reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0700 - ADMISSION AND DISCHARGE › Section 13G .0701 - ADMISSION OF RESIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(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, physician, family or social worker, and the
				  administrator the services and accommodations of the home will meet his
				  particular needs.
(b) Exceptions.
				  People are not to be admitted:
(1) for
				  treatment of mental illness, or alcohol or drug abuse;
(2) for maternity care;
(3) for professional nursing care under
				  continuous medical supervision;
(4)
				  for lodging, when the personal assistance and supervision offered for the aged
				  and disabled are not needed; or
(5)
				  who pose a direct threat to the health or safety of others.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0700 - ADMISSION AND DISCHARGE › Section 13G .0703

Current through Register Vol. 39, No. 2, July 15, 2024
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.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0700 - ADMISSION AND DISCHARGE › Section 13G .0704 - RESIDENT CONTRACT, INFORMATION ON FACILITY, AND RESIDENT REGISTER

Current through Register Vol. 39, No. 2, July 15, 2024
(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 facility upon admission and when changes
				  are made to that information. The facility shall involve the resident in the
				  review of the resident contract and information on the facility unless the
				  resident is cognitively unable to participate in the discussion. A statement
				  indicating that this information has been received upon admission or amendment
				  as required by this Rule shall be signed and dated by each person to whom it is
				  given. This statement shall be retained in the resident's record in the
				  facility. The information shall consist of the following:
(1) the resident contract to which the
				  following applies:
(A) the contract shall
				  specify charges for resident services and accommodations, including the cost of
				  different levels of service, description of levels of care and services, and
				  any other charges or fees;
(B) the
				  contract shall disclose any health needs or conditions that the facility has
				  determined it cannot meet;
(C) the
				  contract shall be signed and dated by the administrator or supervisor-in-charge
				  and the resident or the resident's authorized representative and a copy given
				  to the resident or the resident's authorized representative and a copy kept in
				  the resident's record;
(D) the
				  resident or the resident's authorized representative shall be given a written
				  30-day notice prior to any change in charges for resident services and
				  accommodations, including the cost of different levels of service, description
				  of level of care and services, and any other charges or fees, and be provided
				  an amended copy of the contract for review and confirmation of
				  receipt;
(E) gratuities in addition
				  to the established rates shall not be accepted; and
(F) The maximum monthly rate that may be
				  charged to Special Assistance recipients as established by the North Carolina
				  General Assembly;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0700 - ADMISSION AND DISCHARGE › Section 13G .0705 - DISCHARGE OF RESIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(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
				  of residency by the facility resulting in the resident's move to another
				  location and the facility not holding the bed for the resident based on the
				  facility's bed hold policy.
(b) The
				  discharge of a resident initiated by the facility at the direction of the
				  administrator or their designee shall be based on one of the following reasons:
(1) the discharge is necessary to protect the
				  welfare of the resident and the facility cannot meet the needs of the resident,
				  as documented by the resident's physician, physician assistant, or nurse
				  practitioner in the resident's record;
(2) the health of the resident has improved
				  sufficiently so that the resident is no longer in need of the services provided
				  by the facility, as documented by the resident's physician, physician
				  assistant, or nurse practitioner in the resident's record;
(3) the safety of the resident or other
				  individuals in the facility is endangered as determined by the facility at the
				  direction of the administrator or their designee in consultation with the
				  resident's physician, physician assistant, or nurse practitioner;
(4) the health of the resident or other
				  individuals in the facility is endangered as documented by a physician,
				  physician assistant, or nurse practitioner in the resident's record;
				  or
(5) the resident has failed to
				  pay the costs of services and accommodations by the payment due date according
				  to the resident's contract after receiving written notice of warning of
				  discharge for failure to pay.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0800 - RESIDENT ASSESSMENT AND CARE PLAN › Section 13G .0802 - RESIDENT CARE PLAN

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A family care
				  home shall assure a care plan is developed for each resident in conjunction
				  with the resident assessment to be completed within 30 days following admission
				  according to Rule.0801 of this Section. The care plan shall be an
				  individualized, written program of personal care for each resident.
(b) The care plan shall be revised as needed
				  based on further assessments of the resident according to Rule.0801 of this
				  Subchapter.
(c) The care plan shall
				  include the following:
(1) a statement of the
				  care or service to be provided based on the assessment or reassessment;
				  and
(2) frequency of the service
				  provision.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0900 - RESIDENT CARE AND SERVICES › Section 13G .0901 - PERSONAL CARE AND SUPERVISION

