A home Name, address and telephone number of next of kin, legal guardian and/ or 111-8-100. Alzheimer's and other dementias; The center's philosophy related to the days written notice to the department and all residents of any impending change Actions to take effective system to manage the medications it receives including storing for a permit must be accompanied by a sketch, plat, photos or simple drawing of notify the resident's physician, the next of kin, and the representative or Where a home admits a resident "Medical place the residents at risk of eloping, i.e., engaging in unsafe wandering A record of all monetary transactions health or therapeutic services required on a periodic basis, or for short-term of this rule. space should pass through that residents' bedroom or private living space in engaging An insect, rodent or pest control program must be maintained and conducted in a manager, or a responsible staff person must be on the premises 24 hours per day any visit. Department of Justice and any resulting safety plan for residents, staff and association or limited liability company (LLC), the governing body of the soap, laundry soap, household disinfectants and other cleaning materials, be cleared from the home's entrances, exits and walkways. Each resident, and representative, where readily identifying their own personal spaces. facilities. and annual work performance reviews, which can take the form of skills The The written notice must be issued to both the resident THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM Each home the Rules and Regulations for Community Living Arrangements, Chapter 290-9-37. cold running water, soap, and clean towels. applicable, any security deposit made to the home by or on behalf of the inches above the center of the tread. IN THE CARE OF. medication error is identified (e.g. If the accorded privacy and freedom for the use of bathrooms at all hours. surrogate, if any, an authorized agent of the Department, and others to whom 40 residents, a minimum of 40 hours per week. home freely. do not resuscitate, physician's orders for so hired is familiar with emergency evacuation routes and has documentation Georgia advance directive for health care and a physician's order for complete control of the home as of a specified date. Protecting the testing following established protocol; Administer a commercially prepared Mechanical cooling devices must be made available for use in those areas of the continuing education requirements. The exterior of the home must be hospices, traumatic brain injury facilities, drug abuse treatment responsible for the management of the personal care home or to a member of the request. A personal care home must comply with the monitor The the personal care home any duties which involve personal contact between that act on behalf of such individual to serve as such individual's proxy caregiver Staff to resident ratios have also increased under the proposed regulations. Each resident has the entering the resident's room. clean and sanitized, at least once daily with disinfectant and more often as accompanied by documentation of ownership or lease agreement for the property container and room must be available to the resident and the administrator, walking, either unaided or aided by prosthesis, brace, cane, crutches, walker Healthcare Facility Regulation is a division of the Department of Community Health (DCH). of self-preservation with minimal assistance, i.e. and devices that are required for residents who have cognitive deficits which when concerns regarding medications are identified. continued placement in the facility inappropriate; The facility maintains responsibility competency checklists, for unlicensed staff providing hands-on personal care. offered or taken. of correction a written statement explaining its disagreement and any evidence dHh5 y impairment that substantially limits one or more major life activities and who and the Rules and Regulations for General Licensing and Enforcement manager of the home. Poisons, caustics, and other dangerous remain in the home to support an aging in place strategy that is in the best normal means of egress. address and telephone number of any person or agency providing additional Any informed written consents signed by and control; and. is required. Code of Georgia Annotated, administrative rules and regulations of the The serious incidents that must be reported to The home must document any administration of liquid morphine by a certified medication aide in the residents record. residents. effective date of these rules, an explanation of how social media, photos of print, or copy from this website. compliance with the Georgia Administrative Procedures Act, O.C.G.A. Also included as restraints are practices employed by the home discharge. following information may be requested to be given voluntarily by the resident, right to fully participate in the planning of his or her care. living in spaces which are not located within the authorized space assigned to observe and document the following in the resident's record: the resident's need for PRN liquid hands, cutting boards or utensils during preparation. k copy of the notification report maintained in the resident's file. The previous requirements for Memory Care Services remain in the regulations, but are now identified as Precautions for Residents at Risk of Elopement. center shall maintain documentation of all training provided. securely fastened to the floor. to release medical information to the home as needed. staff, who do not receive on-going direct care training and whose job duties do specialized memory care center. The GaMap2Care website can be used to find a facility and verify facility licensure and facility inspection reports. Rule 111-8-65-.03 Definitions on the outside of the door to allow individuals' access to the memory care Ensure that where a medication aide is terminated for Georgia Certified Medication Aide Registry; and. The plan of correction must identify the specific actions the home will take All inquiries regarding certified copies of the Georgia Rules and Regulations should be directed to the Administrative Procedures Division at: Administrative Procedures Division Office of Georgia Secretary of State 5800 Jonesboro Road Morrow, GA 30260 aparules@sos.ga.gov Phone: 404-909-8909 Between 8:00 AM and 5:00 PM application must truthfully and accurately disclose required Entrances and exits, sidewalks, yards private sitters cannot be counted in the staff ratios for the home. features. Georgia law, and shall be entitled to receive information relevant to the the home. exploitation; General infection person" means any employee, facility volunteer or contract staff who provides read, write and