No Reviews and Exemptions

Each month, the Certificate of Need Section is asked by providers to decide if a certificate of need is required before the provider may develop its proposal. The Certificate of Need Section may inform the provider that no review is required, a review is required or the proposal is exempt from review.

January 2018

County Facility or Provider Proposal Type Determination Date of Determination
Alleghany Alleghany Memorial Hospital Change in indirect ownership structure No Review (PDF, 1.09 MB) 1/30/2018
Buncombe CarePartners Rehabilitation Hospital Store an additional portable dialysis unit onsite in the event that one of two existing portable dialysis units has mechanical issues No Review (PDF, 1.20 MB) 1/25/2018
Durham Duke Regional Hospital Replace existing MRI scanner Exemption (PDF, 4.93 MB) 1/5/2018
Durham Duke University Health System, Inc. Develop a physician's office Exemption (PDF, 673 KB) 1/30/2018
Gates Accordius Health and Rehabilitation Decertify 10 ACH beds No Review (PDF, 793 KB) 1/23/2018
Haywood North Carolina Radiation Therapy Management Services Inc Replace existing CT simulator Exemption (PDF, 3.78 MB) 1/10/2018
Henderson Park Ridge Health Renovate second floor of hospital pursuant to 131E-184(g) Exemption (PDF, 1.09 MB) 1/30/2018
Mecklenburg Preston House Preston House of Charlotte, LLC to acquire Preston House Exemption (PDF, 1.80 MB) 1/17/2018
Mecklenburg Atria Merry Wood Acquisition of facility Exemption (PDF, 810 KB) 1/25/2018
Rockingham Morehead Memorial Hospital Bankruptcy acquisition of Morehead Memorial Hospital which includes hospital nursing beds referred to as Morehead Nursing Care Center Exemption (PDF, 1.46 MB) 1/26/2018
Sampson Clinton House Acquisition of facility Exemption (PDF, 983 KB) 1/31/2018

December 2017

County Facility or Provider Proposal Type Determination Date of Determination
Chatham The Arbor Reclassification of five double occupancy ACH rooms to single occupancy rooms to serve memory care patients No Review (PDF, 2.67 MB) 12/21/2017
Chowan Vidant Chowan Hospital Replace digital radiography and flouroscopy unit No Review (PDF, 26.17 MB) 12/20/2017
Durham Duke University Hospital Replace Brachytherapy Simulation equipment Exemption (PDF, 2.30 MB) 12/4/2017
Durham Spring Arbor of Durham Aquire facility Exemption (PDF, 789 KB) 12/4/2017
Durham Duke Hospital Dialysis Acquire existing health service facility Exemption (PDF, 717 KB) 12/8/2017
Durham Duke University Health System, Inc. Purchase of existing medical office building Exemption (PDF, 952 KB) 12/21/2017
Durham Duke Regional Hospital Renovate two exising operating rooms Exemption (PDF, 5.30 MB) 12/22/2017
Forsyth Piedmont Stone Center Replace existing mobile lithotripter Exemption (PDF, 3.48 MB) 12/12/2017
Granville JATZ Home Care Services Acquire home health care services No Review (PDF, 1.12 MB) 12/13/2017
Mecklenburg Carolinas HealthCare System (CHS) Cardiac Rehab Relocate and expand the Cardiac/Pulmonary Rehabilitation program from Pineville Medical Plaza I to Pineville Medical Plaza II Exemption (PDF, 491 KB) 12/5/2017
Pasquotank Sentara Albermarle Medical Center Replace existing CT scanner at Sentara Kitty Hawk Advanced Imaging Center to be relocated to Sentara Albemarle Regional Medical Center Exemption (PDF, 5.65 MB) 12/21/2017
Pitt Vidant Medical Center Replace flouroscopic digital imaging unit No Review (PDF, 13.04 MB) 12/20/2017
Rutherford Amazing Grace of WNC Acquire existing home health agency (non-Medicare/Medicaid certified) No Review (PDF, 1.31 MB) 12/13/2017
Wake The Bone and Joint Surgery Clinic, LLP Relocate diagnostic center to 3801 Wake Forest Road in Raleigh and replace x-ray equipment No Review (PDF, 7.52 MB) 12/21/2017
Wake Duke University Health System, Inc. Develop a physician office building in leased space at 10208 Cerny Street in Brier Creek Exemption (PDF, 672 KB) 12/15/2017
Washington Amedisys Hospice Care Add Gates and Pasquotank counties to the counties served by its Plymouth office in Washington County No Review (PDF, 869 KB) 12/7/2017
Wayne Wayne Memorial Hospital Replace existing cardiac cath equip with existing angio equipment to use angio as cath and cath as angio No Review (PDF, 1.93 MB) 12/22/2017
Wilson Wilson Digestive Diseases Center, P. A Wilson Endoscopy Center, LLC to acquire assets of Wilson Digestive Center, PA Exemption (PDF, 1.16 MB) 12/22/2017

