SUBCHAPTER 13D – RULES FOR THE LICENSING OF NURSING HOMES

Section .0100 to Section .1900 - Reserved for Future Codification

Section .2000 - General Information

Section .2100 - Licensure

Section .2200 - General Standards of Administration

Section .2300 - Patient and Resident Care and Services

Section .2400 - Medical Records

Section .2500 - Physician's Services

Section .2600 - Pharmaceutical Services

Section .2700 - Dietary Services

Section .2800 - Activities, Recreation, and Social Services

Section .2900 - Special Requirements

Section .3000 - Specially Designated Units

Section .3100 - Design and Construction

Section .3200 - Functional Requirements

Section .3300 - Fire and Safety Requirements

Section .3400 - Mechanical, Electrical, and Plumbing

Subchapter 13G - Licensing of Family Care Homes:

1. Section .0100 - Definitions

2. Section .0200 - Licensing

3. Section .0300 - The Building

4. Section .0400 - Staff Qualifications

5. Section .0500 - Staff Orientation, Training, Competency, and Continuing Education

6. Section .0600 - Staffing of the Home

7. Section .0700 - Admission and Discharge

8. Section .0800 - Resident Assessment and Care Plan

9. Section .0900 - Resident Care and Services

10. Section .1000 - Medications

11. Section .1100 - Management of Resident's Funds and Refunds

12. Section .1200 - Policies, Records, and Reports

13. Section .1300 - Use of Physical Restraints and Alternatives

14. Section .1500 - Administrator Approval and Renewal

15. Section .1600 - Rated Certificates

16. Section .1700 - Infection Prevention and Control

Mission

Elevated Living LLC is committed to providing compassionate, high-quality care for seniors and disabled adults, while offering valuable educational programs on critical health issues like pain management, opioid awareness, and mental health. Our mission goes beyond daily care, integrating the latest health research and community education to improve the lives of our residents and their families.

Vision

We envision a future where seniors and disabled adults receive personalized care that addresses both their physical and emotional needs, leading to better health outcomes and greater independence. Through our focus on education, we aim to reduce opioid dependency, improve mental well-being, and create a model of care that sets the standard for senior living facilities across the state.

Principles

1. Collaboration

Definition: Establish partnerships with residents, families, healthcare professionals, and community resources to enhance care and improve patient outcomes.

Key Practices:

• Interdisciplinary Team Approach: Collaborate with physicians, therapists, and other specialists to develop personalized care plans.

• Family Involvement: Actively involve families in care decisions and updates to foster trust and transparency.

• Community Connections: Partner with local health departments, senior centers, and mental health services to provide additional resources for residents.

Integration with Core Values:

• Community Engagement: Collaboration extends beyond the care team, connecting residents to a broader support network for holistic well-being.

2. Communication

Definition: Maintain clear, timely, and transparent communication with residents, families, staff, and healthcare providers to ensure effective care delivery.

Key Practices:

• Transparent Reporting: Inform families promptly of any changes in a resident’s health, care plan, or incidents.

• COVID-19 Updates: Provide regular updates on safety measures, visitation policies, and health guidelines.

• Staff Communication: Implement regular briefings and use electronic health records (EHR) to ensure all team members are aligned on resident care.

Integration with Core Values:

• Trust and Transparency: Effective communication strengthens relationships with families and enhances the care team’s coordination, contributing to overall care quality.

3. Compliance with Best Practices

Definition: Adhere to federal, state, and local regulations to ensure safe, legal, and ethical care.

Key Practices:

• Licensing & Standards: Maintain compliance with North Carolina DHSR regulations and ensure staff are trained in HIPAA and Medicare/Medicaid requirements.

• Safety Protocols: Follow CDC and NCDHHS guidelines for infection prevention and control, especially in pandemic-related situations.

• Ethical Care Delivery: Ensure that care is delivered ethically, with regular reviews to align with legal standards.

Integration with Core Values:

• Compliance and Safety: Adhering to best practices ensures residents' safety and well-being while minimizing legal risks.

4. Compassionate Care and Respect for Dignity

Definition: Deliver personalized, compassionate care that honors each resident’s dignity and independence, addressing both their physical and emotional needs.

Key Practices:

• Personalized Care Plans: Tailor care plans to each resident’s needs, regularly reviewing and adjusting based on feedback and health status.

• Dignity in Care: Maintain respect for privacy, personal choices, and cultural backgrounds.

• Empathy in Action: Encourage caregivers to foster empathetic relationships with residents, contributing to their emotional well-being.

Integration with Core Values:

• Commitment to Dignity: Compassionate care ensures that all residents feel respected, valued, and supported in their care journey.

5. Continuous Improvement

Definition: Commit to ongoing improvement in care quality, staff development, and operational efficiency to meet the evolving needs of residents.

Key Practices:

• Performance Monitoring: Regularly evaluate care outcomes, using feedback from residents, families, and staff to identify areas for improvement.

• Ongoing Training: Provide staff with up-to-date training on best practices, chronic disease management, and infection control.

• Innovation in Care: Stay current on advancements in medical technology and therapeutic practices, implementing changes that enhance residents’ quality of life.

• Efficiency: Continuously seek ways to enhance cost-effectiveness, streamline operations, and improve time management, administrative processes, and staff performance to ensure optimal resource utilization without compromising care quality. 

Integration with Core Values:

• Commitment to Excellence: By embracing continuous improvement, Elevated Living LLC ensures that care remains innovative, responsive, and aligned with the latest healthcare standards.

top 10 most likely topics/awareness themes of interest to Elevated Living LLC residents and staff, covering January to December:

January

1. Glaucoma Awareness Month

• Relevance: Seniors are at higher risk for glaucoma. Education on early detection and management of this eye condition can help prevent vision loss among residents.

2. National Blood Donor Month

• Relevance: While residents may not be donors, raising awareness about the importance of blood donation helps emphasize the critical role of blood supplies, particularly for those who rely on transfusions for chronic conditions.

February

3. American Heart Month

• Relevance: Heart disease is a leading cause of death in seniors. This month can be dedicated to educating residents about heart health, managing hypertension, and preventing cardiovascular diseases.

4. National Cancer Prevention Month

• Relevance: Cancer is a significant health concern for seniors. Highlighting preventative measures, screenings, and healthy lifestyle choices can be empowering for residents.

March

5. National Nutrition Month

• Relevance: Nutrition is key to healthy aging. Offering educational sessions about balanced diets, hydration, and healthy eating habits tailored to seniors’ needs can improve residents’ overall health and well-being.

6. National Colorectal Cancer Awareness Month

• Relevance: Colorectal cancer is common among older adults. Promoting screenings and discussing prevention can raise awareness and encourage proactive health management.

April

7. Stress Awareness Month

• Relevance: Seniors often experience stress related to aging and health conditions, while caregivers face burnout. Providing stress management workshops, meditation sessions, and counseling can help reduce stress and promote mental health for both residents and staff.

8. National Parkinson’s Awareness Month

• Relevance: Parkinson’s disease affects many seniors, making it important to provide education on the condition, treatments, and support services available to residents and their families.

May

9. Mental Health Awareness Month

• Relevance: Mental health is vital for both residents and caregivers. Promoting mental wellness, reducing stigma, and offering resources for depression, anxiety, and cognitive health are important initiatives during this month.

10. National Stroke Awareness Month

• Relevance: Stroke is a leading cause of disability in seniors. Education on recognizing stroke symptoms, preventing strokes, and post-stroke care can be life-saving for residents.

June

11. Alzheimer's & Brain Awareness Month

• Relevance: Alzheimer's and other forms of dementia are common in aging populations. This month can highlight brain health, early detection, and care options for memory-related conditions.

12. National Migraine and Headache Awareness Month

• Relevance: Many seniors suffer from headaches and migraines, and caregivers may experience stress-related headaches. Providing education and resources on management can improve quality of life for both residents and staff.

July

13. UV Safety Month

• Relevance: Seniors are more susceptible to sun damage, and protecting skin health is crucial. Educational sessions on sun safety, skin cancer prevention, and the importance of sunscreen can help raise awareness.

14. National Minority Mental Health Awareness Month

• Relevance: Promoting inclusive mental health services for minority groups among staff and residents can help ensure equitable mental healthcare and raise awareness of disparities.

August

15. National Immunization Awareness Month

• Relevance: Seniors are often vulnerable to infections like pneumonia and the flu. Promoting the importance of vaccinations can protect residents and staff from preventable illnesses.

16. Psoriasis Awareness Month

• Relevance: Skin conditions like psoriasis can affect seniors. Offering resources and support for managing skin health can improve residents’ quality of life.

September

17. National Recovery Month

• Relevance: Seniors and caregivers who are affected by addiction or substance abuse can benefit from programs that promote recovery and healthy living.

18. World Alzheimer’s Day (September 21)

• Relevance: Alzheimer’s disease awareness and education are critical for both staff and residents, with a focus on early detection, support, and care.

October

19. Breast Cancer Awareness Month

• Relevance: Many residents or their loved ones may have been affected by breast cancer. This awareness month focuses on prevention, early detection, and supporting survivors.

20. National Physical Therapy Month

• Relevance: Physical therapy is important for maintaining mobility and reducing pain in seniors. Highlighting its benefits can encourage active participation in rehabilitation and wellness programs.

