reglab/statecodes huggingface dataset:
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 .0704 - RESIDENT CONTRACT, INFORMATION ON FACILITY, AND RESIDENT REGISTER

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult
				  care home administrator or their management designee 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 and 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 management designee
				  and the resident or the resident's authorized representative, 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
				  contract or an amendment to 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 adult care home rate
				  that may be charged to Special Assistance recipients as established by the
				  North Carolina Social Services Commission and the North Carolina General
				  Assembly.
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 .0800 - RESIDENT ASSESSMENT AND CARE PLAN › Section 13F .0802 - RESIDENT CARE PLAN

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult 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 is 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
				  Section.
(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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0900 - RESIDENT CARE AND SERVICES › Section 13F .0901 - PERSONAL CARE AND SUPERVISION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Adult
				  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 attendtofor themselves.
(b) Staff shall provide supervision of
				  residents in accordance with each resident'sassessed 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; April 1, 2004; April 1, 1984;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
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 .0902 - HEALTH CARE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0900 - RESIDENT CARE AND SERVICES › Section 13F .0904 - NUTRITION AND FOOD SERVICE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Food
				  Procurement and Safety in Adult Care Homes:
(1) Facilities with a licensed capacity of 7
				  to 12 residents shall ensure food services 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 and beverage under sanitary conditions.
(2) Facilities with a licensed capacity of 13
				  or more residents shall ensure food services comply with Rules Governing the
				  Sanitation of Hospitals, Nursing Homes, Adult Care Homes and Other Institutions
				  set forth in
				  15A NCAC
				  18A .1300 which are hereby incorporated by
				  reference, including subsequent amendments, assuring storage, preparation, and
				  serving of food and beverage under sanitary conditions.
(3) Only meat processed at a USDA-approved
				  processing plant shall be served.
(4) 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0900 - RESIDENT CARE AND SERVICES › Section 13F .0905 - ACTIVITIES PROGRAM

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Each adult 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0900 - RESIDENT CARE AND SERVICES › Section 13F .0906 - OTHER RESIDENT CARE AND SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				  Transportation. The administrator shall assure the provision of transportation
				  for the residents of adult care homes 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 shall not 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 shall be unopened unless there is a written, witnessed request
				  authorizing management staff to open and read mail to the resident. This
				  request shall 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 shall 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .0900 - RESIDENT CARE AND SERVICES › Section 13F .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;
Temporary Amendment Eff. July 1, 2003;
Amended Eff. June 1,
					 2004;
Expired Eff. April 1, 2018 pursuant to
					 G.S.
					 150B-21.3A.
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 .0909 - RESIDENT RIGHTS

Current through Register Vol. 39, No. 2, July 15, 2024
An adult 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. March 6,
					 2018.
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 .1000 - MEDICATIONS › Section 13F .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, an adult 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;
Eff.
					 January 1, 1977;
Amended Eff. April 22, 1977;
Readopted
					 Eff. October 31, 1977;
Amended Eff. April 1, 1984;
Temporary Amendment Eff. December 1, 1999;
Amended Eff. July 1,
					 2005; July 1, 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
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 .1000 - MEDICATIONS › Section 13F .1002 - MEDICATION ORDERS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1000 - MEDICATIONS › Section 13F .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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1000 - MEDICATIONS › Section 13F .1004 - MEDICATION ADMINISTRATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An
				  adult 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1000 - MEDICATIONS › Section 13F .1005 - SELF-ADMINISTRATION OF MEDICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An
				  adult care home 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1000 - MEDICATIONS › Section 13F .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 adult care home's medication
				  storage policy and procedures.
(b)
				  All prescription and non-prescription medications stored 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 accessible 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
				  may 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1000 - MEDICATIONS › Section 13F .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 or
				  residents 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 used medications until
				  disposed of.
(c) Medications,
				  excluding controlled medications, shall be destroyed at the facility or
				  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 licensed pharmacist, dispensing practitioner, or designee of a
				  licensed pharmacist or dispensing practitioner. 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 licensed pharmacist, dispensing practitioner or designee of
				  the licensed pharmacist or dispensing practitioner. 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;
Eff. July
					 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
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 .1000 - MEDICATIONS › Section 13F .1009 - PHARMACEUTICAL CARE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An adult care
				  home shall obtain the services of a licensed pharmacist or a prescribing
				  practitioner for the provision of pharmaceutical care at least quarterly. The
				  Department may require more frequent visits if it documents during monitoring
				  visits or other investigations that there are medication problems in which the
				  safety of residents may be at risk.
Pharmaceutical care involves the identification, prevention
					 and resolution of medication related problems which includes the
					 following:
(1) an on-site medication
				  review for each resident which includes 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1100 - RESIDENT'S FUNDS AND REFUNDS › Section 13F .1101 - MANAGEMENT OF RESIDENTS 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.1103 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.
					 35A-1203;
					 108A-37;
					 131D-2.16;
					 143B-165;
Eff.
					 January 1, 1977;
Readopted Eff. October 31, 1977;
Amended Eff. July 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
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 .1100 - RESIDENT'S FUNDS AND REFUNDS › Section 13F .1102 - REFUND POLICY

