Decisions and Findings

Each month, the Certificate of Need Section makes decisions regarding applications under review to either conditionally approve the application or to disapprove it. The Certificate of Need Section also prepares "findings" which explain the basis for the decision.

January 2018

County Project I.D. # Facility Type of Project Date of Decision Decision Findings
Cumberland M-011397-17 FMC Dialysis Services of North Ramsey Add five dialysis stations for a total of 40 stations upon completion of this project and Project ID #M-11344-17 (relocate five stations to FKC Hope Mills) 1/29/2018 Conditional Approval (PDF, 131 KB) Findings (PDF, 347 KB)
Duplin P-011418-17 Wallace Dialysis Center Add 1 dialysis station for a total of 16 stations 1/24/2018 Conditional Approval (PDF, 130 KB) Findings (PDF, 356 KB)
Hoke N-011414-17 Lumbee River Dialysis Add 5 dialysis stations for a total of 15 stations 1/29/2018 Conditional Approval (PDF, 130 KB) Findings (PDF, 485 KB)
Mecklenburg F-011388-17 Strategic Behavioral Center-Charlotte Relocate 40 adult inpatient psychiatric beds from Broughton Hospital pursuant to Policy PSY-1 in the 2017 SMFP 1/26/2018 Denied (PDF, 128 KB) Findings (PDF, 461 KB)
Moore H-011411-17 Dialysis Care of Moore County Add two dialysis stations for a total of 25 stations 1/31/2018 Conditional Approval (PDF, 130 KB) Findings (PDF, 455 KB)
New Hanover O-011421-17 Bradley Creek Health Center at Carolina Bay Develop 8 non-Medicaid certified adult care home beds pursuant to Policy LTC-1 in the NC SMFP 1/29/2018 Conditional Approval (PDF, 135 KB) Findings (PDF, 417 KB)
Northampton L-011394-17 FMC EAST NORTHAMPTON COUNTY Add two dialysis stations to FMC East Northampton County, for a total of 21 stations upon project completion 1/26/2018 Conditional Approval (PDF, 130 KB) Findings (PDF, 333 KB)
Wake J-011384-17 Duke Raleigh Hospital Acquire a fixed PET/CT scanner pursuant to the need determination in the 2017 SMFP for HSA IV 1/26/2018 Conditional Approval (PDF, 209 KB) Findings (PDF, 677 KB)
Wake J-011386-17 Rex Hospital Acquire a second fixed PET/CT scanner pursuamt to the need determination in the 2017 SMFP for HSA IV 1/26/2018 Denied (PDF, 128 KB) Findings (PDF, 677 KB)
Wayne P-011423-17 UNC Orthopedics at Goldsboro Develop a new diagnostic center 1/29/2018 Conditional Approval (PDF, 132 KB) Findings (PDF, 357 KB)

