Enacts new subsection (a1) to GS 131D-2.11, authorizing the Division of Health Service Regulation (Division) to waive the annual inspection requirement of adult care homes for any home that has achieved the highest rating under rules adopted by the NC Medical Care Commission. However, directs the Division to inspect any home for which the inspection requirement has been waived at least once every two years. Makes a conforming change to GS 131D-2.11(a). Enacts new subsection (a2) to GS 131D-2.11, directing the Division to offer each adult care home an opportunity, upon request and after the home receives an official statement of deficiencies, to informally resolve disputed findings from inspections conducted by the Division. Details additional provisions related to informal dispute resolution and enforcement actions. Effective October 1, 2011.