# North Carolina — Nursing home minimum staffing requirements by US state — hours per resident day, RN coverage mandates, and penalty structures after the 2026 federal repeal

For North Carolina, total hprd minimum is none specified; rn hprd minimum is none specified; cna hprd minimum is none specified; rn on-site requirement is 1 RN 8 consecutive hrs/7d/wk; 1 RN/LPN 24 hrs/7d/wk; penalty for noncompliance is none specified, verified against its source on 2026-08-15.

- **State:** North Carolina _(verified: appears in the quote below)_
- **Total HPRD minimum:** none specified _(verified: appears in the quote below)_
- **RN HPRD minimum:** none specified _(verified: appears in the quote below)_
- **CNA HPRD minimum:** none specified _(verified: appears in the quote below)_
- **RN on-site requirement:** 1 RN 8 consecutive hrs/7d/wk; 1 RN/LPN 24 hrs/7d/wk _(verified: appears in the quote below)_
- **Penalty for noncompliance:** none specified _(verified: appears in the quote below)_
- **Regulatory citation:** 10A NCAC 13D .2302-.2303 _(verified: appears in the quote below)_
- **Federal standard status:** repealed _(verified: appears in the quote below)_

## What the source says

> NC Sufficient Staff RN (inc.DON @.06) 0.14 NC Administrative Code To attain or maintain the physical, mental, and psychosocial well-being LPN0.24 10A NCAC 13D .2302-.2303. of each patient. Licensed Staff (RN, LPN/LVN) Total LN 0.38 1 DON RN

## Source

- https://theconsumervoice.org/wp-content/uploads/2024/06/CV_StaffingReport_AppB_Chart.pdf

Last verified: 2026-08-15. Review by: 2027-08-15.
Part of [Nursing home minimum staffing requirements by US state — hours per resident day, RN coverage mandates, and penalty structures after the 2026 federal repeal](https://referencesource.org/nursing-home-minimum-staffing-by-state/).