November 2017

County Facility or Provider Proposal Type Determination Date of Determination
Buncombe Memorial Mission Hospital and Asheville Surgery Center Replace and relocate existing CT scanner Exemption (PDF, 5.10 MB) 11/8/2017
Carteret Seashore Imaging Technical services agreement for Eastern Radiologists, Inc. (ERI) to purchase MRI services from Seashore Imaging. No Review (PDF, 889 KB) 11/17/2017
Davie Well Care Home Health, Inc. Split current License No. HC0496 into two separate licenses: one for home health services and one for hospice services No Review (PDF, 1.58 MB) 11/2/2017
Davie Well Care Home Health, Inc. Well Care Hospice, Inc. to acquire the hospice portion of Well Care Home Health, Inc. after the license is split (No Review # 2429) Exemption (PDF, 1.04 MB) 11/2/2017
Durham Duke University Hospital Replacement of air handling and electical substion units Exemption (PDF, 955 KB) 11/3/2017
Durham Duke Regional Hospital Replace flooring and hand rail system No Review (PDF, 902 KB) 11/16/2017
Forsyth Novant Health Forsyth Medical Center Replace existing cardiac cath equipment at NHFMC Exemption (PDF, 6.38 MB) 11/29/2017
Iredell Iredell Head, Neck and Ear Ambulatory Surgery Center, Inc. Acquire the existing health service facility Exemption (PDF, 999 KB) 11/9/2017
Moore FirstHealth Moore Regional Hospital Replace existing cardiac catheterization equipment at FHMRH. Exemption (PDF, 11.95 MB) 11/8/2017
Multi-County Alliance Imaging, Inc. Replace mobile PET/CT Unit 45 Exemption (PDF, 21.52 MB) 11/9/2017
Rowan Novant Health Rowan Medical Center Utilize Temporary Mobile CT Scanner during replacement of existing CT Scanner Exemption (PDF, 897 KB) 11/30/2017
Rutherford The Charlotte-Mecklenburg Hospital Authority Develop an addition to an existing physician office building and relocate existing equipment into the addition as well as redesignate the freestanding physician office building to an outpatient provider-based location of CHS Cleveland (Rutherford County) No Review (PDF, 3.00 MB) 11/29/2017
Wake Rex Hospital Replace an existing mobile cardiac catheterization unit by upgrading an existing vascular imaging unit to make it capable of cardiac catheterization procedures Exemption (PDF, 4.56 MB) 11/15/2017
Wake Rex Hospital Acquisition of a diagnostic center (grandfathered mobile cardiac catheterization unit) from FirstHealth of the Carolinas, Inc. Exemption (PDF, 4.57 MB) 11/15/2017
Wake Sunrise of Cary Internal corporate restructuring of facility ownership No Review (PDF, 1005 KB) 11/20/2017
Wake Raleigh Radiology-Fuquay-Varina Relocate existing diagnostic imaging equipment to a new imaging center to be located in a physician office building in Fuquay-Varina No Review (PDF, 16.02 MB) 11/30/2017
Wayne Wayne Memorial Hospital Temporary replacement of two existing CT scanners until permanent replacements are installed. Exemption (PDF, 22.53 MB) 11/22/2017
Wayne Wayne Memorial Hospital Replace two existing CT scanners Exemption (PDF, 22.53 MB) 11/22/2017
Wayne Wayne Memorial Hospital Temporarily replace existing cardiac catheterization equipment with existing angiography equipment until the cardiac catheterization equipment is repaired Exemption (PDF, 821 KB) 11/21/2017

