Senate committee substitute to the 1st edition makes the following changes.

Amends new GS 131D-2.11(d), Streamlining of Inspections, by adding the following. Specifies that it does not apply to any complaint investigation; follow-up inspection; monitoring visits; investigation of abuse, neglect, resident harm, exploitation; or any inspection or investigation based on a specific allegation, incident, referral, or concern involving resident health, safety, welfare, or resident rights. Adds that it does not limit the authority of the Secretary of Health and Human Services, the Department of Health and Human Services, the Division of Health Service Regulation, a county department of social services, or any other State or local inspecting entity to conduct an inspection or investigation in response to a complaint, incident, referral, or concern involving resident health, safety, welfare, or resident rights. Also specifies that it does not prohibit an otherwise authorized agency from conducting an independent inspection if it has reasonable cause to believe conditions affecting resident health, safety, welfare, fire protection, or workplace safety have changed since the last inspection. Defines substantially similar routine inspection. Deems a facility to have passed an inspection when it resulted in no deficiencies, violations, citations, or corrective action requirements related to the subject matter of the substantially similar routine inspection. Makes additional clarifying changes.