Care Home Operating License

Operating a residential care home (Pflegeeinrichtung) for elderly or disabled persons in Germany requires a license under the relevant state home law (Landesheimgesetz or equivalent). Each federal state has its own law regulating care facilities, replacing the former federal Home Act (Heimgesetz). Additionally, to bill through the statutory care insurance, you need a care provision contract (Versorgungsvertrag) with the Pflegekassen under SGB XI.

The state supervisory authority (Heimaufsicht), typically part of the local or regional government, examines your staffing plan, building and room standards, care concept, and quality management system. Facilities are subject to regular inspections, usually at least once a year. You must also comply with the Residential and Care Contract Act (WBVG) for contracts with residents.