Home Licensure- Chronic and Convalescent Nursing Home and Rest Home with Nursing Supervision - Initial

Applicable to: Persons seeking a license to operate a health care institution. Description: A long term institution having all necessary personnel to provide skilled nursing care under medical supervisioin and direction to carry out simple, non-surgical treatment & dietary procedures for chronic disease or convalescent stages or acute diseases o Statute: Transaction Type: Initial Duration: 2 years

Prerequisites: Certificate of Need determination from the Office of Health Care Access An Inspection by the Department of Public Health Required Documentation: Completion of the application and attachments. Other Information: Applications, Forms & Other: Facility Licensure

Application Fee: $700.00 per facility / $5.00 per bed Fee Exemptions: N/A

Agency: Department of Public Health Phone: (860) 509-7444 Mailing Address: Department of Public HealthHealth Systems Regulation410 Capitol Avenue, MS#12 HFLP.O. Box 340308Hartford, CT 06134-0308 Email Address: oplc.dph@ct.gov Website:     www.ct.gov/dph Agency Notes:

Agency: Office of Health Care Access URL: http://www.ct.gov/ohca/site/default.asp   Agency: Local Officials URL: http://www.ct.gov/ctportal/cwp/view.asp?a=843&q=257266 Comments: Including health, planning and zoning, town clerk, building, fire   Agency: Department of Social Services URL: http://www.ct.gov/dss/site/default.asp

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