December 2017

County Project I.D. # Facility Type of Project Date of Decision Decision Findings
Alamance G-011403-17 Carolina Dialysis - Mebane Add seven dialysis stations for a total of 27 stations upon completion of the project 12/19/2017 Denied (PDF, 127 KB) Findings (PDF, 469 KB)
Caldwell E-011401-17 BMA Lenoir Add seven stations for a total of 27 stations upon completion of this project, Project ID #E-11376-17 (relocate 14 stations to develop the new FKC Caldwell County) and Project ID #E-11377-17 (relocate the remaining 20 stations) 12/12/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 430 KB)
Caswell G-011393-17 RENAL CARE GROUP-CASWELL Add four dialysis stations for a total of 15 stations upon project completion Conditional Approval Conditional Approval (PDF, 132 KB) Findings (PDF, 456 KB)
Catawba E-011390-17 FMC of Catawba Valley Add five dialysis stations to the existing facility for a total of 24 stations upon completion of this project and Project ID #E-11209-16 (relocate six stations to the new FKC Newton facility) 12/18/2017 Conditional Approval (PDF, 130 KB) Findings (PDF, 283 KB)
Durham J-011405-17 Freedom Lake Dialysis Center Add six dialysis stations for a total of 26 stations upon completion of this project and Project ID # J-11373-17 (relocate six stations to FKC Eno River) 12/22/2017 Conditional Approval (PDF, 207 KB) Findings (PDF, 408 KB)
Granville K-011396-17 FMC Dialysis Services Neuse River Relocate the entire dialysis facility to a new site in Oxford for a total of 25 stations 12/28/2017 Denied - No Appeal (PDF, 128 KB) Findings (PDF, 422 KB)
Guilford G-011395-17 FMC of East Greensboro Add four dialysis stations for a total of 43 dialysis stations upon completion of this project 12/18/2017 Conditional Approval (PDF, 131 KB) Findings (PDF, 420 KB)
Guilford G-011398-17 Northwest Greensboro Kidney Center Add four dialysis stations for a total of 37 dialysis stations upon completion of this project 12/18/2017 Conditional Approval (PDF, 131 KB) Findings (PDF, 423 KB)
Johnston J-011407-17 BMA of Johnston County Add one dialysis station for a total of 32 stations upon completion of this project and Project ID # J-11230-16 (add six stations) 12/21/2017 Conditional Approval (PDF, 130 KB) Findings (PDF, 290 KB)
Mecklenburg F-011404-17 FMC MATTHEWS Add three dialysis stations for a total of 21 stations upon completion of this project, Project ID # F-11241-16 (add two stations) and Project ID # F-11207-16 (relocate five stations to FKC Southeast Mecklenburg County) 12/29/2017 Conditional Approval (PDF, 207 KB) Findings (PDF, 314 KB)
Mecklenburg F-011389-17 Arbor Ridge at Huntersville Relocate the 40 ACH beds authorized by Project ID #F-8522-10 (add 40 for a total of 80 SCU beds) to a new location instead of adding them to the existing Preston House 12/20/2017 Conditional Approval (PDF, 135 KB) Findings (PDF, 341 KB)
Mecklenburg F-011392-17 FMC Charlotte Add three dialysis stations for a total of 44 stations upon completion of this project, Project ID # F-11099-15 (relocate six stations to FMC Aldersgate), Project ID # F-11306-17 (add seven stations), and Project ID # F-11345-17 (relocate three stations to FMC Southwest Charlotte) 12/18/2017 Conditional Approval (PDF, 131 KB) Findings (PDF, 339 KB)
Pitt Q-011391-17 FMC Care of Ayden Add six stations for a total of 16 stations upon completion of this project and Project ID #Q-11304-17 (relocate six stations to the new FKC Captains Cove) 12/22/2017 Conditional Approval (PDF, 131 KB) Findings (PDF, 465 KB)
Robeson N-011399-17 BMA of Red Springs Add one dialysis station for a total of 20 stations upon completion of this project 12/11/2017 Denied (PDF, 127 KB) Findings (PDF, 327 KB)
Union F-011406-17 METROLINA KIDNEY CENTER Add six dialysis stations for a total of 22 stations upon completion of this project, Project ID# F-11208-16 (relocate 10 stations to FKC Indian Trail), Project ID# F-11242-16 (add 5 stations and develop a home hemodialysis and a peritoneal dialysis program) and Project ID# F-11383-17 (cost overrun for Project ID# F-11242-16) 12/22/2017 Conditional Approval (PDF, 131 KB) Findings (PDF, 475 KB)

