Nursing Homes: Rules and Regulations
Background check applications for all users
To prepare for the transition to the new DHS DQA Provider Portal, the Division of Quality Assurance (DQA) will not accept any new background check applications for entity operators, non-client residents, or other required individuals for new or renewing entity license/certification applications, or for rehabilitation review applicants as of November 22, 2025.
DQA will resume accepting background check applications on December 15, 2025, through the DHS DQA Provider Portal. To prepare for this transition and for more information, visit our webpage. Caregiver background checks completed by entities for employees and contractors are not affected by this transition.
According to Wis. Stat. § 50.01(3), a nursing home is a place where five or more people who are not related to the operator:
- Reside.
- Receive care or treatment for their physical or mental health.
- Need access to 24-hour nursing services, including limited nursing care, intermediate-level nursing care, and skilled nursing services.
A nursing home is not:
- A convent or facility owned or operated by members of a religious order.
- A hospice, as defined in s.50.90 (1), that directly provides inpatient care.
- A residential care apartment complex.
State regulations
Federal regulations
- Code of Federal Regulations 42 CFR Part 483 Requirements For States And Long Term Care Facilities
- CMS (Centers for Medicare & Medicaid Services) State Operations Manual Appendix PP (PDF)
Waiver and variance requests
To submit a request, see Waivers and Variances: Long-Term Care.
If you have questions about the waiver or variance process, contact BNHRC licensing:
- Email dhsdqabnhrclicensing@dhs.wisconsin.gov
- Call 608-266-2966