1. (a) The SRHCF shall provide the department with written notice at least 30 days prior to changes in any of the following:

   1. (1) Ownership;
   2. (2) Physical location;
   3. (3) Address;
   4. (4) Name;
   5. (5) Number of beds authorized under the current license; or
   6. (6) Services.

2. (b) The SRHCF shall complete and submit a new application and obtain a new or revised license, as applicable, prior to operating, for:

   1. (1) A change in ownership;
   2. (2) A change in the physical location;
   3. (3) An increase in the number of beds authorized under the current license; or
   4. (4) A change in services.
3. (c) When there is a change in address without a change in location the SRHCF shall provide the department with a copy of the notification from the local, state, or federal agency that requires the change.
4. (d) When there is a change in the name, the SRHCF shall submit to the department a copy of the certificate of amendment from the New Hampshire secretary of state, if applicable.

5. (e) An inspection by the department shall be conducted prior to operation for changes in the following:

   1. (1) Ownership, unless the current licensee is in full compliance, in which case an inspection shall be conducted as soon as practical by the department:
   2. (2) The physical location;
   3. (3) An increase in the number of beds or residents authorized under the current license;
   4. (4) A change in license classification; or
   5. (5) A change that places the facility under a different life safety code occupancy chapter.
6. (f) A new license shall be issued for a change in ownership, classification, or physical location.

7. (g) A revised license shall be issued for any of the following:

   1. (1) A change in name;
   2. (2) A change of administrator or medical director;
   3. (3) An increase or decrease in the number of beds;
   4. (4) A change in the scope of services provided; or
   5. (5) When a waiver has been granted in accordance with He-P 805.10.

8. (h) The SRHCF shall inform the department in writing when there is a change in administrator or medical director no later than 5 days prior to a change, or as soon as practicable in the event of a death or other extenuating circumstances requiring an administrator or medical director change, and provide the department with the following:

   1. (1) A resume identifying the name and qualifications of the new administrator or medical director;
   2. (2) Copies of applicable licenses for the new administrator or medical director;
   3. (3) The results of a criminal background check for the new administrator or medical director which shall include criminal history from the state of New Hampshire;
   4. (4) The results of the non-conviction attestation as described in He-P 805.18(w); and
   5. (5) The results of the BAAS registry check per He-P 805.18(e).
9. (i) Upon review of the materials submitted in accordance with (h) above, the department shall make a determination as to whether the new administrator or medical director meets the qualifications for the position as specified in He-P 805.18(i) and (j).
10. (j) If the department determines that the new administrator or medical director does not meet the qualifications, it shall so notify the program in writing so that a waiver can be sought or the program can search for a qualified candidate.
11. (k) When there is to be a change in the services provided, the SRHCF shall provide the department with a description of the service change and, where applicable, identify what additional personnel will be hired and their qualifications, how the new services will be incorporated into the infection control and quality improvement programs, and describe what changes, if any, in the physical environment will be made.
12. (l) The department shall review the information submitted under (k) above and determine if the added services can be provided under the SRHCF’s current license.
13. (m) The SRHCF shall inform the department in writing via email, fax, or mail of any change in the e-mail address no later than 10 days of the change. The department shall use email as the primary method of contacting the facility in the event of an emergency.
14. (n) A restructuring of an established SRHCF that does not result in a transfer of the controlling interest of the facility, but which might result in a change in the name of the facility or corporation, shall not constitute a change in ownership and a new license shall not be required.
15. (o) If a licensee chooses to cease operation of a SRHCF, the licensee shall submit written notification to the department at least 60 days in advance which shall include a written closure plan.

Source. #2261, eff 1-17-83; ss by #3193, eff 1-28-86; ss by #5317, EMERGENCY, eff 1-29-92, EXPIRED: 5-28-92 New. #5513, eff 11-25-92; ss by #5665, eff 7-14-93; ss by #6895, INTERIM, eff 11-26-98, EXPIRED: 3-26-99 New. #8746, eff 10-25-06; ss by #10813, eff 4-21-15; ss by #13333, eff 1-25-22; ss by #14358, eff 8-28-25, EXPIRES: 8-28-35