November 2017

County Project I.D. # Facility Type of Project Date of Decision Decision Findings
Cumberland M-011357-17 BAYADA Hospice Establish a new hospice home care office 11/27/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 578 KB)
Cumberland M-011360-17 Home Health and Hospice Care, Inc. Establish a new hospice home care office 11/27/2017 Denied (PDF, 128 KB) Findings (PDF, 578 KB)
Durham J-011382-17 Duke-Provision Proton Therapy Center, LLC Acquire two proton therapy machines 11/30/2017 Conditional Approval (PDF, 176 KB) Findings (PDF, 418 KB)
Durham J-011373-17 Fresenius Kidney Care Eno River Develop a new-10 station dialysis facility by relocating six dialysis stations from Freedom Lake Dialysis Unit and four from FMC Dialysis Services West Pettigrew 11/9/2017 Conditional Approval (PDF, 209 KB) Findings (PDF, 442 KB)
Gaston F-011356-17 Caromont Regional Medical Center Acquire a Siemens Artis zee biplane system for cardiac thoracic surgery and develop a vascular hybrid operating room 11/1/2017 Conditional Approval (PDF, 133 KB) Findings (PDF, 498 KB)
Jackson A-011387-17 Harris Regional Hospital Cost overrun for Project I.D. #A-10222-13 (develop a dedicated C-Section room and renovate the third floor of the hospital) 11/2/2017 Conditional Approval (PDF, 134 KB) Findings (PDF, 286 KB)
Johnston J-011369-17 Johnston Senior Living Develop a new ACH facility, Johnston Senior Living, by acquiring and relocating 66 beds from Johnston Manor (Project I.D. #J-11046-15) leaving 66 ACH beds at Johnston Manor 11/14/2017 Conditional Approval (PDF, 136 KB) Findings (PDF, 334 KB)
Johnston J-011372-17 Fresenius Kidney Care Selma Develop a new 10-station dialysis facility by relocating two dialysis stations from FMC Four Oaks, four from Johnston Dialysis Center, and four from FMC New Hope Dialysis 11/9/2017 Conditional Approval (PDF, 209 KB) Findings (PDF, 454 KB)
Martin Q-011380-17 Robersonville Dialysis Develop a new facility by relocating 10 dialysis stations and the home training program from Dialysis Care of Martin County 11/17/2017 Conditional Approval (PDF, 133 KB) Findings (PDF, 423 KB)
Mecklenburg F-011361-17 Carolinas HealthCare System Pineville Add 15 acute care beds for a total of 221 acute care beds upon completion 11/27/2017 Conditional Approval (PDF, 134 KB) Findings (PDF, 1.49 MB)
Mecklenburg F-011362-17 Carolinas Medical Center Add 45 new acute care beds for a total of 1,055 acute care beds upon completion 11/27/2017 Conditional Approval (PDF, 134 KB) Findings (PDF, 1.49 MB)
Mecklenburg F-011366-17 Novant Health Presbyterian Medical Center Develop 18 additional acute beds for a total of 524 acute care beds upon completion of this project; companion Project ID #F-11367-17 (add 21 Level IV NICU beds); Project ID #F-7648-06 (develop a new hospital by relocating 50 beds from NHPMC); Project ID #F-8765-11 (relocate Charlotte Orthopedic Hospital and add 50 beds pursuant to a need determination); and Project ID #F-11110-15 (relocate 48 beds to Huntersville Medical Center) 11/27/2017 Denied (PDF, 129 KB) Findings (PDF, 1.49 MB)
Mecklenburg F-011367-17 Novant Health Presbyterian Medical Center Develop 21 additional Level IV neonatal intensive care unit (NICU) beds for a total of 524 licensed acute care beds upon completion of this project; companion Project ID #F-11366-17 (add 18 acute care beds); Project ID #F-7648-06 (develop a new hospital by relocating 50 beds from NHPMC); Project ID #F-8765-11 (relocate Charlotte Orthopedic Hospital and add 50 beds pursuant to a need determination); and Project ID #F-11110-15 (relocate 48 beds to Huntersville Medical Center) 11/27/2017 Denied (PDF, 129 KB) Findings (PDF, 1.49 MB)
Moore H-011385-17 FirstHealth Moore Regional Hospital Develop one additional shared OR pursuant to the need determination in the 2017 SMFP 11/29/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 462 KB)
Rowan F-011408-17 Dialysis Care of Rowan County Add three dialysis stations to the existing facility for a total of 29 stations upon completion of this project, Project ID #F-11154-16 (add six dialysis stations), Project ID #F-11264-16 (relocate eight stations) and Project ID #F-11324-17(add one dialysis station) 11/17/2017 Conditional Approval (PDF, 131 KB) Findings (PDF, 411 KB)
Union F-011383-17 METROLINA KIDNEY CENTER Cost overrun for Project I.D. #F-11242-16 (add 5 stations and develop home PD program) 11/16/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 227 KB)
Wake J-011371-17 Mayview Assisted Living Center Develop a new ACH by acquiring and relocating 20 existing ACH beds from Wellington Health and Rehabilitation Center 11/8/2017 Conditional Approval (PDF, 135 KB) Findings (PDF, 377 KB)