November

21. National Alzheimer’s Disease Awareness Month

• Relevance: Alzheimer’s disease and other forms of dementia are major concerns for seniors. Promoting education, support, and brain health strategies are crucial during this month.

22. Diabetes Awareness Month

• Relevance: Many seniors manage diabetes or are at risk. This awareness month offers an opportunity to focus on management strategies, nutrition, and prevention.

December

23. National Influenza Vaccination Week (First full week of December)

• Relevance: Vaccination is vital for seniors to protect against the flu. Promoting flu shots for residents and staff helps prevent illness during the winter months.

24. Safe Toys and Gifts Month

• Relevance: As the holiday season approaches, this awareness month can focus on ensuring that any gifts for seniors or their grandchildren are safe and appropriate.

1. NC Adult Care Home Administrator Certification Program

• Content: Mandatory program covering licensure regulations, management of adult care homes, resident rights, medication management, and facility operations.

• Provider: North Carolina Division of Health Service Regulation (DHSR).

• Website: NC DHSR

• Requirement: Required for all administrators seeking certification.

2. North Carolina Assisted Living Association (NCALA) Training

• Content: Offers courses on compliance, leadership, quality improvement, and resident care management specific to NC regulations.

• Provider: NCALA.

• Website: NCALA

• Benefit: Provides continuing education credits required for license renewal.

3. Leadership and Management Training

• Content: Courses on effective leadership, staff management, conflict resolution, and strategic planning for care homes.

• Provider: American College of Health Care Administrators (ACHCA), LeadingAge NC, and online platforms like LinkedIn Learning.

• Website: ACHCA

4. Financial Management and Budgeting for Care Homes

• Content: Focuses on budgeting, financial planning, Medicaid/Medicare billing, and managing operating costs.

• Provider: National Center for Assisted Living (NCAL), NCALA, or local community colleges offering business management courses.

• Website: NCAL

5. Regulatory Compliance and Policy Development

• Content: Training on NC-specific regulations (10A NCAC 13G), developing facility policies, and maintaining licensure compliance.

• Provider: Relias, DHSR webinars, and NCALA.

• Website: Relias

6. Quality Assurance and Performance Improvement (QAPI)

• Content: QAPI training focuses on improving care quality, data-driven decision-making, and implementing continuous improvement plans.

• Provider: CMS QAPI Program, NCALA, LeadingAge.

• Website: CMS QAPI

7. Emergency Preparedness and Risk Management

• Content: Courses on emergency planning, risk assessment, disaster response, and managing infectious disease outbreaks.

• Provider: FEMA, NC Emergency Management, and NCALA.

• Website: FEMA Training

8. Resident Rights and Ethical Decision-Making

• Content: Training on resident rights, ethical considerations in care, and handling grievances.

• Provider: NC Division of Aging and Adult Services, Relias, and NCALA.

• Website: NC DAAS

9. Medication Management Oversight

• Content: Provides an overview of medication policies, administration oversight, and preventing medication errors.

• Provider: Local community colleges, online courses, and NCALA workshops.

10. Abuse, Neglect, and Exploitation Prevention Training

• Content: Identifies the responsibilities of administrators in preventing and responding to abuse, neglect, and exploitation.

• Provider: NC DSS Adult Protective Services, NCALA.

• Website: NC DSS

11. Technology and Health Information Management

• Content: Training on electronic health records (EHRs), data security, and integrating technology into daily operations.

• Provider: Health IT courses via Coursera, Relias, and ACHCA.

• Website: Coursera

12. Marketing and Community Relations

• Content: Courses on effective marketing strategies, community outreach, and improving family engagement.

• Provider: Local small business development centers, online platforms like Udemy, and LeadingAge.

• Website: LeadingAge

13. Workforce Development and Staff Retention

• Content: Focuses on strategies for recruiting, training, retaining staff, and building a positive workplace culture.

• Provider: ACHCA, NCALA, and LeadingAge NC.

• Website: ACHCA

14. Civil Rights Compliance and ADA Training

• Content: Covers compliance with civil rights laws, ADA requirements, and implementing non-discriminatory policies.

• Provider: NC Department of Health and Human Services, Relias.

15. Continuing Education and Networking Opportunities

• Content: Access to webinars, conferences, and professional development sessions to stay current with industry trends.

• Provider: NCALA, LeadingAge NC, American College of Health Care Administrators (ACHCA).

• Website: NCALA

FEDERAL - DIABILITIES, FAIR HOUSING , WORK SAFETY 

https://www.ada.gov/

https://www.hud.gov/program_offices/fair_housing_equal_opp/fair_housing_act_overview 

https://www.osha.gov/

OTHER - BILLING / CODING /  

https://www.aapc.com/codes/hcpcs-codes 

https://www.aapc.com/codes/hcpcs-codes/A0100  (TAXI)

https://www.cms.gov/medicare/regulations-guidance/physician-self-referral/list-cpt-hcpcs-codes 

CALCULATORS

https://gc.grantcardone.com/re-instant-offer-calculator

https://chatgpt.com/?temporary-chat=true 

FINANCIAL 

https://www.cbsnews.com/news/kamala-harris-proposes-50000-tax-break-for-small-businesses/

https://www.marketwatch.com/story/harriss-25k-for-home-buyers-would-lift-prices-but-her-housing-plan-has-advantages-economist-says-b4cde70b

https://www.selectsoftwarereviews.com/blog/business-grants-for-black-women

https://blog.hubspot.com/sales/business-grants-for-black-women

1. Wake County Senior Services & Resources

• Wake County Human Services – Senior and Adult Services
  Services: Adult protective services, senior centers, aging and disability resources
  Website: WakeGov Senior Services

• Resources for Seniors, Inc.
  Offers services for older adults in Wake County, including in-home services, care coordination, and adult day programs.
  Website: Resources for Seniors

• Aging and Disability Resource Center (ADRC)
  Provides information and referrals to older adults and their caregivers.
  Website: Wake ADRC

• Transitions LifeCare (Formerly Hospice of Wake County)
  Provides hospice and palliative care for aging adults.
  Website: Transitions LifeCare

2. Surrounding Counties Senior Services & Resources

Johnston County

• Johnston County Department of Aging
  Offers in-home aid, senior centers, and congregate meals.
  Website: Johnston County Aging Services

Durham County

• Durham Center for Senior Life
  Offers wellness, recreation, and supportive services for seniors.
  Website: Durham Center for Senior Life

• Durham County Social Services – Adult Services Division
  Provides adult protective services and resources for older adults.
  Website: Durham DSS Adult Services

Orange County

• Orange County Department on Aging
  Provides in-home services, senior centers, and caregiver support.
  Website: Orange County Aging Services

Chatham County

• Chatham County Council on Aging
  Provides senior services, in-home care, and caregiver resources.
  Website: Chatham Aging Services

3. Social Work & Caregiver Support Organizations

• North Carolina Association of County Directors of Social Services (NCACDSS)
  This association supports social service professionals across NC.
  Website: NCACDSS

• North Carolina Coalition on Aging
  An organization focused on advancing programs and services for older adults across the state.
  Website: NC Coalition on Aging

• North Carolina Guardianship Association
  Supports adults with guardianship and resources for caregivers.
  Website: NC Guardianship Association

4. Nursing & Medical Societies

• North Carolina Nurses Association (NCNA)
  Provides professional development and support for nurses in NC.
  Website: NCNA

• North Carolina Medical Society (NCMS)
  Supports physicians and medical professionals with advocacy and professional development.
  Website: NCMS

• North Carolina Assisted Living Association (NCALA)
  Offers support and resources for family care homes and assisted living facilities.
  Website: NCALA

• Wake County Medical Society
  Local society for medical professionals in Wake County.
  Website: Wake County Medical Society

• National Association of Social Workers – North Carolina Chapter (NASW-NC)
  Provides resources, training, and networking for social workers.
  Website: NASW-NC

5. Local Hospital and Healthcare Systems

• UNC Health Care
  Includes several hospitals and clinics in the Triangle area, including Wake, Johnston, and surrounding counties.
  Website: UNC Health

• Duke University Health System
  Includes Duke Raleigh Hospital, Duke University Hospital, and outpatient services across Wake and Durham counties.
  Website: Duke Health

• WakeMed Health & Hospitals
  Wake County’s local hospital system, with acute care, long-term care, and senior health services.
  Website: WakeMed

General duties CNAs perform include:

• Taking vital signs such as pulse, blood pressure, temperature, and respiration

• Detecting and reporting abnormal observations

• Helping patients to move, turn, and walk

• Bathing and dressing the patient

• Feeding the patient

• Collecting specimens for lab tests

• Supporting the emotional and spiritual needs of patients and their families

• Ensuring patient safety

• Preventing the spread of infection

• Communicating effectively with patients, families, and the healthcare team.

In North Carolina, CNA1 and CNA2 (Certified Nursing Assistant) differ in their levels of training, certification, and job responsibilities:

CNA1 (Certified Nursing Assistant 1)

• Training: CNA1 requires completion of a state-approved nurse aide training program (usually around 75-80 hours of coursework).

• Certification: Must pass the North Carolina Nurse Aide I competency exam to be listed on the North Carolina Nurse Aide I Registry.

