# 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 census of greater than 12 but less than 21 residents — one awake staff member on every shift when the administrator or manager is not on duty; type of staffing rule is census-banded minimum staff on duty; minimum staffing requirement is there shall be at least one awake staff member on duty on the first, second, and third shifts; awake/awake-on-duty requirement is there shall be at least one awake staff member on duty on the first, second, and third shifts; regulatory citation is 10A NCAC 13F .0607, recorded from its source on 2026-08-18.

- **State:** North Carolina _(our reading, not quoted from the source)_
- **Which rule this is:** census of greater than 12 but less than 21 residents — one awake staff member on every shift when the administrator or manager is not on duty _(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:** there shall be at least one awake staff member on duty on the first, second, and third shifts _(verified: appears in the quote below)_
- **Awake/awake-on-duty requirement:** there shall be at least one awake staff member on duty on the first, second, and third shifts _(verified: appears in the quote below)_
- **Regulatory citation:** 10A NCAC 13F .0607 _(verified: appears in the quote below)_

## What the source says

> (a) In a facility with a census of greater than 12 but less than 21 residents, there shall be an administrator or manager in the facility or within 500 feet of the facility with a means of two-way telecommunication at all times. (b) When the administrator or manager is not on duty within the facility, there shall be at least one awake staff member on duty on the first, second, and third shifts.

## 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%20.0607.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/).