acquire no more than one fixed MRI scanner pursuant to the 2024 SMFP need determination | 11/1/2024 | 3/3/2025 | Denied | Findings |
| Durham | J-012577-24 | Duke Imaging Arringdon | 190274 | DXCTR | Acquire no more than one additional fixed MRI scanner pursuant to the 2024 SMFP need determination for a total of no more than 3 fixed MRI scanners upon project completion | 11/1/2024 | 3/3/2025 | Conditional Approval | Findings |
| Forsyth | G-012582-25 | Novant Health Rehabilitation Hospital of Winston-Salem | 160338 | HOSPITAL | Develop inpatient dialysis services | 2/1/2025 | 3/7/2025 | Conditional Approval | Findings |
| Guilford | G-012566-24 | Wesley Long Hospital | 933540 | HOSPITAL | Replace existing Linear Accelerator | 11/1/2024 | 3/28/2025 | Conditional Approval | Findings |
| Halifax | L-012583-25 | Halifax County Home | 250048 | ESRD | Develop a new dialysis facility dedicated to home hemodialysis and peritoneal dialysis training and support by relocating no more than 2 in-center dialysis stations and the entire home training program from BMA of Roanoke Rapids | 2/1/2025 | 3/28/2025 | Conditional Approval | Findings |
| Mecklenburg | F-012560-24 | Liberty Commons Nursing & Rehabilitation Center of Mint Hill | 180101 | NH | Change of scope for Project ID #F-11461-18 (develop a new 83-bed NF) and Project ID #F-12022-21 (develop a new 100-bed NF) to relocate no more than 8 NF beds from Briar Creek Health Center for a total of no more than 108 NF beds upon project completion | 11/1/2024 | 3/27/2025 | Conditional Approval | Findings |
| Mecklenburg | F-012570-24 | Novant Health Presbyterian Medical Center | 943501 | HOSPITAL | Develop no more than 80 additional acute care beds for a total of no more than 632 acute care beds upon project completion | 11/1/2024 | 3/12/2025 | Denied | Findings |
| Mecklenburg | F-012574-24 | Carolinas Medical Center | 943070 | HOSPITAL | Develop no more than 89 additional acute care beds pursuant to the 2024 SMFP need determination | 11/1/2024 | 3/12/2025 | Conditional Approval | Findings |
| Moore | H-012579-24 | Sandhills Health & Rehabilitation | 220736 | NH | Change of scope for Project ID #H-12290-22 (Relocate 86 NF beds and construct new facility) to relocate no more than 20 ACH beds from Peak Resources-Pinelake for a total of more than 86 NF beds and no more than 20 ACH beds upon project completion | 11/1/2024 | 3/7/2025 | Conditional Approval | Findings |
| Moore | H-012578-24 | Peak Resources-Pinelake | 923405 | NH | Relocate no more than 18 NF beds from Penick Village for a total of no more than 108 NF beds upon project completion | 11/1/2024 | 3/6/2025 | Conditional Approval | Findings |
| Union | F-012571-24 | Novant Health Imaging Monroe | 240868 | DXCTR | Acquire no more than one fixed MRI scanner pursuant to the 2024 SMFP need determination | 11/1/2024 | 3/5/2025 | Conditional Approval | Findings |
| Wake | J-012573-24 | Abbotswood at Stonehenge | 240871 | ACH | Develop a new facility by relocating no more than 75 ACH beds from Litchford Falls Health and Rehabilitation Center for a total of no more than 75 ACH beds upon project completion | 11/1/2024 | 3/28/2025 | Conditional Approval | Findings |
| County | Project ID | Facility | FID | Facility Type | Project Description | Application Review Date | Decision Date | Decision | Findings |
|---|---|---|---|---|---|---|---|---|---|
| Forsyth | G-012558-24 | Mobile Stone Clinic (West) | 240785 | Major Med Equip | Acquire no more than one mobile Lithotripter pursuant to the 2024 SMFP need determination | 10/1/2024 | 2/13/2025 | Conditional Approval | Findings |
| Forsyth | G-012559-24 | Mobile Stone Clinic (East) | 240787 | Major Med Equip | Acquire no more than one mobile Lithotripter pursuant to the 2024 SMFP need determination | 10/1/2024 | 2/13/2025 | Denied | Findings |
| Mecklenburg | F-012550-24 | Atrium Health Pineville | 110878 | HOSPITAL | Acquire no more than one fixed PET Scanner pursuant to the 2024 SMFP need determination | 10/1/2024 | 2/27/2025 | Denied | Findings |