Current through Register Vol. 39, No. 2, July 15, 2024
An adult care home's refund policies shall be in writing
					 and signed by the administrator. A copy shall be given to each 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;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
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 .1100 - RESIDENT'S FUNDS AND REFUNDS › Section 13F .1103 - AUTHORIZED REPRESENTATIVE

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				  situations where the facility determines a resident of an adult care home is
				  unable to manage their monetary funds, the administrator shall contact the
				  resident's 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
				  home 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 or payee receipts for any
				  monies received on behalf of the resident.
Authority
					 G.S.
					 35A-1203;
					 108A-37;
					 131D-2.16;
					 143B-165;
Eff. July
					 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
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 .1100 - RESIDENT'S FUNDS AND REFUNDS › Section 13F .1104 - 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
				  Section.
(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. July
					 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
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 .1100 - RESIDENT'S FUNDS AND REFUNDS › Section 13F .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 the 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. July
					 1, 2005;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
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 .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .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 adult 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 the
				  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(a)(2) of this Subchapter;
(C)
				  Declaration of Residents' Rights (G.S.
				  131D-21);
(D) the 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 Subparagraphs
					 (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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1202 - DISPOSAL OF RESIDENT RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
After a resident has left an adult care home or died, the
					 resident's records shall be filed in the facility 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;
Temporary Amendment Eff. July 1, 2003;
Amended Eff. July 1, 2005;
					 June 1, 2004;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6,
					 2018.
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 .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1203 - REPEALED - REPORT OF ADMISSIONS AND DISCHARGES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
					 G.S.
					 131D-2;
					 143B-165; S.L.
					 2002-0160;
Eff. January 1, 1977;
Readopted Eff. October
					 31, 1977;
Temporary Amendment Eff. July 1, 2003;
Amended Eff. June 1, 2004;
Repealed Eff. July 1,
					 2005.
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 .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1204 - 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;
Temporary Amendment Eff. July 1, 2003;
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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1205 - 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. March 6,
					 2018.
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 .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1206 - MARKETING

Current through Register Vol. 39, No. 2, July 15, 2024
An adult 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;
Temporary Amendment Eff. July 1, 2003;
Amended Eff. July 1,
					 2004;
Readopted Eff. January 1,
					 2020.
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 .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1207 - FACILTIES 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;
Pursuant
					 to G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. March 6, 2018;
Amended Eff.
					 October 1, 2022.
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 .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1208 - DEATH REPORTING REQUIREMENTS

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 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1209 - 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;
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. March 6,
					 2018.
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 .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1210 - RECORD OF STAFF QUALIFICATIONS

Current through Register Vol. 39, No. 2, July 15, 2024
An adult 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. March 6,
					 2018.
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 .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1211 - WRITTEN POLICIES AND PROCEDURES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An
				  adult 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 F - LICENSING OF ADULT CARE HOMES OF SEVEN OR MORE BEDS › Section .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1212 - REPORTING OF ACCIDENTS AND INCIDENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An
				  adult 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 medical
				  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.
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 .1200 - POLICIES, RECORDS AND REPORTS › Section 13F .1213 - AVAILABILITY OF CORRECTIVE ACTION AND SURVEY REPORTS

Current through Register Vol. 39, No. 2, July 15, 2024
An adult care home shall make available to residents and
					 their families or responsible persons and to prospective residents and their
					 families or responsible persons, upon request and in a location accessible to
					 residents and visitors in the home the following:
(1) the most recent annual or biennial and
				  subsequent facility survey reports issued by the Adult Care Licensure Section
				  of the Division of Health Service Regulation;
(2) any other reports issued by the Adult
				  Care Licensure Section of the Division of Health Service Regulation within the
				  past 12 months; and
(3) corrective
				  action reports issued by the county department of social services within the
				  past 12 months.
Authority
					 G.S.
					 131D-2.16;
					 143B-165;
Eff. July
					 1, 2005;
Readopted Eff. January 1,
					 2022.
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 .1300 - SPECIAL CARE UNITS FOR ALZHEIMER AND RELATED DISORDERS › Section 13F .1301 - DEFINITIONS APPLICABLE TO SPECIAL CARE UNITS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions shall apply throughout this
					 Section:
(1) "Alzheimer's Disease"
				  means a progressive, degenerative disease that attacks the brain and results in
				  impaired memory, thinking and behavior. Characteristic symptoms of the disease
				  include gradual memory loss, impaired judgment, disorientation, personality
				  change, difficulty in learning, and loss of language skills.
(2) "Related disorders" means dementing or
				  memory impairing conditions characterized by irreversible memory
				  dysfunction.
(3) "Special care unit
				  for persons with Alzheimer's Disease or related disorders" means an entire
				  facility or any section, wing or hallway within an adult care home separated by
				  closed doors from the rest of the home, or a program provided by an adult care
				  home, that is designated or advertised especially for special care of residents
				  with Alzheimer's Disease or related disorders.
(4) "Care coordinator" means a staff person
				  in a special care unit who oversees resident care and coordinates, supervises
				  and evaluates resident services to assure that each resident receives services
				  appropriate to the individual's needs.
Authority
					 G.S.
					 131D-2.16;
					 131D-4.5;
					 131D-4.6;
					 131D-8;
					 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. March 6,
					 2018.