North Carolina Administrative Code

SECTION .1300 - PHARMACEUTICALS AND MEDICAL TREATMENT ORDERS 10A NCAC 13J .1301 POLICIES, PROCEDURES, AND STAFF RESPONSIBILITY If the agency administers any pharmaceuticals or medical treatments, it shall develop and implement policies and procedures relative to the administratio…

10A NCAC 13J .1302 ORDERS (a) Orders for pharmaceuticals and medical treatments, or orders for in-home aide services when orders for in-home aide services are required, shall be signed by the physician or other person authorized by State law to prescribe such treatments and the o…

10A NCAC 13J .1303 reserved for future codification

SECTION .1400 - SERVICE RECORDS 10A NCAC 13J .1401 REQUIREMENT (a) The agency shall develop and implement written policies governing content and handling of client records. (b) The agency shall maintain a client record for each client. Each page of the client record shall have th…

10A NCAC 13J .1402 CONTENT OF RECORD (a) If the agency is providing services to a client, the service record shall contain the following information: (1) Admission data: (A) identification data such as name, address, telephone number, date of birth, sex, and marital status; (B) a…

SECTION .1500 – COMPANION, SITTER, AND RESPITE SERVICES 10A NCAC 13J .1501 DEFINITIONS The following definitions shall apply throughout this Section: (1) "Companion, sitter, or respite services personnel" means an individual as used in G.S. 131E-136, who spends time with or provi…

10A NCAC 13J .1502 SCOPE OF SERVICES (a) If an agency provides In-home companion, sitter, or respite services, the services shall be provided in accordance with the client's plan of care. Agencies participating in the Home and Community Care Block Grant or Social Services Block G…

10A NCAC 13J .1503 AGENCY MANAGEMENT AND SUPERVISION Notwithstanding the requirements in Rule .1001 of this Subchapter, the agency shall meet the following requirements: (1) The agency shall designate an individual to serve as agency director. The agency director shall have the a…

10A NCAC 13J .1504 SUPERVISION AND COMPETENCY OF COMPANION, SITTER, AND RESPITE SERVICES In addition to the requirements in Rule .1110 of this Subchapter, an agency providing In-home companion, sitter, or respite care services shall meet the following requirements: (1) Each agenc…

subchapter 13K – hospice licensing rules section .0100 – general information 10A NCAC 13K .0101 reserved for future codification

10A NCAC 13K .0102 DEFINITIONS In addition to the definitions set forth in G.S. 131E-201, the following definitions shall apply throughout this Subchapter: (1) "Agency" means a licensed hospice as defined in G.S. 131E-201(3). (2) "Care Plan" means the proposed method developed in…

SECTION .0200 - LICENSE 10A NCAC 13K .0201 LICENSE REQUIRED Each hospice agency premises shall obtain a license unless exempted by G.S. 131E-203. History Note: Authority G.S. 131E-202; Eff. November 1, 1984; Amended Eff. February 1, 1996; Pursuant to G.S. 150B-21.3A, rule is nece…

10A NCAC 13K .0202 APPLICATION FOR AND ISSUANCE OF A LICENSE (a) An application for a license to operate a hospice agency or facility shall be submitted to the Department prior to the scheduling of an initial licensure survey. The hospice agency shall establish, maintain and make…

10A NCAC 13K .0203 reserved for future codification

10A NCAC 13K .0204 Reserved for Future Codification

10A NCAC 13K .0205 reserved for future codification

10A NCAC 13K .0206 ADVERSE ACTION A hospice may appeal any adverse decision made by the Department concerning its license by making such appeal in accordance with the Administrative Procedure Act, G.S. 150B and Departmental Rules 10ANCAC 01 et seq. As provided for in G.S. 131E-20…

10A NCAC 13K .0207 reserved for future codification

10A NCAC 13K .0208 INSPECTIONS (a) Any hospice agency or facility shall be subject to inspections by authorized representatives of the Department at any time as a condition of holding such license. (b) Any person or organization subject to licensure which presents itself to the p…

10A NCAC 13K .0209 MULTIPLE PREMISES If a person operates multiple hospice agency premises: (1) the Department may conduct inspections at any or all of the premises and may issue a license to each of the premises based upon inspection of any or all of the premises; (2) with 72 ho…

10A NCAC 13K .0210 COMPLIANCE WITH LAWS (a) The hospice agency shall be in compliance with all applicable federal, state and local laws, rules and regulations. (b) Staff of the hospice agency shall be currently licensed, listed or registered in accordance with applicable laws of …

SECTION .0300 - ADMINISTRATION 10A NCAC 13K .0301 AGENCY MANAGEMENT AND SUPERVISION (a) The governing body or its designee shall establish and implement at a minimum, a description of written policies governing all aspects of the hospice program. Such policies shall be available …

10A NCAC 13K .0302 reserved for future codification

10A NCAC 13K .0303 ADMINISTRATIVE FINANCIAL AND STATISTICAL RECORDS (a) The hospice shall establish, maintain and make available for inspection the hospice annual budget. (b) The hospice shall record, maintain and make available to the Department statistical records as requested.…