| Mecklenburg | F-012553-24 | Novant Health Imaging Steele Creek, LLC | 070213 | DXCTR | Acquire no more than one fixed MRI scanner pursuant to the 2024 SMFP need determination | 10/1/2024 | 2/27/2025 | Conditional Approval | Findings |
| Mecklenburg | F-012557-24 | Novant Health Presbyterian Medical Center | 943501 | HOSPITAL | Acquire no more than one fixed PET Scanner pursuant to the 2024 SMFP need determination for a total of no more than two fixed PET scanners | 10/1/2024 | 2/27/2025 | Conditional Approval | Findings |
| Mecklenburg | F-012561-24 | Liberty Commons of Mecklenburg Health & Rehabilitation Center | 180099 | NH | Change of scope and cost overrun for Project ID #F-11462-18 (Develop a new 100-bed NF) to relocate no more than 8 NF beds from Briar Creek Health Center for a total of no more than 108 NF beds upon project completion | 11/1/2024 | 2/4/2025 | Conditional Approval | Findings |
| Nash | L-012555-24 | Nash County Home | 240784 | ESRD | Relocate two existing dialysis stations and entire Home Therapy Program from FMC South Rocky Mt to a new free-standing dialysis facility, dedicated exclusively to Home Hemodialysis (HHD) and Peritoneal (PD) | 10/1/2024 | 2/24/2025 | Conditional Approval | Findings |
| New Hanover | O-012580-24 | Southeastern Dialysis Center-Wilmington | 956055 | ESRD | Add no more than 2 in-center dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 32 in-center stations upon completion of this project and Project ID# O-12177-22 (Develop a new dialysis facility dedicated to home hemodialysis and peritoneal dialysis training and support by relocating 2 stations from Southeastern Dialysis Center-Wilmington) | 12/1/2024 | 2/26/2025 | Conditional Approval | Findings |
| Wake | J-012551-24 | Atrium Urology, PC | 240778 | Major Med Equip | Acquire no more than one mobile Lithotripter pursuant to the statewide 2024 SMFP need determination | 10/1/2024 | 2/13/2025 | Conditional Approval | Findings |
| County | Project ID | Facility | FID | Facility Type | Project Description | Application Review Date | Decision Date | Decision | Findings |
|---|---|---|---|---|---|---|---|---|---|
| Davidson | G-012564-24 | Lexington Medical Center | 943307 | HOSPITAL | Develop inpatient dialysis services | 11/1/2024 | 1/28/2025 | Conditional Approval | Findings |
| Durham | J-012554-24 | Southpoint Dialysis | 090117 | ESRD | Relocate entire facility and relocate no more than eight stations from Hope Valley Dialysis for a total of no more than 24 in-center stations upon project completion | 10/1/2024 | 1/13/2025 | Conditional Approval | Findings |
| Forsyth | G-012572-24 | Harmony at Kernersville | 230135 | ACH | Change of scope for Project ID #G-12338-23 (Develop a new ACH facility) to relocate no more than 6 ACH beds from The Ivy at Clemmons for a total of no more than 96 ACH beds upon project completion | 11/1/2024 | 1/10/2025 | Conditional Approval | Findings |
| Granville | K-012568-24 | Granville Health System | 943195 | HOSPITAL | Develop inpatient dialysis services | 11/1/2024 | 1/8/2025 | Conditional Approval | Findings |
| Iredell | F-012565-24 | Piedmont HealthCare Endoscopy Center | 240861 | ASC | Develop a new GI endoscopy facility by relocating no more than 3 GI endoscopy rooms from Piedmont Healthcare Endoscopy Center and developing no more than one additional GI endoscopy room for a total of no more than 4 GI endoscopy rooms upon project completion | 11/1/2024 | 1/30/2025 | Conditional Approval | Findings |
| Union | F-012575-24 | Atrium Health Union West | 180514 | HOSPITAL | Develop no more than 46 additional acute care beds pursuant to the 2024 SMFP need determination and develop 14 additional observation beds, 11 additional ED bays, one additional GI Endo room and one additional procedure room | 11/1/2024 | 1/24/2025 | Conditional Approval | Findings |
| Wake | J-012581-24 | Wake Forest Dialysis Center | 041181 | ESRD | Add no more than three dialysis stations pursuant to Condition 2 of the facility need methodology for a total of no more than 20 stations upon completion of this project and Project ID# J-12556-24 (Develop a new 10-station dialysis facility) | 12/1/2024 | 1/31/2025 | Conditional Approval | Findings |
