Nursing Homes - Nursing Home Licensure ← Knowledge Base What are the requirements for opening up a long-term care facility? How many persons can I care for before I need a license to operate a long-term care facility? When opening a new facility, when will an inspection be conducted? Where can the state laws and regulations for licensing long-term care facilities be found on the Department of Health and Senior Services web site? Who needs to be notified and what are required if there is a change of administrator in a facility? What about a change in the Director of Nursing? How do I report a change of operator to the Department of Health & Senior Services? How do I increase the number of licensed beds in my facility? How do I decrease the number of licensed beds in my facility? What do I need to do if I wish to change the level of care my facility provides? What do I need to do if I wish to close my facility? Are there grants available to start a long-term care facility? Can I receive Medicaid or Medicare in an RCF or ALF?