Division of Health Facilities Evaluation and Licensing

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Licensure Program

Licensure of Long-Term Care Facilities

The Long-Term Care Licensing Program of the Division of Long-Term Care Systems licenses Long-Term Care Facilities. Long-Term Care Facilities participating in the Medicare and Medicaid programs must also be certified by the Centers for Medicare and Medicaid Services of the U.S. Department of Health and Human Services.

The purpose of licensure is to ensure that these facilities are built and operated in accordance with the rules governing long-term care facilities. These rules comprise part of the New Jersey Administrative Code (N.J.A.C. 8:39 ) and are periodically updated. (Instructions for obtaining the rules directly from the Division may be found at the “Publications Available” section of this web site.) The rules may also be accessed at www.state.nj.us/health/healthfacilities/regulations.shtml.

Applicants to establish a long-term care facility must first obtain a certificate of need (CN). As CN applications are accepted only in response to a call for CN applications by the Department, interested persons should contact the Certificate of Need and Licensure Program of the Division of Health Facilities Evaluation and Licensing for further information.

The licensure process is intended to ensure that facilities are constructed and operated in a manner which promotes and protects the health and safety of residents. The specific details of this process may be obtained by contacting the Licensing Program at (609) 633-9042.

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Licensure of Assisted Living Residences, Comprehensive Personal Care Homes, and Assisted Living Programs

Assisted living residences, comprehensive personal care homes, and assisted living programs are licensed by the Long Term Care Licensing Program of the Division of Long Term Care Systems. If a facility is not so licensed, then it cannot offer itself to the public as providing assisted living or similar services.

The purpose of licensure is to ensure that these facilities and programs are built and operated in accordance with rules that aim to ensure that residents receive supportive health and social services as they are needed to enable them to maintain their independence, individuality, privacy, and dignity in an apartment-style living unit or, in the case of assisted living programs, a living unit in publicly subsidized housing. These rules comprise part of the New Jersey Administrative Code (N.J.A.C. 8:36 ) and are periodically updated. (Instructions for obtaining the rules directly from the Division may be found at the “Publications Available” section of this Web site.) These rules may also be accessed at www.state.nj.us/health/healthfacilities/regulations.shtml.

Applicants who wish to establish an assisted living residence, comprehensive personal care home, or assisted living program must first obtain a certificate of need (CN). As part of the CN process, the Licensing Program will conduct a review of the applicant's track record in operating similar facilities or programs in the past.

Following receipt of a CN, an applicant must complete a specified series of steps as a prerequisite to licensure. For example, formal architectural plans must be submitted to the Health Care Plan Review Unit of the Department of Community Affairs for approval prior to initiation of renovation or construction. (Assisted living "programs" do not need to complete certain steps concerning construction.) The applicant is required to submit a formal application, various approvals, including a certificate of occupancy, the resident service agreement, other documentation, and the appropriate licensure fee.

Opening of the facility is preceded by a pre-licensing conference with the Licensing Program and the Assessment and Survey Program in order to review licensure requirements and the inspection process.

An inspection by the Assessment and Survey Program must be conducted and approval from the Licensing Program must be obtained before a facility may admit residents. Issuance of a license follows a finding of substantial compliance with the licensure requirements.

The licensure process is intended to ensure that facilities are constructed and operated in a manner which promotes and protects the health and safety of residents. The specific details of this process may be obtained by contacting the Licensing Program at (609) 633-9042.

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Licensure of Residential Health Care Facilities

Residential Health Care Facilities located within a long-term care facility, assisted living residence, or comprehensive personal care home, are licensed by the Long Term Care Licensing Program of the Division of Long Term Care Systems. Residential Health Care Facilities that are “free-standing” (not located within another type of licensed facility) are licensed by the New Jersey Department of Community Affairs. (Applicants to establish a free-standing residential health care facility should contact the Department of Community Affairs at (609) 984-1704).

The purpose of licensure of residential health care facilities located within another health care facility is to ensure that these facilities are built and operated in accordance with the rules, which aim to ensure that residents who do not require skilled nursing care receive sheltered care and services in a homelike setting. These rules comprise part of the New Jersey Administrative Code (N.J.A.C. 8:43) and are periodically updated. (Instructions for obtaining the manual of the rules directly from the Division may be found at the "Publications Available" section of this Web site.)

Applicants who wish to establish a residential health care facility located within a long-term care facility, assisted living residence, or comprehensive personal care home do not need to obtain a certificate of need (CN). They must, however, submit a project application to the Licensing Program. As part of the licensure process, the Licensing Program will conduct a review of the applicant's track record in operating similar facilities or programs in the past.