October 2017

County Project I.D. # Facility Type of Project Date of Decision Decision Findings
Cabarrus F-011368-17 Cabarrus Senior Living Develop a new Adult Care Home facility, Cabarrus Senior Living, by relocating 66 beds from Cabarrus Manor (Project I.D. #F-11101-15) leaving 67 ACH beds at Cabarrus Manor 10/27/2017 Denied (PDF, 127 KB) Findings (PDF, 401 KB)
Caldwell E-011376-17 Fresenius Kidney Care Caldwell County Develop a new 14-station dialysis station facility by relocating 14 stations from BMA Lenoir 10/27/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 327 KB)
Caldwell E-011377-17 BMA Lenoir Relocate the facility which will be certified for only 20 dialysis stations (the remaining 14 stations will be relocated to create a new 14-station facility - see Project ID #E-11376-17) 10/27/2017 Conditional Approval (PDF, 131 KB) Findings (PDF, 333 KB)
Chatham J-011378-17 Chatham County Rehabilitation Center Relocate 25 NF beds from Legion Road Healthcare in Orange County to Chatham County Rehabilitation Center which is a change of scope for Project I.D. #J-10168-13 (develop a new 90-bed nursing facility in Chatham County) for a total of 115 NF beds upon completion of both projects 10/16/2017 Conditional Approval (PDF, 180 KB) Findings (PDF, 405 KB)
Edgecombe L-011374-17 Fresenius Kidney Care Boice-Willis Develop a new 10-station dialysis facility by relocating 10 stations from BMA East Rocky Mount 10/27/2017 Conditional Approval (PDF, 131 KB) Findings (PDF, 415 KB)
Mecklenburg F-011375-17 Fresenius Kidney Care Mallard Creek Develop a new 12-station dialysis facility by relocating 12 stations from BMA North Charlotte 10/13/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 407 KB)
Stokes G-011381-17 Digestive Health Specialists, P.A. Develop an ASC with one licensed GI endoscopy room in an existing medical office building 10/16/2017 Conditional Approval (PDF, 136 KB) Findings (PDF, 357 KB)
Union F-011348-17 Union West Surgery Center Add a third OR pursuant to the need determination in the 2017 SMFP 10/16/2017 Conditional Approval (PDF, 136 KB) Findings (PDF, 596 KB)
Union F-011343-17 Presbyterian SameDay Surgery Center-Monroe Add one OR pursuant to the need determination in the 2017 SMFP and one procedure room for a total of two ORs and one procedure room 10/16/2017 Denied (PDF, 128 KB) Findings (PDF, 596 KB)
Wake J-011379-17 The Cardinal at North Hills Relocate 10 existing ACH beds from Magnolia Glen for a total of 55 ACH and 15 NF beds upon project completion 10/27/2017 Conditional Approval (PDF, 134 KB) Findings (PDF, 306 KB)
Wake J-011353-17 Duke Radiology at Heritage Develop a diagnostic center with 2 x-ray units, one CT scanner, one mammography unit, and one ultrasound unit 10/20/2017 Conditional Approval (PDF, 133 KB) Findings (PDF, 346 KB)