Current through Register Vol. 39, No. 2, July 15, 2024
(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 for themselves.
(b) Staff shall provide supervision of
				  residents in accordance with each resident's assessed needs, care plan and
				  current symptoms.
(c) Staff shall
				  respond immediately in the case of an accident or incident involving a resident
				  to provide care and intervention according to the facility's policies and
				  procedures.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.3;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; May 1, 1999; July 1, 1990; April 1, 1987; April 1,
					 1984;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0900 - RESIDENT CARE AND SERVICES › Section 13G .0902 - HEALTH CARE

Current through Register Vol. 39, No. 2, July 15, 2024
(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 documentation of the following in the resident's record:
(1) facility contacts with the resident's
				  physician, physician service, other licensed health professional, including
				  mental health professional, when illnesses or accidents occur and any other
				  facility contacts with a physician or licensed health professional regarding
				  resident care;
(2) all visits of
				  the resident to or from the resident's physician, physician service or other
				  licensed health professional, including mental health professional, of which
				  the facility is aware.
(3) written
				  procedures, treatments or orders from a physician or other licensed health
				  professional; and
(4)
				  implementation of procedures, treatments or orders specified in Subparagraph
				  (c)(3) of this Rule.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0900 - RESIDENT CARE AND SERVICES › Section 13G .0904 - NUTRITION AND FOOD SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
(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, including subsequent amendments, assuring storage, preparation, and
				  serving food under sanitary conditions.
(2) Only meat processed at a USDA-approved
				  processing plant shall be served.
(3) There shall be a three-day supply of
				  perishable food and a five-day supply of non-perishable food in the facility
				  based on the menus established in Paragraph (c) of this Rule, for both regular
				  and therapeutic diets. For the purpose of this Rule "perishable food" is food
				  that is likely to spoil or decay if not kept refrigerated at 40 degrees
				  Fahrenheit or below, or frozen at zero degrees Fahrenheit or below and
				  "non-perishable food" is food that can be stored at room temperature and is not
				  likely to spoil or decay within seven days.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0900 - RESIDENT CARE AND SERVICES › Section 13G .0905 - ACTIVITIES PROGRAM

Current through Register Vol. 39, No. 2, July 15, 2024
(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 residents but is not to require
				  any individual to participate in any activity against his or her will. If there
				  is a question about a resident's ability to participate in an activity, the
				  resident's physician shall be consulted to obtain a statement regarding the
				  resident's capabilities.
(c) The
				  activity director shall:
(1) use information
				  on the residents' interests and capabilities as documented upon admission and
				  updated as needed to arrange for or provide planned individual and group
				  activities for the residents, taking into account the varied interests,
				  capabilities, and possible cultural differences of the residents;
(2) prepare a monthly calendar of planned
				  group activities in a format that is legible and shall be posted in a location
				  accessible to residents by the first day of each month, and updated when there
				  are any changes;
(3) involve
				  community resources, such as recreational, volunteer, and religious
				  organizations, to enhance the activities available to residents;
(4) evaluate and document the overall
				  effectiveness of the activities program at least every six months with input
				  from the residents to determine what have been the most valued activities and
				  to elicit suggestions of ways to enhance the program;
(5) encourage residents to participate in
				  activities; and
(6) assure there
				  are supplies necessary for planned activities, supervision, and assistance to
				  enable each resident to participate. Aides and other facility staff may be used
				  to assist with activities.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0900 - RESIDENT CARE AND SERVICES › Section 13G .0906 - OTHER RESIDENT SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(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, shopping and
				  recreational facilities, and religious activities of the resident's choice. The
				  resident is not to be charged any additional fee for this service. Sources of
				  transportation may include community resources, public systems, volunteer
				  programs, family members as well as facility vehicles.
(b) Mail.
(1) Residents shall receive their mail
				  promptly and it must be unopened unless there is a written, witnessed request
				  authorizing management staff to open and read mail to the resident. This
				  request must be recorded on Form DSS-1865, the Resident Register or the
				  equivalent;
(2) Outgoing mail
				  written by a resident shall not be censored; and
(3) Residents shall be encouraged and
				  assisted, if necessary, to correspond by mail with close relatives and friends.
				  Residents shall have access to writing materials, stationery and postage and,
				  upon request, the home is to provide such items at cost. It is not the home's
				  obligation to pay for these items.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0900 - RESIDENT CARE AND SERVICES › Section 13G .0908 - EXPIRED - COOPERATION WITH CASE MANAGERS

