(a)  Upon admission to an adult care home, each resident shall be tested for tuberculosis disease in compliance with the control measures adopted by the Commission for Public Health as specified in 10A NCAC 41A .0205 including subsequent amendments and editions.  Copies of the rule are available at no charge by contacting the Department of Health and Human Services, Tuberculosis Control Program, 1902 Mail Service Center, Raleigh, North Carolina 27699-1902.

(b)  Each resident shall have a medical examination prior to admission to the facility and annually thereafter.

(c)  The results of the complete examination required in Paragraph (b) of this Rule are to be entered on the FL‑2, North Carolina Medicaid Program Long Term Care Services, or MR‑2, North Carolina Medicaid Program Mental Retardation Services, which shall comply with the following:

(1)           The examining date recorded on the FL‑2 or MR‑2 shall be no more than 90 days prior to the person’s admission to the home.

(2)           The FL‑2 or MR‑2 shall be in the facility before admission or accompany the resident upon admission and be reviewed by the facility before admission except for emergency admissions.

(3)           In the case of an emergency admission, the medical examination and completion of the FL-2 or MR-2 as required by this rule shall be within 72 hours of admission as long as current medication and treatment orders are available upon admission or there has been an emergency medical evaluation, including any orders for medications and treatments, upon admission.

(4)           If the information on the FL-2 or MR-2 is not clear or is insufficient, the facility shall contact the physician for clarification in order to determine if the services of the facility can meet the individual’s needs.

(5)           The completed FL‑2 or MR‑2 shall be filed in the resident’s record in the home.

(6)           If a resident has been hospitalized, the facility shall have a completed FL-2 or MR-2 or a transfer form or discharge summary with signed prescribing practitioner orders upon the resident’s return to the facility from the hospital.

(d)  Each resident shall be immunized against pneumococcal disease and annually against influenza virus according to G.S. 13D-9, except as otherwise indicated in this law.

(e)  The facility shall make arrangements for any resident, who has been an inpatient of a psychiatric facility within 12 months before entering the home and who does not have a current plan for psychiatric care, to be examined by a local physician or a physician in a mental health center within 30 days after admission and to have a plan for psychiatric follow‑up care when indicated.