{"ref":"NC-HH-SG-02","title":"Allegations Against Staff: Health Care Personnel Registry Reports and Agency Investigations","category":"Safeguarding","summary":"Requires the Agency to report every allegation of abuse, neglect, misappropriation of property, drug diversion or fraud against an unlicensed staff member with direct access to patients, including injuries of unknown source, to Health Care Personnel Investigations at the Division of Health Service Regulation within 24 hours of becoming aware of it, to protect patients while it investigates, and to send the results of its investigation within five working days of the first report.","inShort":["Tell the agency director or supervising nurse at once, and before the end of your shift, about any allegation that a staff member abused, neglected, stole from or defrauded a patient, or took a patient’s drugs.","Report every allegation, even if you do not believe it and even if the staff member has quit.","The Agency reports to Health Care Personnel Investigations within 24 hours of any staff member learning of it, weekends and holidays included.","The staff member accused is kept away from patients until the investigation ends (Agency standard).","The results of the investigation go to the State within five working days of the first report. If asked, give the investigator a signed and dated statement.","No one is punished for reporting in good faith."],"primaryCitation":"10A NCAC 13O .0102","citations":["10A NCAC 13O .0101","10A NCAC 13O .0102","G.S. 131E-256","10A NCAC 13J .1003(c)","10A NCAC 13J .1110(e)","G.S. 108A-102"],"federalCitations":["42 CFR §484.50(e)","42 CFR §488.301"],"surveyorAsks":["Show me your Health Care Personnel Registry reports for the last year and the five-working-day investigation reports.","An aide was accused of taking money from a patient on Friday evening. When was the report due, and what did you do with the aide in the meantime?"],"forms":[{"ref":"NC-HH-SG-02-A","title":"Health Care Personnel Registry Allegation and Investigation Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13O .0102; G.S. 131E-256(g))","5. What Must Be Reported","6. Immediate Steps","7. The 24-Hour Report","8. Investigation and the Five-Working-Day Report","9. After the Investigation","10. Allegations Against Licensed Staff","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"nc-hha","state":"North Carolina","service":"Home health","guides":[{"path":"/guides/abuse-neglect-exploitation-reporting/","h1":"Abuse, neglect and exploitation policies: what each state requires"},{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}