Monitoring Adult Care Homes

Adult care homes, commonly referred to as rest homes, family care homes, or assisted living, are homes, which provide residential care for aged and disabled adults. These homes provide around-the-clock or live-in staff that prepare meals, supervise medications, and provide assistance with bathing, grooming and other personal care needs.

Adult care homes provide care for the elderly, persons with mental illnesses, persons with developmental disabilities, and persons with substance abuse problems. Family care homes provide care for up to six people in a family-like setting. These homes are usually found in residential areas. Homes for the aged and infirm are larger facilities, serving seven or more people.

Also, there are homes for developmentally disabled adults which serve developmentally disabled individuals who participate in approved day programs. These homes are licensed and monitored by Mental Health. Questions or concerns should be directed to the NC Division of Health Service Regulation (DHSR) - Mental Health Section. All three types of homes provide assistance with meeting the residents' daily needs, and have staff on duty 24 hours a day.

Nurses are not required in adult care homes. Although some adult care homes have nurses and certified nursing assistants on staff. Aides provide assistance with the activities of daily living such as bathing, dressing, grooming and feeding. Adult care homes are different from nursing homes in the level of care they provide and the qualifications of staff.

The NC Division of Health Service Regulation is responsible for licensing these adult care homes. Human Services is responsible for providing an adult home specialist (AHS) to monitor the adult care homes to assure services are provided to the residents as set forth by NC State standards.

The Adult Protection, Guardianship, and Monitoring Unit (APGM) provides adult home specialists (AHS), whose primary purpose is to monitor, investigate complaints, and provide assistance to adult care homes.

If there are any problems identified during the routine monitoring of the facility, the AHS is responsible to assure that the problem is corrected.

Adult Care Home Licensing and Monitoring Services include:

  • Assist the State with Initial Licensure Process
  • Technical Assistance
  • Routine Monitoring
  • Complaint Investigation

Annually, staff with the NC Division of Health Services Regulation, along with the local AHS, is responsible for completing a comprehensive evaluation of all licensure areas, and developing an Annual Monitoring Plan to prioritize and target each area for review. The areas include:

  • Medication
  • Activities
  • Resident Funds
  • Food Service
  • Admission and Discharge
  • Physical Environment
  • Management and Personnel
  • Health Care
  • Resident Rights

Adult Day Care/Health Certification and Monitoring

Human services is responsible for all activities at the local level concerning program certification. Such activities include certification reviews and monitoring of the day care/health program to ensure that standards are met on an ongoing basis. Human Services' responsibilities include designating a social worker to be the Adult Day Care Coordinator responsible for consultation to service providers and all activities at the local level concerning certification, recertification reviews and supervision of the day care/health program to insure standards are being met on an ongoing basis per 10A NCAC 06P.0402.

If problems are identified during the routine monitoring of the day care center, the Adult Day Care Coordinator is responsible to assure that the problem is corrected.

The individual or someone acting on the individual's behalf can call the Adult Services line at 704-920-1400 to request assistance. Requests for assistance can also be made in person.