October 2017

County Facility or Provider Proposal Type Determination Date of Determination
Caldwell Carolina Oaks Enhanced Care Center Acquisition of existing facility Exemption (PDF, 2.38 MB) 10/5/2017
Caldwell Carolina Oaks Enhanced Care Center Change in licensee No Review (PDF, 2.52 MB) 10/5/2017
Caldwell Gateway Rehabilitation and Healthcare Delicense 18 ACH beds for a total bed complement of 100 NH beds No Review (PDF, 1.15 MB) 10/19/2017
Craven CarolinaEast Medical Center Hospital expansion for the diagnostic center and the cancer center Exemption (PDF, 32.96 MB) 10/16/2017
Durham EmergeOrtho (formerly Triangle Orthopaedic Associates) Replace existing magnetic resonace imaging scanner (MRI) Exemption (PDF, 2.62 MB) 10/3/2017
Durham North Carolina Specialty Hospital Implementation of Level III emergency department services No Review (PDF, 18.34 MB) 10/6/2017
Forsyth Brian Center Health & Retirement/Winston Salem Acquisition of existing facility Exemption (PDF, 855 KB) 10/4/2017
Forsyth Piedmont Stone Center Replace existing mobile lithotripter Exemption (PDF, 3.57 MB) 10/27/2017
Forsyth Regency Care of Clemmons LLC Accordius Health At Clemmons, LLC to acquire Regency Care of Clemmons Exemption (PDF, 820 KB) 10/30/2017
Guilford Wesley Long Community Hospital Replace existing CT scanner at Wesley Long Hospital Exemption (PDF, 9.41 MB) 10/17/2017
Mecklenburg Novant Health Presbyterian Medical Center Temporarily replace the fixed PET/CT scanner at Novant Presybterian Medical Center with a mobile PET/CT scanner to be located at Novant Health Imaging-Museum Exemption (PDF, 3.20 MB) 10/16/2017
Mecklenburg INS Charlotte Relocate the facility to temporary space, then relocate again once new space has been upfited No Review (PDF, 1.07 MB) 10/3/2017
Mecklenburg Carolinas HealthCare System Pineville Temporarily replace existing fixed MRI scanner with a mobile MRI scanner during field upgrade to existing fixed MRI scanner Exemption (PDF, 1.61 MB) 10/25/2017
Mecklenburg Novant Health Presbyterian Medical Center Replace CT Scanner/Simulator Exemption (PDF, 8.42 MB) 10/30/2017
Moore FirstHealth Moore Regional Hospital Acquire a Davinci robotic surgical system. No Review (PDF, 2.40 MB) 10/25/2017
Orange University of North Carolina Hospitals Replace existing computed tomography (CT) scanner Exemption (PDF, 9.29 MB) 10/3/2017
Orange University of North Carolina Hospitals Replace existing CyberKnife stereotractic radiosurgery linear accelerator Exemption (PDF, 22.58 MB) 10/19/2017
Pasquotank Sentara Albemarle Medical Center Temporarily replace existing CT scanner with a mobile CT scanner based in Virginia Exemption (PDF, 737 KB) 10/16/2017
Polk White Oak Manor-Tryon Delicense 12 adult care home beds No Review (PDF, 1.05 MB) 10/27/2017
Robeson Amedisys Hospice Care Add Onslow County to the geographic service area No Review (PDF, 550 KB) 10/6/2017
Stanly West Stanly Imaging Merger or acquisition of the assets of West Stanly Imaging, LLC by Union Medical Services, LLC Exemption (PDF, 9.99 MB) 10/13/2017
Yadkin Patriot Living of Yadkinville (formerly Piedmont Village of Yadkinville) Integrity Senior Properties Investments, LLC to acquire Patriot Living of Yadkinville. Exemption (PDF, 900 KB) 10/24/2017

