The governing board shall assure written policies and procedures which are available to and implemented by staff. These policies and procedures shall cover at least the following areas:

(1)           admissions;

(2)           dietary;

(3)           discharges with physician orders and patients or residents leaving against physician advice;

(4)           gratuities and solicitation which at a minimum shall provide that no owner, operator, agent or employee of a facility nor any member of his family shall accept a gratuity directly or indirectly from an patient or resident in the facility or solicit for any type of contribution;

(5)           housekeeping;

(6)           infection control which must include, but shall not be limited to, requirements for sterile, aseptic and isolation techniques; and communicable disease screening including, at a minimum, annual tuberculosis screening for all staff and inpatients of the facility;

(7)           maintenance of patient medical or health care records including charging or record keeping;

(8)           orientation of all facility personnel;

(9)           patient or resident care plans, treatment and other health care or nursing care, including but not limited to all policies and procedures required by rules contained in this Subchapter;

(10)         patients' or residents' rights;

(11)         physical evaluation for residents and patients at least annually;

(12)         physician services and utilization of the individual's private physician;

(13)         procurement of supplies and equipment to meet individual patient care needs;

(14)         protection of patients from abuse and neglect;

(15)         range of services provided;

(16)         recording and reporting to the department of accidents or incidents occurring to patients in any part of the facility and maintenance of such reports or records;

(17)         rehabilitation services;

(18)         release of medical record information;

(19)         screening and reporting communicable disease to the local health department; and

(20)         transfers.


History Note:        Authority G.S. 131E‑79;

Eff. February 1, 1986;

Amended Eff. March 1, 1990;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. July 22, 2017.