Oklahoma, www.OK.gov <{$map[0].NAME}>

Contact  |  A-Z Health Index  |  Events & Meetings

get adobe reader

Residential Care Home Licensure

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


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. 


Inspection Reports

Law        

**Amendment Effective November 1, 2008**  The amendment adds § 1-849. Long Term Care Facility for Level II and III Sex Offenders. This section provides that the OSDH initiate a request for the proposal for operation of a stand-alone long-term care facility for sex offenders.

    Residential Care Act, Title 63 O.S. §§ 1-820 et seq. (184K)  


Unofficial Rules

    Residential Care Homes, OAC 310:680 (410K)


License Application and attachments.

NOTE: The attachments are required to complete the License Application.

    License Application for Residential Care Home, ODH Form 728 (122K)

  •   Disclosure Statement of Owners, Lessee and Manager for a Long-Term Care Facility, ODH Form 953-B (91K) 
  •   Detail Attachment To the Disclosure Statement, ODH Form 953-C ( 84K)
  •   Staffing Projection And Professional Certification For A Nursing Or Long-term Care Facility, ODH Form 953-E (84K)  

Residential Care Home Renewal Application Checklist (38K)


Application for Qualified Temporary Manager 

    Qualified Temporary Manager Application, ODH Form 661 


For more information on residential homes that are certified for individuals with mental illness, please contact the Oklahoma Department of Mental Health and Substance Abuse Services


Legal Resident Affidavit Forms

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

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

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


Contact Information
Health Facility Systems
1000 N.E. 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 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

Creating a State of Health Logo