North Carolina Administrative Code

10a NCAC 13F .1006 MEDICATION STORAGE (a) Medications that are self-administered and stored in the resident's room shall be stored in a safe and secure manner as specified by the adult care home's medication storage policy and procedures. (b) All prescription and non-prescription…

10A NCAC 13F .1007 MEDICATION DISPOSITION (a) Medications shall be released to or with a resident upon discharge if the resident has a physician's order to continue the medication. Prescribed medications are the property of the resident and shall not be given to, or taken by, oth…

10A NCAC 13F .1008 CONTROLLED SUBSTANCES (a) An adult care home shall assure a record of controlled substances by documenting the receipt, administration, and disposition of controlled substances. These records shall be maintained with the resident's record in the facility and in…

10A NCAC 13F .1009 PHARMACEUTICAL CARE (a) An adult care home shall obtain the services of a licensed pharmacist or a prescribing practitioner for the provision of pharmaceutical care at least quarterly. The Department may require more frequent visits if it documents during monit…

10A NCAC 13F .1010 PHARMACEUTICAL SERVICES (a) An adult care home shall allow the residents the right to choose a pharmacy provider as long as the pharmacy provides services that are in accordance with requirements of this Section, all applicable State and federal rules and regul…

section .1100 – resident's funds and refunds 10A NCAC 13F .1101 management OF RESIDENTS funds (a) Residents shall manage their own funds if possible. (b) In situations where a resident is unable to manage his funds, a legal representative or payee shall be designated in accordanc…

10A NCAC 13F .1102 REFUND POLICy An adult care home's refund policies shall be in writing and signed by the administrator. A copy shall be given to each resident or the resident's responsible person at time of admission. A copy shall also be filed in the resident's record. Histor…

10A NCAC 13F .1103 authorized REPRESENTATIVE (a) In situations where the facility determines a resident of an adult care home is unable to manage their monetary funds, the administrator shall contact the resident's responsible person or the county department of social services re…

10A NCAC 13F .1104 ACCOUNTING FOR resident's PERSONAL FUNDS (a) To document a resident's receipt of the State-County Special Assistance personal needs allowance after payment of the cost of care, a statement shall be signed by the resident or marked by the resident. If the statem…

10A NCAC 13F .1105 refund of PERSONAL FUNDS (a) When the administrator or the administrator's designee handles a resident's personal money at the resident's or his payee's request, the balance shall be given to the resident or the resident's responsible person within 14 days of t…

10A NCAC 13F .1106 SETTLEMENT OF COST OF CARE (a) If a resident of an adult care home, has been notified by the facility of its intent to discharge in accordance with Rule .0702 of this Subchapter, the facility shall refund the resident an amount equal to the cost of care for the…

section .1200 – policies, records and reports 10A NCAC 13F .1201 RESIDENT RECORDS (a) The following shall be maintained on each resident in an orderly manner in the resident's record in the adult care home and made available for review by representatives of the Division of Health…

10A NCAC 13F .1202 DISPOSAL OF RESIDENT RECORDS After a resident has left an adult care home or died, the resident's records shall be filed in the facility for at least one year and then stored for at least two more years. History Note: Authority G.S. 131D-2.16; 143B-165; Eff. Ja…

10A NCAC 13F .1203 REPORT OF ADMISSIONS AND dISCHARGES History Note: Authority G.S. 131D-2; 143B-165; S.L. 2002-0160; Eff. January 1, 1977; Readopted Eff. October 31, 1977; Temporary Amendment Eff. July 1, 2003; Amended Eff. June 1, 2004; Repealed Eff. July 1, 2005.

10A NCAC 13F .1204 POPULATION REPORT History Note: Authority G.S. 131D-2; 143B-153; 143B-165; S.L. 2002-160; Eff. January 1, 1977; Readopted Eff. October 31, 1977; Temporary Amendment Eff. July 1, 2003; Temporary Repeal Eff. September 1, 2003; Repealed Eff. June 1, 2004.

