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To display the the official rule documentation, click on the Rule Name Link goes outside of NC DHHS in the table below.

The public may provide comments for each rule, which will be sent electronically to the administrators at the agency responsible for collecting the comments for each subchapter.

To submit a comment regarding a rule, do the following:

  1. Find the rule in the table below.
  2. Click on the button in the row for that rule.
  3. A form will be displayed, where you can enter and submit your comment.
  4. To comment on rules in another subchapter, click on "Return to the main Rules Review page" link.

"Public comment" is defined by G.S. 150B-21.3A(a)(5) as a written objection to all or part of a rule. Additionally, pursuant to G.S. 150B-21.3A(c)(2), in order for the Rules Review Commission to determine whether the public comment has merit, the public comment must address the specific substance of the rule and address any of the standards of Commission review, as set forth in G.S. 150B-21.9(a).


G.S. 150B-21.3A Report for 10A NCAC 13D, RULES FOR THE LICENSING OF NURSING HOMES | Agency - Medical Care Commission

Periodic Review of Rules

Pursuant to G.S. 150B-21.3A, Periodic Review and Expiration of Existing Rules, the Medical Care Commission and the Division of Health Service Regulation have posted Initial Determination Reports for the rules in 10A NCAC Subchapter 13A of the North Carolina Administrative Code. Public comment means written comments objecting to the rule, in whole or in part, or objecting to an agency's determination of the rule as necessary or unnecessary; the comment must address the content of the rule to be considered by the Rules Review Commission. An unnecessary rule is defined as a rule that the agency determines to be obsolete, redundant, or otherwise not needed. A necessary rule is defined as any rule other than an unnecessary rule.

Public Comment Period:  May 31 through July 31, 2024.

Direct Comments to the following:
Taylor Corpening
2701 Mail Service Center
Raleigh, NC 27699-2701
E-Mail:  [email protected]

