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Regulatory Resources
Harm and Immediate Jeopardy Citations NEW RESOURCE FOR 2023
Beginning in 2023, NCHCFA publishes a quarterly report that will identify and summarize the Immediate Jeopardy citations issued and reported in our state. The reports will not reveal the specific facility involved, but it will note the regional office catchment area where the citation was issued, describe the underlying adverse event, identify the F-Tags involved, and provide comments or suggestions to benefit all members. The purpose of these reports is to alert members to the Immediate Jeopardy deficiencies that CMS/DHSR is issuing to highlight areas of focus, enable all members to assess their own practices in these areas to prevent additional citations, and better serve the patients and residents in their care. The confidential reports are available to download.
2023
Quarter 1 Harm and Immediate Jeopardy Citations
2022
Quarter 4 Immediate Jeopardy Citations
North Carolina Division of Health Service Regulation (NC DHSR)
The North Carolina Division of Health Service Regulation (NC DHSR) oversees medical, mental health and adult care facilities, and emergency medical services. The mission of NC DHSR is to provide for the health, safety and well-being of individuals through effective regulatory and remedial activities including appropriate consultation and training opportunities and by improving access to health care delivery systems through the rational allocation of needed facilities and services.
NC DHSR also regulates nursing facilities by conducting routine surveys and complaint investigations. It provides licensing services such as changes in beds and ownership. In addition, it provides regulatory education to promote compliance with Federal regulations for Medicare/Medicaid certification.
North Carolina Division of Health Service Regulation (NC DHSR)
Centers for Medicare & Medicaid Services (CMS)
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children’s Health Insurance Program (CHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long term care facilities through its survey and certification process, and clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments.
Centers for Medicare & Medicaid Services (CMS)
Statewide Program for Infection Control & Epidemiology (SPICE)
The Statewide Program for Infection Control and Epidemiology (SPICE), University of North Carolina at Chapel Hill promotes the prevention and control of health care associated infections in North Carolina and beyond by providing evidence based education and consultation across the healthcare spectrum. SPICE conducts the Infection Preventionist program that meets both state and federal requirements and provides many valuable resources specific to long term care.
Statewide Program for Infection Control and Epidemiology (SPICE)
North Carolina Long Term Care Ombudsman
The Long Term Care Ombudsman Program consists of an Office of the State Long Term Care Ombudsman and 16 Offices of the Regional Long Term Care Ombudsman that are housed in Area Agencies on Aging. Long Term Care Ombudsmen assist residents of long term care facilities in exercising their rights and attempt to resolve grievances between residents, families and facilities. The regional ombudsmen help support the efforts of Adult Care Home and Nursing Home Community Advisory Committees.
North Carolina Long Term Care Ombudsman
North Carolina Board of Nursing
The North Carolina Board of Nursing regulates the practice of nursing. In addition to issuing, renewing and reinstating nursing licenses for Registered Nurses and Licensed Practical Nurses, the North Carolina Board of Nursing maintains the Nurse Aide II Registry and regulates the Practice of Nurse Practitioners.
North Carolina Board of Nursing
Emergency Preparedness
In order to effectively handle disasters and emergencies, it is important to plan ahead and prepare in advance. Long term care facilities can use a targeted approach to addressing vulnerabilities and hazards to help them best respond to and recover from events.
North Carolina Certificate of Need (CON)
The North Carolina Certificate of Need (CON) law prohibits health care providers from acquiring, replacing, or adding to their facilities and equipment, except in specified circumstances, without the prior approval of the Department of Health and Human Services.
Life Safety & Physical Plant
Improving the lives of residents and patients is NCHCFA members’ number one priority. By providing a nursing facility that focuses on safety, efficiency, fire prevention, and adhering to national and state health codes, our members are providing quality care as well as protecting each resident.
Health Insurance Portability and Accountability Act (HIPAA)
The Health Insurance Portability and Accountability Act (HIPAA) protect the privacy and security of health information and provide individuals with certain rights to their health information. It gives patients important rights with respect to their health information, including rights to examine and obtain a copy of their health records in the form and manner they request, and to ask for corrections to their information. Also, the Privacy Rule permits the use and disclosure of health information needed for patient care and other important purposes.