North Carolina

Grounds stated in the sources

N.C.G.S. § 131E-117(15) states the patient's right "To not be transferred or discharged from a facility except for medical" "reasons, the patient's own or other patients' welfare, nonpayment for the stay," "or when the transfer or discharge is mandated under Title XVIII (Medicare)" "or Title XIX (Medicaid) of the Social Security Act." NC Medicaid's prescribed notice form states a different list under a different authority: "Under federal law 42 CFR §483.15, you may only be transferred or discharged from this nursing facility for one of the following" "reasons:" — six checkboxes follow. Both are shown as published; the federal enumeration is assembled on [the federal page](../federal.html).

Notice stated in the sources

The statute states the patient "shall be" "given at least five days' advance notice to ensure orderly transfer or" "discharge, unless the attending physician orders immediate transfer, and" "these actions, and the reasons for them, shall be documented in the patient's" "medical record". No 30-day period appears in the captured North Carolina sources. The state's notice form, NC Medicaid-9050 (6/2026), sets out the fields the notice must carry — date of notice, resident and facility, "DATE OF TRANSFER/DISCHARGE", the checked reason, who else was notified, the destination, appeal rights, and the regional ombudsman's contact, with a box recording whether the "Facility sent Ombudsman a copy of the Notice".

Hearing office in these sources

The NC Medicaid Hearing Office, which "Hears appeals by long-term care residents who are being transferred or discharged from an adult care home or skilled nursing facility" and "conducts formal hearings for residents appealing a notice of discharge from a Skilled Nursing Facility. (10A NCAC 22H.0200)". Its published contact is "NC Medicaid Hearing Office" "919-814-0090" "Fax: 984-687-9584" "Medicaid.Hearings@dhhs.nc.gov". The notice form states the deadline: "You have the right to appeal this transfer/discharge to the DHHS Hearing Office WITHIN 11 CALENDAR DAYS of the date of" "this notice if you want to continue to stay at this facility." — and that the request "must be received by the hearing officer no later than the 11 th calendar day or your right to appeal is" "waived." It adds: "The appeal will be at no cost to you or your representative." and that a resident wishing to review their medical record must be allowed to see it "no later than five working days prior to the" "hearing."

Ombudsman in these sources

The Long-Term Care Ombudsman Program, which "consists of an Office of the State Long-Term Care Ombudsman and 16 Offices of the Regional Long-Term Care Ombudsman that are housed in Area Agencies on Aging." No statewide telephone number for the program is published on the page reviewed; access runs through the region, and the department directs the reader to "Find information for your county". The notice form leaves the regional ombudsman's name, email, address and phone as blanks the facility fills in.

Sources last checked

2026-08-30

Reproduced from the agencies' own pages and documents quoted below — potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation.

Lede

This page assembles what North Carolina's own publishers state about involuntary transfer and discharge from a nursing facility. It is a baseline page: the docket rows and the source map are built; the grounds section and the published-process section are not yet written, as the change log records. There is no single fullest source here. The patient's rights statute, § 131E-117, states the grounds and a five-day notice; NC Medicaid's prescribed notice form, NC Medicaid-9050 (6/2026), states a six-reason federal list and an eleven-day appeal deadline; and NC Medicaid's appeals page publishes the hearing office. North Carolina's vocabulary is transfer or discharge, and the statute calls the resident a patient; the appeal goes to the Medicaid hearing office rather than to the licensing agency.

The eleven-day deadline is the shortest appeal clock this project has recorded so far, and it runs from the date of the notice rather than from receipt. The federal floor for Medicare/Medicaid-certified facilities is assembled separately on [the federal page](../federal.html); nothing here fills a gap from federal law or another state. Confirm applicability with the agencies named in the sources: whether any provision applies to a particular facility, resident, or notice is for the hearing office to determine. Deadlines and periods on this page are quoted from the sources, not calculated for any case.