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Nursing and Specialized Facilities Licensure

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


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Reports


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 2017  (Title 63 O.S. Section 1-1901 et seq.)


Unofficial Rules


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-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)


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)


Other Related Nursing Facility License Forms

ODH Form 958, Notice of Change

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



Frequently Asked Questions
 
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.

Related Topics

Contact Information

Mailing Address:
Oklahoma State Department of Health
Health Facility Systems
123 Robert S. Kerr Ave., Suite 1702
Oklahoma City, OK 73102-6406

Physical Address:
Oklahoma State Department of Health
123 Robert S. Kerr Ave.
Oklahoma City, OK

Phone: (405) 426-8175
Fax: (405) 900-7571
E-mail: healthresources@health.ok.gov

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