North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0900 - RESIDENT CARE AND SERVICES › Section 13F .0907 - RESPITE CARE

Current through Register Vol. 39, No. 2, July 15, 2024
(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 care is not
				  required as a condition of licensure. However, respite care is subject to the
				  requirements of this Subchapter except for Rules.0702,.0704(b),.0801,.0802 and
				  .1201.
(c) The number of respite
				  care residents and adult care home residents shall not exceed the facility's
				  licensed bed capacity.
(d) If the
				  facility is staffing to census, the respite care residents shall be included in
				  the daily census for determination of appropriate staffing levels according to
				  the rules of this Subchapter.
(e)
				  The respite care resident contract shall specify the rates for respite care
				  services and accommodations, the date of admission to the facility and the
				  proposed date of discharge from the facility. The contract shall be signed by
				  the administrator or designee and the respite care resident or his responsible
				  person and a copy given to the resident and responsible person.
(f) Upon admission of a respite care resident
				  into the facility, the facility shall assure that the resident has a current
				  FL-2 and been tested for tuberculosis disease according to Rule.0703 of this
				  Subchapter and that there are current physician orders for any medications,
				  treatments and special diets for inclusion in the respite care resident's
				  record. The facility shall assure that the respite care resident's physician or
				  prescribing practitioner is contacted for verification of orders if the orders
				  are not signed and dated within seven calendar days prior to admission to the
				  facility as a respite care resident or for clarification of orders if orders
				  are not clear or complete.
(g) The
				  facility shall complete an assessment which allows for the development of a
				  short-term care plan prior to or upon admission to the facility with input from
				  the resident or responsible person. The assessment shall address respite
				  resident needs, including identifying information, hearing, vision, cognitive
				  ability, functional limitations, continence, special procedures and treatments
				  as ordered by physician, skin conditions, behavior and mood, oral and
				  nutritional status and medication regimen. The facility may use the Resident
				  Register or an equivalent as the assessment instrument. The care plan shall be
				  signed and dated by the facility's administrator or designated representative
				  and the respite care resident or responsible person.
(h) The respite care resident's record shall
				  include a copy of the signed respite care contract; the FL-2; the assessment
				  and care plan; documentation of a tuberculosis test according to Paragraph (f)
				  of this Rule; documentation of any contacts (office, home or telephone) with
				  the resident's physician or other licensed health professionals from outside
				  the facility; physician orders; medication administration records; a statement,
				  signed and dated by the resident or responsible person, indicating that
				  information on the home as required in Rule.0704(a) of this Subchapter has been
				  received; a written description of any acute changes in the resident's
				  condition or any incidents or accidents resulting in injury to the respite care
				  resident, and any action taken by the facility in response to the changes,
				  incidents or accidents; and how the responsible person or his designated
				  representative can be contacted in case of an emergency.
(i) The respite care resident's responsible
				  person or his designated representative shall be contacted and informed of the
				  need to remove the resident from the facility if one or more of the following
				  conditions exists:
(1) the resident's
				  condition is such that he is a danger to himself or poses a direct threat to
				  the health of others as documented by a physician; or
(2) the safety of individuals in the home is
				  threatened by the behavior of the resident as documented by the
				  facility.
Documentation of the emergency discharge shall be on file
					 in the facility.