Triangle J Area Agency on Aging













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The Oversight Process for Adult Care Homes

Facilities that violate licensure rules or the certification standards (i.e. rules and standards that a facility said they would abide by in order to be able to provide service) can be subject to sanctions, including fines.

Rules for the Licensing of Homes for the Aged and Infirm

Rules for the Licensing of Family Care Homes

More on Administrative Rules

More Rules for Groups
Licensed by the Division of Health Service Regulation

Survey Used by Adult Home Specialists for Monitoring

In addition to the licensure and certification requirements, adult care homes must also honor the Residents' Bill of Rights. These rights are designed to promote and protect the well-being of residents.

There are a variety of agencies that are responsible for oversight.
(More information)

Schedule of Reviews/Intervention/Monitoring

Adult Home Specialist, Department of Social Services	Annual Assessment Bi-monthly Monitoring**
Construction Section, Division of Health Service Regulation	Bi-annual & By Request
Fire Department	Annually
Local Health Department	Annually
Abuse, Neglect, Exploitation Department of Social Services	Immediately
Regional Long-Term Care Ombudsmen	As Needed
Community Advisory Committees, Ombudsmen Program	Quarterly
Mental Health	As Requested
Home Health and Hospice	As Requested

* Visits are minimums.

**The annual assessment follows guidelines developed by the Division of Health Service Regulation, with key health and safety indicators. The Adult Home Specialist decides which issues need additional review and develops an overview monitoring plan geared toward correcting any problem areas. The bi-monthly monitoring by the Adult Home Specialist is designed to ensure that the monitoring plan is being carried out successfully. The Specialist has the authority to cite a facility for violations and to recommend an appropriate penalty. The Penalty Review Committee then reviews the violations and specifies an appropriate penalty to the Division of Health Service Regulation for implementation.

***How facility beds are licensed impacts who is responsible for compliance and how they are monitored for compliance. More Information on this issue.

If the Resident Has Alzheimer's or Dementia
Facilities vary according to the type of care they are licensed to provide. Some adult care homes provide care for those with Alzheimer's and/or dementia. They may be in a Special Care Unit or service may be offered in a locked unit. Be sure to inquire about the type of service for which the home is licensed. This will impact what agency goes in to monitor service and safety and how often they go in to ensure the quality of care.

If you are reading this section to help select a facility, pay special attention if the person needing care has Alzheimer's disease or related dementias. Read the sections above on Special Care Units and locked units before deciding whether or not to choose the facility. Ask questions about oversight, staff training, and activities provided.