Regulatory & Operational Guide for Residential Care - North Carolina

Residential Care Business Development & Operations Manual
By Direct Care Training & Resource Center, Inc.
Delivered as a PDF via Email Upon Purchase

North Carolina’s residential care landscape—Adult Care Homes (ACHs), Family Care Homes (FCHs), and memory care/Special Care Units—is tightly regulated. This manual shows entrepreneurs exactly how to license, staff, and operate compliant communities that families trust.

This manual includes:

• Licensing steps with NC DHHS, Division of Health Service Regulation (DHSR) for ACH/FCH; Special Care Unit add-on requirements.

• Physical plant, life-safety, medication management, resident assessment/care plan, and staffing ratio standards.

• Medicaid pathways: Special Assistance (SA) with SA-PCS, Community Alternatives Program for Disabled Adults (CAP/DA); coordination with NC Medicaid Prepaid Health Plans (PHPs).

• Room-and-board vs. care reimbursement, typical rate structures, and documentation for audits.

• Policies, training checklists (infection control, dementia), and survey preparation guides.

• Referral marketing to hospitals, care managers, ADRCs, and elder-law networks.

After checkout, your complete manual is delivered as a PDF via email for immediate use.