Current through Register Vol. 39, No. 2, July 15, 2024
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.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .0900 - RESIDENT CARE AND SERVICES › Section 13G .0909 - RESIDENT RIGHTS

Current through Register Vol. 39, No. 2, July 15, 2024
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.
Authority
					 G.S.
					 131D-2.16;
					 131D-21;
					 143B-165;
Temporary
					 Adoption Eff. July 1, 2004;
Eff. July 1, 2005;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1000 - MEDICATIONS › Section 13G .1001 - MEDICATION ADMINISTRATION POLICIES AND PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
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 responsible for medication administration prior to their
				  administering or supervising the administration of medications; and
(2) compliance of medication policies and
				  procedures with requirements of this Section and all applicable state and
				  federal regulations, including definitions in the North Carolina Pharmacy
				  Practice Act,
				  G.S.
				  90-85.3.
For the purposes of this Subchapter, medications include
					 herbal and non-herbal supplements.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. December 1, 1999;
Eff. July 1, 2000;
Amended Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1000 - MEDICATIONS › Section 13G .1002 - MEDICATION ORDERS

Current through Register Vol. 39, No. 2, July 15, 2024
(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 not dated and signed within 24 hours of
				  admission or readmission to the facility;
(2) if orders are not clear or complete;
				  or
(3) if multiple admission forms
				  are received upon admission or readmission and orders on the forms are not the
				  same.
The facility shall ensure that this verification or
					 clarification is documented in the resident's record.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1000 - MEDICATIONS › Section 13G .1003 - MEDICATION LABELS

Current through Register Vol. 39, No. 2, July 15, 2024
(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 resident for whom the
				  medication is prescribed;
(2) the
				  most recent date of issuance;
(3)
				  the name of the prescriber;
(4) the
				  name and concentration of the medication, quantity dispensed, and prescription
				  serial number;
(5) unabbreviated
				  directions for use stated;
(6) a
				  statement of generic equivalency shall be indicated if a brand other than the
				  brand prescribed is dispensed;
(7)
				  the expiration date, unless dispensed in a single unit or unit dose package
				  that already has an expiration date;
(8) auxiliary information as required of the
				  medication;
(9) the name, address,
				  and telephone number of the dispensing pharmacy; and
(10) the name or initials of the dispensing
				  pharmacist.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1000 - MEDICATIONS › Section 13G .1004 - MEDICATION ADMINISTRATION

Current through Register Vol. 39, No. 2, July 15, 2024
(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 maintained in the resident's record;
				  and
(2) rules in this Section and
				  the facility's policies and procedures.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1000 - MEDICATIONS › Section 13G .1005 - SELF-ADMINISTRATION OF MEDICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(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 legally authorized to prescribe medications in North
				  Carolina and documented in the resident's record; and
(2) specific instructions for administration
				  of prescription medications are printed on the medication label.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1000 - MEDICATIONS › Section 13G .1006 - MEDICATION STORAGE

Current through Register Vol. 39, No. 2, July 15, 2024
(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 medicationsstored by the facility, including
				  those requiring refrigeration, shall be maintained under locked security except
				  when under the direct physical supervision of staff in charge of medication
				  administration.
(c) The medication
				  storage area shall be routinely cleaned, include functional lighting,
				  ventilated to circulate fresh air, large enough to store medications in an
				  orderly manner, and located in areas other than the bathroom, kitchen or
				  utility room. Medication carts shall be routinely cleaned and medications shall
				  be stored in an orderly manner.
(d)
				  Locked storage areas for medications shall only be by staff responsible for
				  medication administration, the administrator, or the
				  administrator-in-charge.
(e)
				  Medications intended for topical or external use, except for ophthalmic, otic,
				  and transdermal medications, shall be stored in a designated area separate from
				  the medications intended for oral and injectable use. Ophthalmic, otic, and
				  transdermal medications may be stored with medications intended for oral and
				  injectable use. Medications shall be stored apart from cleaning agents and
				  hazardous chemicals.
(f)
				  Medications requiring refrigeration shall be stored at 36 degrees F to 46
				  degrees F (2 degrees C to 8 degrees C).
(g) Medications shall not be stored in a
				  refrigerator containing non-medications and non-medication related items,
				  except when stored in a separate container. The container shall be locked when
				  storing medications unless the refrigerator is locked or is located in a locked
				  medication area.
(h) The facility
				  shall only possess a stock of non-prescription medications or the following
				  prescription legend medications for general or common use in accordance with
				  physicians' orders:
(1) irrigation solutions
				  in single unit quantities exceeding 49 ml. and related diagnostic
				  agents;
(2) diagnostic
				  agents;
(3) vaccines; and
(4) water for injection and normal saline for
				  injection.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1000 - MEDICATIONS › Section 13G .1007 - MEDICATION DISPOSITION

