Skip to main content
Information and Resources on Hurricane Helene

For North Carolina residents and visitors impacted by Hurricane Helene. Go Now

An official website of the State of North Carolina An official website of NC

State Government websites value user privacy. To learn more, view our full privacy policy.

Secure websites use HTTPS certificates. A lock icon or https:// means you’ve safely connected to the official website.

Utility Menu
  • NC.GOV
  • NCDHHS
  • SERVICES
Home

Main menu

  • About NC Medicaid
    • About NC Medicaid
    • What We Do
    • Eligibility
    • NC Medicaid Ombudsman
    • Understanding the Impact of Cuts to the NC Medicaid Budget
    • North Carolina Expands Medicaid
    • Copays
    • Behavioral Health and Intellectual/​Developmental Disabilities Tailored Plan
    • Division of Health Benefits Fellowship Programs
    • Health Plans
  • Beneficiaries
    • Beneficiaries
    • How To Apply
    • Medicaid Health Plans and Programs
    • Medicaid Programs and Services
    • Medicaid Recertification
    • Non-Emergency Medical Transportation (NEMT)
    • The Impact of H.R.1 and Federal Changes to Medicaid
    • Long Term Services and Supports
    • Children and Families Specialty Plan
    • 1915(i) Services
    • NC Innovations Waiver
    • Beneficiary Notices
    • Tailored Care Management
  • Find a Doctor
  • Providers
    • Providers
    • Programs and Services
    • Physician Administered Drug Program Catalog
    • Provider Enrollment
    • Program Specific Clinical Coverage Policies
    • Claims and Billing
    • Medicaid Bulletin
    • Provider Playbook: Medicaid Managed Care
    • Information for Tailored Care Management Providers
  • Reports
    • Reports
    • Annual Reports and Tables
    • NC Medicaid Enrollment Reports
    • Dashboards
    • Managed Care Program Annual Report (MCPAR)
    • Medicaid Expansion Dashboard
    • Wellness Visits, and Diagnostic and Treatment Services
    • 1115 Demonstration Waiver Monitoring Reports
  • Meetings/Notices
    • Meetings/Notices
    • Committees and Work Groups
    • Medicaid State Plan Public Notices
    • Director of Social Services Letters
    • Report Fraud, Waste or Abuse
  • Counties

Utility Menu

  • NC.GOV
  • NCDHHS
  • SERVICES
  1. Home
  2. Providers
  3. Forms

Nursing Facility Capital Data Survey (Fair Rental Value)

Current Survey Documents

  • FRV Capital Data Survey Form 2025 - Excel
  • FRV Capital Data Survey Form 2025 - PDF
Tab/Accordion Items

2024

  • FRV Capital Data Survey Form 2024 - Excel
  • FRV Capital Data Survey Form 2024 - PDF
  • FRV Capital Data Survey Form 2024 - Excel
  • FRV Capital Data Survey Form 2024 - PDF

2023

  • FRV Capital Data Survey Form 2023 - Excel
  • FRV Capital Data Survey Form 2023 - PDF

2022

  • FRV Capital Data Survey Form 2022_ 9_13.xlsx
  • FRV Capital Data Survey Form 2022_ 9_13.pdf

2021

  • FRV Capital Data Survey Form 2021 11 10.xlsx
  • FRV Capital Data Survey Form 2021 11 10.pdf

2020

  • FRV Capital Data Survey Form 2020 09 30
  • FRV Capital Data Survey Form 2020 09 30

2019

  • FRV Capital Data Survey Form 2019 09 30
  • FRV Capital Data Survey Form 2019 09 30

On This Page Jump Links
On

This page was last modified on 10/14/2025

Side Nav

  • About NC Medicaid
  • Beneficiaries
  • Find a Doctor
  • Providers
    • Programs and Services
    • Physician Administered Drug Program Catalog
    • Provider Enrollment
    • Program Specific Clinical Coverage Policies
    • Claims and Billing
    • Medicaid Bulletin
    • Provider Playbook: Medicaid Managed Care
    • Information for Tailored Care Management Providers
  • Reports
  • Meetings/Notices
  • Counties

Contact Information

NC Medicaid, Division of Health Benefits
2501 Mail Service Center
Raleigh, NC 27699-2501

NC Medicaid Contact Center
Phone: 888-245-0179
Monday-Friday 8 a.m. to 5 p.m.
Closed on State holidays.
 
Visit RelayNC for information about TTY services.
More

Follow Us

Network Menu

  • nc.gov
  • Website Feedback
  • Accessibility
  • Disclaimer & Terms of Use
  • Privacy Policy
  • Open Budget
Hosted on Digital Commons