Read the full stored bill text
GENERAL ASSEMBLY OF NORTH CAROLINA
SESSION 2025
S 2
SENATE BILL 863
Judiciary Committee Substitute Adopted 6/17/26
Short Title: Streamline Adult Care Home Inspections. (Public)
Sponsors:
Referred to:
April 29, 2026
*S863-v-2*
A BILL TO BE ENTITLED 1
AN ACT TO STREAMLINE THE INSPECTION PROCESS FOR ADULT CARE HOMES. 2
The General Assembly of North Carolina enacts: 3
SECTION 1. G.S. 131D-2.11 is amended by adding a new subsection to read: 4
"(d) Streamlining of Inspections. – Notwithstanding any other provision of law, and to the 5
extent permissible under federal law and regulation, if an adult care home licensed under this 6
Article has passed an inspection related to its facility, real property, workplace, or workplace 7
safety conducted by the Adult Care Licensure Section of the Division of Health Service 8
Regulation of the Department in the imm ediately preceding three months before a substantially 9
similar routine inspection is conducted by any other State or local department, agency, board, or 10
commission, then the passing results of the inspection by the Adult Care Licensure Section shall 11
be accepted by the other inspecting entity as if it had conducted its own inspection, and the other 12
inspecting entity shall deem the substantially similar inspection as having been passed. 13
This subsection shall not apply to any complaint investigation, follow -up inspection, 14
monitoring visits, investigation of abuse, neglect, resident harm, exploitation, or any inspection 15
or investigation based on a specific allegation, incident, referral, or concern involving resident 16
health, safety, welfare, or resident rights. Nothing in this subsection shall limit the authority of 17
the Secretary, the Department, the Division of Health Service Regulation, a county department 18
of social services, or any other State or local inspecting entity to conduct an inspection or 19
investigation in response to a complaint, incident, referral, or concern involving resident health, 20
safety, welfare, or resident rights. 21
Nothing in this subsection shall prohibit an otherwise authorized agency from conducting an 22
independent inspection where the agency has reasonable cause to believe conditions affecting 23
resident health, safety, welfare, fire protection, or workplace safety have changed since the prior 24
inspection. 25
For the purposes of this subsection, "substantially similar routine inspection " means an 26
inspection evaluating materially similar physical conditions under materially similar regulatory 27
standards. 28
For the purposes of this subsection, a facility will be deemed to have passed an inspection 29
when the inspection resulted in no deficiencies, violations, citations, or corrective action 30
requirements related to the subject matter of the substantially similar routine inspection." 31
SECTION 2. There is appropriated from the General Fund to the Department of 32
Health and Human Services, Division of Health Service Regulation, the sum of one hundred 33
thousand dollars ($100,000) in nonrecurring funds for the 2026 -2027 fiscal year to be used for 34
the streamlining of adult care home inspections. 35
General Assembly Of North Carolina Session 2025
Page 2 Senate Bill 863-Second Edition
SECTION 3. Section 1 of this act becomes effective October 1, 2026, and applies to 1
inspections conducted on or after that date. Section 2 of this act becomes effective July 1, 2026. 2
The remainder of this act is effective when it becomes law. 3