New York & Florida Specialists
Navigating Healthcare Regulatory Compliance
Expert preparation of CON applications, 90-day notifications, and regulatory filings for nursing home operators for submission to the DOH, PHHPC and state agencies.
What We Do
Comprehensive Regulatory Services
We guide nursing home operators through every phase of regulatory compliance — from initial application to post-approval monitoring.
CON Applications
Complete preparation and filing of Certificate of Need applications for nursing home operations, expansions, and transfers.
Change of Ownership
End-to-end support for nursing home ownership transfers, including all required regulatory disclosures and approvals.
Star Rating Analysis
Detailed calculation and strategic analysis of CMS Five-Star Quality Rating System to ensure compliance thresholds.
40% Rule Compliance
Assessment and mitigation strategies for the 40% automatic disqualification rule affecting ownership applications.
CMS Fines & Penalties
Comprehensive tracking and reporting of CMS fines, civil monetary penalties, and enforcement actions.
Lawsuit Disclosure
Preparation of required litigation disclosures and legal history documentation for regulatory submissions.
Regulatory Insights
Stay current with nursing home regulatory news and compliance tips.
Navigating Change of Ownership Requirements for Nursing Homes
Executing a Change of Ownership (CHOW) for a skilled nursing facility is a complex regulatory endeavor that demands rigorous attention to detail within both New York and Florida. This transition involves more than just a transfer of assets; it requires comprehensive oversight of licensure, certification, and state-specific disclosure requirements. In New York, the Public Health and Health Planning Council review process necessitates meticulous preparation of financial and character disclosures, while Florida’s Agency for Health Care Administration mandates specific procedures to ensure continuity of care and regulatory compliance during the ownership shift. The intricacy lies in the strict regulatory timelines and the necessity for transparency regarding the new entity’s operational capacity. Failure to adhere to state-mandated application protocols can result in licensure delays, administrative penalties, or potential disruption to facility funding. Stakeholders must approach these transitions with a thorough understanding of the specific statutory obligations in each jurisdiction. By prioritizing accurate documentation and proactive communication with state oversight agencies, administrators can mitigate risks and ensure that quality of care remains uninterrupted throughout the transition period. Success in this domain relies heavily on a disciplined approach to compliance and a deep comprehension of the evolving regulatory landscape governing healthcare facilities. #NursingHomeCompliance #HealthCareRegulation #CHOW
Sep 18, 2026Navigating Change of Ownership Requirements for Skilled Nursing Facilities
Executing a Change of Ownership (CHOW) in the skilled nursing sector is an intricate regulatory undertaking that demands meticulous planning and precise documentation. In states like New York and Florida, these transitions are governed by rigorous licensure requirements and administrative scrutiny intended to ensure continuity of care and facility stability. The process involves comprehensive background disclosures, financial viability demonstrations, and complex filings with both state health departments and federal agencies. Failure to adhere strictly to these timelines or regulatory stipulations can lead to significant operational delays, frozen census, or severe administrative penalties. Beyond the logistical hurdles, administrators must maintain compliance with existing quality-of-care standards throughout the transition period. Regulatory bodies scrutinize the prospective owner's operational capability and historical track record, making the due diligence process critical for approval. Because nursing home regulations are highly localized and subject to frequent updates, stakeholders must approach each transaction with a clear understanding of the specific statutory obligations in their jurisdiction. Properly managing the transfer of legal and operational authority is not merely a formality but a foundational element of maintaining facility standing and protecting the well-being of the residents who rely on these services. #HealthcareCompliance #RegulatoryAffairs #NursingHomeAdministration
Sep 17, 2026Navigating 90-Day Advance Notification Requirements for New York Facilities
In the complex landscape of New York State healthcare regulation, adherence to notification protocols is not merely a procedural formality but a critical component of operational compliance. Under current New York Department of Health requirements, facilities contemplating significant changes—such as bed capacity adjustments, service modifications, or ownership transfers—must provide comprehensive 90-day advance notification. This mandate is designed to safeguard continuity of care and ensure that state regulators have sufficient oversight to evaluate the impact on vulnerable populations. The intricacy of these filings lies in the precise documentation and data transparency required to substantiate the clinical and financial feasibility of the proposed action. Failure to align internal strategic timelines with these regulatory windows can lead to administrative delays, potential penalties, or the rejection of applications. Facilities must treat these submission deadlines as absolute, integrating regulatory review early into the planning phase to avoid gaps in compliance. Navigating these requirements demands a meticulous approach to data gathering and a thorough understanding of the specific reporting thresholds defined by state law. By maintaining proactive communication and strict adherence to the 90-day notification timeline, administrators demonstrate an institutional commitment to regulatory integrity and patient safety in an increasingly scrutinized environment. #NYDOH #HealthcareCompliance #RegulatoryAffairs
Sep 16, 2026
New York
DOH & PHHPC Regulatory Filings
New York Services
Expert Navigation of New York Complex Healthcare Regulatory Landscape
Schedules 2A/2B Preparation
Expert preparation of Schedules 2A and 2B — detailed financial and ownership disclosure forms required by the DOH for all CON and change of ownership applications.