10A NCAC 13F .1205 HEALTH CARE PERSONNEL REGISTRY The facility shall comply with G.S. 131E-256 and supporting Rules 10A NCAC 13O .0101 and .0102. History Note: Authority G.S. 131D-2.16; 131D-4.5; 131E-256; 143B-165; Temporary Adoption Eff. January 1, 2000; Eff. July 1, 2000; Purs…

10A NCAC 13F .1206 marketing An adult care home may market provided: (1) the name used is as it appears on the license; (2) only the services and accommodations for which the home is licensed are used; and (3) the home is classified by licensure status. History Note: Authority G.…

10A NCAC 13F .1207 facilties to report resident deaths The facility shall report resident deaths to the Division of Health Service Regulation in accordance with G.S. 131D-34.1. History Note: Authority G.S. 131D-2.4; 131D-2.16; 131D-34.1; 143B-165; Temporary Adoption Eff. May 1, 2…

10A NCAC 13F .1208 death REPORTING REQUIREMENTS (a) Upon learning of a resident death as described in Paragraphs (b) and (c) of this Rule, a facility shall file a report in accordance with this Rule. A facility shall be deemed to have learned of a resident death when any facility…

10A NCAC 13F .1209 DEFINITIONS applicable to death reporting The following definitions shall apply throughout this Section: (1) "Accident" means an unexpected, unnatural or irregular event contributing to a resident's death and includes, but is not limited to, medication errors, …

10A NCAC 13F .1210 RECORD OF STAFF QUALIFICATIONS An adult care home shall maintain records of staff qualifications required by the rules in Section .0400 of this Subchapter in the facility. When there is an approved cluster of licensed facilities, these records may be kept in on…

10A NCAC 13F .1211 WRITTEN POLICIES AND PROCEDURES (a) An adult care home shall develop written policies and procedures that comply with applicable rules of this Subchapter, on the following: (1) ordering, receiving, storage, discontinuation, disposition, administration, includin…

10A NCAC 13F .1212 REPORTING OF ACCIDENTS AND INCIDENTS (a) An adult care home shall notify the county department of social services of any accident or incident resulting in resident death or any accident or incident resulting in injury to a resident requiring referral for emerge…

10A NCAC 13F .1213 AVAILABILITY OF CORRECTIVE ACTION AND SURVEY REPORTS An adult care home shall make available to residents and their families or responsible persons and to prospective residents and their families or responsible persons, upon request and in a location accessible…

section .1300 - SPECIAL CARE UNITS FOR ALZHEIMER AND RELATED DISORDERS 10A NCAC 13F .1301 DEFINITIONS APPLICABLE TO SPECIAL CARE UNITS The following definitions shall apply throughout this Section: (1) "Alzheimer's Disease" means a progressive, degenerative disease that attacks t…

10A NCAC 13F .1302 SPECIAL CARE UNIT DISCLOSURE (a) Only those facilities with units that meet the requirements of this Section may advertise, market or otherwise promote themselves as providing special care units for persons with Alzheimer's Disease or related disorders. (b) The…

10a NCAC 13F .1303 LICENSURE OF FACILITIES WITH SPECIAL CARE UNITS A facility that advertises, markets or otherwise promotes itself as having a special care unit for residents with Alzheimer's Disease or related disorders and meets the requirements of this Section for special car…

10A NCAC 13F .1304 SPECIAL CARE UNIT Physical environment REQUIREMENTS In addition to meeting all applicable building codes and licensure regulations for adult care homes, the special care unit shall meet the following building requirements: (1) For facilities licensed prior to A…

10A NCAC 13F .1305 SPECIAL CARE UNIT POLICIES AND PROCEDURES The facility shall assure that special care unit policies and procedures are established, implemented by staff and available for review within the facility. In addition to all applicable policies and procedures for adul…

10A NCAC 13F .1306 ADMISSION TO THE SPECIAL CARE UNIT In addition to meeting all requirements specified in the rules of this Subchapter for the admission of residents to the home, the facility shall assure that the following requirements are met for admission to the special care …

10A NCAC 13F .1307 SPECIAL CARE UNIT RESIDENT PROFILE AND CARE PLAN In addition to the requirements in Rules .0801 and .0802 of this Subchapter, the facility shall: (1) Within 30 days of admission to the special care unit and quarterly thereafter, develop a written resident profi…

10A NCAC 13F .1308 SPECIAL CARE UNIT STAFFING (a) Staff shall be present in the unit at all times in sufficient number to meet the needs of the residents; but at no time shall there be less than one staff person, who meets the orientation and training requirements in Rule .1309 o…

10A NCAC 13F .1309 SPECIAL CARE UNIT STAFF ORIENTATION AND TRAINING The facility shall assure that special care unit staff receive at least the following orientation and training: (1) Prior to establishing a special care unit, the administrator shall document receipt of at least …

