80 sections in this chapter.
N.C. Gen. Stat. § 131D-28 Civil action
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Every resident shall have the right to institute a civil action for injunctive relief to enforce the provisions of this Article. The Department of Health and Human Services, a general guardian, or any person appointed ad litem pursuant to law, may institute an action pursuant to …
N.C. Gen. Stat. § 131D-29 Revocation of license
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The Department of Health and Human Services shall have the authority to revoke a license issued under G.S. 131D-2.4 in any case where it finds that there has been a substantial failure to comply with the provisions of this Article. Such revocation shall be effected by mailing to …
N.C. Gen. Stat. § 131D-31 Adult care home community advisory committees
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(a) Statement of Purpose. - It is the intention of the General Assembly that community advisory committee members function as representatives of the Office of the State Long-Term Care Ombudsman and through their designation work to maintain the intent of the Adult Care Home Resid…
N.C. Gen. Stat. § 131D-32 Functions of adult care home community advisory committees
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(a) The committee shall serve as the nucleus for increased community involvement with adult care homes and their residents. (b) The committee shall promote community education and awareness of the needs of aging and disabled persons who reside in adult care homes, and shall work …
N.C. Gen. Stat. § 131D-34 Penalties; remedies
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(a) Violation Classification and Penalties. - The Department of Health and Human Services shall impose an administrative penalty in accordance with provisions of this Article on any facility which is found to be in violation of requirements of G.S. 131D-21 or applicable State and…
N.C. Gen. Stat. § 131D-34.1 Report of death of resident
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(a) An adult care home shall notify the Department of Health and Human Services immediately upon the death of any resident that occurs in the adult care home or that occurs within 24 hours of the resident's transfer to a hospital if the death occurred within seven days of the adu…
N.C. Gen. Stat. § 131D-35 Temporary management of adult care homes
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The provisions of Article 13 of Chapter 131E are incorporated by reference in this Article. (1993, c. 390, s. 3; 1995, c. 535, s. 18.) §
N.C. Gen. Stat. § 131D-4.1 Adult care homes; legislative intent
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The General Assembly finds and declares that the ability to exercise personal control over one's life is fundamental to human dignity and quality of life and that dependence on others for some assistance with daily life activities should not require surrendering personal control …
N.C. Gen. Stat. § 131D-4.2 Adult care homes; family care homes; cost reports; exemptions; enforcement
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(a) Except for family care homes, adult care homes with a licensed capacity of seven to twenty beds, which are licensed pursuant to this Chapter, to Chapter 122C of the General Statutes, and to Chapter 131E of the General Statutes, shall submit audited reports of actual costs to …
N.C. Gen. Stat. § 131D-4.3 Adult care home rules
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(a) Pursuant to G.S. 143B-165, the North Carolina Medical Care Commission shall adopt rules to ensure at a minimum, but shall not be limited to, the provision of each of the following by adult care homes: (1) Repealed by Session Laws 2000-111, s. 1. (2) A minimum of 80 hours of t…
N.C. Gen. Stat. § 131D-4.4 Adult care home minimum safety requirements; smoking prohibited inside long-term care facilities; penalty
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(a) In addition to other requirements established by this Article or by rules adopted pursuant to this Article or other provisions of law, every adult care home shall provide to each resident the care, safety, and services necessary to enable the resident to attain and maintain t…
N.C. Gen. Stat. § 131D-4.4A Adult care home infection prevention requirements
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(a) As used in this section, "adult care home staff" means any employee of an adult care home. (b) In order to prevent transmission of infectious diseases, each adult care home shall do all of the following: (1) Implement written infection prevention and control policies and proc…
N.C. Gen. Stat. § 131D-4.4B Guidelines for reporting suspected communicable disease outbreaks
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The Department shall develop guidelines prescribing the manner in which an adult care home is to report a suspected communicable disease outbreak within the facility to the local health department. (2011-99, s. 3.)
N.C. Gen. Stat. § 131D-4.5 Rules adopted by Medical Care Commission
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The Medical Care Commission shall adopt rules as follows: (1) Establishing minimum medication administration standards for adult care homes. The rules shall include the minimum staffing and training requirements for medication aides and standards for professional supervision of a…
N.C. Gen. Stat. § 131D-4.5A Fees for medication aides
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The Department may impose a fee, not to exceed twenty-five dollars ($25.00), on an applicant seeking certification as an assisted living home medication aide to cover the costs of testing and materials in administering a certification examination. (2010-31, s. 10.36A(a).)
