The governing board shall assure written policies and procedures which are available to and implemented by staff. These policies and procedures shall cover at least the following areas:

1. (1) admissions;
2. (2) dietary;
3. (3) discharges with physician orders and patients or residents leaving against physician advice;
4. (4) gratuities and solicitation which at a minimum shall provide that no owner, operator, agent or employee of a facility nor any member of his family shall accept a gratuity directly or indirectly from an patient or resident in the facility or solicit for any type of contribution;
5. (5) housekeeping;
6. (6) infection control which must include, but shall not be limited to, requirements for sterile, aseptic and isolation techniques; and communicable disease screening including, at a minimum, annual tuberculosis screening for all staff and inpatients of the facility;
7. (7) maintenance of patient medical or health care records including charging or record keeping;
8. (8) orientation of all facility personnel;
9. (9) patient or resident care plans, treatment and other health care or nursing care, including but not limited to all policies and procedures required by rules contained in this Subchapter;
10. (10) patients' or residents' rights;
11. (11) physical evaluation for residents and patients at least annually;
12. (12) physician services and utilization of the individual's private physician;
13. (13) procurement of supplies and equipment to meet individual patient care needs;
14. (14) protection of patients from abuse and neglect;
15. (15) range of services provided;
16. (16) recording and reporting to the department of accidents or incidents occurring to patients in any part of the facility and maintenance of such reports or records;
17. (17) rehabilitation services;
18. (18) release of medical record information;
19. (19) screening and reporting communicable disease to the local health department; and
20. (20) transfers.

History Note: Authority G.S. 131E‑79;
Eff. February 1, 1986;
Amended Eff. March 1, 1990;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. July 22, 2017.