Current through Register Vol. 39, No. 2, July 15, 2024
(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, other staff
				  orresidents according to Rule .1004(o) of this Subchapter.
(b) Medications, excluding controlled
				  medications, that are expired, discontinued, prescribed for a deceased resident
				  or deteriorated shall be stored separately from actively usedmedications until
				  disposed of.
(c)
				  Medications,excluding controlled medications, shall be destroyed at the
				  facilityor returned to a pharmacy within 90 days of the expiration or
				  discontinuation of medication or following the death of the resident.
(d) All medications destroyed at the facility
				  shall be destroyed by the administrator or the administrator's designee and
				  witnessed by a pharmacist, a dispensing practitioner, or their designee. The
				  destruction shall be conducted so that no person can use, administer, sell or
				  give away the medication.
(e)
				  Records of medications destroyed or returned to the pharmacy shall include the
				  resident's name, the name and strength of the medication, the amount destroyed
				  or returned, the method of destruction if destroyed in the facility and the
				  signature of the administrator or the administrator's designee and the
				  signature of the pharmacist, dispensing practitioner or their designee. These
				  records shall be maintained by the facility for a minimum of one
				  year.
(f) A dose of any medication
				  prepared for administration and accidentally contaminated or not administered
				  shall be destroyed at the facility according to the facility's policies and
				  procedures.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 143B-165;
Temporary
					 Adoption Eff. December 1, 1999;
Eff. July 1, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1000 - MEDICATIONS › Section 13G .1009 - PHARMACEUTICAL CARE

Current through Register Vol. 39, No. 2, July 15, 2024
(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 residentsor more frequently as determined by the Department, based on the
				  documentation of significant medication problems identifiedduring monitoring
				  visits or other investigations in which the safety of the residents may be at
				  risk. Pharmaceutical care involves the identification, prevention and
				  resolution of medication related problems which includes at least the
				  following:
(1) an on-site medication review
				  for each resident which includes at least the following:
(A) the review of information in the
				  resident's record such as diagnoses, history and physical, discharge summary,
				  vital signs, physician's orders, progress notes, laboratory values and
				  medication administration records, including current medication administration
				  records, to determine that medications are administered as prescribed and
				  ensure that any undesired side effects, potential and actual medication
				  reactions or interactions, and medication errors are identified and reported to
				  the appropriate prescribing practitioner; and,
(B) making recommendations for change, if
				  necessary, based on desired medication outcomes and ensuring that the
				  appropriate prescribing practitioner is so informed; and,
(C) documenting the results of the medication
				  review in the resident's record;
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1100 - MANAGEMENT OF RESIDENT'S FUNDS AND REFUNDS › Section 13G .1101 - MANAGEMENT OF RESIDENT'S FUNDS

Current through Register Vol. 39, No. 2, July 15, 2024
(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 designated in
				  accordance with Rule.1102 of this Section.
(c) Residents shall endorse checks made out
				  to them unless a legal representative or payee has been authorized to endorse
				  checks.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1, 1984;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1100 - MANAGEMENT OF RESIDENT'S FUNDS AND REFUNDS › Section 13G .1102 - AUTHORIZED REPRESENTATIVE

Current through Register Vol. 39, No. 2, July 15, 2024
(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
				  regarding the need for an authorized representative. For the purposes of this
				  Section, an "authorized representative" shall mean a person who is legally
				  authorized or designated in writing by the resident to act on his or her behalf
				  in the management of their funds.
(b) The administrator and other staff of the
				  facility shall not serve as a resident's authorized representative, payee, or
				  executor of a will, except in the case of funds administered by the Social
				  Security Administration, the Veteran's Administration or other federal
				  government agencies. The administrator of the facility may serve as a payee
				  when so authorized as a legally constituted authority by the respective federal
				  agencies.
(c) The administrator
				  shall give the resident's authorized representative receipts for any monies
				  received on behalf of the resident.
Authority
					 G.S.
					 35A-1203;
					 108A-37;
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1, 1984.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1100 - MANAGEMENT OF RESIDENT'S FUNDS AND REFUNDS › Section 13G .1103 - ACCOUNTING FOR RESIDENT'S PERSONAL FUNDS