• Duties: Basic care tasks such as:

  • Assisting with activities of daily living (bathing, dressing, eating).

  • Taking vital signs (temperature, pulse, respiration, blood pressure).

  • Transferring patients from bed to wheelchair or stretcher.

  • Observing and reporting changes in patient conditions.

  • Assisting with feeding and toileting.

CNA2 (Certified Nursing Assistant 2)

• Training: CNA2 requires completion of additional, more advanced training (around 160 hours) beyond CNA1 certification. The program is also state-approved and more specialized.

• Certification: After completing the CNA2 course, candidates must be listed on the North Carolina Nurse Aide II Registry, which requires maintaining CNA1 status.

• Duties: CNA2 can perform all the duties of CNA1, plus more advanced medical tasks, such as:

  • Sterile dressing changes.

  • Inserting and managing catheters.

  • Monitoring oxygen therapy.

  • Suctioning patients with respiratory issues.

  • Tube feedings.

  • Wound care and complex patient transfers.

Key Differences:

• Level of Responsibility: CNA2 has a broader range of duties and can handle more complex patient care tasks than CNA1.

• Work Settings: CNA2s are more likely to work in settings requiring higher levels of care, such as hospitals, rehabilitation centers, or specialized care units, whereas CNA1s typically work in nursing homes or home care settings.

• Job Opportunities: CNA2 has greater job flexibility and can earn a higher salary due to their advanced skills.

CNA2 is essentially a progression from CNA1, offering additional career growth and the ability to take on more challenging healthcare roles.

TEST PREP

• MEDICAL TERMINOLOGY 

• https://www.youtube.com/@allhealthcarecareers/playlists | practice test | 

• https://www.youtube.com/playlist?list=PLK2yPlII9ZF1yVT4rcWXIzLMeOuaK1sVl

• https://www.youtube.com/watch?v=oDQPBeSsyq8 

MEDICATION AIDE TRAINING 

NORTH CAROLINA -  N.C. Medication Aide Registry for Adult Care Homes

  | https://credentia.com/test-takers/ncmacare/  

 EDUCATION VIDEOS

SHORT | LESS THAN 10 MIN

MEDICATION CHECK OFF [ RIGHT PATIENT (NAME/DOB/ALLERGIES), MEDICINE, TIME, DOSE, ROUTE ] IF CALCULATIONS NEEDED, CHECK 2-3X. 

- https://www.youtube.com/watch?v=FifaSTgtaBU 

- https://www.youtube.com/watch?v=SQm4M4GCtOk 

INHALED MEDS

• https://www.youtube.com/watch?v=pqvIEGUvIzI 

• INCENTIVE SPIROMETER - https://www.youtube.com/watch?v=e4ofmPgSO28 

• AEROSOLIZED NEB - https://www.youtube.com/watch?v=V44OI-FjBCk '

EYE DROPS

• https://www.youtube.com/watch?v=0E7Glol2Y2Y 

PERINEAL CARE

-https://www.youtube.com/watch?v=APTh9ABnCEU 

- W/ CATHETER - https://www.youtube.com/watch?v=kVMfKVJN5J0 

LONGER THAN 10 MIN

MED TECH TRAINING 

- https://www.youtube.com/watch?v=AqDJZnViKog 

- https://www.youtube.com/watch?v=irOleDS2xIY 

MAT - https://www.youtube.com/watch?v=__3xUu4jDQM 

CPR - FL TRAINING ACADEMY 

• https://www.youtube.com/watch?v=16lPIPIlmFE 

• https://www.youtube.com/watch?v=FGIuRVkyv2E 

MED (LA) - https://www.youtube.com/watch?v=SDakFmhsxHc 

For non-emergency medical transportation (NEMT) provided by the facility, the following HCPCS codes are applicable:

1. A0130 – Non-Emergency Transportation; Wheelchair Van

• Description: This code is for wheelchair-accessible vans provided by the facility for transporting patients who need assistance due to limited mobility. It’s often used when a patient requires special accommodations for their transportation.

2. A0120 – Non-Emergency Transportation; Mini-Bus, Mountain Area Transport

• Description: This code is used when a mini-bus is provided by the facility, especially in areas with limited access, such as mountain regions. This transport is usually organized and provided directly by the facility.

3. T2003 – Non-Emergency Transportation; Encounter/Trip

• Description: This code applies to any non-emergency transport organized by the facility that does not fall under specific vehicle categories. It covers general trips provided by the facility.

4. A0428 – Ambulance Service, Basic Life Support, Non-Emergency (BLS)

• Description: This is for non-emergency ambulance transport provided by the facility’s ambulance service. It includes basic life support transportation without immediate medical intervention needed.

5. A0426 – Ambulance Service, Advanced Life Support, Non-Emergency (ALS1)

• Description: Used for advanced life support provided by the facility, including non-emergency situations where a higher level of care is required during transport.

6. A0100 – Non-Emergency Transportation; Taxi

• Description: Some facilities may provide taxi services for non-emergency transport, billing under this code when applicable. Though it could also involve a third-party taxi service arranged by the facility.

REFERENCES: 

https://www.aapc.com/codes/hcpcs-codes  

https://www.cms.gov/medicare/regulations-guidance/physician-self-referral/list-cpt-hcpcs-codes 

https://www.cms.gov/medicare/physician-fee-schedule/search 

List of CNA schools and programs available in Wake County, NC, along with relevant details about each program:

1. Wake Technical Community College

• Location: 9101 Fayetteville Rd, Raleigh, NC

• Program: Nurse Aide I

• Details: Offers a comprehensive program that includes both classroom instruction and clinical experience. The program prepares students for the North Carolina Nurse Aide I Registry exam.

• Website: Wake Tech

2. American Red Cross

• Location: 2720 S. Miami Blvd, Suite 100, Durham, NC (within commuting distance)

• Program: Nurse Aide Training

• Details: Provides a well-structured CNA training program that includes theory and hands-on skills practice.

• Website: American Red Cross CNA Training

3. Care One Health Training Institute

• Location: 1280 W. Williams St, Apex, NC

• Program: Nurse Aide I

• Details: Focuses on preparing students for immediate employment in healthcare, offering practical training.

• Website: Care One Health Training

4. Harmony Health Career Training

• Location: 1086 S. Main St, Wake Forest, NC

• Program: Nurse Aide I

• Details: Offers a hands-on training approach with flexible scheduling options.

• Website: Harmony Health Training

5. Durham Technical Community College

• Location: 1637 Lawson St, Durham, NC (near Wake County)

• Program: Nurse Aide I

• Details: Provides a comprehensive training program for CNA certification.

• Website: Durham Tech

6. Johnston Community College

• Location: 245 College Rd, Smithfield, NC (near Wake County)

• Program: Nurse Aide I

• Details: Offers an affordable and accredited CNA program with hands-on clinical training.

• Website: Johnston Community College

7. Caring Hands Healthcare Training

• Location: 410 S. White St, Wake Forest, NC

• Program: Nurse Aide I

• Details: Focuses on practical skills and provides a supportive learning environment.

• Website: Caring Hands Healthcare

8. Triangle School of Nursing

• Location: 3200 Northline Ave, Raleigh, NC

• Program: Nurse Aide I

• Details: Offers both CNA I and CNA II training, along with job placement assistance.

• Website: Triangle School of Nursing

9. Southwest Community College

• Location: 1561 Mebane Rogers Rd, Mebane, NC (within driving distance)

• Program: Nurse Aide Training

• Details: Offers a thorough curriculum with both theoretical and practical components.

• Website: Southwest Community College

10. Neslyn Health Institute

• Location: 1500 E. Club Blvd, Durham, NC (within commuting distance)

• Program: Nurse Aide Training

• Details: Provides CNA training with a focus on essential skills for healthcare settings.

• Website: Neslyn Health Institute

These schools offer a range of CNA training programs, including both in-person and hybrid options. If you are considering enrolling, be sure to check their websites for the most current information on program details, schedules, and enrollment procedures.

4o mini

You said:

WHAT COUNTIES SURROUND WAKE COUNTY?

ChatGPT said:

ChatGPT

Wake County, located in North Carolina, is surrounded by several counties. Here’s a list of the counties that border Wake County:

1. Durham County (to the northwest)

2. Orange County (to the north)

3. Chatham County (to the southwest)

4. Harnett County (to the south)

5. Johnston County (to the east)

Summary of Surrounding Counties:

• Durham County: Known for its vibrant cultural scene and home to Duke University.

• Orange County: Includes the town of Chapel Hill and is known for its educational institutions and historical sites.

• Chatham County: Features rural areas and natural parks, popular for outdoor activities.

• Harnett County: A mix of urban and rural settings, known for its growing communities.

• Johnston County: Offers a combination of small towns and agricultural land, with a strong sense of community.

These counties contribute to the diverse regional landscape and culture surrounding Wake County. For more detailed information about each county, you can check resources like the North Carolina Association of County Commissioners or local government websites.

Here’s a list of Certified Nursing Assistant (CNA) schools in the counties surrounding Wake County, including Durham, Johnston, Chatham, and Granville:

Durham County

1. Durham Technical Community College

   • Address: 1637 E Lawson St, Durham, NC 27703

   • Website: Durham Tech

   • Offers a comprehensive CNA program covering essential skills for patient care.