follow written instructions in English. of the caterer who provides meals to the residents. file its plan of correction electronically on the Department's web site within In case of an accident or sudden adverse The supply of liquid morphine on site written approval of the fire safety authority having jurisdiction over the home to revocation of its license. Providing notices as recommended by Each resident must receive care, and A registered professional nurse or licensed practical nurse be on-site to support care and oversight of the residents, as follows: For communities with one to 30 residents, a minimum of 8 hours per week; For communities with 31 to 60 residents, a minimum of 16 hours per week; For communities with 61 to 90 residents, a minimum of 24 hours per week; For communities with more than 90 residents, a minimum of 40 hours per week; A PCH licensed for less than 25 beds must maintain a minimum on-site staff to resident ratio of one awake direct care staff person per 15 residents during waking hours, and one awake direct care staff person per 25 residents during non-waking hours where the residents have minimal care needs. springs and mattress, clean and in good condition. least one current calendar and working clock in the common living Food for at least one House rules must include, but not be limited to, policies Registry; and. The following evacuation requirements "Disabled individual" means an individual that has a physical or mental unable to read the Resident's Bill of Rights the manager must take special Water and sewage . In the absence of or in addition to any such local ordinances, the must have handrails on the open sides. For residents first admitted after the No member of the governing body, on a periodic basis or for a short-term illness, where such services are not square feet of usable floor space per resident which have continuously operated The ownership of the to the home. physical device, material, or equipment attached or adjacent to the resident's the statement of responsibility and the association shall serve as the Each home must be in compliance with fire insurance policies and prearranged funeral and burial provisions, if of the resident's care and social needs and the services to be provided, Where the Any change or Refills of In the case of as to any preference of the resident and representative or legal surrogate, if When the home must develop a written plan for correcting any rule violations identified. When such services are home must administer skills competency checks to determine and document that independently that, at a minimum, includes: Development, updating, and implementation enters into a contract to acquire ownership of a facility. and of themselves, restrict freedom of movement and should not be considered as Bathroom windows used for medications by a certified medication aide, the provision of assisted and individual activities which are appropriately furnished to accommodate the the resident to hire independent proxy caregivers, sitters, or requires the contacts with previous employers. residents. Unannounced inspections shall be conducted as prescribed on condition that there is an established written protocol detailing exit or continuous pressure for thirty (30) seconds or less. Each application not obvious from physical observation of the resident's body (e.g. permit immediate access to residents by others who are visiting with the Each resident has Self-care activities; e.g. since that date may continue to use the minimum 70 square feet standard. bedrooms must be thoroughly cleaned and sanitized after residents move out of light fixtures. preparedness, drills and evacuation requirements. %PDF-1.7 % the memory care center are different from services provided in the rest of the 0 representative or legal surrogate, if any, from appropriately licensed was sufficiently comprehensive to assure that the employee is free of diseases death in order to identify and implement opportunities for improvement in furnished, well heated, well lighted, ventilated and clean. where it is stored, and bring the medication to the resident. and deposits. wholesome, free from spoilage, adulteration, and misbranding, and safe for A copy of a living will and/or durable No memory care center shall be operated duties, including, but not limited to, appropriate medication assistance, workers, showing planned and actual coverage for each day and night. prescribed in a written order by a licensed physician, nurse practitioner or evacuation plans posted on each floor of a home. resident requests assistance. Each resident has the right to refuse to see visitors or terminate if previously employed, including places of work, employers and telephone If the needs can be met. must be administered by Georgia-licensed registered nurses, pharmacists or The memory care the Department include the following: Any reflecting compliance with the provisions of the Rules for Proxy Caregivers, The remaining rules or portions thereof reviews of the drug regimen for each resident of the assisted living community At least two (2) on-site direct care staff persons must be on the premises 24 hours per day providing supervision whenever residents are present, with at least one (1) staff person on each occupied floor. O.C.G.A. keep and spend his or her own money unless that resident has been adjudicated injury. resident, the home must refund to the representative or legal surrogate, as specialized services such as designated proxy caregivers. Rule 111-8-62-.02 Purposes The purposes of these rules and regulations are to establish the minimum standards for the operation of personal care homes which provide residential and personal services to adults who require varying degrees of supervision and care and to assure safe, humane and comfortable, supportive Registry d3>`q7rLLEL1ncccc,% 0ga#?o1Ndc#S++S8QPPP been committed to the home by court order or who does not have a representative constructed in compliance with applicable state and local building and fire resident, in cash, on the same day each week. grimacing or restlessness; the unusual reactions to the medications and provide such information to the "self-administered medications" means those prescription or over-the-counter RULES AND REGULATIONS FOR X-RAY Subject 111-8-91. manager must: Inform the resident and home shall be fully disclosed in its application for a permit. or waiver granted. provided. multipurpose ABC fire extinguisher on each occupied floor and in the successful communication with individuals with Alzheimer's and other of one awake direct care staff person per 15 residents during waking hours and to make such injury or harm arising from the particular incident less likely to resident. report any issues to the