Current through Register Vol. 39, No. 2, July 15, 2024
(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 statement is marked by the resident,
				  there shall be one witness signature. For residents who have been adjudicated
				  incompetent, the signature of the resident's authorized representative shall be
				  required. Witnesses cannot include the staff handling the residents' personal
				  funds transactions. The statement shall be maintained in the
				  facility.
(b) No employee of a
				  facility shall handle the personal funds for a resident, except for the
				  facility administrator or the administrator's designee after having received
				  prior written authorization from the resident or the resident's authorized
				  representative. The facility administrator or their designee shall maintain an
				  accurate account balance and accounting of all funds received, disbursements,
				  and the balance on hand which shall be available upon request to the resident
				  or their authorized representative during the facility's regular business
				  office hours.
(c) The facility
				  shall provide each resident or the resident's authorized representative a
				  written monthly accounting of the resident's funds handled by the administrator
				  or the administrator's designee. The facility shall maintain at the facility a
				  record signed by the resident or their authorized representative indicating
				  whether the resident or their authorized representative agrees that the monthly
				  accounting is accurate. The records shall be maintained by the facility for at
				  least one year.
(d) A resident's
				  personal funds shall not be commingled with facility funds. The facility shall
				  not commingle the personal funds of residents in an interest-bearing
				  account.
(e) All or any portion of
				  a resident's personal funds shall be available to the resident or their
				  authorized representative upon request during the facility's established
				  business days and hours except as provided in Rule .1105 of this
				  Subchapter.
(f) The resident's
				  personal needs allowance shall be credited to the resident's account within one
				  business day of the funds being available in the facility's resident personal
				  funds account.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff. April
					 1, 1984;
Amended Eff. July 1, 2005; April 1,
					 1987.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1100 - MANAGEMENT OF RESIDENT'S FUNDS AND REFUNDS › Section 13G .1104 - REFUND POLICY

Current through Register Vol. 39, No. 2, July 15, 2024
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.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; July 1, 1990;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1100 - MANAGEMENT OF RESIDENT'S FUNDS AND REFUNDS › Section 13G .1105 - REFUND OF PERSONAL FUNDS

Current through Register Vol. 39, No. 2, July 15, 2024
(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 the
				  resident's leaving a family care home.
(b) If a resident dies, the administrator of
				  his estate or the Clerk of Superior Court, when no administrator for his estate
				  has been appointed, shall be given all of his personal funds within 30 days
				  after death.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1, 1984;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1201 - RESIDENT RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
(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 Health Service Regulation and county departments of social
				  services.
(1) FL-2 or MR-2 Forms and patient
				  transfer form or hospital discharge summary, when applicable;
(2) Resident Register;
(3) receipt for the following as required in
				  Rule.0704 of this Subchapter:
(A) contract
				  for services, accommodations and rates;
(B) house rules as specified in Rule.0704(2)
				  of this Subchapter;
(C) Declaration
				  of Residents' Rights (G.S.
				  131D-21);
(D) home's grievance procedures;
				  and
(E) civil rights
				  statement;
(4) resident
				  assessment and care plan;
(5)
				  contacts with the resident's physician, physician service or other licensed
				  health professional as required in Rule.0902 of this Subchapter;
(6) orders or written treatments or
				  procedures from a physician or other licensed health professional and their
				  implementation;
(7) documentation
				  of immunizations against influenza virus and pneumococcal disease according to
				  G.S.
				  131D-9 or the reason the resident did not
				  receive the immunizations based on this law; and
(8) the Adult Care Home Notice of Discharge
				  and Adult Care Home Hearing Request Form if the resident is being or has been
				  discharged.
When a resident leaves the facility for a medical
					 evaluation, records necessary for that medical evaluation such as Items (1),
					 (4), (5), (6) and (7) above may be sent with the resident.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1202 - TRANSFER OF RESIDENT'S RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
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 was completed more than
				  90 days before the move; or
(2)
				  There has been an apparent change in the mental or physical condition of the
				  resident.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 1990; April 1, 1984;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1203 - DISPOSAL OF RESIDENT'S RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
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.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005; April 1, 1987; April 1, 1984;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1204 - REPEALED - REPORT OF ADMISSIONS AND DISCHARGES

