{"ref":"NC-HSP-FAC-03","title":"Hospice Residential Care Facilities and Hospice Inpatient Units","category":"Hospice care","summary":"Applies only if the Agency operates a licensed hospice residential care facility or hospice inpatient facility or unit. Sets out the North Carolina rules for those facilities (administration, staffing with at least two staff on duty at all times, pharmacy with monthly drug storage inspection and drug regimen review, dietary with no more than 14 hours between evening meal and breakfast, visitation at any hour, monthly infection control monitoring, linens, fire and disaster plans with yearly training and quarterly fire drills on each shift, 72 hours of generator fuel, and the physical plant), the North Carolina visitation law and notice, and, if the Agency is Medicare-certified, the federal inpatient standards including restraint and seclusion.","inShort":["This applies only if the Agency runs its own hospice residence or inpatient unit.","There must be at least two staff on duty at all times.","Family and friends may visit at any hour. Children and pets are not excluded. Give every patient the visitation notice.","The pharmacist inspects drug storage and reviews each patient's drugs at least monthly. Keep controlled drugs locked separately.","Know your fire plan. Fire drills are held on each shift at least every quarter.","Restraint is a last resort, only on a physician order, never as needed or standing, and never for convenience."],"primaryCitation":"10A NCAC 13K .1101","citations":["10A NCAC 13K .1101-.1116","10A NCAC 13K .1201-.1212","10A NCAC 13K .0202(d)","10A NCAC 13K .0402(c)","G.S. 131E-201(3a), (5a)","G.S. 131E-207.5","G.S. 131E-176(13b), (13c)"],"federalCitations":["42 CFR §418.110","42 CFR §418.106","42 CFR §418.113(b)(6), (d)(3)"],"surveyorAsks":["Show me the license. How many inpatient and residential beds are on it?","Who is on duty tonight? How do you make sure there are always at least two staff?"],"forms":[{"ref":"NC-HSP-FAC-03-A","title":"Notice of Visitation Rights in the Hospice Facility"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .1101)","5. Staffing","6. Pharmaceutical Services","7. Dietary Services","8. Visitation","8.1 North Carolina visitation law","9. Infection Control, Housekeeping and Linens","10. Restraint and Seclusion (if Medicare-certified; Agency standard in any case)","11. Fire Safety and Disaster Preparedness","11.1 Emergency power and federal life safety","12. Physical Plant","13. Death in the Facility","14. Responsibilities","15. Records and Compliance Monitoring","16. Staff Training","17. References","18. Related Policies and Forms","19. Approval","20. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}