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 .0600 - STAFFING
Section 13F .0608 - STAFFING FOR FACILITIES WITH A CENSUS OF 21 OR MORE RESIDENTS

Universal Citation: 10A NC Admin Code 13F .0608

Current through Register Vol. 39, No. 6, September 16, 2024

(a) Each facility with a census of 21 or more residents shall have staff on duty to meet the needs of the residents.

(b) In addition to the requirement in Paragraph (a) of this Rule, each facility with a census of 21 or more residents shall comply with the following staffing requirements:

(1) On first shift and second shift, the total aide duty hours shall be at least:
(A) 16 hours of aide duty for facilities with a census of 21 to 40 residents.

(B) 20 hours of aide duty for facilities with a census of 41 to 50 residents.

(C) 24 hours of aide duty for facilities with a census of 51 to 60 residents.

(D) 28 hours of aide duty for facilities with a census of 61 to 70 residents.

(E) 32 hours of aide duty for facilities with a census of 71 to 80 residents.

(F) 36 hours of aide duty for facilities with a census of 81 to 90 residents.

(G) 40 hours of aide duty for facilities with a census of 91 to 100 residents.

(H) 44 hours of aide duty for facilities with a census of 101 to 110 residents.

(I) 48 hours of aide duty for facilities with a census of 111 to 120 residents.

(J) 52 hours of aide duty for facilities with a census of 121 to 130 residents.

(K) 56 hours of aide duty for facilities with a census of 131 to 140 residents.

(L) 60 hours of aide duty for facilities with a census of 141 to 150 residents.

(M) 64 hours of aide duty for facilities with a census of 151 to 160 residents.

(N) 68 hours of aide duty for facilities with a census of 161 to 170 residents.

(O) 72 hours of aide duty for facilities with a census of 171 to 180 residents.

(P) 76 hours of aide duty for facilities with a census of 181 to 190 residents.

(Q) 80 hours of aide duty for facilities with a census of 191 to 200 residents.

(R) 84 hours of aide duty for facilities with a census of 201 to 210 residents.

(S) 88 hours of aide duty for facilities with a census of 211 to 220 residents.

(T) 92 hours of aide duty for facilities with a census of 221 to 230 residents.

(U) 96 hours of aide duty for facilities with a census of 231 to 240 residents.

(2) On third shift, the total aide duty hours shall be at least:
(A) 8 hours of aide duty for facilities with a census of 21 to 30 residents.

(B) 16 hours of aide duty for facilities with a census of 31 to 60 residents.

(C) 24 hours of aide duty for facilities with a census of 61 to 90 residents.

(D) 32 hours of aide duty for facilities with a census of 91 to 120 residents.

(E) 40 hours of aide duty for facilities with a census of 121 to 150 residents.

(F) 48 hours of aide duty for facilities with a census of 151 to 180 residents.

(G) 56 hours of aide duty for facilities with a census of 181 to 210 residents.

(H) 64 hours of aide duty for facilities with a census of 211 to 240 residents.

(3) If the Department determines the needs of the residents at a facility are not being met by staffing requirements of Paragraph (b) of this Rule, the Department shall require the facility to employ staff to meet the needs of the residents.

(b) The aide shall provide personal care services and supervision needed by the residents.

(c) Aides shall not provide housekeeping duties except:

(1) Between the hours of 7:00 a.m. to 9:00 p.m.:
(A) to prevent an accident or injury;

(B) when occasionally attending to an individual resident housekeeping need; and

(C) when the number of aides on duty exceeds the minimum required by Paragraph (a) of this Rule.

(2) Between the hours of 9:00 p.m. to 7:00 a.m., as long as the housekeeping duties do not:
(A) hinder the aide's care of residents or immediate response to resident calls;

(B) do not disrupt the residents' normal lifestyles and sleeping patterns; and

(C) do not take the aide out of view of where the residents are as the aide shall be prepared to care for the residents since that remains his or her primary duty.

(d) Aides shall not be assigned food service duties except when providing assistance to individual residents who need help with eating and carrying plates, trays, or beverages to residents.

(e) In addition to the staffing required for management and aide duties, there shall be additional staff to perform housekeeping and food service duties.

Note: The following chart illustrates the required aide, supervisory and management staffing requirements for each eight-hour shift in facilities with a census of 21 or more residents according to Rules .0602, .0603, .0604, .0608, and .0609 of this Section.

Census

Position Type

First Shift

Second Shift

Third Shift

21 - 30

Aide

16

16

8

Supervisor

Not Required

Not Required

Not Required

Administrator

In the building, or within 500 feet and immediately available.

31-40

Aide

16

16

16

Supervisor

8*

8*

In the building, or within 500 feet and immediately available.**

Administrator

On call

41-50

Aide

20

20

16

Supervisor

8*

8*

In the building, or within 500 feet and immediately available.**

Administrator

On call

51-60

Aide

24

24

16

Supervisor

8*

8*

In the building, or within 500 feet and immediately available.**

Administrator

On call

61-70

Aide

28

28

24

Supervisor

8*

8*

4 hours within the facility/4 hours within 500 feet and immediately available.**

Administrator

On call

71-80

Aide

32

32

24

Supervisor

8

8

4 hours within the facility/4 hours within 500 feet and immediately available.**

Administrator

On call

81-90

Aide

36

36

24

Supervisor

8

8

4 hours within the facility/4 hours within500 feet and immediately available.**

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

91-100

Aide

40

40

32

Supervisor

8

8

8**

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

101-110

Aide

44

44

32

Supervisor

8

8

8**

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

111-120

Aide

48

48

32

Supervisor

8

8

8**

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

121-130

Aide

52

52

40

Supervisor

8

8

8

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

131-140

Aide

56

56

40

Supervisor

8

8

8

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call

141-150

Aide

60

60

40

Supervisor

8

8

8

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

151-160

Aide

64

64

48

Supervisor

16

16

8

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

161-170

Aide

68

68

48

Supervisor

16

16

8

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

171-180

Aide

72

72

48

Supervisor

16

16

8

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

181-190

Aide

76

76

56

Supervisor

16

16

8

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

191-200

Aide

80

80

56

Supervisor

16

16

8

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

201-210

Aide

84

84

56

Supervisor

16

16

8

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

211-220

Aide

88

88

64

Supervisor

16

16

16

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

221-230

Aide

92

92

64

Supervisor

16

16

16

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

231-240

Aide

96

96

64

Supervisor

24

24

16

Administrator

5 days/week: Minimum of 40 hours. When not in facility, on call.

*Supervisor may conduct up to four hours of aide duty.

** Supervisor's time on duty in the facility may be counted as required aide duty if the facility is sprinklered

Disclaimer: These regulations may not be the most recent version. North Carolina may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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