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 .0700 - ADMISSION AND DISCHARGE › Section 13F .0703 - TUBERCULOSIS TEST, MEDICAL EXAMINATION AND IMMUNIZATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Upon
				  admission to an adult 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 NCAC
				  41A .0205 including subsequent amendments and
				  editions.
(b) Each resident shall
				  have a medical examination completed by a licensed physician or physician
				  extender prior to admission to the facility and annually thereafter. For the
				  purposes of this Rule, "physician extender" means a licensed physician
				  assistant or licensed nurse practitioner. The medical examination completed
				  prior to admission shall be used by the facility to determine if the facility
				  can meet the needs of the resident.
(c) The medical examination shall be
				  completed no more than 90 days prior to the resident's admission to the
				  facility, except in the case of emergency admission.
(d) In the case of an unplanned, emergency
				  admission, the medical examination of the resident shall be conducted within 72
				  hours after admission. Prior to an emergency admission, the facility shall
				  obtain current medication and treatment orders from a licensed physician or
				  physician extender.
(e) The result
				  of the medical examination required in Paragraph (b) of this Rule shall be
				  documented on the North Carolina Medicaid Adult Care Home FL-2 form which is
				  available at no cost on the Department's Medicaid website at
https://medicaid.ncdhhs.gov/media/6549/open
.
				  The Adult Care Home FL-2 shall be signed and dated by the physician or
				  physician extender completing the medical examination. The medical examination
				  shall include the following:
(1) resident's
				  identification information, including the resident's name, date of birth, sex,
				  admission date, county and Medicaid number, current facility and address,
				  physician's name and address, a relative's name and address, current level of
				  care, and recommended level of care;
(2) resident's admitting diagnoses, including
				  primary and secondary diagnoses and dates of onset;
(3) resident's current medical information,
				  including orientation, behaviors, personal care assistance needs, frequency of
				  physician visits, ambulatory status, functional limitations, information
				  related to activities and social needs, neurological status, bowel and bladder
				  functioning status, manner of communication of needs, skin condition,
				  respiratory status, and nutritional status including orders for therapeutic
				  diets;
(4) special care factors,
				  including physician orders for blood pressure, diabetic urine testing, physical
				  therapy, range of motion exercises, a bowel and bladder program, a restorative
				  feeding program, speech therapy, and restraints;
(5) resident's medications, including the
				  name, strength, dosage, frequency and route of administration of each
				  medication;
(6) results of x-rays
				  or laboratory tests determined by the physician or physician extender to be
				  necessary information related to the resident's care needs; and
(7) additional information as determined by
				  the physician or physician extender to be necessary for the care of the
				  resident.