September 2017

County Facility or Provider Proposal Type Determination Date of Determination
Cherokee Murphy Rehabilitation & Nursing Obtain a separate license for the existing nursing facility beds which were licensed as part of the hospital No Review (PDF, 767 KB) 9/22/2017
Cherokee Murphy Medical Center Nursing Home Acquire existing nursing home Exemption (PDF, 1.10 MB) 9/22/2017
Cherokee Murphy Medical Center Nursing Home Change in licensee No Review (PDF, 1.14 MB) 9/22/2017
Durham Duke University Health System, Inc. Update and replace existing network routers and switches Exemption (PDF, 1.01 MB) 9/22/2017
Durham Duke Regional Hospital Renovation planning and preparation Exemption (PDF, 1.00 MB) 9/22/2017
Durham Duke University Hospital Replace electrophysiology equipment Exemption (PDF, 3.69 MB) 9/27/2017
Edgecombe Vidant Edgecombe Hospital Renovate two office spaces to create a dedicated space to house an existing inpatient portable dialysis service No Review (PDF, 3.51 MB) 9/26/2017
Forsyth Forsyth Medical Center (Kernersville Campus) Replace existing MRI equipment Exemption (PDF, 7.05 MB) 9/18/2017
Franklin Franklin Medical Center Acquisition of Franklin Medical Center Exemption (PDF, 1.32 MB) 9/27/2017
Halifax Our Community Hospital Cease operation of 20 acute care beds and obtain stand-alone licensure for 60 long term care beds and 20 assisted living beds No Review (PDF, 1.10 MB) 9/25/2017
Hoke Cape Fear Valley Health System Develop an MOB in Hoke County (405 S. Main Street in Raeford) Exemption (PDF, 688 KB) 9/12/2017
Lee FirstHealth of the Carolinas, Inc. Develop a physician's office building Exemption (PDF, 750 KB) 9/27/2017
Martin Martin General Hospital Martin General Hospital to temporarily use six inpatient rooms for outpatient services during the next year. No Review (PDF, 1.35 MB) 9/13/2017
Mecklenburg Carolinas Medical Center Replace cardiac catheterization unit relocated from CHS University with a rebuilt model of it that will be an EP unit, and locate it in Room 1 of CMC. Exemption (PDF, 42.11 MB) 9/29/2017
Mecklenburg Carolinas HealthCare System Pineville Construct a new parking deck on campus Exemption (PDF, 789 KB) 9/19/2017
Mecklenburg Novant Health Presbyterian Medical Center Temporarily replace fixed PET/CT scanner at Novant Health Presbyterian Medical Center main with a mobile PET/CT scanner to be located at Novant Health Imaging-Museum Exemption (PDF, 3.20 MB) 9/21/2017
Nash Nash General Hospital Renovate Nash General Hospital cafeteria Exemption (PDF, 3.88 MB) 9/14/2017
Rowan Novant Health Rowan Medical Center Replace CT Scanner Exemption (PDF, 4.74 MB) 9/27/2017
Scotland Scotland Memorial Hospital and Edwin Morgan Center Replace existing CT simulator used in the Cancer treatment center. Exemption (PDF, 31.70 MB) 9/15/2017
Union Carolinas HealthCare System Union Renovate Third and Fourth Floor of CHS Union Exemption (PDF, 3.83 MB) 9/27/2017
Vance Granville-Vance Home Health Agency Change of address within Henderson No Review (PDF, 1.39 MB) 9/27/2017
Wake Duke Raleigh Hospital Renovations to the first floor of the hospital to accommodate an observation unit and new emergency department waiting area Exemption (PDF, 1.64 MB) 9/6/2017
Wake Duke Raleigh Hospital Construction of a connector between the main hospital and MOB 7 Exemption (PDF, 2.02 MB) 9/1/2017
Wake Rex Hospital Performance of structural heart procedures on vascular (non-cardiac) catheterization equipment No Review (PDF, 9.54 MB) 9/8/2017

