Bill > H591

This bill, known as the G.U.A.R.D. (Guaranteeing Uninterrupted Access to Resident Dignity) Act, establishes comprehensive regulations for electronic monitoring in nursing homes and adult care homes in North Carolina. The legislation allows residents or their legal representatives to install electronic monitoring devices (such as cameras or audio recording devices) in their rooms at their own expense, with the facility required to provide power sources and mounting space. Facilities cannot refuse admission or discharge a resident based on their desire to use electronic monitoring, and must inform residents of this right. The bill mandates that residents post a notice on their room door indicating monitoring is in progress and emphasizes protecting the privacy of other residents and visitors. Importantly, recordings from these devices can be used as evidence in civil or criminal court proceedings, and facilities or individuals who interfere with or destroy these devices can face criminal penalties, specifically a Class A1 misdemeanor with potential fines up to $2,000 and possible imprisonment. The law will take effect on October 1, 2025, and applies equally to both nursing homes and adult care homes, giving residents a tool to help ensure their safety and dignity.

Government Affairs, Health and Social Services

https://www.ncleg.gov/BillLookUp/2025/H591