2. Wisdom Health Academy

   • Address: 3622 Shannon Rd, Suite 103, Durham, NC 27707

   • Focuses on preparing students for the CNA certification exam.

   • Website: Wisdom Health Academy

3. Optimal Health College

   • Address: 1420 E Club Blvd, Durham, NC 27704

   • Offers a variety of healthcare programs, including CNA training.

4. Triangle Nurse Aide Program

   • Address: 3622 Shannon Rd, Durham, NC 27707

   • Prepares students for the CNA certification and job readiness.

   • Phone: (919) 908-9939

5. Harris Training Institute, Inc.

   • Address: 2310 S Miami Blvd #135, Durham, NC 27703

   • Provides CNA training along with other healthcare-related courses.

Johnston County

1. Johnston Community College

   • Address: 245 College Rd, Smithfield, NC 27577

   • Offers CNA training as part of their Health and Human Services programs.

   • Website: Johnston Community College

2. Smithfield-Selma High School

   • Address: 700 E Booker Dairy Rd, Smithfield, NC 27577

   • Provides CNA training through their career and technical education programs.

Chatham County

1. Central Carolina Community College

   • Address: 764 West St, Pittsboro, NC 27312

   • Offers a Nurse Aide program as part of their Health Sciences curriculum.

   • Website: Central Carolina Community College

2. Chatham County Schools - Health Occupations Program

   • Provides CNA training as part of their high school programs.

Granville County

1. Vance-Granville Community College

   • Address: 1547 South Campus Drive, Creedmoor, NC 27522

   • Offers a CNA program aimed at providing essential training for aspiring CNAs.

   • Website: Vance-Granville Community College

These schools provide a range of options for CNA training, from community colleges to specialized health academies. Be sure to check each institution's website or contact them for more details about their specific programs, schedules, and enrollment requirements.

For more information, you can explore resources such as CNA Classes 101 or Nurse Groups for additional listings and details about CNA programs in the area.

• https://sembraschoolcna.com/cna-school-info/

• https://credentia.com/test-takers/ncna/ 

• https://ncnar.ncdhhs.gov/verify_listings1.jsp 

1. https://www.littmann.com/3M/en_US/p/d/b00037556/ - RASPBERRY | BLACK | BLUE 

2. PULSE OX 

3. SPHYGNOMANOMETER 

4. LAB COAT 

5. NOTEBOOK / PENCILS / PENS 

Essential Items CNAs Need to Provide Patient Care

1. Personal Protective Equipment (PPE):

   • Gloves: To maintain hygiene and protect both the patient and the CNA from infections.

   • Masks: Especially important in settings with airborne pathogens.

   • Gowns and Face Shields: Used in specific situations to provide an extra layer of protection.

2. Basic Nursing Supplies:

   • Stethoscope: For monitoring vital signs, including heart rate and respiratory rate.

   • Blood Pressure Cuff: To measure blood pressure accurately.

   • Thermometer: For checking body temperature.

   • Oximeter: To measure oxygen saturation levels in the blood.

3. Patient Care Supplies:

   • Personal Hygiene Items: Such as soap, shampoo, and skin care products to assist patients with bathing and grooming.

   • Incontinence Supplies: Including adult diapers or pads, as well as wipes for hygiene.

   • Mobility Aids: Such as walkers, canes, or wheelchairs, which may be necessary for patient support.

4. Documentation Tools:

   • Notepad and Pen/Pencil: For taking notes on patient conditions, care provided, and any changes in health status.

   • Patient Charts: Important for keeping detailed records of patient care and for communication with other healthcare professionals.

5. Communication Devices:

   • Mobile Phones or Walkie-Talkies: For effective communication with other staff members, especially in larger facilities.

6. Personal Attributes:

   • Empathy and Compassion: Essential for providing emotional support to patients.

   • Strong Communication Skills: Important for understanding patient needs and conveying information accurately.

   • Physical Stamina: Since the job can be physically demanding, CNAs should be in good shape to handle lifting and moving patients.

Additional Considerations

• Training and Certifications: CNAs must complete state-approved training programs and obtain certification, which involves passing a competency exam​
  CNA Programs
  ​
  RN Programs
  .

• Continuing Education: Keeping up with ongoing training to remain updated on best practices and regulations in patient care​
  EduMed
  ​
  CNA Nursing.

1. North Carolina Division of Health Service Regulation (DHSR)

• Role: Licensing, regulatory compliance, inspections, and operational guidance.

• Contact Information:

  • Phone: (919) 855-3765

  • Website: NC DHSR

  • Address: 809 Ruggles Drive, Raleigh, NC 27603

2. Wake County Department of Social Services (DSS)

• Role: Provides oversight, resources, and compliance checks for adult care homes.

• Contact Information:

  • Phone: (919) 212-7000

  • Website: Wake County DSS

  • Address: 220 Swinburne Street, Raleigh, NC 27610

3. North Carolina Division of Aging and Adult Services (DAAS)

• Role: Oversees civil rights compliance, operational standards, and provides additional resources.

• Contact Information:

  • Phone: (919) 855-3400

  • Website: NC DAAS

  • Address: 2101 Mail Service Center, Raleigh, NC 27699-2101

4. North Carolina Adult Care Licensure Section

• Role: Assists with initial licensing applications, renewals, and compliance reviews.

• Contact Information:

  • Phone: (919) 855-3765

  • Website: NC Adult Care Licensure

  • Address: 809 Ruggles Drive, Raleigh, NC 27603

5. Wake County Fire Marshal’s Office

• Role: Inspects facilities for fire safety compliance and approves safety protocols.

• Contact Information:

  • Phone: (919) 856-6340

  • Website: Wake County Fire Services

  • Address: 331 S. McDowell Street, Raleigh, NC 27601

6. Wendell Town Planning and Zoning Department

• Role: Provides zoning permits, building inspections, and occupancy approvals.

• Contact Information:

  • Phone: (919) 365-4448

  • Website: Town of Wendell

  • Address: 15 E. Fourth Street, Wendell, NC 27591

7. North Carolina Assisted Living Association (NCALA)

• Role: Provides advocacy, training, and resources for adult care homes and their administrators.

• Contact Information:

  • Phone: (919) 467-2486

  • Website: NCALA

  • Address: 3392 Six Forks Road, Raleigh, NC 27609

8. North Carolina Department of Environmental Health

• Role: Inspects and approves water, sewage, and environmental standards for care homes.

• Contact Information:

  • Phone: (919) 733-2870

  • Website: NC DEQ

  • Address: 217 West Jones Street, Raleigh, NC 27603

9. Medicaid Provider Enrollment

• Role: Assists with enrolling as a Medicaid provider for reimbursements and funding.

• Contact Information:

  • Phone: (919) 855-4050

  • Website: NC Medicaid

  • Address: 2501 Mail Service Center, Raleigh, NC 27699-2501

10. Local Law Enforcement (Wendell Police Department)

• Role: Provides security assistance, emergency response, and safety collaboration.

• Contact Information:

  • Phone: (919) 365-4444

  • Website: Wendell Police

  • Address: 9 S. Pine Street, Wendell, NC 27591

11. Legal and Compliance Consultant

• Role: Provides legal advice on operational compliance, risk management, and personnel issues.

• Contact Information:

  • Phone: Local attorney contacts will vary; consult with specialized legal firms experienced in elder care law.

12. Insurance Provider (Liability, Property, Workers' Compensation)

• Role: Ensures that the Family Care Home is properly insured to meet state requirements and protect against liability risks.

• Contact Information: Contact a local insurance agent specializing in elder care and residential care home coverage.

1. Facility Administrator / Manager

• Role: Oversees daily operations, supervises staff, and handles resident care plans.

• Contact Information:

  • Name: Diane Newton 

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

2. Lead CNA / Shift Supervisor

• Role: Manages CNA schedules, assigns tasks, and ensures care protocols are followed.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

3. Facility Nurse (RN/LPN)

• Role: Provides clinical guidance, medication management, and oversees resident health assessments.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

4. Medical Director / Consulting Physician

• Role: Provides medical oversight, develops care plans, and consults on resident health issues.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

5. Social Worker / Case Manager

• Role: Assists with resident care coordination, psychosocial support, and discharge planning.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

6. Emergency Contacts (Fire, Police, EMS)

• Role: Provides immediate emergency response services for resident safety.

• Contact Information:

  • Emergency Dispatch: 911

  • Wendell Police Department: (919) 365-4444

  • Wake County EMS: (919) 856-6020

  • Wendell Fire Department: (919) 365-3635

7. Pharmacy Contact

• Role: Supplies medications, assists with refills, and provides medication information.

• Contact Information:

  • Name: [Local Pharmacy Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

8. Dietary / Nutritionist Consultant

• Role: Provides dietary guidance, meal planning, and addresses specific resident nutrition needs.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

9. Maintenance / Facility Manager

• Role: Handles facility upkeep, safety inspections, and emergency repairs.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

10. Resident Family Contact

• Role: Primary contact for resident’s family for communication about care and any urgent matters.