SECTION .0400 - PERSONNEL 10A NCAC 13k .0401 PERSONNEL (a) Written policies shall be established and implemented by the agency regarding infection control and exposure to communicable diseases consistent with the rules set forth in 10A NCAC 41A, which is incorporated by reference…

10A NCAC 13K .0402 INSERVICE EDUCATION AND TRAINING (a) Written policies shall be established and implemented which include orientation, patient family volunteer training and inservice education for all hospice staff. Hospice residential facilities shall establish and implement a…

SECTION .0500 - SCOPE OF SERVICES 10A NCAC 13K .0501 SERVICE REQUIREMENTS The governing body shall ensure through policies and implemented procedures that the following services encompassing the essential elements of hospice care be provided, either directly by hospice personnel,…

10A NCAC 13K .0502 reserved for future codification

10A NCAC 13K .0503 reserved for future codification

10A NCAC 13k .0504 HOME MEDICAL EQUIPMENT AND SUPPLIES (a) The hospice shall make arrangements for obtaining any necessary supplies, equipment or prosthetic devices needed by the patient in the home, e.g., dressings, catheters, and oxygen. If the agency provides its own equipment…

10A NCAC 13k .0505 SERVICES ARRANGED WITH OTHER AGENCIES AND INDIVIDUALS (a) When a hospice makes arrangements for the provision of services by other agencies and individuals; there shall be a written agreement, signed by both parties prior to the initiation of services, which in…

SECTION .0600 - PATIENT/FAMILY CARE 10A NCAC 13K .0601 ACCEPTANCE OF PATIENTS FOR HOSPICE SERVICES A hospice shall implement and follow written policies governing the acceptance of patients which include at the minimum: (1) Involvement of the interdisciplinary care team in making…

10A NCAC 13K .0602 reserved for future codification

10A NCAC 13K .0603 reserved for future codification

10a NCAC 13K .0604 PATIENT'S RIGHTS AND RESPONSIBILITIES (a) A hospice agency shall provide each patient with a written notice of the patient's rights and responsibilities in advance of furnishing care to the patient or during the initial evaluation visit before the initiation of…

10a NCAC 13K .0605 HOME CARE If a hospice agency wishes to provide home care services as defined in G.S 131E-136 and meets the requirements of 10A NCAC 13J and the standards for the specific home care services applied for, the hospice agency may apply for a home care license. The…

SECTION .0700 - PATIENT/FAMILY CARE PLAN 10a NCAC 13K .0701 CARE PLAN (a) The agency shall develop and implement policies and procedures that ensure a written care plan is developed and maintained for each patient and family. The plan shall be established by the interdisciplinary…

10A NCAC 13K .0702 reserved for future codification

10A NCAC 13K .0703 reserved for future codification

SECTION .0800 - PHARMACEUTICAL AND MEDICAL TREATMENT ORDERS AND ADMINISTRATION 10A NCAC 13K .0801 PHARMACEUTICAL AND MEDICAL TREATMENT ORDERS (a) The hospice shall develop and implement written policies and procedures for the administration of drugs and treatments including contr…

10A NCAC 13K .0802 ADMINISTRATION OF PHARMACEUTICALS (a) In a private home, the administration of prescribed medications is the primary responsibility of the patient, family member or caregiver. Where special skills or knowledge are required, medication shall be administered by a…

10a NCAC 13K .0803 reserved for future codification

SECTION .0900 - MEDICAL RECORDS 10A NCAC 13K .0901 CONTENT OF MEDICAL RECORD (a) The hospice shall develop and implement policies and procedures to ensure that a medical record is maintained for each patient and is made available for licensure inspection. If the patient or respon…

10A NCAC 13K .0902 RECORD CONTENT, HANDLING AND RETENTION (a) The hospice agency shall develop and implement written policies governing the content, handling and retention of patient records. (b) The agency shall maintain a patient record for each patient. Each page of the patien…

SECTION .1000 - EVALUATION 10A NCAC 13K .1001 EVALUATION REQUIRED (a) The hospice shall develop and implement policies and a written plan for the implementation of a comprehensive assessment at least annually of its overall program and performance. The quality and appropriateness…

10A NCAC 13K .1002 reserved for future codification

SECTION .1100 - HOSPICE RESIDENTIAL CARE 10A NCAC 13K .1101 ADMINISTRATION (a) Hospice residences must conform to the rules outlined in 10A NCAC 13K .0100 through .1000. (b) The hospice shall maintain administrative control of and responsibility for the provision of all services.…

10A NCAC 13K .1102 HOSPICE RESIDENCE STAFFING (a) There shall be trained hospice caregivers on duty 24 hours a day. A registered nurse shall be continuously available, for consultation and direct participation in nursing care. The registered nurse shall be on site when required t…

10A NCAC 13K .1103 PHARMACEUTICAL SERVICES (a) The hospice shall establish and implement written policies and procedures to govern the procurement, storage, administration and disposal of all drugs and biologicals in accordance with federal and state laws. (b) Pharmaceutical serv…

10A NCAC 13K .1104 DIETARY SERVICES (a) The hospice shall develop and maintain written policies and procedures for dietary services. (b) Dietary services shall be provided directly or through written agreement with a food service company. Any written agreement shall meet the prov…