Designated nursing homes for the elderly [new designation] (including short-term entrance life care)

Last Updated January 15, 2025

About electronic application notification system

From October 1, 2023, we started accepting applications using the electronic application notification system.
For details, please refer to the following page.

[Application for Designation, etc.] About electronic application notification system (under the jurisdiction of the Ministry of Health, Labour and Welfare)

About attached documents style

Please check required documents in the list of documents to be submitted below and submit it by electronic application, next agency or mail.

List of documents to be submitted
Items	Document name (file type / file size)	Document contents	Date of registration
１	List of presentation documents (nursing care for the elderly) (Excel: 16KB)	It is list of presentation documents about designation (permission) application of care for the elder welfare facility. ※Please confirm this in the case of application of community-based care for the elder welfare facility.	2025/01/10
２	List of documents to be submitted (short-term entrance life care) (Excel: 16KB)	(Nursing care prevention) List of presentation documents about designation (permission) application of short-term entrance life care. ※If you apply for a nursing home for the elderly and a short-term nursing care facility at the same time, you may submit one copy of the same content of attached documents. (However, if the establishment number is different, each is required.)	2025/01/10

※Corporations considering opening a short-term entrance life nursing care facility other than special nursing care (prevention of nursing care) should bring their drawings and come to the prior consultation at the design stage (before building confirmation application).
　Prior consultation slip (Excel: 13KB)

Application Form attached documents Form, etc.

Forms, etc.
Items	Document name (file type / file size)	Document contents	Date of registration
１	[Standard Form 1] List of work systems and work styles of employees (Excel: 366KB)	・Please submit one month's worth of the scheduled opening month. ・In the case of special care with a short-term entrance life care facility, please specify which unit corresponds to the short-term entrance life care unit. ・Please submit the “certificate” of doctors, nursing staff, functional training instructors, care manager, dietitians, and those who have completed unit leader training.	2025/01/10
２	[Standard Form 3] Floor plan (Excel: 11KB)	・Please indicate the use and area of each room. ・Regardless of this form, as long as the purpose and area of each room can be understood, the existing floor plan etc. may be used as documents to be submitted.	2025/01/10
３	[Reference Form] List of facilities by room of establishments (facilities) (Excel: 14KB)	Please describe the use and area of each room.	2025/01/10
４	[Standard Form 4] List of equipment and equipment (Excel: 26KB)	Please describe equipment and equipment necessary for the standard.	2025/01/10
５	[Standard Form 5] Overview of measures to be taken to handle complaints from users (Excel: 13KB)	Measures for Complaint Response	2025/01/10
６	[Standard Form 6] Pledge (Excel: 31KB)	Pledge of Corporate Representative	2025/01/10
８	[Standard Form 7] Name of care manager and its registration number (Excel: 14KB)	List of care manager	2025/01/10
9	About place of publication of documents about addition	In the case of new designation, "registration form etc. related to addition" is required even if no addition is made. Please check the following page and submit required documents. ＞ Nursing homes for the elderly (including community-based) [Addition] ＞ Short-term entrance life care (including nursing care prevention) [Addition]	2025/01/10
10	Discount registration form (Word: 17KB)	Please submit it when you submit a discount report for nursing care fees.	2012/04/01
11	≪Reference≫ About designation of nursing care period by the Public Assistance Act	A separate procedure is required for the designation of the National Assistance Act. Please refer to the following page for details. ＞ About designation of care institution	2012/04/01

Designated (permission) application / appendix (only in the case of mail or next agency application)

When applying using the electronic application notification system, you do not need to submit the following documents by entering along the application screen.

Application form and appendix
Items	Document name (file type / file size)	Document contents	Date of registration
１	[Appendix Form No. 1 (1)] Designation (permission) application (Excel: 41KB)	Designation (permission) application for nursing homes for the elderly and (prevention of nursing care) short-term entrance life care	2025/01/10
２	[Appendix Form No. 2 (1)] Designated application form (Excel: 27KB)	Designation (permission) application for community-based care for the elderly welfare facility residents living care	2025/01/10
３	[Appendix No. 1 (15)] Items pertaining to the designation of nursing homes for the elderly (Excel: 68KB)	Appendix pertaining to application for nursing homes for the elderly	2025/01/10
４	[Appendix No. 2 (9)] Items (Excel: 33KB) pertaining to the designation of community-based nursing homes for the elderly living care, etc.	Appendix pertaining to application for community-based nursing homes for the elderly	2025/01/10
５	[Appendix No. 1 (8)] Items pertaining to the designation of short-term entrance life care and nursing care prevention short-term entrance life care establishments (single type) (Excel: 56KB)	Appendix pertaining to applications for single-type (care prevention) short-term entrance life care establishments	2025/01/10
６	[Appendix No. 1 (9)] Items pertaining to the designation of short-term entrance life care and nursing care prevention short-term entrance life care establishments (empty floor use type, attached establishment type when the main facility is a special elderly nursing home) (Excel: 67KB)	Appendix pertaining to the application of a nursing home / vacant floor use type (prevention of nursing care) short-term entrance life care establishment	2025/01/10
７	[Appendix No. 1 (10)] Items pertaining to the designation of short-term entrance life care and nursing care prevention short-term entrance life care establishments (attached establishment type when the main facility is other than a special elderly nursing home) (Excel: 66KB)	Appendix pertaining to the application of a facility other than special nursing care (prevention of nursing care) short-term entrance life care establishment	2025/01/10