• Contact Information:

  • Name: [Family Contact Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

11. Infection Control Officer

• Role: Provides guidance on infection prevention, manages PPE use, and addresses outbreaks.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

12. Occupational / Physical Therapist

• Role: Provides resident therapy services, mobility assistance, and rehabilitation programs.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

13. Mental Health / Behavioral Consultant

• Role: Assists with resident behavioral issues, mental health evaluations, and intervention strategies.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

14. Local Medical Equipment Supplier

• Role: Supplies medical equipment, maintenance, and emergency replacements.

• Contact Information:

  • Name: [Supplier Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

15. Support / Resource Contact (DSS, Community Services)

• Role: Provides additional resources and support services for resident care.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

1. Facility Administrator / Manager

• Role: Oversees overall operations, ensures resident needs are met, handles concerns, and addresses any issues related to resident care.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Office Hours: [Insert Hours]

  • Email: [Insert Email Address]

2. On-Duty Certified Nursing Assistant (CNA)

• Role: Provides daily personal care, assists with activities of daily living (ADLs), and responds to immediate resident needs.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Shift Hours: [Insert Hours]

3. Facility Nurse (RN/LPN)

• Role: Monitors resident health, administers medications, performs assessments, and coordinates medical care.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

  • Available Hours: [Insert Hours]

4. Medical Director / Primary Care Physician

• Role: Provides medical oversight, conducts health evaluations, prescribes medications, and manages resident care plans.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Office Hours: [Insert Hours]

  • Email: [Insert Email Address]

5. Social Worker / Case Manager

• Role: Supports residents with social, emotional, and adjustment needs; assists with care coordination and resident advocacy.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

6. Emergency Contacts (Fire, Police, EMS)

• Role: Provides emergency response services to ensure resident safety and security.

• Contact Information:

  • Emergency Dispatch: 911

  • Wendell Police Department: (919) 365-4444

  • Wake County EMS: (919) 856-6020

  • Wendell Fire Department: (919) 365-3635

7. Pharmacy Contact

• Role: Supplies medications, manages refills, and provides consultation on medication management.

• Contact Information:

  • Pharmacy Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

8. Family Member / Primary Contact

• Role: Main contact for family communication about resident care, emergencies, and important updates.

• Contact Information:

  • Name: [Family Member’s Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

9. Resident Advocate / Ombudsman

• Role: Assists residents with resolving concerns, ensuring rights are protected, and advocating for quality care.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

10. Mental Health / Behavioral Health Specialist

• Role: Provides mental health support, counseling, and behavioral management services.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

11. Dietary / Nutritionist Consultant

• Role: Provides guidance on meal planning, dietary restrictions, and nutrition advice for residents.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

12. Activities Coordinator

• Role: Plans and conducts daily activities, social events, and recreational programs for resident engagement.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Available Hours: [Insert Hours]

13. Housekeeping / Maintenance Staff

• Role: Ensures cleanliness and safety of the facility, responds to maintenance requests, and handles facility upkeep.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Available Hours: [Insert Hours]

14. Chaplain / Spiritual Counselor

• Role: Provides spiritual support, counseling, and religious services to residents as needed.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Available Hours: [Insert Hours]

15. Legal / Financial Advisor

• Role: Assists with legal matters, power of attorney, guardianship, and financial planning needs of residents.

• Contact Information:

  • Name: [Insert Name]

  • Phone: [Insert Phone Number]

  • Email: [Insert Email Address]

Licensing Family Care Homes in North Carolina involves adhering to specific rules and regulations set by the North Carolina Department of Health and Human Services (NCDHHS) under 10A NCAC 13G. Here are the key rules and requirements for licensing:

1. Application Process

• Initial Application: Submit a complete application to the Division of Health Service Regulation (DHSR) with necessary forms, including proof of zoning approval, building safety inspection, and water/sewage approval if applicable.

• Fee Payment: Pay the required non-refundable licensing fee as stipulated by the state.

2. Ownership and Operator Qualifications

• Background Checks: Owners, administrators, and staff must undergo criminal background checks and provide evidence of good moral character.

• Training Requirements: Administrators must complete a state-approved 30-hour training program and additional continuing education requirements annually.

3. Facility Requirements

• Physical Standards: The facility must meet state standards for size, safety, and accessibility, including compliance with fire safety codes and environmental health standards.

• Room Requirements: Each resident's room must meet specific size requirements, and there must be adequate common space for dining and activities.

4. Staffing Standards

• Staff-to-Resident Ratio: Adequate staffing must be maintained to meet residents' needs, with specific ratios depending on the level of care required.

• Staff Training: All staff members must receive training in resident care, emergency procedures, medication management, and resident rights.

5. Resident Rights and Care Standards

• Resident Assessments: Initial and ongoing assessments must be conducted to determine each resident’s level of care needs and create individualized care plans.

• Personal Care Services: The home must provide assistance with activities of daily living (ADLs), such as bathing, dressing, and eating, according to each resident’s care plan.

6. Health and Safety Protocols

• Emergency Preparedness: The facility must have an emergency plan in place, including evacuation procedures and disaster preparedness training for staff.

• Medication Management: Strict protocols for medication storage, administration, and documentation must be followed, with staff trained in proper handling procedures.

7. Compliance Inspections and Monitoring

• Initial Inspection: Before licensing, the facility must pass an inspection by the DHSR to ensure compliance with all regulations.

• Regular Inspections: Licensed facilities are subject to periodic inspections and must maintain compliance to avoid penalties or loss of license.

8. Record Keeping

• Documentation: Maintain accurate and up-to-date records for each resident, including care plans, health records, medication logs, and incident reports.

• Confidentiality: Ensure all resident information is kept confidential and handled in accordance with state and federal privacy laws.

9. Renewal and Updates

• License Renewal: Licenses must be renewed annually, with the submission of renewal forms, updated documentation, and fees.

• Notification of Changes: Any changes in ownership, administration, or facility structure must be reported to DHSR and may require a new inspection.

10. Enforcement and Penalties

• Non-Compliance: Failure to comply with licensing standards can result in fines, suspension, or revocation of the license.

• Corrective Actions: Facilities may be required to submit corrective action plans to address deficiencies identified during inspections

1. Meet the Basic Eligibility Requirements

• Age Requirement: You must be at least 21 years old.

• Educational Background: Typically, a high school diploma or equivalent is the minimum requirement; however, having a background in healthcare, social work, or a related field is often beneficial.

• Experience: Some experience in a healthcare setting, especially in long-term care or assisted living, is highly recommended and may be required depending on the specific care home type.

2. Complete the Required Training Program

• State-Approved Administrator Course: You must complete a state-approved 30-hour training program specific to Family Care Home administration. This course covers topics such as resident care, state regulations, staff management, financial management, and emergency procedures.

• Continuing Education: Ongoing education is required to maintain the license, typically including courses on updates to care standards, legal responsibilities, and best practices.

3. Pass the Criminal Background Check

• Fingerprinting: Submit fingerprints and undergo a criminal background check through the North Carolina State Bureau of Investigation (SBI) and other relevant agencies to ensure a clean record, as administrators must be of good moral character.

4. Submit an Application for the Administrator Certification

• Application Form: Complete the Administrator application form provided by DHSR, including personal information, proof of training completion, and background check documentation.

• Application Fee: Pay the required application fee. The amount varies and should be verified with the latest DHSR guidelines.

5. Pass the State Examination

• Administrator Exam: After completing the training, you must pass the North Carolina state examination for Family Care Home Administrators. This exam tests knowledge of regulations, resident care standards, emergency protocols, and administrative responsibilities.

• Exam Preparation: Review study materials provided during the training program and additional resources recommended by DHSR.

6. Obtain the Administrator Certification

• Certification Issuance: Upon passing the exam, you will receive your Administrator Certification, allowing you to oversee a Family Care Home in North Carolina.

• Certification Validity: The certification must be maintained through continuous compliance with education and training requirements as mandated by DHSR.

7. Continuing Education and Renewal

• Annual CEUs: Complete annual Continuing Education Units (CEUs) to stay updated on changes in regulations, best practices in care, and emerging issues in long-term care management.

• Renewal Process: Administrators must renew their certification periodically, often annually or biannually, by submitting proof of CEUs, paying renewal fees, and meeting any additional requirements set by DHSR.

Additional Tips:

• Stay Informed: Regularly review updates from NCDHHS and DHSR regarding changes in regulations and additional training opportunities.

• Network with Other Administrators: Join professional associations or groups for Family Care Home administrators in North Carolina to share knowledge and stay informed about industry trends.

What are the licensing requirements for starting a Family Care Home in NC?

• A license from the North Carolina Division of Health Service Regulation (DHSR) is required. This includes meeting facility standards, staff training requirements, and compliance with health and safety regulations.

How many residents can a Family Care Home accommodate in NC?

• Family Care Homes in North Carolina can accommodate 2 to 6 residents, depending on the specific licensing type and facility size.

What are the minimum facility standards for a Family Care Home?

• The home must meet specific requirements such as room sizes, safety features, accessibility standards, and sanitation as outlined by 10A NCAC 13G.

What qualifications are needed for the Administrator of a Family Care Home?

• The Administrator must complete a state-approved 30-hour training program, pass a background check, and obtain an Administrator Certification from DHSR.

What staffing requirements must be met for a Family Care Home?

• Adequate staffing is required based on the number of residents and their care needs, including trained staff for personal care, medication administration, and emergency response.

What are the key steps to ensure compliance with state regulations?