September 2017

County Project I.D. # Facility Type of Project Date of Decision Decision Findings
Craven P-011334-17 River Bend Senior Living Relocate 48 existing ACH beds from New Bern House to create a new 48-bed ACH facility 9/22/2017 Denied (PDF, 127 KB) Findings (PDF, 452 KB)
Durham J-011354-17 Duke University Hospital Acquire Synaptive Brightmatter surgical equipment 9/28/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 504 KB)
Durham J-011359-17 Duke Health Center South Durham Develop a new diagnostic center by relocating existing equipment and acquiring new equipment 9/28/2017 Conditional Approval (PDF, 133 KB) Findings (PDF, 569 KB)
Forsyth G-011335-17 The Crossings at Winston-Salem Relocate 121 beds from Integrity Assisted Living (FID #920217) to develop a 121-bed replacement facility and rename it The Crossings at Winston-Salem 9/27/2017 Denied (PDF, 127 KB) Findings (PDF, 262 KB)
Mecklenburg F-011327-17 PruittHealth Home Health - Charlotte Develop a new Medicare-certified home health agency office 9/27/2017 Denied (PDF, 128 KB) Findings (PDF, 634 KB)
Mecklenburg F-011329-17 North Carolina Home Health Develop a new Medicare-certified home health agency office 9/27/2017 Denied (PDF, 128 KB) Findings (PDF, 634 KB)
Mecklenburg F-011341-17 Well Care Home Health of the Piedmont, Inc. Develop a new Medicare-certified home health agency office 9/27/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 634 KB)
Orange J-011365-17 University of North Carolina Hospitals Acquire proton therapy equipment and install on the Chapel Hill campus 9/28/2017 Conditional Approval (PDF, 176 KB) Findings (PDF, 471 KB)
Orange J-011364-17 University of North Carolina Hospitals-Hillsborough Develop a vascular interventional radiology suite on the Hillsborough Campus 9/20/2017 Conditional Approval (PDF, 133 KB) Findings (PDF, 462 KB)
Stanly F-011370-17 Trinity Place Acquire and relocate 17 ACH beds from Forrest Oakes Healthcare Center in Stanly County and construct an addition, for a total of 27 ACH and 76 NF beds at Trinity Place and 60 NF beds and no ACH beds at Forrest Oakes 9/29/2017 Conditional Approval (PDF, 135 KB) Findings (PDF, 403 KB)

August 2017

County Project I.D. # Facility Type of Project Date of Decision Decision Findings
Dare R-011358-17 The Outer Banks Hospital Cancer Center Replace existing linear accelerator and relocate it to a new building across the street from the existing hospital 8/23/2017 Conditional Approval (PDF, 207 KB) Findings (PDF, 371 KB)
Davidson G-011355-17 Lexington Dialysis Center of Wake Forest University Replace the existing facility on same site 8/31/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 458 KB)
Franklin K-011352-17 Bunn Dialysis Develop a new 10-station dialysis facility by relocating 10 stations from Dialysis Care of Franklin County which will have 17 stations upon completion 8/25/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 361 KB)
Hertford Q-011351-17 Murfreesboro Dialysis Develop a new 10-station dialysis facility by relocating 10 stations from Ahoskie Dialysis which will have 16 stations upon completion 8/16/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 341 KB)
Mecklenburg F-011363-17 Levine Cancer Institute-Huntersville Develop a new outpatient infusion therapy clinic by renovating existing space on the campus of Carolinas Healthcare System Huntersville 8/11/2017 Conditional Approval (PDF, 207 KB) Findings (PDF, 310 KB)
Rowan F-011332-17 Liberty Commons of Rowan County Relocate 20 existing NF beds from Bermuda Commons in Davie County to Liberty Commons of Rowan County pursuant to Policy NH-6 for a total of 110 NF beds at Liberty Commons of Rowan County upon completion 8/25/2017 Conditional Approval (PDF, 136 KB) Findings (PDF, 456 KB)
Wake J-011336-17 Rex Hospital Acquire a 5th unit of cardiac catheterization equipment 8/25/2017 Conditional Approval (PDF, 132 KB) Findings (PDF, 510 KB)
Wake J-011350-17 Holly Hill Specialty Hospital Add 25 adult inpatient psychiatric beds on the Michael J. Smith Lane campus 8/14/2017 Conditional Approval (PDF, 207 KB) Findings (PDF, 526 KB)

