10A NCAC 13F .1212††††††† REPORTING OF ACCIDENTS AND INCIDENTS

(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)†††††††††† residentís 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.

(c)† The report as required in Paragraph (b) of this Rule shall be submitted to the county department of social services by mail, telefacsimile, electronic mail, or in person within 48 hours of the initial discovery or knowledge by staff of the accident or incident.

(d)† The facility shall immediately notify the county department of social services in accordance with G.S. 108A-102 and the local law enforcement authority as required by law of any mental or physical abuse, neglect or exploitation of a resident.

(e)† The facility shall assure the notification of a resident's responsible person or contact person, as indicated on the Resident Register, of the following, unless the resident or his responsible person or contact person objects to such notification:

(1)†††††††††† any injury to or illness of the resident requiring medical treatment or referral for emergency medical evaluation, with notification to be as soon as possible but no later than 24 hours from the time of the initial discovery or knowledge of the injury or illness by staff and documented in the resident's file; and

(2)†††††††††† any incident of the resident falling or elopement which does not result in injury requiring medical treatment or referral for emergency medical evaluation, with notification to be as soon as possible but not later than 48 hours from the time of initial discovery or knowledge of the incident by staff and documented in the resident's file, except for elopement requiring immediate notification according to Rule .0906(f)(4) of this Subchapter.

(f)† When a resident is at risk that death or physical harm will occur as a result of† physical violence by another person, the facility shall immediately report the situation to the local law enforcement authority.

(g)† In the case of physical assault by a resident or whenever there is a risk that death or physical harm will occur due to the actions or behavior of a resident, the facility shall immediately:

(1)†††††††††† seek the assistance of the local law enforcement authority;

(2)†††††††††† provide additional supervision of the threatening resident to protect others from harm;

(3)†††††††††† seek any needed emergency medical treatment;

(4)†††††††††† make a referral to the Local Management Entity for Mental Health Services or mental health provider for emergency treatment of the threatening resident; and

(5)†††††††††† cooperate with assessment personnel assigned to the case by the Local Management Entity for Mental Health Services or mental health provider to enable them to provide their earliest possible assessment.

(h)† The facility shall immediately report any assault resulting in harm to a resident or other person in the facility to the local law enforcement authority.

 

History Note:††††††† Authority G.S. 131D-2.16; 143B-165;

Eff. July 1, 2005.