• Compliance involves regular inspections, maintaining up-to-date records, adhering to resident care standards, and ongoing staff training.

How do I ensure my Family Care Home meets safety and emergency preparedness standards?

• Develop an emergency response plan, conduct regular safety drills, and ensure all safety equipment (like fire alarms and emergency exits) meets state codes.

What are the common funding sources for starting a Family Care Home?

• Funding can include personal savings, loans, grants, Medicaid reimbursements, and other financial aid programs specifically for residential care facilities.

What are the legal responsibilities regarding resident rights and care?

• Family Care Homes must respect residents’ rights to privacy, dignity, informed consent, and freedom from abuse. They must also provide individualized care based on resident assessments.

What records and documentation are required to operate a Family Care Home?

• Required records include resident care plans, health and medication records, staff training logs, and documentation of compliance with state inspections and regulations.

Where can you find general rules? 

Rules and General Statutes

• Rules for Adult Care Homes: Subchapter 13F—Licensing of Homes For the Aged and Infirm

• Rules for Family Care Homes: Subchapter 13G—Licensing of Homes For the Aged and Infirm

• Applicable General Statutes: Chapter 131D, Inspection and Licensing of Facilities

ASSISTED LIVING

NORTH CAROLINA

TWO TO SIX BEDS - https://info.ncdhhs.gov/dhsr/acls/flofch.html 

SEVEN OR MORE BEDS - http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/subchapter%20f%20rules.html 

ALL RULES AND STATUTES  - https://info.ncdhhs.gov/dhsr/acls/rules.html 

https://info.ncdhhs.gov/dhsr/acls/adminguidelines.html

https://ncala.org/training-certifcations/

https://info.ncdhhs.gov/dhsr/acls/adminreq.html

https://www.ncleg.gov/EnactedLegislation/Statutes/PDF/ByArticle/Chapter_90/Article_20A.pdf

VIDEOS: 

Short - less than 15 mins 

Getting started - https://www.youtube.com/watch?v=BxKCzeI68b8&t=1s 

start up costs - https://www.youtube.com/watch?v=Qdj6tQSV4_A 

Daily activities - https://www.youtube.com/watch?v=GWgKaNjsG_s 

AL CRAWFORD - 

• https://www.youtube.com/watch?v=PgJfZqzQMko 

• https://www.youtube.com/watch?v=sT5KGjr1pH8

Long  > 15 mins 

ASSET PROTECTION -  https://www.youtube.com/watch?v=cfxQ4TS524U&t=55s

ASSISTED LIVING INVESTING - https://www.youtube.com/watch?v=TG7zIu1WaNo&t=100s 

LICENSE TYPES -  https://www.youtube.com/watch?v=1NmTJFPYA_s 

HOW TO START - https://www.youtube.com/watch?v=MvZXOl6FlyQ&t=564s 

GRANTS  -https://www.youtube.com/watch?v=VDRN9KfGI8Y 

LLCs - TRUST | 1040 | Operations ^ Assets  - https://www.youtube.com/watch?v=g9CL5mqIyBA&t=40s 

FLORIDA 

https://www.fala.org/

https://www.youtube.com/watch?v=m-NFoQfE55Q

https://www.youtube.com/watch?v=u2JHV9r-pAE

1. Senior Centers and Community Services

• Wendell Community Center

  • Services: Recreational activities, social events, fitness classes, and wellness programs.

  • Contact: (919) 366-2266

  • Address: 601 W Third St, Wendell, NC 27591

• Eastern Wake Senior Center

  • Services: Health screenings, educational programs, meals, and social activities for seniors.

  • Contact: (919) 365-4248

  • Address: 323 Lake Dr, Wendell, NC 27591

2. Transportation Services

• Wake Coordinated Transportation Services (WCTS)

  • Services: Provides transportation for medical appointments, shopping, and community activities.

  • Contact: (919) 212-7005

  • Website: Wake Coordinated Transportation Services

3. Home Health and Therapy Services

• Liberty HomeCare & Hospice Services

  • Services: In-home nursing, physical therapy, occupational therapy, and hospice care.

  • Contact: (919) 465-6040

  • Address: 105 Hunt Valley Dr, Cary, NC 27513

• WakeMed Rehabilitation Services

  • Services: Physical, occupational, and speech therapy services tailored to individual needs.

  • Contact: (919) 350-7000

  • Website: WakeMed Rehabilitation Services

4. Meal Services

• Meals on Wheels of Wake County

  • Services: Delivers nutritious meals to homebound seniors and adults with disabilities.

  • Contact: (919) 833-1749

  • Website: Meals on Wheels

5. Medical and Health Services

• Wendell Family Medicine

  • Services: Primary care, preventative care, and chronic disease management for residents.

  • Contact: (919) 365-0987

  • Address: 2960 Wendell Blvd, Wendell, NC 27591

• WakeMed Health & Hospitals - Raleigh Campus

  • Services: Comprehensive medical care including emergency services, specialized care, and outpatient services.

  • Contact: (919) 350-8000

  • Website: WakeMed Health

6. Mental Health Services

• Therapeutic Alternatives

  • Services: Mental health counseling, behavioral support, and psychiatric services for older adults.

  • Contact: (336) 495-2736

  • Website: Therapeutic Alternatives

• Alliance Health

  • Services: Provides mental health, substance use, and intellectual/developmental disability services.

  • Contact: (800) 510-9132

  • Website: Alliance Health

7. Legal and Advocacy Services

• Legal Aid of North Carolina

  • Services: Free legal assistance with elder law issues, housing, benefits, and more.

  • Contact: (919) 828-4647

  • Website: Legal Aid NC

• North Carolina Long-Term Care Ombudsman Program

  • Services: Advocacy and assistance with complaints about long-term care services.

  • Contact: (919) 855-3400

  • Website: NC Ombudsman

8. Pharmacy Services

• CVS Pharmacy - Wendell

  • Services: Prescription refills, medication management, and vaccinations.

  • Contact: (919) 366-2214

  • Address: 2840 Wendell Blvd, Wendell, NC 27591

• Harris Teeter Pharmacy

  • Services: Prescription services, health consultations, and medication delivery.

  • Contact: (919) 269-4016

  • Address: 2850 Wendell Blvd, Wendell, NC 27591

9. Social and Recreational Activities

• Wendell Parks and Recreation

  • Services: Offers various social, recreational, and educational activities for all ages.

  • Contact: (919) 366-2266

  • Website: Wendell Parks and Recreation

10. Emergency and Safety Contacts

• Wendell Police Department

  • Contact: (919) 365-4444

  • Address: 9 S. Pine Street, Wendell, NC 27591

• Wendell Fire Department

  • Contact: (919) 365-3635

  • Address: 2960 Wendell Blvd, Wendell, NC 27591

Additional Recreational Resources

1. Local Libraries

   • Wendell Community Library

     • Services: Offers book clubs, reading programs, educational workshops, and computer classes specifically designed for seniors.

     • Contact: (919) 365-2600

     • Address: 207 S Hollybrook Rd, Wendell, NC 27591

     • Website: Wake County Libraries

2. Senior Fitness and Wellness Programs

   • SilverSneakers Fitness Program

     • Services: Fitness classes designed for older adults, including yoga, strength training, and balance exercises.

     • Contact: Available at local participating gyms such as Planet Fitness, YMCA, and others.

     • Website: SilverSneakers

3. Art and Craft Classes

   • Local Art Studios (e.g., Art on Main)

     • Services: Offers art classes, pottery, painting workshops, and other creative activities tailored to seniors.

     • Contact: Check local listings for art studios in Wendell and nearby areas.

4. Gardening Clubs

   • Wake County Master Gardeners Program

     • Services: Offers gardening workshops, community garden involvement, and therapeutic horticulture programs for seniors.

     • Contact: (919) 250-1100

     • Website: Wake County Master Gardeners

5. Music and Dance Programs

   • Joyful Noise Music Therapy

     • Services: Provides music therapy sessions, sing-alongs, and group music activities that promote social interaction and cognitive engagement.

     • Contact: (919) 937-2575

     • Website: Joyful Noise Music Therapy

6. Pet Therapy Programs

   • Love on a Leash - Triangle Chapter

     • Services: Offers pet therapy visits, bringing trained therapy animals to interact with residents, providing comfort and joy.

     • Contact: (760) 740-2326

     • Website: Love on a Leash

7. Faith-Based Organizations

   • Local Churches and Spiritual Groups

     • Services: Provides social gatherings, prayer groups, Bible studies, and other faith-based recreational activities for residents.

     • Contact: Check with local churches in Wendell, such as Wendell United Methodist Church and St. Eugene Catholic Church.

8. Volunteer Programs and Community Service

   • RSVP (Retired Senior Volunteer Program) of Wake County

     • Services: Encourages seniors to participate in volunteer opportunities, fostering community engagement and purposeful activity.

     • Contact: (919) 460-0567

     • Website: RSVP Wake County

9. Outdoor Parks and Walking Trails

   • Wendell Park

     • Services: Offers accessible walking trails, picnic areas, and outdoor fitness equipment suitable for all ages.

     • Contact: (919) 366-2266

     • Address: 601 W Third St, Wendell, NC 27591

     • Website: Wendell Parks

10. Movie and Game Nights

    • Local Community Centers and Movie Theaters

      • Services: Host special movie screenings, game nights, and social events tailored for seniors and residents of care homes.

