Care-facility inspections
How nursing homes and care facilities in Michigan are inspected, licensed, and held to account.
17 laws · 6 enforcement actions · 4 guides · 2 court decisions
See the details
The laws 17
- MCL 333.20131, Comprehensive system of licensure and certification: establishes the Public Health Code, Article 17's comprehensive statewide licensure/certification system for 'health facilities or agencies' (the umbrella term covering nurs… legislature.mi.gov
- MCL 333.20141, License required: the core Article 17 licensing mandate - a person shall not establish or operate a health facility or agency (nursing home, home for the aged, hospital long-term care unit, hospital, hospice, etc.) without a… legislature.mi.gov
- MCL 333.20155, Visit to health facility or agency; survey and evaluation for licensure: requires the department to conduct an unannounced on-site survey/evaluation of each licensed health facility or agency at least once every 3 years (the… legislature.mi.gov
- MCL 333.20165, Denying, limiting, suspending, or revoking application, license, or certification; legislature.mi.gov
- MCL 333.20176, Notice of violation; investigation of complaints; notice of proposed action; public record; legislature.mi.gov
- MCL 333.21301, Homes for the aged; definitions and principles of construction: opens Part 213 of the Public Health Code (the Homes for the Aged part), defining the terms used throughout Michigan's HFA (assisted-living-style) licensing schem… legislature.mi.gov
- MCL 333.21311, License required; use of 'home for the aged' or similar term: requires a license to operate a home for the aged, restricts use of the term 'home for the aged' (or similar terms/abbreviations) to licensed facilities, sets the… legislature.mi.gov
- MCL 333.21311a, Existing facility or facility under construction; exemption: allows an existing (or under-construction) facility to be exempted from HFA licensure where room/board and supervised-personal-care services are provided by unrela… legislature.mi.gov
- MCL 333.21701, Meanings of words and phrases; general definitions: opens Part 217 of the Public Health Code (the Nursing Homes part), defining 'nursing home' and related terms for the state's nursing-home-specific licensing chapter. legislature.mi.gov
- MCL 333.21713, Owner, operator, and governing body of nursing home; responsibilities and duties generally: makes the owner, operator, and governing body of a licensed nursing home responsible for all phases of the home's operation and quali… legislature.mi.gov
- MCL 333.21755, Grounds for refusal to issue license: lets the department refuse to license a nursing home applicant whose occupational/professional/health-agency license was revoked in the preceding 5 years, or who is found unsuitable due t… legislature.mi.gov
- MCL 333.21771, Abusing, mistreating, or neglecting patient; reports; investigation; retaliation prohibited: prohibits a nursing home licensee, administrator, or employee from physically, mentally, or emotionally abusing, mistreating, or har… legislature.mi.gov
- MCL 333.21799a, Nursing home; violation; complaint; investigation: the nursing-home-specific complaint statute - lets any person request an investigation of a nursing home for a suspected violation of Part 217, its rules, or federal certifi… legislature.mi.gov
- MCL 333.21799b, Noncompliance; notice of finding; correction notices; hearing; annual report: the nursing-home-specific remedies statute - if the department finds a licensee out of compliance in a way that impairs care/services, it may issu… legislature.mi.gov
- MCL 400.713, Adult Foster Care Facility Licensing Act (1979 PA 218), License required; application; investigation: prohibits establishing or maintaining an adult foster care facility without a department license; legislature.mi.gov
- MCL 400.711, Inspections; visitations; administration and enforcement of rules: authorizes the director (or the director's agent, or another department/agency acting at the director's request) to enter an AFC applicant's or licensee's premi… legislature.mi.gov
- MCL 400.722, Denying, suspending, revoking, refusing to renew, or modifying license; grounds; legislature.mi.gov
Know your rights 4
- LARA BCHS 'Long Term Care' program page ('State Licensing of Homes for the Aged, Nursing Homes, and Hospital Long Term Care Units'): the bureau's central provider/applicant guidance for HFA, HLTCU, and nursing home licensure - covers initia… michigan.gov
- BCHS 'Nursing Homes' consumer-guidance page (part of the bureau's Patient, Resident, and Family Resources): helps families choose and evaluate a nursing home, linking a nursing-home-selection checklist, the federal Nursing Home Compare tool… michigan.gov
- BCHS 'State Licensing Consultative Section (SLCS)' page: describes the bureau's non-punitive, educational consultation program for Michigan nursing homes (authorized under MCL 333.20151 and MCL 333.21744), distinct from and not a substitute… michigan.gov
- BCHS Adult Foster Care 'Licensing Rules and Statutes' page: the bureau's consolidated compliance-guidance index for AFC licensees, linking the Adult Foster Care Facility Licensing Act (1979 PA 218), the 'Licensing Adult Foster Care Faciliti… michigan.gov
Enforcement actions 3
- LARA/BCHS 'Statewide Search for State Licensed Health Facilities, Agencies, and Programs': the state's live, named-facility license/enforcement search covering nursing homes, homes for the aged (licensed and HFA-exempt), hospitals, hospices… statelicensing.apps.lara.state.mi.us
- LARA/BCHS 'Statewide Search For Adult Foster Care / Homes for the Aged Facilities' (the legacy AFC/HFA licensing-and-inspection portal, still linked from BCHS's own 'Verify License' hub page as the tool for 'Adult Foster Care Homes and Adul… adultfostercare.apps.lara.state.mi.us
- LARA/BCHS 'Statewide List of Open Adult Foster Care & Homes for the Aged Facilities' (comma-delimited text file, updated daily): a live, statewide, per-facility licensing-status feed - each row carries the county number, facility type code,… documents.apps.lara.state.mi.us
Orders & settlements 3
- Michigan Administrative Code, R 325.45101 to R 325.45385, 'Licensing Health Facilities or Agencies' (LARA/BCHS; current through 2024 MR 6, Eff. ars.apps.lara.state.mi.us
- Michigan Administrative Code, R 325.1901 to R 325.1981, 'Homes for the Aged' (LARA/BCHS): the state's HFA-specific licensing rules, issued under section 427 of the Executive Organization Act of 1965 (MCL 16.527) and section 2233 of the Publ… ars.apps.lara.state.mi.us
- Michigan Administrative Code, R 400.601 to R 400.745, 'Licensing Adult Foster Care Facilities' (LARA/BCHS): the operative AFC licensing rule set, issued under section 9 of the Executive Organization Act of 1965 (MCL 16.109) and sections 10… ars.apps.lara.state.mi.us
Court decisions 2
Official notices 2
- LARA Bureau of Survey and Certification, 'Federal Certification of Nursing Homes Report, Calendar Year 2025' (issued March 1, 2026), a legislative report mandated by MCL 333.22119: reports annually to the legislature's appropriations and se… michigan.gov
- BCHS 'Currently Open Administrative Rules' page: the bureau's public notice of pending rulemaking affecting licensed facility types, including (at the time of this pass) a proposed rescission-and-replacement of the psychiatric hospital/unit… michigan.gov