Nursing and Specialized Facility Licensure

ATTENTION ADMINISTRATORS
There have been some substantial changes to rules that mostly affect new assisted living, residential care and adult day care administrators. Please click here to view the June 2012 letter issued by the Oklahoma State Board of Examiners for Long Term Care Administrators.

The Health Facility Systems staff receives and processes applications for licenses, renewals, and amendments.

Note: Files on this page have been converted to .PDF. You will need the Adobe™ Acrobat ™ Reader to view them.  A short-cut is provided on the left in the blue column.

Quick Links
Provider Letters
Law
Unofficial Rules
Forms
Legal Resident Affidavit Forms
Other Related Nursing Facility License Forms
Reports
Contact Information

Provider Letters

HRDS-HFS2012-02 Renewal License – Expiration Date Change (June 18, 2012)
Letter Overview
Oklahoma law was amended to allow for license renewal to occur throughout the year. For licenses expiring July 31, 2012, the license expiration dates will be distributed over a period of twelve (12) to twenty-four (24) months.

Law

Nursing Home Care Act (Title 63 O.S. Section 1-1901 et seq.)

Unofficial Rules

Chapter 675, Nursing and Specialized Facilities (OAC 310:675)

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Licensure Forms

Note: The following files make up the License Application and its attachments.

ODH Form 953-A, License Application For Nursing or Specialized Facility (1M)
            ODH Form 953-A, fillable PDF

ODH Form 953-B, Disclosure Statement Of Owner, Lessee and Manager for a Long-Term Care Facility (1M)

ODH Form 953-C, Detail Attachment To the Disclosure Statement (84K)

ODH Form 953-D, Affirmation Attachment To the Disclosure Statement (72K)

ODH Form 953-E, Staffing Projection And Professional Certification For A Nursing Or Long-term Care Facility (84K)

ODH Form 613, Alzheimer's Disease or Related Disorders Special Care Disclosure

ODH Form 661, Qualified Temporary Manager Application (64K)

Nursing Facility Renewal Application Instructions Checklist, (30K)

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Legal Resident Affidavit Forms

Note: The applicable form below is required for an applicant applying for a license as an individual.

ODH Form 266, Affidavit of Lawful Presence by Guardian of Person Making Application for a License, Permit or Certification (32K)

ODH Form 301, Affidavit of Lawful Presence by Person Making Application for a License, Permit or Certification (29K)

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Other Related Nursing Facility License Forms

ODH Form 958, Notice of Change (1M)

ODH Form 953-F, Periodic Report for Suspended License for a Long-Term Care Facility (60K)

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Reports

List of Receivers

Long Term Care Facility Directory

Long Term Care Facility Owners, Operators and Managers
    NOTE: This information is approximately 200 pages in length. To obtain a hard-copy of this report, contact Health Facility Systems.  The copy charge is 25-cents per page.

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Contact Information
Health Facility Systems
1000 NE 10th Street
Oklahoma City, OK  73117-1299
Phone 405.271.6868
Fax 405.271.7360
E-mail Click here to email