      • Contact: Check local listings for community centers and theaters offering senior-friendly events.

1. State-Mandated Training Programs

• NC Adult Care Home Administrator Training Program

  • Content: Covers state regulations, resident rights, medication management, emergency preparedness, and facility operations.

  • Provider: North Carolina Division of Health Service Regulation (DHSR)

  • Website: NC DHSR

• Medication Aide Training and Certification

  • Content: Training on proper medication administration, documentation, and safety protocols.

  • Provider: Community colleges and approved training centers.

  • Requirement: Certification is required for staff who administer medications.

2. CPR and First Aid Certification

• Content: Provides life-saving skills, including CPR, first aid, and emergency response techniques for medical and trauma situations.

• Provider: American Heart Association, Red Cross, or local certified training centers.

• Website: American Heart Association | Red Cross |  AHA CPR |  CPR TRAINERS: 

• AHA -   HANDS ONLY CPR PLUS AED , 

3. Dementia and Alzheimer's Care Training

• Content: Specialized training focused on understanding dementia, effective communication strategies, managing challenging behaviors, and person-centered care.

• Provider: Alzheimer’s Association, Teepa Snow’s Positive Approach to Care.

• Website: Alzheimer's Association

4. Infection Control and Prevention Training

• Content: Training on infection control procedures, PPE usage, hand hygiene, and managing infectious outbreaks.

• Provider: CDC’s Project Firstline, local health departments, or online platforms like Relias.

• Website: CDC Project Firstline

5. Safe Resident Handling and Mobility Training

• Content: Techniques for safe lifting, transferring, and repositioning residents to prevent injuries for both staff and residents.

• Provider: Occupational therapy departments, healthcare training centers, or SafeCare.

• Website: SafeCare

6. Person-Centered Care Training

• Content: Focuses on individualized care approaches, enhancing communication, understanding resident preferences, and promoting dignity.

• Provider: NCALA (North Carolina Assisted Living Association), LeadingAge NC.

• Website: NCALA

7. Emergency Preparedness and Disaster Response Training

• Content: Training on emergency planning, evacuation procedures, and disaster response specific to Family Care Homes.

• Provider: FEMA, NC Department of Public Safety, or local emergency management agencies.

• Website: FEMA Training

8. Mental Health and Behavioral Support Training

• Content: Addresses managing residents with mental health issues, de-escalation techniques, and trauma-informed care.

• Provider: National Council for Mental Wellbeing, Mental Health First Aid USA.

• Website: Mental Health First Aid

9. Nutrition and Dietary Management Training

• Content: Covers dietary planning, managing dietary restrictions, and ensuring nutritional adequacy for residents.

• Provider: Local community colleges, dietitian-led workshops, or online courses from accredited providers.

10. Civil Rights and Resident Rights Training

• Content: Ensures compliance with residents’ rights, including privacy, informed consent, and non-discrimination.

• Provider: NC Division of Aging and Adult Services, Relias, or in-house legal advisors.

• Website: NC DAAS

11. Professional Development and Continuing Education

• Content: Ongoing courses and workshops for skill enhancement, leadership development, and staying updated on best practices.

• Provider: Relias, NCALA, LeadingAge, and other professional associations.

• Website: Relias

12. Communication and Teamwork Training

• Content: Enhances communication skills among staff, fosters teamwork, and improves resident-staff interactions.

• Provider: Local training consultants, online platforms like Coursera, or in-house training sessions.

13. Abuse, Neglect, and Exploitation Prevention

• Content: Identifies signs of abuse, mandatory reporting procedures, and steps to prevent resident exploitation and neglect.

• Provider: NC DSS Adult Protective Services, Elder Justice organizations.

• Website: NC DSS

1. Health and Wellness Programs

• SilverSneakers

  • Content: Exercise classes tailored for older adults, including chair yoga, strength training, and balance exercises to promote physical health.

  • Provider: Local fitness centers, online classes, and community centers.

  • Website: SilverSneakers

• Diabetes Self-Management Programs

  • Content: Educational sessions on managing diabetes through diet, exercise, and medication adherence.

  • Provider: Local hospitals, community health centers, or online platforms.

  • Website: Diabetes Self-Management Education

2. Memory and Cognitive Enhancement

• Lumosity

  • Content: Brain-training games designed to improve memory, attention, and cognitive skills.

  • Provider: Available online or as a mobile app.

  • Website: Lumosity

• BrainHQ

  • Content: Offers scientifically designed exercises that target brain health and cognitive function.

  • Provider: Online access through subscription.

  • Website: BrainHQ

3. Nutrition and Cooking Classes

• Eat Smart, Move More, Weigh Less

  • Content: Teaches residents about healthy eating, portion control, and meal planning to support overall health.

  • Provider: NC Cooperative Extension, online courses.

  • Website: Eat Smart, Move More

• Healthy Cooking Demonstrations

  • Content: In-person or virtual cooking classes focusing on easy, healthy meal preparation suitable for older adults.

  • Provider: Local community centers, hospitals, or nutritionists.

4. Technology Training for Seniors

• AARP Technology Workshops

  • Content: Offers training on using smartphones, tablets, social media, and internet safety to help residents stay connected.

  • Provider: AARP, local libraries, and senior centers.

  • Website: AARP Technology Training

• Senior Planet

  • Content: Free online classes teaching technology skills like email, video calling, and basic computer use.

  • Website: Senior Planet

5. Arts, Crafts, and Creative Workshops

• The Artful Aging Program

  • Content: Offers art classes tailored to older adults, including painting, drawing, and crafts.

  • Provider: Local art studios, senior centers, and online platforms.

  • Website: Artful Aging

• Pottery and Craft Classes

  • Content: Hands-on sessions focusing on pottery, knitting, and other creative hobbies that enhance fine motor skills.

  • Provider: Local community centers, arts councils, or craft stores.

6. Educational Programs and Lifelong Learning

• Osher Lifelong Learning Institute (OLLI)

  • Content: Offers educational courses on various topics including history, literature, science, and personal development.

  • Provider: Hosted at local universities such as NC State University.

  • Website: OLLI NC State

• Coursera for Seniors

  • Content: Online courses on topics like personal finance, history, music, and technology, many of which are free to audit.

  • Website: Coursera

7. Music and Dance Therapy

• Joyful Noise Music Therapy

  • Content: Group music therapy sessions designed to stimulate memory, enhance mood, and encourage social interaction.

  • Provider: Available locally through certified music therapists.

  • Website: Joyful Noise Music Therapy

• Senior Dance Classes

  • Content: Dance classes tailored to seniors, such as line dancing, ballroom, or gentle movement, promoting exercise and socialization.

  • Provider: Local dance studios, community centers.

8. Gardening and Horticulture Therapy

• Therapeutic Gardening Workshops

  • Content: Engages residents in gardening activities that promote relaxation, improve mood, and provide light physical exercise.

  • Provider: NC State Extension Master Gardener Program, community gardens.

  • Website: Master Gardener Program

9. Volunteer and Social Engagement Opportunities

• RSVP (Retired and Senior Volunteer Program)

  • Content: Encourages residents to participate in community service projects, boosting their sense of purpose and connection.

  • Provider: Local non-profits, community centers.

  • Website: RSVP Wake County

10. Relaxation and Mindfulness

• Meditation and Mindfulness Classes

  • Content: Classes that teach breathing exercises, meditation, and relaxation techniques to reduce stress and anxiety.

  • Provider: Senior centers, community wellness programs, or online platforms like Calm or Headspace.

  • Website: Calm | Headspace

Useful Links:   

ASA PHYSICAL STATUS  FCH(2-6 BEDS) NCDHSR ADULT CARE LICENSING TRAINING 

Study Resources:  

• https://ttsreader.com/legacy/

• https://chatgpt.com   

• https://gemini.google.com/app

Summary of Procedures for Obtaining a Family Care Home License in North Carolina

1. Apply for a License:

• Contact the county adult home specialist in the Department of Social Services (DSS) where the facility will be located.

• The adult home specialist provides information about the licensure process, including a review of rules and referrals to the zoning board and Adult Care Licensure Section (ACLS) for an application packet.

• Submit required documents, such as the initial license application, zoning approval, facility photos, floor plans, and a $350 licensure fee, through the adult home specialist to ACLS.

• ACLS reviews the application, transmits it to the Construction Section, and requests additional records, policies, and procedures.

2. Administrator Requirements:

• Submit the Administrator Application and required documents directly to ACLS, including proof of age, education, background checks, and certification of training and exam completion.

• Background checks can take up to 2 weeks (state) or 12 weeks (FBI) if applicable.

3. Compilation of Records:

• The adult home specialist reviews operational plans, staffing, resident rights, admission/discharge policies, services, and life safety requirements with the applicant.

• The specialist verifies that personnel requirements are met and reviews civil rights compliance documents for submission to the Division of Aging and Adult Services.

4. Obtain Construction Approval:

• The adult home specialist assesses the suitability of existing structures and verifies local zoning approval.

• Submit construction-related documents, such as scaled drawings and photos, to ACLS for processing and review by the Construction Section.

• The Construction Section reviews plans, issues requirements, and invoices the applicant for the review cost.

