North Carolina § 131D-4 - 3. Adult care home rules.

Full text of North Carolina North Carolina General Statutes § 131D-4 — 3. Adult care home rules., with citation guidance and answers to common questions.

§ 131D-4. 3. Adult care home rules.

Pursuant to G.S. 143B-165, the North Carolina Medical Care Commission shall adopt rules to ensure at a minimum, but shall not be limited to, the provision of each of the following by adult care homes: Repealed by Session Laws 2000-111, s. 1. A minimum of 80 hours of training for personal care aides. The training for aides shall be comparable to State-approved Certified Nurse Aide I training. Monitoring and supervision of residents. Oversight and quality of care as stated in G.S. 131D-4.1. Adult care homes shall comply with all of the following staffing requirements: First shift (morning): 0.4 hours of aide duty for each resident (licensed capacity or resident census), or 8.0 hours of aide duty per each 20 residents (licensed capacity or resident census) plus 3.0 hours for all other residents, whichever is greater; Second shift (afternoon): 0.4 hours of aide duty for each resident (licensed capacity or resident census), or 8.0 hours of aide duty per each 20 residents plus 3.0 hours for all other residents (licensed capacity or resident census), whichever is greater; Third shift (evening): 8.0 hours of aide duty per 30 or fewer residents (licensed capacity or resident census). Rules to implement this section shall be adopted as emergency rules in accordance with Chapter 150B of the General Statutes. The Department may suspend or revoke a facility's license, subject to the provisions of Chapter 150B, to enforce compliance by a facility with this section or to punish noncompliance. The facility may exempt from the 80-hour training requirement any personal care aides who are or have been either licensed as a health care professional or listed on the Nurse Aide Registry. The facility shall provide staff to meet the needs of the facility's residents. Each facility shall post in a conspicuous place information about required staffing that enables residents and their families to ascertain each day the number of direct care staff and supervisors that are required by law to be on duty for each shift for that day. History (1995, c. 449, s. 3; c. 535, s. 10; 1997-443, s. 11A.118(a); 1998-212, s. 12.16B(a); 2000-111, s. 1; 2001-85, s. 1; 2001-487, s. 85(a); 2017-184, s. 3.) Cross References. - As to posting of information indicating number of nursing home staff on duty, see G.S. 131E-114.1. Effect of Amendments. - Session Laws 2017-184, s. 3, effective October 1, 2017, rewrote subsection (a).

Source: official North Carolina text · Last verified 2026-08-27

Frequently Asked Questions About North Carolina § 131D-4

What does North Carolina General Statutes § 131D-4 cover?

Section 131D-4 ("3. Adult care home rules.") is part of the North Carolina General Statutes, the codified statutory law of North Carolina. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.

How do I cite North Carolina § 131D-4?

A common citation format is "North Carolina General Statutes § 131D-4" (North Carolina). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.

Is this the official text of North Carolina law?

No. This page is for research and education and may not include the most recent amendments. For official current law, check the North Carolina official source linked on this page or consult a licensed North Carolina attorney.

How does North Carolina § 131D-4 apply to my situation?

Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in North Carolina can advise on how this section applies to you. Contact your state or local bar association for a referral.

Sources & Verification

Not legal advice. Verify against the official source and consult a licensed attorney in North Carolina.