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Nursing and Specialized Facility Licensure


The Health Facility Systems staff receives and processes applications for Initial licenses, renewals, and amendments. Initial Nursing Home Licensure Process


Note:  Licensure Records of Long Term Care facilities have been scanned.  To receive a copy of a record email healthresources@health.ok.gov, with the following information:  Full name of facility; address and license number if known (i.e. 1005 SW OKC, NH5502); documents and dates of records records (i.e. all license applications and correspondence for 2005-2015).  Requests or inquiries for records can be faxed to 405-271-7360, or inquired about at 405-271-6868.

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
Inspection Reports 

Provider Letters

Law As Amended in 2013
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 with Long Term Care Security Act as amended in 2013  (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


Frequently Asked Questions
Q: Where can I view inspection reports?
A: View the related topic links below.

Q: Where do I make a complaint about nursing, assisted living, residential, or adult day care facilities?
A: View the related topic links below.

Q: Where can I view records for licensure of long term care facilities?
A: : Licensure Records of Long Term Care facilities have been scanned. To receive a copy of a record email healthresources@health.ok.gov, with the following information: Full name of facility; address and license number if known (i.e. 1005 SW OKC, NH5502); documents and dates of records records (i.e. all license applications and correspondence for 2005-20015). Requests or inquiries for records can be faxed to 405-271-7360, or inquired about at 405-271-6868. Licensure Records of Long Term Care facilities have been scanned. To receive a copy of a record email healthresources@health.ok.gov, with the following information: Full name of facility; address and license number if known (i.e. 1005 SW OKC, NH5502); documents and dates of records records (i.e. all license applications and correspondence for 2005-20015). Requests or inquiries for records can be faxed to 405-271-7360, or inquired about at 405-271-6868


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