• After completing renovations or new construction, approval documents from the building inspector, fire marshal, and sanitarian must be submitted to the Construction Section for final approval.

5. Obtain a License:

• ACLS reviews the application materials and contacts the applicant for additional information if needed.

• If all requirements are met, ACLS schedules an on-site visit and issues the initial license for six months, pending compliance verification.

• Licenses must be renewed annually with a renewal application and a $315 fee.

Notes: 

IMPORTANCE OF WEEKLY MEETING - 5 Things to Cover | 

Weekly Checklist (Front/Back/Middle/Operations/Support incorporating 7Cs) 

-Fridays|Sat backup, no pt identifiers, HIPAA, OSHA, Priority Delegate 1st/Do, 1 wk ahead, Collab.

Weekly Compliance and Customer Service Checklist with Timeline for Completion

High, Medium, Low Priority Goals

• High Priority: Immediate actions impacting patient outcomes and compliance (1-3 days).

• Medium Priority: Important but less urgent tasks supporting care (4-7 days).

• Low Priority: Routine tasks ensuring long-term success (7-14 days).

Weekly Meeting Checklist

1. Preparation
   Prepare agenda, review previous items, distribute materials.

2. Attendance Check
   Verify staff presence; brief absent staff post-meeting.

3. Review Action Items
   Assess progress; set deadlines, assign tasks.

4. Departmental Updates
   Review updates from all teams (Front, Middle, Back, Operations, Support).

5. Compliance Review
   Discuss audits, compliance checks, law updates.

6. Customer Service Feedback
   Review feedback; address complaints promptly.

7. Staff Training Needs
   Identify training needs, schedule sessions.

8. Open Discussion
   Address any concerns or suggestions.

9. Assign Action Items
   Assign tasks with deadlines.

10. Wrap-Up
    Summarize key points, plan next agenda.

Compliance Checklist

1. Licensing Checks
   Ensure staff and facility licenses are current.

2. Regulatory Adherence
   Confirm state and federal compliance (Medicare/Medicaid, HIPAA).

3. Infection Control
   Check PPE use, sanitation protocols, COVID guidelines.

4. Documentation Accuracy
   Ensure all records are complete and compliant.

5. Safety Checks
   Inspect facility safety, emergency protocols.

6. Training Compliance
   Verify completion of mandatory training.

7. Medication Management
   Review medication storage, administration compliance.

8. Financial Compliance
   Ensure billing accuracy and protocol adherence.

9. Routine Audits
   Conduct regular checks on compliance and safety.

Customer Service Checklist

1. Communication
   Update families on care changes; clarify protocols.

2. Feedback Collection
   Gather feedback via surveys, direct communication.

3. Complaint Management
   Log and resolve complaints promptly.

4. Staff Interaction Monitoring
   Ensure professional, compassionate interactions.

5. Care Quality Assurance
   Review care standards; check patient satisfaction.

6. Facility Environment
   Maintain clean, safe patient and visitor spaces.

7. Continuous Improvement
   Set service goals; track progress on enhancements.

Family Care Home in North Carolina involves complex regulations and operational challenges. Here are 25 mistakes to avoid and an action plan to mitigate them 

1. Inadequate Market Research: Failing to analyze demand can ↓ occupancy rates --> financial instability. Action: Conduct comprehensive market research; analyze demographic needs --> tailor services accordingly.

2. Non-compliance with State Regulations: Ignoring licensing requirements can --> penalties, closure. Action: Review NC DHHS standards --> establish compliance checks; maintain documentation <-- > regulatory changes.

3. Insufficient Funding and Financial Planning: Underestimating startup costs --> cash flow issues. Action: Develop a detailed budget with contingencies; secure diverse funding sources (grants, loans) --> stable finances.

4. Poor Location Selection: Choosing an unsuitable location can ↓ accessibility, ↓ market appeal. Action: Conduct geographic and economic assessments; prioritize areas with ↑ demand --> ↑ success probability.

5. Inadequate Staff Training and Credentialing: Hiring unqualified staff ↓ care quality --> ↑ liability risks. Action: Implement rigorous hiring standards; provide ongoing training in compliance, patient care.

6. Ignoring Community Integration: Lack of community engagement ↓ referrals, ↓ trust. Action: Establish community outreach programs; network with local healthcare providers and advocacy groups.

7. Failure to Establish Clear Policies and Procedures: Inconsistent operations --> ↑ risk of regulatory violations. Action: Develop comprehensive SOPs for all aspects of care; regular reviews and updates.

8. Insufficient Emergency Preparedness: Not having an emergency plan --> ↑ patient risk during crises. Action: Create emergency response plans; conduct drills to ensure readiness.

9. Inadequate Marketing and Outreach: Poor visibility ↓ enrollment rates. Action: Utilize targeted digital marketing --> reach families; establish a strong online presence.

10. Ignoring Legal Structure and Liability Protection: Operating without legal safeguards --> personal liability. Action: Consult legal professionals to structure business as LLC or corporation; secure liability insurance.

11. Lack of Quality Control and Monitoring: Poor care standards --> ↓ client satisfaction, ↑ complaints. Action: Implement quality control measures; establish KPIs and conduct regular audits.

12. Improper Medication Management: Mismanagement of medications --> patient harm, legal repercussions. Action: Implement strict medication protocols; employ licensed staff for administration and monitoring.

13. Failure to Address Accessibility Needs: Non-compliant facilities ↓ accessibility, ↑ violations. Action: Ensure ADA compliance in all facility modifications and design.

14. Inadequate Infection Control Measures: Poor hygiene practices --> ↑ infection risk. Action: Develop robust infection control protocols; training on hand hygiene, PPE use, disinfection procedures.

15. Ignoring Patient and Family Feedback: Overlooking feedback ↓ service quality, ↓ satisfaction. Action: Create channels for feedback; implement changes based on constructive input.

16. Inconsistent Care Planning and Documentation: Poor documentation --> gaps in care continuity. Action: Use standardized care plans; employ EMRs --> efficient data management and accessibility.

17. Insufficient Resident Activities and Engagement: Limited activities ↓ resident satisfaction --> behavioral issues. Action: Develop diverse activity programs tailored to resident interests and needs.

18. Failure to Establish Dietary Plans and Management: Poor nutrition ↓ health outcomes. Action: Collaborate with dietitians to create balanced meal plans --> meet dietary restrictions and preferences.

19. Improper Record Keeping and HIPAA Violations: Inadequate records ↑ risk of non-compliance. Action: Implement robust data management systems with secure access --> protect patient privacy.

20. Ignoring Technological Advancements: Outdated technology ↓ efficiency, ↑ errors. Action: Invest in technology solutions like eMAR, digital scheduling, and automated billing.

21. Failure to Manage Staff Burnout and Turnover: High turnover ↓ care quality, ↑ costs. Action: Implement wellness programs; provide competitive pay and benefits --> staff retention.

22. Inadequate Resident Assessment and Admission Criteria: Poor assessments --> misplacement and inappropriate care. Action: Use validated assessment tools; establish clear admission criteria.

23. Overlooking Safety and Security Protocols: Poor safety measures --> ↑ injury risk. Action: Install safety features (grab bars, alarms); conduct regular safety checks.

24. Failure to Engage with Legal and Compliance Advisors: Legal oversights ↑ risk of costly lawsuits. Action: Establish ongoing consultation with legal and compliance professionals --> proactive issue resolution.

25. Not Planning for Growth and Scalability: Unpreparedness for expansion ↓ growth potential. Action: Develop a strategic growth plan; invest in scalable systems and infrastructure.

Action Plan for Avoidance

1. Comprehensive Planning: Develop a detailed business plan with financial projections, staffing models, and compliance checklists.

2. Training and Education: Continual training for staff on care standards, legal obligations, and emergency protocols.

3. Community and Professional Networking: Build relationships with healthcare professionals, local organizations, and family care home associations.

4. Regular Audits and Reviews: Conduct quarterly audits of operations, compliance, and quality standards; adjust plans based on findings.

5. Patient-Centered Approach: Focus on individualized care plans, resident engagement, and continuous feedback loops to ensure high standards of care.

VIDEOS: 

Massachusetts - Announcing Major Nursing Home Investigations and Settlements

https://www.youtube.com/@American_Heart/videos  | HANDS ONLY CPR |  HANDS ONLY CPR+AED (IF POSSIBLE USE AN AED EVERY TIME YOU DO CPR , STOP COMPRESSIONS FOR LESS THAN 10 SECONDS) | HANDS ONLY CPR-MAN | HANDS ONLY CPR+AED -WOMAN | HANDS ONLY CPR+AED EXTENDED - WOMAN | HANDS ONLY CPR-WOMAN | 

https://www.youtube.com/@redcross/videos |

https://viewmedica.com/ondemand-patient-education-videos/see-videos/ |

https://www.youtube.com/@FloridaTraining/videos | CPR&AED | 2024 CPR,AED,1ST AID PRACTICE EXAM | 2024 CNA Practice Test | 

UNC-HANDS ONLY CPR | NO PULSE IN THE NECK -> 911/ASK FOR AED, CHEST COMPRESSIONS, 

MASS GEN: CPR IN ADULTS AND CHILDREN | (2 in compressions for adults and children) |