| Wake | J-012533-24 | WakeMed North Hospital | 990974 | HOSPITAL | Develop no more than two additional operating rooms pursuant to the 2024 SMFP need determination and no more than two additional procedure rooms | 9/1/2024 | 1/28/2025 | Denied | Findings |
| Wake | J-012534-24 | Novant Health Knightdale Medical Center | 240655 | HOSPITAL | Develop a new acute care hospital with no more than 36 acute care beds and one operating room pursuant the 2024 SMFP need determinations | 9/1/2024 | 1/28/2025 | Denied | Findings |
| Wake | J-012535-24 | WakeMed | 943528 | HOSPITAL | Develop no more than two additional operating rooms pursuant to the 2024 SMFP need determination | 9/1/2024 | 1/28/2025 | Conditional Approval | Findings |
| Wake | J-012536-24 | WakeMed North Hospital | 990974 | HOSPITAL | Change of scope to Project ID# J-12419-23 (Develop 35 acute care beds) to develop no more than 25 additional acute care beds pursuant to the 2024 SMFP need determination | 9/1/2024 | 1/28/2025 | Denied | Findings |
| Wake | J-012537-24 | WakeMed Cary Hospital | 990332 | HOSPITAL | Change of scope to Project ID# J-12418-23 (Develop 9 acute care beds) to develop no more than 24 additional acute care beds pursuant to the 2024 SMFP need determination | 9/1/2024 | 1/28/2025 | Conditional Approval | Findings |
| Wake | J-012538-24 | WakeMed | 943528 | HOSPITAL | Develop no more than 21 additional acute care beds pursuant to the 2024 SMFP need determination | 9/1/2024 | 1/28/2025 | Conditional Approval | Findings |
| Wake | J-012542-24 | UNC REX Hospital | 953429 | HOSPITAL | Develop no more than 20 additional acute care beds and no more than two additional operating rooms pursuant to the 2024 SMFP need determinations | 9/1/2024 | 1/28/2025 | Conditional Approval | Findings |
| Wake | J-012543-24 | UNC Health Rex Wake Forest Hospital | 240658 | HOSPITAL | Develop a new acute care hospital with no more than 50 acute care beds and two operating rooms pursuant to the 2024 SMFP need determinations | 9/1/2024 | 1/28/2025 | Denied | Findings |
| Wake | J-012546-24 | Duke Raleigh Hospital | 923421 | HOSPITAL | Develop no more than five additional acute care beds pursuant to the 2024 SMFP need determination | 9/1/2024 | 1/28/2025 | Conditional Approval | Findings |
| Wake | J-012547-24 | Duke Raleigh Hospital | 923421 | HOSPITAL | Develop no more than three additional operating rooms pursuant to the 2024 SMFP need determination | 9/1/2024 | 1/28/2025 | Denied | Findings |
| Wake | J-012548-24 | Duke Cary Hospital | 210092 | HOSPITAL | Change of scope to Project ID #J-12029-21 (Develop a new acute care hospital) to develop no more than 17 additional acute care beds pursuant to the 2024 SMFP need determination for a total of 57 beds upon project completion | 9/1/2024 | 1/28/2025 | Denied | Findings |
| Wake | J-012549-24 | Duke Garner Hospital | 240666 | HOSPITAL | Develop a new acute care hospital with no more than 12 acute care beds and one operating room pursuant to the 2024 SMFP need determinations | 9/1/2024 | 1/28/2025 | Denied | Findings |
| Wake | J-012562-24 | Liberty Commons Rehabilitation and Nursing Care of Raleigh | 230315 | NH | Change of scope for Project ID #J-12355-23 (Develop a new 125-bed NF) to relocate no more than 11 NF beds from Swift Creek Health Center for a total of no more than 136 NF beds upon project completion | 11/1/2024 | 1/24/2025 | Conditional Approval | Findings |
| Wake | J-012563-24 | Liberty Commons Nursing & Rehabilitation Center of Wake County | 230316 | NH | Change of scope for Project ID #J-12354-23 (Develop a new 125-bed NF) to relocate no more than 11 NF beds from Swift Creek Health Center for a total of no more than 136 NF beds upon project completion | 11/1/2024 | 1/24/2025 | Conditional Approval | Findings |
| Wayne | P-012569-24 | Wayne UNC Health Care | 933535 | HOSPITAL | Acquire no more than one unit of fixed cardiac catheterization equipment pursuant to the 2024 SMFP need determination | 11/1/2024 | 1/29/2025 | Conditional Approval | Findings |