North Carolina Administrative Code

10A NCAC 13F .0403 QUALIFICATIONS OF MEDICATION STAFF (a) Adult care home staff who administer medications, hereafter referred to as medication aides, and their direct supervisors shall complete training, clinical skills validation, and pass the written examination as set forth i…

10A NCAC 13f .0404 QUALIFICATIONS OF ACTIVITY DIRECTOR Adult care homes shall have an activity director who meets the following qualifications: (1) The activity director hired after September 30, 2022 shall meet a minimum educational requirement by being a high school graduate or…

10A NCAC 13F .0405 QUALIFICATIONS OF FOOD SERVICE SUPERVISOR Each facility shall have a food service supervisor that is experienced in food service in commercial, healthcare, or congregate care settings who shall consult with a licensed dietitian/nutritionist as necessary to meet…

10A NCAC 13F .0406 TEST FOR TUBERCULOSIS (a) Upon employment or moving into an adult care home, the administrator, all other staff, and any persons living in the adult care home shall be tested for tuberculosis disease in compliance with control measures adopted by the Commission…

10A NCAC 13F .0407 OTHER STAFF qualifications (a) Each staff person at an adult care home shall: (1) have a job description that reflects the position's duties and responsibilities and is signed by the administrator and the employee; (2) be able to implement all of the adult care…

10A NCAC 13F .0408 Qualifications of Personal Care Aide Supervisor (a) Facilities with a census of 31 or more residents shall employ a Personal Care Aide Supervisor as defined in Paragraph (b) of this Rule. The term "Supervisor" as used throughout Section .0600 of this Subchapter…

section .0500 - staff orientation, training, competency and continuing education 10A NCAC 13F .0501 PERSONAL CARE TRAINING AND COMPETENCY (a) The facility shall assure that staff who provide or directly supervise staff who provide personal care to residents complete an 80-hour pe…

10A NCAC 13F .0502 personal care training content and instructors History Note: Authority G.S. 131D-2.16; 131D-4.3; 131D-4.5; 143B-165; Temporary Adoption Eff. January 1, 1996; Eff. May 1, 1997; Temporary Amendment Eff. December 1, 1999; Amended Eff. July 1, 2000; Temporary Amend…

10A NCAC 13F .0503 MEDICATION ADMINISTRATION COMPETENCY (a) The competency evaluation for medication administration required in Rule .0403 of this Subchapter shall consist of a written examination and a clinical skills validation to determine competency in the following areas: (1…

10A NCAC 13F .0504 COMPETENCY EVALUATION AND VALIDATION FOR LICENSED HEALTH PROFESSIONAL SUPPORT TASKS (a) When a resident requires one or more of the personal care tasks listed in Subparagraphs (a)(1) through (a)(28) of Rule .0903 of this Subchapter, the task may be delegated to…

10A NCAC 13F .0505 TRAINING ON CARE OF DIABETIC RESIDENTS An adult care home shall assure that training on the care of residents with diabetes is provided to unlicensed staff prior to the administration of insulin as follows: (1) Training shall be provided by a registered nurse, …

10A NCAC 13F .0506 TRAINING ON PHYSICAL RESTRAINTS (a) An adult care home shall assure that all staff responsible for caring for residents with medical symptoms that warrant restraints are trained on the use of alternatives to physical restraint use and on the care of residents w…

10A NCAC 13F .0507 TRAINING ON CARDIO-PULMONARY RESUSCITATION Each adult care home shall have at least one staff person on the premises at all times who has completed within the last 24 months a course on cardio-pulmonary resuscitation and choking management, including the Heimli…

10A NCAC 13F .0508 ASSESSMENT Training The person or persons designated by the administrator to perform resident assessments as required by Rule .0801 of this Subchapter shall read the Resident Assessment Self-Instructional Manual for Adult Care Homes established by the Departmen…

10A NCAC 13F .0509 FOOD SERVICE ORIENTATION (a) The food service supervisor and adult care home dietary staff who prepare and serve food shall complete a food service orientation training that provides an overview of food service in adult care homes, including the preparation of …

