10A N.C. Admin. Code 13F.0102

Current through Register Vol. 39, No. 12, December 1, 2024

Section 13F .0102 - LIST OF DEFINITIONS

As used in this Subchapter, the following definitions shall apply:

(1) "Abuse" means the term as defined in G.S. 131D-2.1.

(2) "Activities of daily living" or "ADL's" means eating, dressing, bathing, toileting, bowel and bladder control, transfers, ambulation, and communication.

(3) "Acute care needs" means symptoms or a condition that develops quickly and is not a part of the resident's baseline health or mental health status or is a change or worsening in the symptoms of a resident's chronic condition, which may have a slower onset and worsen over time.

(4) "Administrator" means the term as defined in G.S. 90-288.13 and G.S. 131D-2.1.

(5) "Adult care home" means the term as defined in G.S. 131D-2.1.

(6) "Alternative examination" means a test developed and administered by the Department to meet the educational requirements of an activity director, administrator-in-charge, manager, or personal care aide supervisor for those applicants who do not possess a high school diploma or General Education Diploma (G.E.D.) prior to September 1, 2024.

(7) "Aide duty" means time spent by qualified staff providing assistance with activities of daily living, medication administration, or supervision of residents as determined by the resident's assessment, care plan, physician's orders, and current symptoms.

(8) "Department" means the North Carolina Department of Health and Human Services.

(9) "Discharge" means a resident's termination of their residency at the adult care home, resulting in the resident's move to another location.

(10) "Exploitation" means the term as defined in G.S. 131D-2.1.

(11) "Facility" means a licensed adult care home.

(12) "First shift" means the hours of work between 7:01 a.m. and 3:00 p.m.

(13) "Food service duties" means tasks performed by staff related to serving meals to residents, including assisting with food preparation, arranging and setting the dining tables, serving food and beverages, and cleaning the dining room after meal service is complete.

(14) "Housekeeping duties" means tasks performed by staff such as cleaning and sanitizing facility common areas and resident rooms.

(15) "Legal representative" means a person authorized by state or federal law (including, but not limited to, power of attorney, legal guardian, or representative payee) to act on behalf of the resident to support the resident in decision-making; access medical, social, or other personal information of the resident; and manage financial matters or receive notifications.

(16) "Long-term care" means a continuum of care and services available in an individual's community that provides the care and support required during a persistent or chronic health condition, such as when a person is unable to independently perform some or all activities of daily living or requires supervision due to physical or cognitive impairment.

(17) "Manager" means an individual responsible for the day-to-day operation of an adult care home in the absence of the administrator and under the direction and supervision of the administrator as described in Rule .0402 of this Subchapter.

(18) "Medication aide" means an individual who administers medications to residents and meets all requirements as set forth in Rule .0403 of this Subchapter.

(19) "Neglect" means the term as defined in G.S. 131D-2.1.

(20) "On-call" means able to be contacted by two-way telecommunication.

(21) "On-duty" in reference to an administrator means the administrator is on-site and directly responsible for the day-to-day operations of a facility. "On-duty" in reference to a manager means a manager designated by the administrator as required in Rule .0402 of this Subchapter and who is on-site and directly responsible for the day-to-day operations of a facility under the direction and supervision of the administrator.

(22) "Personal care aide" means a staff member who performs personal care services as defined by G.S. 131D-2.1.

(23) "Physical restraint" means any physical or mechanical device attached to or adjacent to the resident's body that the resident cannot remove easily, and which restricts freedom of movement or normal access to one's body.

(24) "Physician extender" means a licensed physician assistant or a licensed nurse practitioner.

(25) "Resident" means the term as defined in G.S. 131D-2.1.

(26) "Responsible person" means a person chosen by the resident to act on their behalf to support the resident in decision-making; have access to medical, social, or other personal information of the resident; manage financial matters; or receive notifications.

(27) "Second shift" means the hours of work between 3:01 p.m. and 11:00 p.m.

(28) "Staff" means any person who performs duties as an employee, paid or unpaid, on behalf of the adult care home.

(29) "Supervision" means oversight, monitoring, and interventions implemented by the facility for the purpose of mitigating the risk of an accident, incident, illness, or injury to a resident to ensure the health, safety, and welfare of the resident and other residents.

(30) "Supervisor" means a personal care aide supervisor as defined in Rule .0609 of this Subchapter.

(31) "Third shift" means the hours of work between 11:01 p.m. and 7:00 a.m.

10A N.C. Admin. Code 13F .0102

Authority G.S. 131D-2.16; 143B-165;
Adopted by North Carolina Register Volume 39, Issue 03, August 1, 2024 effective 9/1/2024.