CON Application Preparation
Full preparation and filing of Certificate of Need applications with the DOH for review by PHHPC, including all supporting schedules and exhibits.
90-Day Notifications & Regulatory Filings
Timely preparation of 90-day prior notifications and other required regulatory filings mandated by the New York State Department of Health.
Nursing Home Change of Ownership
Comprehensive support for all phases of nursing home ownership transfers, from initial notice through PHHPC approval.
CMS Star Rating Calculation
Detailed analysis and calculation of the Five-Star Quality Rating to identify compliance risks and optimize your facility’s standing.
40% Rule Assessment
Evaluation of the 40% automatic disqualification threshold and development of strategies to ensure your application meets eligibility requirements.
CMS Fines & Penalties Tracking
Comprehensive monitoring and disclosure of all CMS civil monetary penalties, enforcement actions, and compliance history.
Lawsuit Disclosure Preparation
Compilation and proper formatting of all litigation history required for regulatory submissions and character & competence review.
Note: Schedules 2A and 2B are required exclusively for New York State filings. These detailed financial and ownership disclosure forms are critical components of CON applications and change of ownership submissions reviewed by the PHHPC.
Florida
AHCA Regulatory Filings
Florida Services
Streamlined Regulatory Compliance for Florida Healthcare Operators
CON & Regulatory Filings
Preparation and submission of Certificate of Need applications and all required regulatory paperwork to the Florida Agency for Health Care Administration (AHCA).
Change of Ownership Applications
End-to-end management of nursing home ownership transfer filings with AHCA, including licensure change applications.
CMS Star Rating Calculation
Analysis of your facility’s CMS Five-Star Quality Rating data to support compliance narratives in your Florida filings.
CMS Fines & Penalties Disclosure
Thorough tracking and documentation of all federal fines, penalties, and survey deficiencies for inclusion in AHCA submissions.
Lawsuit & Litigation Disclosure
Preparation of all required legal history disclosures, including pending and resolved litigation, for Florida regulatory review.
Ongoing Compliance
Monthly Monitoring Services
Comprehensive ongoing oversight of your facilities' regulatory standing, ownership records, and compliance status — so you're never caught off guard.
Monthly updating of legal entity structure of affiliated facilities via clear, easy to follow PowerPoint and Excel-based charts and graphs. We will interface with your accountants and lawyers to provide useful updates that you can then use to implement strategic initiatives. We conservatively estimate that this will save you and your team at least 10 hours of work per month, per facility.
Weekly search of CMS ownership records to identify any changes, errors or omissions.
Work with CMS to remedy any errors or omission in ownership records.
Weekly search of CMS surveys, fines and/or deficiencies.
Weekly updates of CMS Star Ratings, including analysis of any increases or decreases.
Weekly monitoring of Special Focus Candidate List and Special Focus Facility List as published by CMS.
Monthly reporting of any litigation involving your affiliated facilities.
Monthly reporting regarding financial condition of affiliated facilities (including reasons for negative working capital, operating losses or negative equity situations).
Updating of Schedule 2A and associated schedules for New York State Department of Health purposes (priced separately).
Monthly reports regarding legislative developments in New York State that impact the industry, including actions of the Public Health and Health Planning Council and other regulatory bodies.
Pricing Plan
$150 / month, per facility
Why Choose Us
Decades of Regulatory Excellence
Our team brings deep institutional knowledge of both the New York Department of Health (DOH) and the Public Health and Health Planning Council (PHHPC), as well as Florida's Agency for Health Care Administration (AHCA). We understand the nuances of each state's regulatory framework and have built lasting relationships that enable us to navigate the approval process efficiently.
From initial due diligence through final approval, we provide the strategic guidance and meticulous preparation that complex healthcare transactions demand. Our track record speaks to our commitment to excellence.
100+
Applications Filed
20+
Years Experience
98%
Approval Rate
200+
Clients Served
Get In Touch
Ready to Begin Your Filing?
Contact us for a confidential consultation. We'll assess your regulatory needs and provide a clear roadmap to approval.
contact@meridianregulatoryassociates.com
Offices
Albany, New York · Orlando, Florida