10a ncac 13f .0510 RESERVED FOR FUTURE CODIFICATION

10a ncac 13f .0511 RESERVED FOR FUTURE CODIFICATION

10A NCAC 13F .0512 DOCUMENTATION OF TRAINING AND COMPETENCY VALIDATION An adult care home shall maintain documentation of the training and competency validation of staff required by the rules of this Section in the facility and available for review. History Note: Authority 131D-2…

section .0600 - staffing 10A NCAC 13F .0601 MANAGEMENT OF FACILITIES - General administrator and MANAGER responsibilities (a) Each adult care home shall have an administrator who is certified in accordance with Rule .1701 of this Subchapter. The administrator shall be responsible…

10A NCAC 13F .0602 MANAGEMENT OF FACILITIES WITH A CAPACITY OR CENSUS OF Seven to thirty RESIDENTS In a facility with a census of greater than seven but less than 31 residents, there shall be one administrator or manager who is directly responsible for assuring that all required …

10A NCAC 13F .0603 MANAGEMENT OF FACILITIES WITH A CENSUS OF 31 to 80 RESIDENTS Each facility with a census of greater than 30 but less than 81 residents shall: (1) have an administrator on-call at all times when not in the building; and (2) have a manager on-duty in the facility…

10A NCAC 13F .0604 MANAGEMENT OF FACILITIES WITH A CENSUS OF 81 OR MORE RESIDENTS (a) For an adult care home with a census of 81 or more residents, there shall be an administrator on-duty at the facility at least eight hours per day, five days per week, and shall not serve simult…

10A NCAC 13F .0605 General Staffing Requirements FOR ADULT CARE HOMES (a) Adult care homes shall staff based on the facility's resident census and provide staffing to meet the care and supervision needs of the residents in accordance with the rules of this Subchapter. (b) At no t…

10A NCAC 13F .0606 STAFFING FOR FACILITIES WITH A CENSUS OF SEVEN TO TWELVE RESIDENTS (a) In a facility with a census of greater than six but less than 13 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-…

10A NCAC 13F .0607 STAFFING for facilities with a census of 13 to 20 Residents (a) In a facility with a census of greater than 12 but less than 21 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way tele…

10A NCAC 13F .0608 STAFFING FOR FACILITIES WITH A CENSUS of 21 or more residents (a) Each facility with a census of 21 or more residents shall have staff on duty to meet the needs of the residents. (b) In addition to the requirement in Paragraph (a) of this Rule, each facility wi…

10a ncac 13f .0609 pERSONAL cARE AIDE SUPERVISORS (a) The personal care aide supervisor shall be responsible for the direct supervision of personal care aides, including those who administer medications, to assure that care and services are provided to residents by personal care …

section .0700 - admission and discharge 10A NCAC 13F .0701 ADMISSION OF RESIDENTS (a) Any adult (18 years of age or over) who, because of a temporary or chronic physical condition or mental disability, needs a substitute home may be admitted to an adult care home when, in the opi…

10A NCAC 13F .0702 DISCHARGE OF RESIDENTS (a) The discharge of a resident initiated by the facility shall be according to conditions and procedures specified in Paragraphs (a) through (h) of this Rule. The discharge of a resident initiated by the facility involves the termination…

10A NCAC 13F .0703 tuberculosis test, medical examination and IMMUNIZATIONS (a) Upon admission to an adult care home each resident shall be tested for tuberculosis disease in compliance with the control measures adopted by the Commission for Public Health as specified in 10A NCAC…

10A NCAC 13F .0704 Resident Contract, INFORMATION ON facility, and Resident Register (a) An adult care home administrator or their management designee shall furnish and review with the resident or the resident's authorized representative as defined in Rule .1103 of this Subchapte…

section .0800 - resident assessment and care plan 10A NCAC 13F .0801 RESIDENT ASSESSMENT (a) The facility shall complete an assessment of each resident within 30 days following admission and annually thereafter. (b) The facility shall use the assessment instrument and instruction…