August 2017

County Facility or Provider Proposal Type Determination Date of Determination
Buncombe Orthopaedic Surgery Center of Asheville Change in indirect ownership structure No Review (PDF, 1.36 MB) 8/23/2017
Burke Jonas Ridge Adult Care Acquisition by Laurel Health Holdings, LLC Exemption (PDF, 888 KB) 8/24/2017
Dare Sentara Kitty Hawk Advanced Imaging Center Temporarily replace existing CT scanner with a mobile Sentara operated CT scanner from Virginia Exemption (PDF, 789 KB) 8/4/2017
Durham Durham Nursing & Rehabilitation Center Winston Salem Max Realty LLC to acquire the real property associated with Durham Nursing & Rehabilitation Center Exemption (PDF, 999 KB) 8/15/2017
Durham Duke University Hospital Installation of fire suppressions systems Exemption (PDF, 6.20 MB) 8/31/2017
Forsyth Winston Salem Nursing & Rehabilitation Center Winston Salem Max Realty LLC to acquire the real property associated with Winston Salem Nursing & Rehabilitiation Center Exemption (PDF, 1016 KB) 8/15/2017
Forsyth Novant Health Forsyth Medical Center Replace existing nuclear medicine equipment Exemption (PDF, 4.08 MB) 8/21/2017
Forsyth Piedmont Stone Center Replace existing mobile lithotripter Exemption (PDF, 3.73 MB) 8/22/2017
Forsyth Novant Health Forsyth Medical Center Replace existing x-ray equipment Exemption (PDF, 3.43 MB) 8/28/2017
Forsyth Novant Health Forsyth Medical Center Replace existing C-Arm Exemption (PDF, 3.02 MB) 8/29/2017
Haywood Home Care Services of Haywood Regional Medical Center Acquisition by North Carolina In-Home Partner-III, LLC Exemption (PDF, 848 KB) 8/8/2017
Hoke Open Arms Retirement Center Integrity-Raeford, LLC to purchase Open Arms Retirement Center from Raetuc Holdings, LLC Exemption (PDF, 1.22 MB) 8/10/2017
Jackson Harris Home Health Acquisition by North Carolina In-Home Partner-I, LLC Exemption (PDF, 852 KB) 8/8/2017
Johnston Autumn Wind Assisted Living Acquisition of facility Exemption (PDF, 844 KB) 8/25/2017
Mecklenburg Southminster Replace and expand combination nursing facility on the same site Exemption (PDF, 2.42 MB) 8/8/2017
Mecklenburg Preston House Ridge Care, Inc. to acquire Preston House, 40-bed Alzheimer SCU at 4910 Harris Woods Blvd, Charlotte Exemption (PDF, 955 KB) 8/14/2017
Mecklenburg The Charlotte Mecklenburg Hospital Authority Acquire physician office building located at 3621 Randolph Road, Charlotte, NC Exemption (PDF, 685 KB) 8/15/2017
Onslow Onslow Memorial Hospital, Inc. Temporarily replace existing Cardiac Catheterization equipment Exemption (PDF, 27.36 MB) 8/23/2017
Onslow Onslow Memorial Hospital, Inc. Replace Cardiac Catheterization equipment and associated Hemodynamic System Exemption (PDF, 27.32 MB) 8/23/2017
Robeson Amedisys Hospice Care Add Onslow County to current geographic service area No Review (PDF, 857 KB) 8/7/2017
Rowan Novant Health Rowan Medical Center Replace existing Nuclear Medicine Camera Exemption (PDF, 6.72 MB) 8/10/2017
Vance Granville-Vance Home Health Agency Acquire existing home health agency Exemption (PDF, 940 KB) 8/31/2017
Wake Rex Hospital Replace interventional radiology equipment Exemption (PDF, 4.60 MB) 8/3/2017
Washington Amedisys Hospice Care Change of address within Washington County No Review (PDF, 1.52 MB) 8/3/2017

