North Carolina Administrative Code

SECTION .0600 – staffing of the Facility 10A NCAC 13G .0601 MANAGEMENT and other staff (a) A family care home administrator who is approved in accordance with Rule .1501 of this Subchapter shall be responsible for the total operation and management of the facility to assure that …

10A NCAC 13G .0602 THE CO-ADMINISTRATOR History Note: Authority G.S. 131D-2.16; 143B-165; Eff. January 1, 1977; Readopted Eff. October 31, 1977; Amended Eff. April 1, 1984; Expired Eff. March 1, 2019 pursuant to G.S. 150B-21.3A.

SECTION .0700 - ADMISSION and discharge 10A NCAC 13G .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 when, in the opinion of the resident, …

10A ncac 13G .0702 Tuberculosis Test and MEDICAL examination, and immunizationS (a) Upon admission to a family 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 …

10A NCAC 13G .0703 RESIDENT REGISTER History Note: Authority G.S. 131D-2.16; 143B-165; Eff. January 1, 1977; Readopted Eff. October 31, 1977; Amended Eff. July 1, 1990; April 1, 1987; April 1, 1984; Temporary Amendment Eff. July 1, 2004; Amended Eff. April 1, 2022; July 1, 2005; …

10A NCAC 13G .0704 resident contract, information on Facility, AND RESIDENT REGISTER (a) The administrator or supervisor-in-charge shall furnish and review with the resident or the resident's authorized representative as defined in Rule .1103 of this Subchapter information on the…

10A NCAC 13G .0705 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 (j) of this Rule. The discharge of a resident initiated by the facility involves the termination…

SECTION .0800 - RESIDENT ASSESSMENT AND CARE PLAN 10A NCAC 13G .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 13G .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 13G .0901 PERSONAL CARE and supervision (a) Family 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 …

10a NCAC 13G .0902 HEALTH CARE (a) A family 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 13G .0903 LICENSED HEALTH PROFESSIONAL SUPPORT (a) The facility 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 or mo…

10A NCAC 13G .0904 NUTRITION AND FOOD SERVICE (a) Food Procurement and Safety in Family Care Homes: (1) Food services shall comply with Rules Governing the Sanitation of Residential Care Facilities set forth in 15A NCAC 18A .1600 which are hereby incorporated by reference, includ…

10A NCAC 13G .0905 ACTIVITIES PROGRAM (a) Each family 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 r…

10A NCAC 13G .0906 OTHER resident SERVICES (a) Transportation. The administrator must assure the provision of transportation for the residents to necessary resources and activities, including transportation to the nearest appropriate health facilities, social services agencies, s…

10A NCAC 13G .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 a family care home on a temporary basis for temporary caregiver relief, not to exceed 30 days. (b) Respite …

10A NCAC 13G .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; Expired Eff. March 1, 2019 pursuant to G.S. 150B-21.3A.

10A NCAC 13G .0909 RESIDENT RIGHTS A family 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 13G .1001 MEDICATION ADMINISTRATION POLICIES AND PROCEDURES In addition to the requirements in Rule .1211(a)(1) of this Subchapter, a family care home shall ensure the following: (1) orientation to medication policies and procedures for staff …

10A NCAC 13G .1002 MEDICATION ORDERS (a) A family 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 13G .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 13G .1004 MEDICATION ADMINISTRATION (a) A family 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 m…

10A NCAC 13G .1005 SELF-ADMINISTRATION OF MEDICATIONS (a) The facility 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 person le…

10a NCAC 13G .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 facility's medication storage policy and procedures. (b) All prescription and non-prescription medica…

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

10A NCAC 13G .1009 PHARMACEUTICAL CARE (a) The facility shall obtain the services of a licensed pharmacist, prescribing practitioner or registered nurse for the provision of pharmaceutical care at least quarterly for residents or more frequently as determined by the Department, b…

10A NCAC 13G .1010 PHARMACEUTICAL SERVICES (a) A family 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 and all applicable state and federal regulations …

SECTION .1100 – management of resident's funds and refunds 10A NCAC 13G .1101 management of RESIDENT'S 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 designat…

10A NCAC 13G .1102 Authorized REPRESENTATIVE (a) In situations where the facility determines a resident of a family care home is unable to manage their monetary funds the administrator shall contact a family member, responsible person, or the county department of social services …

10A NCAC 13G .1103 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 13G .1104 REFUND POLICy A family care home's refund policy shall be in writing and signed by the administrator. A copy shall be given to the resident or the resident's responsible person at time of admission. A copy shall also be filed in the resident's record. History N…

10A NCAC 13G .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 13G .1106 SETTLEMENT OF COST OF CARE (a) If a resident of a family care home, has been notified by the facility of its intent to discharge in accordance with Rule .0705 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 13G .1201 RESIDENT RECORDS (a) The following shall be maintained on each resident in an orderly manner in the resident's record in the family care home and made available for review by representatives of the Division of Healt…

10A NCAC 13G .1202 transfer of RESIDENT'S RECORDS At the request of the resident or his responsible person, copies of all pertinent information shall be given to the administrator of the licensed home to which the resident moves. The FL-2 or MR-2 shall be provided unless: (1) It …

10A NCAC 13G .1203 DISPOSAL OF RESIDENT's RECORDS After a resident has left a family care home or died, the resident's records shall be filed in the home 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. Janu…

10A NCAC 13G .1204 report of ADMISSIONs and DISCHARGEs History Note: Authority G.S. 131D-2; 143B-153; Eff. January 1, 1977; Readopted Eff. October 31, 1977; Amended Eff. May 1, 1992; Repealed Eff. July 1, 2005.

10A NCAC 13G .1205 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; Amended Eff. May 1, 1992; April 1, 1984; Temporary Repeal Eff. September 1, 2003; Repealed Eff. June 1, 2004.

10A NCAC 13G .1206 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 13G .1207 marketing A family 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 13G .1208 FACILITIES 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,…

10A NCAC 13G .1209 Death REPORTING procedures (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 s…

10A NCAC 13G .1210 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 13G .1211 WRITTEN POLICIES AND PROCEDURES (a) A family 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 13G .1212 RECORD OF STAFF QUALIFICATIONS A family 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 13G .1213 REPORTING OF ACCIDENTS AND INCIDENTS (a) A family 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 13G .1214 AVAILABILITY OF CORRECTIVE ACTION AND SURVEY REPORTS A family 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 - use of physical restraints and alternatives 10A NCAC 13G .1301 USE OF PHYSICAL RESTRAINTS AND ALTERNATIVES (a) A family 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 .1500 – ADMINISTRATOR APPROVAL AND RENEWAL 10A NCAC 13G .1501 ADMINISTRATOR APPROVAL (a) Each family care home shall have an administrator that has been approved by the Department pursuant to this Rule. (b) Applicant administrators shall meet the following qualifications:…