10A NCAC 13F .0802 RESIDENT CARE PLAN (a) The facility shall develop and implement a care plan for each resident based on the resident's assessment completed in accordance with Rule .0801 of this Section. The care plan shall be resident-centered and include the resident's prefere…

SECTION .0900 – resident care and SERVICES 10A NCAC 13F .0901 PERSONAL care and supervision (a) Adult care home staff shall provide personal care to residents according to the residents' care plans and attend to any other personal care needs residents may be unable to attend to f…

10a NCAC 13F .0902 HEALTH CARE (a) An adult care home shall provide care and services in accordance with the resident's care plan. (b) The facility shall assure referral and follow-up to meet the routine and acute health care needs of residents. (c) The facility shall assure docu…

10A NCAC 13F .0903 LICENSED HEALTH PROFESSIONAL SUPPORT (a) An adult care home shall assure that an appropriate licensed health professional participates in the on-site review and evaluation of the residents' health status, care plan and care provided for residents requiring one …

10A NCAC 13F .0904 NUTRITION AND FOOD SERVICE (a) Food Procurement and Safety in Adult Care Homes: (1) Facilities with a licensed capacity of 7 to 12 residents shall ensure food services comply with Rules Governing the Sanitation of Residential Care Facilities set forth in 15A NC…

10A NCAC 13F .0905 ACTIVITIES PROGRAM (a) Each adult care home shall develop a program of activities designed to promote the residents' active involvement with each other, their families, and the community. (b) The program shall be designed to promote active involvement by all re…

10A NCAC 13F .0906 OTHER Resident Care and Services (a) Transportation. The administrator shall assure the provision of transportation for the residents of adult care homes to necessary resources and activities, including transportation to the nearest appropriate health facilitie…

10A ncac 13F .0907 RESPITE CARE (a) For the purposes of this Subchapter, respite care is defined as supervision, personal care and services provided for persons admitted to an adult care home on a temporary basis for temporary caregiver relief, not to exceed 30 days. (b) Respite …

10A NCAC 13F .0908 COOPERATION WITH CASE MANAGERS History Note: Authority G.S. 131D-2.16; 131D-4.3; 143B-165; Temporary Adoption Eff. January 1, 1996; Eff. May 1, 1997; Temporary Amendment Eff. July 1, 2003; Amended Eff. June 1, 2004; Expired Eff. April 1, 2018 pursuant to G.S. 1…

10A NCAC 13F .0909 RESIDENT RIGHTS An adult care home shall assure that the rights of all residents guaranteed under G.S. 131D-21, Declaration of Residents' Rights, are maintained and may be exercised without hindrance. History Note: Authority G.S. 131D-2.16; 131D-21; 143B-165; T…

section .1000 - medications 10A NCAC 13F .1001 MEDICATION ADMINISTRATION POLICIES AND PROCEDURES In addition to the requirements in Rule .1211(a)(1) of this Subchapter, an adult care home shall ensure the following: (1) orientation to medication policies and procedures for staff …

10A NCAC 13F .1002 MEDICATION ORDERS (a) An adult care home shall ensure contact with the resident's physician or prescribing practitioner for verification or clarification of orders for medications and treatments: (1) if orders for admission or readmission of the resident are no…

10A NCAC 13F .1003 MEDICATION LABELS (a) Labeling of prescription legend medications, except for medications prepared for a resident's leave of absence in accordance with Rule .1010(d)(4) of this Section, shall be legible and include the following information: (1) the name of the…

10A NCAC 13F .1004 MEDICATION ADMINISTRATION (a) An adult care home shall assure that the preparation and administration of medications, prescription and non-prescription, and treatments by staff are in accordance with: (1) orders by a licensed prescribing practitioner which are …

10A NCAC 13F .1005 SELF-ADMINISTRATION OF MEDICATIONS (a) An adult care home shall permit residents who are competent and physically able to self-administer their medications if the following requirements are met: (1) the self-administration is ordered by a physician or other per…