NCDHSR, North Carolina Division of Health Service Regulation. What is their responsibility? I took this from their website.

The Nursing Home Licensure and Certification Section regulates nursing homes by conducting routine surveys and complaint investigations. It provides licensing services such as changes in beds and ownership. It provides regulatory education to promote compliance with Federal regulations for Medicare/Medicaid certification.

The Complaint Intake Unit receives complaints for provider types regulated by DHSR. These provider types include: nursing homes; adult care homes; hospitals; home care, home health, or hospice agencies; dialysis centers; suppliers of portable x-ray services; providers of outpatient physical therapy or speech pathology services; rural health clinics; comprehensive outpatient rehabilitation facilities; ambulatory surgery facilities; abortion clinics; cardiac rehabilitation programs; nursing pool agencies; clinical laboratories; and mental health group homes and other 24-hour facilities, outpatient, and day treatment facilities.

The North Carolina Medical Care Commission was established in 1945. In 1946, the commission was designated as the agency empowered to administer the Hill-Burton program within the state. Pursuant to the Executive Organization Act of 1973, the 17-member Commission was incorporated into the Department of Health and Human Services.
The commission has the duty and power to promulgate, adopt, amend and rescind rules in accordance with the laws of the state regarding the regulation and licensing or certification, as applicable, of hospitals, hospices, free standing outpatient surgical facilities, nursing homes, adult care homes, home care agencies, nursing pools, facilities providing mammography/pap smear services, free standing abortion clinics, ambulances and emergency medical services personnel.
In 1975, the North Carolina General Assembly enacted the Health Care Facilities Finance Act, which enables the commission to issue tax-exempt revenue bonds to finance construction and equipment projects for non-profit and public hospitals, nursing homes, continuing care facilities for the elderly and facilities related to the foregoing.
I read somewhere that the commission was appointed by the Governor!
Would it seem to be a conflict of intrest if a member of the Medical Care Commission was also the owner of several nursing Homes? Just imagine if you owned a nursing home and you were on the Commission that could "ammend and rescind rules" regarding the regulation and liscencing of nursing homes. You could also "issue tax - exempt revenue bonds to finance construction and equipment projects for non profit and public hospitals, nursing homes, continuing care facilities for the elderly and facilities related to the foregoing."
"Really"
I'm sure all the members of the commission are honest, upstanding members of the community, who would put the public intrest first. If not, they would be able to do a lot of good things for the owners of hospitals and nursing homes! They could issue tax - exempt revenue bonds to finance the construction and equipment projects for their own intrests. Then they could " ammend and rescind" rules to fit their own needs. In today's society, this would never happen would it?
As a friend of mine would say " Yeah Right"?