N.C. Gen. Stat. § 131D-4.5B Adult care home medication aides; training and competency evaluation requirements
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(a) By January 1, 2012, the Division of Health Service Regulation shall develop a mandatory, annual in-service training program for adult care home medication aides on infection control, safe practices for injections and any other procedures during which bleeding typically occurs…
N.C. Gen. Stat. § 131D-4.5C Adult care home supervisors; infection control training requirements
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(a) The Department shall develop, in consultation with associations representing adult care home providers, model infection prevention and control policies and procedures that are consistent with accepted national standards and address the factors identified in G.S. 131D-4.4A(b)(…
N.C. Gen. Stat. § 131D-4.6 Licensure of special care units
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(a) As used in this section, the term "special care unit" means a wing or hallway within an adult care home, or a program provided by an adult care home, that is designated especially for residents with Alzheimer's disease or other dementias, a mental health disability, or other …
N.C. Gen. Stat. § 131D-4.7 Adult care home specialist fund
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There is established the adult care home specialist fund. The fund shall be maintained in and by the Department for the purpose of assisting county departments of social services in paying salaries of adult care home specialists. (1999-334, s. 1.1.)
N.C. Gen. Stat. § 131D-4.8 Discharge of residents; appeals
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(a) An adult care home may initiate discharge of a resident based on any of the following reasons: (1) The discharge is necessary to protect the welfare of the resident and the adult care home cannot meet the needs of the resident, as documented by the resident's physician, physi…
N.C. Gen. Stat. § 131D-40 Criminal history record checks required for certain applicants for employment
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(a) Requirement; Adult Care Home. - An offer of employment by an adult care home licensed under this Chapter to an applicant to fill a position that does not require the applicant to have an occupational license is conditioned on consent to a criminal history record check of the …
N.C. Gen. Stat. § 131D-45 Examination and screening for the presence of controlled substances required for applicants for employment in adult care homes
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(a) An offer of employment by an adult care home licensed under this Article to an applicant is conditioned on the applicant's consent to an examination and screening for controlled substances. The examination and screening shall be conducted in accordance with Article 20 of Chap…
N.C. Gen. Stat. § 131D-6 Certification of adult day care programs; purpose; definition; penalty
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(a) It is the policy of this State to enable people who would otherwise need full-time care away from their own residences to remain in their residences as long as possible and to enjoy as much independence as possible. One of the programs that permits adults to remain in their r…
N.C. Gen. Stat. § 131D-6.1 (Effective July 1, 2026) Licensure to offer overnight respite; rules; enforcement
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(a) As used in this section, "overnight respite services" means the provision of group care and supervision in a place other than their usual place of abode on a 24-hour basis for a specified period of time to adults who may be physically or mentally disabled in order to provide …
N.C. Gen. Stat. § 131D-7 Waiver of rules and increase in bed capacity during an emergency
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(a) The Division of Health Service Regulation may temporarily waive, during disasters or emergencies declared in accordance with Article 1A of Chapter 166A of the General Statutes, any rules of the Commission pertaining to adult care homes to the extent necessary to allow the adu…
N.C. Gen. Stat. § 131D-7.1 Secretary to establish visitation protocols during declared disasters and emergencies
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(a) As used in this section and in G.S. 131D-7.2, the following terms have the following meanings: (1) Disaster declaration. - As defined in G.S. 166A-19.3(3). (2) Emergency. - As defined in G.S. 166A-19.3(6). (3) Facility. - An adult care home, including a family care home, lice…
N.C. Gen. Stat. § 131D-7.2 Resident visitation rights for adult care homes, including family care homes, during a disaster declaration or emergency
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Notwithstanding any provision of this Part, Chapter 166A of the General Statutes, or any other provision of law to the contrary, the visitation protocols established by the Secretary under G.S. 131D-7.1 shall be in effect during any period of time when (i) there is a declared dis…
N.C. Gen. Stat. § 131D-7.5 Patient visitation rights for adult care home residents and special care unit residents
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(a) Any facility licensed under this Chapter shall allow residents to receive visitors of their choice to the fullest extent permitted under the infection and prevention control program of the facility and applicable guidelines or orders issued by the Centers for Disease Control …
N.C. Gen. Stat. § 131D-8 Adult care home special care units; disclosure of information required
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(a) An adult care home licensed under this Part that provides care for persons in special care units as defined in G.S. 131D-4.6 shall disclose the form of care or treatment provided that distinguishes the special care unit as being especially designed for residents with Alzheime…
N.C. Gen. Stat. § 131D-9 Immunization of employees and residents of adult care homes
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(a) Except as provided in subsection (e) of this section, an adult care home licensed under this Article shall require residents and employees to be immunized annually against influenza virus and shall require residents to also be immunized against pneumococcal disease. (b) Upon …