The applicant must complete a specified series of steps as a prerequisite to licensure. For example, formal architectural plans must be submitted to the Health Care Plan Review Unit of the Department of Community Affairs for approval prior to initiation of renovation or construction. The applicant is required to submit a licensure application, various approvals, including a certificate of occupancy, other documentation, and the appropriate licensure fee.

Opening of the facility is preceded by a pre-licensing conference with the Assessment and Survey Program, and the Licensing Program in order to review licensure requirements and the inspection process.

An inspection by the Assessment and Survey Program must be conducted and approval must be obtained from the Licensing Program before a facility may admit residents. Issuance of a license follows a finding of substantial compliance with the licensure requirements.

The licensure process is intended to ensure that facilities are constructed and operated in a manner which promotes and protects the health and safety of residents. The specific details of this process may be obtained by contacting the Licensing Program at (609) 633-9042.

Applicants who want to establish a free-standing residential health care facility should contact the Department of Community Affairs at (609) 984-1704.

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Licensure of Adult and Pediatric Day Health Services Facilities

Adult and pediatric day health services facilities are licensed by the Long-Term Care Licensing Program of the Division of Long-Term Care Systems.

The purpose of licensure is to ensure these facilities are built and operated in accordance with the rules governing licensure. These rules aim to ensure that participants receive specialized, integrated care in order to assist them in reaching the functional levels of which they are capable. These rules comprise part of the New Jersey Administrative Code (N.J.A.C. 8:43F) and are periodically updated. (Instructions for obtaining the rules directly from the Division may be found at the “Publications Available” section of this web site.) These rules may also be accessed at www.state.nj.us/health/healthfacilities/regulations.shtml

Applicants who wish to establish an adult or pediatric day health services facility do not need to obtain a certificate of need (CN). They must, however, submit a project application to the Licensing Program. As part of the licensure process, the Licensing Program will conduct a review of the applicant's track record in operating similar facilities or programs in the past.

An applicant must complete a specified series of steps as a prerequisite to licensure. For example, formal architectural plans must be submitted to the Health Care Plan Review Unit of the Department of Community Affairs for approval prior to initiation of renovation or construction. The applicant is required to submit a licensure application, various approvals, including a certificate of occupancy, other documentation, and the appropriate licensure fee.

Opening of the facility is preceded by a pre-licensing conference with the Licensing Program and the Assessment and Survey Program.

An inspection by the Assessment and Survey Program must be conducted and approval from the Licensing Program must be obtained before a facility may admit participants. Issuance of a license follows a finding of substantial compliance with the licensure requirements.

The licensure process is intended to ensure that facilities are constructed and operated in a manner which promotes and protects the health and safety of participants. The specific details of this process may be obtained by contacting the Licensing Program at (609) 633-9042.

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Licensure of Alternate Family Care Sponsor Agencies

Alternate Family Care Sponsor Agencies are licensed by the Long Term Care Licensing Program of the Division of Long Term Care Systems. Sponsor Agencies are the agencies responsible for administering the alternate family care program. They provide essential administrative and clerical support services to caregivers. If an agency or other health care provider is not licensed, then it cannot advertise or claim itself to be a "sponsor agency."

The purpose of licensure is to ensure that these agencies are operated in accordance with the rules, which aim to ensure that approved caregivers provide clients with room, board, personal care, and supportive health and social services in the caregiver’s home. These rules comprise part of the New Jersey Administrative Code (N.J.A.C. 8:43B) and are periodically updated. (Instructions for obtaining the rules directly from the Division my be found at the “Publications Available” section of this web site.

Applicants who wish to establish an alternate family care sponsor agency do not need to obtain a certificate of need (CN). They must, however, submit a project application to the Licensing Program. As part of the licensure process, the Licensing Program will conduct a review of the applicant’s track record in operating similar agencies or programs in the past.

An applicant must complete a specified series of steps as a prerequisite to licensure. The applicant is required to submit a licensure application, various approvals, including a certificate of occupancy for the business office of the sponsor agency, other documentation, and the appropriate licensure fee.

Applicants must contact the Alternate Family Care Program in the Division of Consumer Support in order to discuss the process for identifying caregivers and clients.

An inspection by the Assessment and Survey Program must be conducted and approval must be obtained from the Licensing Program before an agency may begin to operate. Issuance of a license follows a finding of substantial compliance with the licensure requirements.

The licensure process is intended to ensure that sponsor agencies are operated in a manner which promotes and protects the health and safety of clients. The specific details of this process may be obtained by contacting the Licensing Program at (609) 633-9042.

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Health Facilities Licensure Payments

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