The Latest News and Updates from NCALA!
The Latest News and Updates from NCALA!
No. 2019-01

The NCALA Advisor

Letter from the President

At NCALA, we continue the important work of focusing on quality improvement in all areas of assisted living day-to-day operations. Today, I want to talk to you about the current regulatory climate in NC, as evidenced by the first quarter of published statements of deficiencies.
The first quarter of 2019 brought a flurry of Adult Care Licensure Surveys that caught some of our members a little off guard, especially communities that have maintained a “deficiency free” status for three or more years. After a careful analysis of many pages of statements of deficiencies (SODs), I want to share with you some of the citations/violations that stand out:
  1. 10A NCAC 13F .0604 (e) Personal Care and Other Staffing: Communities were cited if the minimum staffing requirements were not met, and where a community had an A2 or A1 violation in supervision, .0604 (e) was cited as an A2 violation. Example: third shift requires 24 hours of aide coverage, three aides who work 7.5 hours each are scheduled. In this scenario, the community does not meet the rule requirements of 24 hours.
  2. 10A NCAC 13F .0604(2-e) Aides Shall Not Be Assigned Food Service Duties: All areas of personnel training were cited (CPR, Nurse Aide Registry checks, criminal record checks, skills validation checks, medication aide testing within 60 days of hire, etc).
  3. 10A NCAC 13F Nutrition and Food Service: Snacks, thickened liquids, milk, water, 10 hours between breakfast and dinner, etc.
As we look forward in 2019, let’s pull out some of our self-survey tools and really do a self-inspection of our communities’ Quality Assurance/Quality Improvement (QA/QI) programs and monitoring tools.
We have collected several QA/QI monitoring tools to help you self-survey the areas above:
Frances Messer
NCALA President & CEO

NC Health Information Exchange Authority, NC HealthConnex

The NC Department of Health and Human Services, Office of Rural Health (ORH), and Division of Medical Assistance (DMA), partnered with the NC Health Information Exchange Authority (NC HIEA) to launch a program that will assist behavioral health, mental health, and intellectual development and disability practices with purchasing electronic health record (EHR) technology and establishing connectivity to the state-designated health information exchange, NC HealthConnex.
Pursuant to NC Session Law 2017-57, healthcare providers that accept Medicaid reimbursement for the provision of healthcare services must connect to NC HealthConnex, which is housed within the NC Department of Information Technology (DIT). Physicians, hospitals, and mid-level practitioners that receive Medicaid reimbursement and currently have electronic health record (EHR) technology must connect by June 1, 2018. All other providers that receive funds from the state for the provision of healthcare services must connect by June 1, 2019, even if they do not currently have an EHR system.
NCALA is still in discussions with the state and members of the General Assembly regarding the definition of electronic health records. We are also lobbying to have the registration date pushed back a year. As of April 8, 2019, NC HealthConnex does not have a working definition of EHR; therefore, NCALA is not ready to push our communities to do anything at this point. Learn more at
Senior Living Guide Magazine

Emergency Generator Legislation

Newly introduced NC House Bill 410 would require adult care homes, nursing homes, and combination homes to have emergency electrical service during power outages. While most people want to see emergency access to electricity in all assisted living communities, the measure may cost an estimated $84 million to outfit adult care homes across the state with generators.
“This bill has the capacity to put some of our adult care homes out of business,” said Representative MaryAnn Black (D-Durham). “We do need generators, but how do we get there?”
NCALA has opposed this measure at the legislature. You can read the bill summary here.

Spring Break with NCALA!

About 150 people will be joining us in Raleigh on May 15 to earn CEUs learning about Managed Care, the Opioid Crisis and AL, Penalties & Settlements, and Dining: Creating More Choice without Increasing Cost. We had no idea that this would be so popular, and we quickly SOLD OUT! Read more about it here!

NCALA CEU Training in 2019

In addition to Administrator Certification, we have several other training opportunities on the schedule for 2019. There are several webinars (Employment Law Update, Marketing Assisted Living Panel, Hot Topics in Privacy and Data Security), and other opportunities are in the works! Please visit the NCALA Training Schedule for dates, registration links, and other topics! If you have any questions, please call or e-mail us.


The 2019 NCALA Fall Conference & Trade Show will be held October 8–10, 2019, at the Benton Convention Center in Winston-Salem, NC!
All About Seniors Magazine
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