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How is the Quality of Care in Nursing Homes Ensured?

Ensuring the quality of care in Nursing Homes is important to everyone. To help ensure that quality of resident care is consistent from one facility to another, the legislature gave the Department of Health and Human Services (DHHS) the authority and responsibility to:

The Department (DHHS) chose the Division of Health Service Regulation (DHSR) to handle oversight and regulation of all of the responsibilities listed above for Nursing Homes in North Carolina.

Please note that Continuing Care Retirement Communities (CCRCs) are another type of housing that has nursing home beds. They may offer either nursing home or adult care home levels of service and may provide both. They are regulated by the N.C. Department of Insurance (800-546-5664) and are licensed by the state Division of Health Service Regulation (800-624-3004) for the adult care home and/or nursing home level of care they provide. The NC Division of Health Service Regulation (DHSR), therefore, handles all grievances and quality issues for both the adult care home and the nursing home levels of care. The Department of Insurance handles grievances and quality issues pertaining to contractual issues and/or independent living.

Information about the oversight process is very similar to the process for Adult Care Homes. However, there are some variations for Nursing Homes. So, to eliminate as much confusion as possible, we have separate pages for Nursing Home oversight and Adult Care Home oversight.

Division of Health Service Regulation

The Oversight Process for Nursing Homes

General Types of Oversight and What Agencies Provide It

Penalties and Enforcement for Non-Compliance With Quality Care

Is Your Facility in Compliance With Quality Care Standards?

Abuse, Neglect, and Exploitation - What It Is, What To Do

Complaint Resolution

Ombudsmen Program