# 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 one staff member per shift assigned to personal care, barred from food service and restricted in housekeeping duties (13 to 20 residents); type of staffing rule is census-banded minimum staff on duty; minimum staffing requirement is Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents; 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:** one staff member per shift assigned to personal care, barred from food service and restricted in housekeeping duties (13 to 20 residents) _(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:** Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents _(verified: appears in the quote below)_
- **Regulatory citation:** 10A NCAC 13F .0607 _(verified: appears in the quote below)_

## What the source says

> (d) Each facility shall assign at least one staff member per shift to provide personal care services and supervision of residents as needed by the residents. The staff member so assigned shall not perform food service duties during the shift of rendering care services and supervision. The staff member so assigned shall not perform housekeeping duties during the shift of rendering care services and supervision, except; (1) between the hours of 7:00 a.m. and 9:00 p.m., and then only when the housekeeping duties are incidental to the rendering of care services; and (2) between the hours of 9:00 p.m. and 7:00 a.m., and then only to the extent that the housekeeping duties do not hinder the assigned staff's duties of care or immediate response to residents, nor impede the assigned staff member's ability to monitor the residents. (e) There shall be additional staff to provide daily housekeeping and food service duties.

## 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/).