July 2017

County Facility or Provider Proposal Type Determination Date of Determination
Alamance Alamance Regional Medical Center Replace two existing computerized tomography (CT) scanners Exemption (PDF, 2.13 MB) 7/3/2017
Alamance Alamance Regional Medical Center Replace existing linear accelerator on ARMC campus Exemption (PDF, 17.22 MB) 7/10/2017
Buncombe Asheville Health Care Center Acquisition by Realco Swannanoa, NC, LLC and Opco Swannanoa, NC, LLC Exemption (PDF, 904 KB) 7/17/2017
Buncombe Open MRI and Imaging of Asheville Replace existing MRI scanner Exemption (PDF, 7.77 MB) 7/26/2017
Burke Healthy @ Home - Blue Ridge Relocate administrative offices No Review (PDF, 975 KB) 7/26/2017
Cabarrus Brookdale Concord South Concord BG PROPCO, LLC to acquire Brookdale Concord South Exemption (PDF, 1.15 MB) 7/20/2017
Caldwell Carolina Oaks Enhanced Care Center Acquisition of existing healthcare facility Exemption (PDF, 823 KB) 7/3/2017
Caldwell Carolina Oaks Enhanced Care Center Change in operator of assisted living facility No Review (PDF, 1.00 MB) 7/26/2017
Durham Pettigrew Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Durham Private Diagnostic Clinic, PLLC Acquire medical equipment No Review (PDF, 1.45 MB) 7/28/2017
Durham Duke University Hospital Replace two cardiac catheterization labs Exemption (PDF, 4.98 MB) 7/28/2017
Durham Kindred Transitional Care and Rehabilitation - Rose Manor Change of ownership Exemption (PDF, 1.05 MB) 7/28/2017
Durham North Carolina Specialty Hospital Renovate and expand several areas Exemption (PDF, 2.75 MB) 7/31/2017
Forsyth Silas Creek Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Franklin Autumn Wind of Louisburg Acquire facility Exemption (PDF, 1.68 MB) 7/31/2017
Gaston Gastonia Care and Rehabilitation Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Halifax Signature HealthCARE of Roanoke Rapids Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Henderson Blue Ridge Health and Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Iredell Iredell Memorial Hospital, Incorporated Change rooms on Skilled Nursing Floor from double occupancy to single occupancy. Bed capacity to remain same. No Review (PDF, 3.49 MB) 7/19/2017
Lenoir Signature HealthCARE of Kinston Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Lincoln Lincolnton Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Mecklenburg Novant Health Presbyterian Medical Center Replace PET/CT Scanner in main building Exemption (PDF, 5.15 MB) 7/14/2017
Nash Rocky Mount Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
New Hanover Cypress Pointe Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Orange Signature HealthCARE of Chapel Hill Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Pasquotank Kindred Transitional Care and Rehabilitation Elizabeth Change of ownership Exemption (PDF, 1.05 MB) 7/28/2017
Union Monroe Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Vance Kindred Nursing and Rehabilitation - Henderson Change of ownership Exemption (PDF, 1.05 MB) 7/28/2017
Wake Sunnybrook Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Wake Raleigh Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017
Wake Zebulon Rehabilitation Center Change in the ownership composition of the parent company for the real estate holding company No Review (PDF, 1.45 MB) 7/25/2017