10A NCAc 13F .1310 OTHER APPLICABLE RULES FOR SPECIAL CARE UNITS In addition to specific rules pertaining to special care units for residents in this Section, such units shall also meet all other applicable requirements governing the operation of adult care homes as set forth in …

section .1501 - use of physical restraints and alternatives 10A NCAC 13F .1501 USE OF PHYSICAL RESTRAINTS AND ALTERNATIVES (a) An adult care home shall assure that a physical restraint, any physical or mechanical device attached to or adjacent to the resident's body that the resi…

section .1600 – STAR rated certificates 10A NCAC 13F .1601 Definitions (a) As used in this Section, the following definitions shall apply: (1) "Demerits" means points which are subtracted from a facility's star rating calculation as set forth in the requirements of Rule .1604 of …

10A NCAC 13F .1602 ISSUANCE OF A STAR RATING (a) A star rated certificate and worksheet shall be issued to a facility by the Division of Health Service Regulation within 45 days from the date that the Division mails the survey or inspection report to the facility, except when a r…

10A NCAC 13f .1603 Statutory and rule requirements affecting STAR rATED CERTIFICATES The following Statutes and Rules comprise the standards that contribute to rated certificates: (1) G.S. 131D-21 Declaration of Resident's Rights; (2) Section .0300 of this Subchapter Physical Pla…

10A NCAC 13F .1604 RATING CALCULATION (a) Ratings shall be based on: (1) Inspections completed pursuant to G.S. 131D-2.11(a) and (a1); (2) Statutory and Rule requirements listed in Rule .1603 of this Section; (3) Type A1, Type A2, or uncorrected Type B penalty violations identifi…

10A NCAC 13F .1605 CONTENTS OF STAR RATED CERTIFICATE (a) The certificate shall contain a rating determined pursuant to Rule .1604 of this Subchapter. (b) The certificate or accompanying worksheet from which the score is derived shall contain a breakdown of the point merits and d…

Section .1700 –Administrator Certification AND RENEWAL 10A NCAC 13F .1701 CERTIFICATION OF ADMINISTRATOr The administrator of an adult care home licensed on or after January 1, 2000, shall be certified by the Department under the provisions of G.S. 90, Article 20A. History Note: …

10A NCAC 13F .1702 ADVERSE ACTION ON CERTIFICATION (a) The Department shall deny, suspend, or revoke the certification of an administrator if the administrator or applicant administrator: (1) has not completed the continuing education credits required by Rule .1703 of this Sectio…

10A NCAC 13F. 1703 RENEWAL OF ADMINISTRATOR CERTIFICATION (a) The Department shall renew an administrator's certification at the end of the year following the year of initial certification if the administrator submits documentation of completed coursework related to long term car…

SECTION .1800 - INFECTION PREVENTION AND CONTROL 10A NCAC 13F .1801 INFECTION PREVENTION AND CONTROL POLICIES AND PROCEDURES (a) In accordance with Rule .1211(a)(4) of this Subchapter and G.S. 131D-4.4A(b)(1), the facility shall establish and implement infection prevention and co…

10A NCAC 13F .1802 REPORTING AND NOTIFICATION OF A SUSPECTED OR CONFIRMED COMMUNICABLE DISEASE OUTBREAK (a) The facility shall report suspected or confirmed communicable diseases and conditions within the time period and in the manner determined by the Commission for Public Healt…

subchapter 13G – licensing of family care homes section .0100 - definitions 10A NCAC 13G .0101 DEFINITIONS History Note: Authority G.S. 131D-2; 143B-153; Eff. January 1, 1977; Readopted Eff. October 31, 1977; Amended Eff. April 1, 1987; April 1, 1984; June 26, 1980; Repealed Eff.…

10A NCAC 13G .0102 LISt of definitions In addition to the definitions set forth in G.S. 131D-2.1, the following definitions shall apply throughout this Subchapter: (1) "Abuse" as defined in G.S. 131D-2.1. (2) "Activities of daily living" means bathing, dressing, personal hygiene,…

SECTION .0200 - licensing 10A NCAC 13G .0201 DEFINITIONS The following definitions shall apply throughout this Section: (1) "Person" means an individual; a trust or estate; a partnership; a corporation; or any grouping of individuals, each of whom owns five percent or more of a p…

10A NCAC 13G .0202 THE LICENSE (a) Except as otherwise provided in G.S. 131D-2.4, the Department of Health and Human Services shall issue a family care home license to any person who submits the application material according to Rule .0204 of this Section and the Department deter…

10a NCAC 13G .0203 PERSONS NOT ELIGIBLE FOR NEW ADULT CARE HOME LICENSES History Note: Authority G.S. 131D-2.4; 131D-2.5; 131D-2.16; 131D-4.5; 143B-165; Temporary Adoption Eff. December 1, 1999; Eff. July 1, 2000; Expired Eff. March 1, 2019 pursuant to G.S. 150B-21.3A.