Which entity must license all nursing facilities?

The licensing of nursing facilities falls under the jurisdiction of the state government. Each state is responsible for establishing its own regulations and standards for nursing facilities operating within its boundaries. This state-level licensing ensures that facilities meet health, safety, and operational standards designed to protect residents and maintain quality care.

The role of the federal government mainly pertains to establishing broader guidelines and regulations that may influence nursing homes, especially those receiving federal funding, such as Medicare and Medicaid. However, it is the state's responsibility to implement and enforce licensing for all nursing facilities. This framework helps to ensure a consistent level of care and accountability across facilities.

While local municipalities may have certain regulatory powers, they typically do not have the authority to license nursing facilities directly. They may engage in zoning or other local oversight, but the formal licensing process is managed at the state level. The Department of Health Services is usually involved in overseeing and enforcing these licenses, but it operates under the broader authority of the state government. Therefore, the requirement for state licensing is essential for maintaining a standardized system of care throughout the various nursing facilities.