July 2017

County Project I.D. # Facility Type of Project Date of Decision Decision Findings
Burke E-011298-17 Blue Ridge Surgery Center Develop a new ambulatory surgery center by separately licensing the four existing ORs, two GI endoscopy rooms, and one procedure room on the Valdese campus. CHS Blue Ridge will have 6 ORs 7/19/2017 Conditional Approval (PDF, 46 KB) Findings (PDF, 229 KB)
Catawba E-011347-17 Gastroenterology Associates Add two GI endo rooms to existing facility for a total of five GI endo rooms 7/28/2017 Conditional Approval (PDF, 50 KB) Findings (PDF, 142 KB)
Cumberland M-011344-17 Fresenius Kidney Care Hope Mills Develop a new 10-station dialysis facility by relocating 5 stations from FMC Dialysis Services South Ramsey and 5 stations from FMC Dialysis Services North Ramsey. Upon completion of the project, FMC Dialysis Services South Ramsey will have 41 stations and FMC Dialysis Services North Ramsey will have 35 stations. 7/21/2017 Conditional Approval (PDF, 49 KB) Findings (PDF, 195 KB)
Cumberland M-011314-17 FMC Services of West Fayetteville Add 5 dialysis stations for a total of 40 stations upon completion of this project, Project ID #M-11219-16, (relocate 5 stations to BMA Fayetteville) Project ID #M-11225-16 (add 5 stations) and Project ID #M-11286-17 (relocate 5 stations to the new FKC Rockfish) 7/6/2017 Conditional Approval (PDF, 48 KB) Findings (PDF, 153 KB)
Durham J-011331-17 Duke University Hospital Acquire a cardiac MRI scanner pursuant to Policy AC-3 7/20/2017 Conditional Approval (PDF, 63 KB) Findings (PDF, 236 KB)
Halifax L-011313-17 BMA of Roanoke Rapids Add 4 dialysis stations for a total of 50 stations 7/20/2017 Conditional Approval (PDF, 44 KB) Findings (PDF, 132 KB)
Harnett M-011330-17 Cape Fear Valley Outpatient Imaging - Spout Springs, LLC Develop a new diagnostic center with a CT scanner, X-ray unit, ultrasound unit, and mammography unit 7/14/2017 Conditional Approval (PDF, 48 KB) Findings (PDF, 202 KB)
Mecklenburg F-011349-17 Carolinas HealthCare System Huntersville Surgery Center Separately license CHS Huntersville Surgery Center, which is currently licensed as part of Carolinas HealthCare System University, as a freestanding ambulatory surgical facility 7/27/2017 Conditional Approval (PDF, 67 KB) Findings (PDF, 207 KB)
Mecklenburg F-011345-17 FMC Southwest Charlotte Relocate three dialysis stations from FMC Charlotte to FMC Southwest Charlotte for a total of 13 stations at FMC Southwest Charlotte and 44 stations at FMC Charlotte upon project completion 7/19/2017 Conditional Approval (PDF, 48 KB) Findings (PDF, 172 KB)
New Hanover O-011328-17 New Hanover Regional Medical Center Acquire a 4th CT scanner for the main campus 7/20/2017 Conditional Approval (PDF, 48 KB) Findings (PDF, 165 KB)
Pasquotank R-011320-17 Elizabeth City Dialysis Add 9 stations for a total of 28 stations upon completion of this project, Project ID #R-10176-13 (relocate 14 stations), Project ID #R-10202-13 (add 9 stations) and Project ID #R-10264-14 (relocate 6 stations) 7/14/2017 Conditional Approval (PDF, 65 KB) Findings (PDF, 161 KB)
Wake J-011333-17 Brightmore Healthcare Center of Cary Develop a new combination NF as part of a new CCRC with 28 NF beds and 82 ACH beds (25 of the NF beds are authorized by Project ID #J-8727-11 and 3 will be developed pursuant to Policy NH-2; 30 of the ACH beds will be relocated from Cary Health and Rehabilitation Center and 52 will be developed pursuant to Policy LTC-1). Twenty-two of the ACH beds will be in a memory care unit. 7/20/2017 Denied (PDF, 44 KB) Findings (PDF, 171 KB)
Wayne P-011346-17 RAI Care Centers - Goldsboro Relocate the entire dialysis facility to a new location in Goldsboro 7/20/2017 Conditional Approval (PDF, 65 KB) Findings (PDF, 140 KB)