# 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 six but less than 13 residents — staff on duty 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 staff member on-duty on the first and second shifts and at least one staff member available within the building, who need not be on-duty, on third shift; awake/awake-on-duty requirement is If there are residents in the facility who are disoriented or known to have wandering behavior, there shall be at least one staff member on-duty and awake at all times; regulatory citation is 10A NCAC 13F .0606, 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 six but less than 13 residents — staff on duty 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 staff member on-duty on the first and second shifts and at least one staff member available within the building, who need not be on-duty, on third shift _(verified: appears in the quote below)_
- **Awake/awake-on-duty requirement:** If there are residents in the facility who are disoriented or known to have wandering behavior, there shall be at least one staff member on-duty and awake at all times _(verified: appears in the quote below)_
- **Regulatory citation:** 10A NCAC 13F .0606 _(verified: appears in the quote below)_

## What the source says

> (a) In a facility with a census of greater than six but less than 13 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, there shall be at least one staff member on-duty on the first and second shifts and at least one staff member available within the building, who need not be on-duty, on third shift. There shall be a call system connecting the bedroom of the available staff member, who may be asleep on the third shift, with each resident's bedroom. If there are residents in the facility who are disoriented or known to have wandering behavior, there shall be at least one staff member on-duty and awake at all times.

## 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%20.0606.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/).