# North Carolina — Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees

For North Carolina, which rule this is is all adult care homes — duty to staff to the resident census, and never to leave residents alone; type of staffing rule is census-banded minimum staff on duty; minimum staffing requirement is Adult care homes shall staff based on the facility's resident census and provide staffing to meet the care and supervision needs of the residents in accordance with the rules of this Subchapter; regulatory citation is 10A NCAC 13F .0605, recorded from its source on 2026-08-18.

- **State:** North Carolina _(our reading, not quoted from the source)_
- **Which rule this is:** all adult care homes — duty to staff to the resident census, and never to leave residents alone _(our reading, not quoted from the source)_
- **Type of staffing rule:** census-banded minimum staff on duty _(our reading, not quoted from the source)_
- **Minimum staffing requirement:** Adult care homes shall staff based on the facility's resident census and provide staffing to meet the care and supervision needs of the residents in accordance with the rules of this Subchapter _(verified: appears in the quote below)_
- **Regulatory citation:** 10A NCAC 13F .0605 _(verified: appears in the quote below)_

## What the source says

> (a) Adult care homes shall staff based on the facility's resident census and provide staffing to meet the care and supervision needs of the residents in accordance with the rules of this Subchapter. (b) At no time shall residents be left alone without a staff member in the facility.

## Source

- http://reports.oah.state.nc.us/ncac/title%2010a%20-%20health%20and%20human%20services/chapter%2013%20-%20nc%20medical%20care%20commission/subchapter%20f/10a%20ncac%2013f%20.0605.pdf

Last verified: 2026-08-18. Review by: 2027-08-18.
Part of [Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees](https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/).