Current through Register Vol. 39, No. 2, July 15, 2024
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.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1205 - REPEALED - POPULATION REPORT

Current through Register Vol. 39, No. 2, July 15, 2024
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.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1206 - HEALTH CARE PERSONNEL REGISTRY

Current through Register Vol. 39, No. 2, July 15, 2024
The facility shall comply with
					 G.S.
					 131E-256 and supporting Rules
					 10A NCAC
					 13O.0101 and
					 13O.0101 .0102.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 131E-256;
					 143B-165;
Temporary
					 Adoption Eff. January 1, 2000;
Eff. July 1, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1207 - MARKETING

Current through Register Vol. 39, No. 2, July 15, 2024
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.
Authority
					 G.S.
					 131D-2.1;
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. April 1, 1984;
Readopted Eff. January 1,
					 2020.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1208 - FACILITIES TO REPORT RESIDENT DEATHS

Current through Register Vol. 39, No. 2, July 15, 2024
The facility shall report resident deaths to the Division
					 of Health Service Regulation, in accordance with
					 G.S.
					 131D-34.1.
Authority
					 G.S.
					 131D-2.4;
					 131D-2.16;
					 131D-34.1;
					 143B-165;
Temporary
					 Adoption Eff. May 1, 2001;
Eff. July 18, 2002;
Readopted Eff. October 1, 2022.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1209 - DEATH REPORTING PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
(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 staff
				  obtains information that the death occurred.
(b) A written notice containing the
				  information listed under Paragraph (d) of this Rule shall be made immediately
				  for the following:
(1) a resident death
				  occurring in an adult care home within seven days of the use of a physical
				  restraint or physical hold on the resident; or
(2) a resident death occurring within 24
				  hours of the resident's transfer from the adult care home to a hospital, if the
				  death occurred within seven days of physical restraint or physical hold of the
				  resident.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1210 - DEFINITIONS APPLICABLE TO DEATH REPORTING

Current through Register Vol. 39, No. 2, July 15, 2024
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, falls, fractures, choking,
				  elopement, exposure, poisoning, drowning, fire, burns, or thermal injury,
				  electrocution, misuse of equipment, motor vehicle accidents, and natural
				  disasters.
(2) "Immediately" means
				  at once, at or near the present time, without delay.
(3) "Violence" means physical force exerted
				  for the purpose of violating, damaging, abusing or injuring. or abusing another
				  person.
Authority
					 G.S.
					 131D-2.16;
					 131D-34.1;
					 143B-165;
Temporary
					 Adoption Eff. May 1, 2001;
Eff. July 18, 2002;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1211 - WRITTEN POLICIES AND PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
(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, including self-administration,
				  and monitoring the resident's reaction to medications, as developed in
				  consultation with a licensed health professional who is authorized to dispense
				  or administer medications;
(2) use
				  of alternatives to physical restraints and the care of residents who are
				  physically restrained, as developed in consultation with a registered
				  nurse;
(3) accident, fire safety
				  and emergency procedures;
(4)
				  infection control;
(5)
				  refunds;
(6) missing
				  resident;
(7) identification and
				  supervision of wandering residents;
(8) management of physical aggression or
				  assault by a resident;
(9) handling
				  of resident grievances;
(10)
				  visitation in the facility by guests; and
(11) smoking and alcohol use.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1212 - RECORD OF STAFF QUALIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
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 one location among the clustered
					 facilities.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Temporary
					 Adoption Eff. July 1, 2004;
Eff. July 1, 2005;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. February 16,
					 2019.
North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter G - LICENSING OF FAMILY CARE HOMES › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13G .1213 - REPORTING OF ACCIDENTS AND INCIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(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 emergency evaluation,
				  hospitalization, or medical treatment other than first aid.
(b) Notification as required in Paragraph (a)
				  of this Rule shall be by a copy of the death report completed according to Rule
				  .1208 of this Subchapter or a written report that shall provide the following
				  information:
(1) resident's name;
(2) name of staff who discovered the accident
				  or incident;
(3) name of the person
				  preparing the report;
(4) how, when
				  and where the accident or incident occurred;
(5) nature of the injury;
(6) what was done for the resident, including
				  any follow-up care;
(7) time of
				  notification or attempts at notification of the resident's responsible person
				  or contact person as required in Paragraph (e) of this Rule; and
(8) signature of the administrator or
				  administrator-in-charge.