Get Form Dhhs 224-b: Nursing Home Registration - Amazon Web ...

Filling out the Form DHHS 224-B is an essential step for nursing homes seeking registration under the North Carolina Controlled Substances Act. This guide will provide clear, step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to fill out the form correctly.

1. Click 'Get Form' button to access the form and open it in your preferred editing tool.
2. Begin by providing the applicant information in Section A. Fill out the facility name, address, county, state, city, zip code, and phone number. Include your mailing address and number of beds. Specify the administrator's name and title.
3. Move to Section B titled Registration Classification. Mark all applicable drug schedules for which you are applying. Answer the questions regarding your current authorizations and any felony convictions. If applicable, prepare a letter explaining any previous registrations that have faced issues.
4. Proceed to Section C, Point of Contact. List up to three individuals who can be contacted by a Drug Control Inspector. Include their names, titles, email addresses, and direct phone numbers.
5. In Section D, select the event that describes why you are submitting the application. Provide relevant details for your selected reason, whether it's a new nursing home registration, a name change, or another change.
6. Complete Section E regarding the pharmacy supplier. Indicate if the applicant owns a pharmacy or provide the supplier's information if not.
7. Fill out Section F for consultant pharmacists. Provide their names, addresses, and contact numbers, as well as the number of hours they will be present at the facility.
8. Continue to Section G on DEA registration for controlled substances. Answer questions about your inventory and compliance with regulations.
9. In Section H, detail how controlled substances are stored and secured within the facility.
10. Move to Section I, where you will describe your procedures for purchasing, receiving, and dispensing controlled substances.
11. Finally, review Section J and provide information about measures in place to prevent diversion of controlled substances.
12. After completing all sections, ensure there are no blank fields. Indicate 'N/A' for any not applicable sections. Save your changes before downloading or printing the completed form.
13. Submit the completed electronic PDF and a signed PDF copy via email to the appropriate address, along with any required additional documents and payment.

Complete your Nursing Home Registration online today to ensure compliance with North Carolina regulations.