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The Health Facility Systems staff receives and processes applications for Initial licenses, renewals, and amendments. Initial Nursing Home Licensure Process
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HRDS-HFS2012-02 Renewal License – Expiration Date Change (June 18, 2012)
Nursing Home Care Act with Long Term Care Security Act as amended in 2017 (Title 63 O.S. Section 1-1901 et seq.)
Chapter 675, Nursing and Specialized Facilities (OAC 310:675)
Note: The following files make up the License Application and its attachments.
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)
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)
ODH Form 958, Notice of Change (1M)
ODH Form 953-F, Periodic Report for Suspended License for a Long-Term Care Facility (60K)
Q: Where can I view or request inspection and licensure records?
A: See 'Related Topics' below. Q: Where do I make a complaint about nursing home, assisted living, residential care, or adult day care facilities?
A: See 'Related Topics' below.
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