Rule Section Rule Citation Rule Name Date and Last Agency Action on the Rule Agency Determination
[150B-21.3A(c)(1)a]		 Implements or Conforms to Federal Regulation [150B-21.3A(d1)] Federal Citation Comment
SECTION .2500 - PHYSICIAN'S SERVICES 10A NCAC 13D .2505 BRAIN INJURY LONG-TERM CARE PHYSICIAN SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Unnecessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2601 AVAILABILITY OF PHARMACEUTICAL SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2602 PHARMACY PERSONNEL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2603 ADMINISTRATIVE RESPONSIBILITIES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2604 DRUG PROCUREMENT Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2605 DRUG STORAGE AND DISPOSITION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2606 PHARMACEUTICAL RECORDS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2607 EMERGENCY DRUGS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2701 PROVISION OF NUTRITION AND DIETETIC SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2801 ACTIVITY SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2802 SOCIAL SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2901 REPORT OF DEATH Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .2902 PETS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .3003 VENTILATOR ASSISTED CARE Link goes outside of NC DHHS Amended Eff. January 1, 2021 Necessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .3004 BRAIN INJURY LONG-TERM CARE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Unnecessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .3005 SPECIAL NURSING REQUIREMENTS FOR BRAIN INJURY LONG-TERM CARE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Unnecessary No
SECTION .2600 - PHARMACEUTICAL SERVICES 10A NCAC 13D .3031 ADDITIONAL REQUIREMENTS FOR SPINAL CORD INJURY PATIENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Unnecessary No
SECTION .3100 - DESIGN AND CONSTRUCTION 10A NCAC 13D .3101 GENERAL RULES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .3100 - DESIGN AND CONSTRUCTION 10A NCAC 13D .3102 APPLICATION OF PHYSICAL PLANT REQUIREMENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .3100 - DESIGN AND CONSTRUCTION 10A NCAC 13D .3103 SITE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2000 � GENERAL INFORMATION 10A NCAC 13D .2001 DEFINITIONS Link goes outside of NC DHHS Amended Eff. October 1, 2021 Necessary No
SECTION .2100 - LICENSURE 10A NCAC 13D .2101 APPLICATION REQUIREMENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2100 - LICENSURE 10A NCAC 13D .2102 ISSUANCE OF LICENSE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2100 - LICENSURE 10A NCAC 13D .2103 LENGTH OF LICENSURE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2100 - LICENSURE 10A NCAC 13D .2104 REQUIREMENTS FOR LICENSURE RENEWAL OR CHANGES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2100 - LICENSURE 10A NCAC 13D .2105 TEMPORARY CHANGE IN BED CAPACITY Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2100 - LICENSURE 10A NCAC 13D .2106 DENIAL, AMENDMENT, OR REVOCATION OF LICENSE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2100 - LICENSURE 10A NCAC 13D .2107 SUSPENSION OF ADMISSIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2100 - LICENSURE 10A NCAC 13D .2108 PROCEDURE FOR APPEAL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2100 - LICENSURE 10A NCAC 13D .2109 INSPECTIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2201 ADMINISTRATOR Link goes outside of NC DHHS Amended Eff. January 1, 2018 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2202 ADMISSIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2203 PATIENTS NOT TO BE ADMITTED Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2204 RESPITE CARE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2205 DISCHARGE OF PATIENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2206 MEDICAL DIRECTOR Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2207 PATIENT RIGHTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2208 SAFETY Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2209 INFECTION CONTROL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2210 REPORTING AND INVESTIGATING ABUSE, NEGLECT OR MISAPPROPRIATION Link goes outside of NC DHHS Readopted Eff. July 1, 2016 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2211 PERSONNEL STANDARDS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2200 - GENERAL STANDARDS OF ADMINISTRATION 10A NCAC 13D .2212 QUALITY ASSURANCE COMMITTEE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2300 - PATIENT AND RESIDENT CARE AND SERVICES 10A NCAC 13D .2301 PATIENT ASSESSMENT AND PLAN OF CARE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2300 - PATIENT AND RESIDENT CARE AND SERVICES 10A NCAC 13D .2302 NURSING SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2300 - PATIENT AND RESIDENT CARE AND SERVICES 10A NCAC 13D .2303 NURSE STAFFING REQUIREMENTS Link goes outside of NC DHHS Readopted Eff. July 1, 2016 Necessary No
SECTION .2300 - PATIENT AND RESIDENT CARE AND SERVICES 10A NCAC 13D .2304 NURSE AIDES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2300 - PATIENT AND RESIDENT CARE AND SERVICES 10A NCAC 13D .2305 QUALITY OF CARE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2300 - PATIENT AND RESIDENT CARE AND SERVICES 10A NCAC 13D .2306 MEDICATION ADMINISTRATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2300 - PATIENT AND RESIDENT CARE AND SERVICES 10A NCAC 13D .2307 DENTAL CARE AND SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2300 - PATIENT AND RESIDENT CARE AND SERVICES 10A NCAC 13D .2308 ADULT CARE HOME PERSONNEL REQUIREMENTS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2300 - PATIENT AND RESIDENT CARE AND SERVICES 10A NCAC 13D .2309 CARDIO-PULMONARY RESUSCITATION Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2400 - MEDICAL RECORDS 10A NCAC 13D .2401 MAINTENANCE OF MEDICAL RECORDS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2400 - MEDICAL RECORDS 10A NCAC 13D .2402 PRESERVATION OF MEDICAL RECORDS Link goes outside of NC DHHS Readopted Eff. July 1, 2016 Necessary No
SECTION .2500 - PHYSICIAN'S SERVICES 10A NCAC 13D .2501 AVAILABILITY OF PHYSICIANS SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2500 - PHYSICIAN'S SERVICES 10A NCAC 13D .2502 PRIVATE PHYSICIAN Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .2500 - PHYSICIAN'S SERVICES 10A NCAC 13D .2503 USE OF NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS Link goes outside of NC DHHS Readopted Eff. July 1, 2016 Necessary No
SECTION .2500 - PHYSICIAN'S SERVICES 10A NCAC 13D .2504 LABORATORY AND RADIOLOGY SERVICES Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .3100 - DESIGN AND CONSTRUCTION 10A NCAC 13D .3104 PLANS AND SPECIFICATIONS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .3200 - FUNCTIONAL REQUIREMENTS 10A NCAC 13D .3201 REQUIRED SPACES Link goes outside of NC DHHS Amended Eff. October 1, 2016 Necessary No
SECTION .3200 - FUNCTIONAL REQUIREMENTS 10A NCAC 13D .3202 FURNISHINGS Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .3400 - MECHANICAL: ELECTRICAL: PLUMBING 10A NCAC 13D .3401 HEATING AND AIR CONDITIONING Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .3400 - MECHANICAL: ELECTRICAL: PLUMBING 10A NCAC 13D .3402 EMERGENCY ELECTRICAL SERVICE Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .3400 - MECHANICAL: ELECTRICAL: PLUMBING 10A NCAC 13D .3403 GENERAL ELECTRICAL Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
SECTION .3400 - MECHANICAL: ELECTRICAL: PLUMBING 10A NCAC 13D .3404 OTHER Link goes outside of NC DHHS Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. March 22, 2015 Necessary No
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