House committee substitute makes the following changes to 1st edition. Deletes all provisions of previous edition and replaces them with AN ACT PROVIDING THAT NURSING HOMES AND NURSING HOME BEDS LICENSED UNDER CHAPTER 131E OF THE GENERAL STATUTES THAT ARE ALSO CERTIFIED BY MEDICARE AND MEDICAID SHALL BE LIMITED TO ONE INSPECTION PER YEAR UNLESS THE FACILITY RECEIVES A GRADE “B” OR LOWER ON ITS ANNUAL INSPECTION. Enacts new subsection (a1) to GS 130A-235, limiting the frequency of food service inspections in nursing homes or nursing home beds licensed under Part 1 of Article 5 or Part 1 of Article 6 of GS Chapter 131E and certified by the Centers for Medicare and Medicaid Services to one inspection per year. However, if the facility receives a grade “B” or lower, then the county may conduct inspections until the food service operation achieves a grade “A” sanitation score. Makes a conforming change to the bill title. Effective October 1, 2011.