North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 13 - NC MEDICAL CARE COMMISSION › Subchapter D - RULES FOR THE LICENSING OF NURSING HOMES › Section .2300 - PATIENT AND RESIDENT CARE AND SERVICES › Section 13D .2305 - QUALITY OF CARE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The facility
				  shall provide necessary care and services in accordance with medical orders,
				  the patient's comprehensive assessment and on-going plan of care.
(b) Acute changes in the patient's physical,
				  mental or psychosocial status shall be evaluated and reported to the physician
				  or other persons legally authorized to perform medical acts.
(c) The facility shall not utilize any
				  chemical or physical restraints for the purpose of discipline or convenience,
				  and that are not required to treat the patient's medical condition. An
				  evaluation shall be done to ensure that the least restrictive means of
				  restraint have been initiated on patients requiring restraints.
(d) The facility shall ensure that all
				  patients who are unable to perform activities of daily living receive the
				  necessary assistance to maintain good grooming, and oral and personal hygiene.
				  The facility shall ensure appropriate measures are taken to restore the
				  patient's ability to bathe, dress, groom, transfer and ambulate, toilet and
				  eat.
(e) The facility shall ensure
				  measures are taken to prevent the formation of pressure sores and to promote
				  healing of existing pressure sores. The facility shall ensure that patients
				  with limited mobility receive appropriate care to promote comfort and maintain
				  skin integrity.
(f) The facility
				  shall ensure that in-dwelling catheters are not used unless the patient's
				  clinical condition necessitates their use. The facility shall ensure
				  incontinent patients receive appropriate treatment to prevent infections and to
				  regain continence to the degree possible.
(g) The facility shall ensure that patients
				  with limited range of motion, or who are at risk for loss of range of motion,
				  receive treatment services to prevent development of contractures or
				  deformities, and to obtain and maintain their optimal level of
				  functioning.
(h) The facility shall
				  ensure that patients who are unable to feed themselves receive the appropriate
				  assistance, retraining and assistive devices when needed.
(i) The facility shall ensure that enteral
				  feeding tubes are used only when the patient's condition indicates the use of
				  an enteral feeding tube is unavoidable.
(j) The facility shall ensure that patients
				  fed by enteral feeding tubes receive the proper treatment to avoid aspiration
				  pneumonia, metabolic and gastrointestinal problems, and to restore the patient
				  to the highest practicable level of normal feeding function. The facility shall
				  ensure appropriate care and services are provided to address needs related to
				  hydration and nutrition.
(k) The
				  facility shall ensure that patients requiring special respiratory care receive
				  appropriate services.
(l) The
				  facility shall ensure that patients are assisted to utilize personal visual
				  lenses, hearing aids and dentures.
Authority
					 G.S.
					 131E-104;
Eff. January 1,
					 1996;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 22,
					 2015.