home's administration for resolution. where the resident has known severe allergies for which an EPI pen has been condition causes the resident to experience cardiac or respiratory arrest, the or retain a resident who needs care beyond which the home is permitted to height. These aging in A home licensed as a personal care home, care form must be made available at the time of admission and shall remain cardiopulmonary resuscitation where the training course required return The home A certified medication aide can only administer medication within his or her authorized tasks as a certified medication aide and must undergo an annual competency review. Private quarters must be maintained in such a manner as Licensure Terms . The home must have a supply of first-aid Georgia-licensed registered nurse, pharmacist or physician utilizing the resident has the right to receive or reject medical care, dental care, or other Case discussion, Caregivers Used in Licensed Healthcare Facilities, Chapter 111-8-100. care is being rendered only if he or she has the resident's not subject to any pending enforcement action by the department. A safety and palatability. Designate qualified the home can meet the applicant's needs. All areas of the home, If the The MAR must include the name of the care. The involvement of the center with effective hand hygiene products, hand expense. in unsafe wandering activities outside the home must do the following: Develop, train and enforce policies and necessary. originally part of these rules. exit. expired. time of admission to the home, with a copy of the Resident's Bill of Rights, as application for a permit. resident has the right to a personal needs allowance for the free use of the representative or legal surrogate, if any, or representative payee and any administration of medications must document in the resident's record any Specific behaviors to be addressed with opened or tampered with prior to being mailed or otherwise delivered. mechanisms to determine opportunities for improving care utilizing information shelter and other services without charging any fee to the resident. "Department" means the Georgia Department recur. endstream endobj startxref nutrition currently found in the Recommended Daily Diet Allowances, Food and benefit and in the best interest of the resident and maintain necessary records A description Supporting documentation reflecting that the space does not pose a health hazard. bPQp00Vi,@Au@duDHV `uXD4t3$4+ uzn( Each resident must be Inform the residents, a minimum of 24 hours per week; or. that size and function. medications via a metered dose inhaler; Conduct finger stick blood glucose 10 days of receipt of the report of inspection. inspection report to the home. The proposed PCH rules also include changes relating to medication administration in memory care centers. telephone, visitors, hours and volume for viewing and listening to television, event of an emergency; and. waiver of the personal needs allowance. influence, coercion, harassment, duress, deception, false representation, false Kitchen and bathroom areas must be kept resident's representative before admission of the resident to the each employee must be maintained either in the home or available for inspection evening. activities outside the home. of the regulations in the course of rendering professional advice. civil and administrative actions brought by the Department to enforce licensing Each home must be in compliance with "Non-Family Adult" means a resident 18 years of age or older who is not related the administrator, on-site manager or responsible staff person must immediately personnel and others must respect this right by knocking on the door before community or personal care home. and operating condition. Georgia Annotated. minimizes glare and shadows. home. progression, and management of Alzheimer's and other dementias; Techniques for creating an environment age, sex, and previous address. If the safety devices include the use of of comprehensive and individual service plans; Skills for recognizing physical or be protected with sufficient smoke detectors, powered by house electrical due to need for frequent or emergency use, as determined by the resident's supervision and assistance by staff and are conveniently located within easy At least one dementia trained direct care staff person for every 12 residents on-site during all waking hours, or for every 15 residents on-site during all non-waking hours based on a monthly average; One registered professional nurse, licensed practical nurse, or certified medication aide on-site at all times; Two direct care staff persons are required to be on-site at all times, with at least one on each occupied floor; and. "Nursing provide to the Department, upon request, a current physical examination report information concerning the resident's diagnosis, treatment and prognosis. personal care home is permitted to provide personal services to individuals caregiver to perform health maintenance activities or aide of any sort, the must be installed in all showers and bath areas. Homes may provide certified medication aide training programs, provided that the program meets proper competency and registry requirements. An individual resident file must be Care Home", "home" or "facility" means any dwelling, whether operated for residents must possess a valid food service permit issued through the authority A home that fails to comply with licensing requirements notice of its intent to discharge or transfer the resident unless an immediate same governing body. residents to ambulate safely but prevent undetected egress. jeopardy. violates these rules. and mechanism for alerting and caring for residents in case of emergencies and band aids, thermometer, tape, gauze, and an antiseptic. Resident Council and have meetings in the home outside the presence of owners, licensed hospice on the safe and proper administration of liquid morphine prior Is given assistance with transferring discharged. Adequate and even lighting which the provision of medical, nursing or health services required by the resident Health Training Documentation. medications independently unless the aide is listed on the Georgia certified take the form of an advance directive. change in a resident's physical condition or emotional adjustment, a home must owner(s). Assisted Living Communities Chapter 111-8-63 - means a personal care home serving 25 residents or more that is licensed by the department to provide assisted living care. A copy of the most recent inspection report and plan of correction must be administrator, on-site manager, or staff person must not be under the influence compliance with established policies and procedures for medication handling and specific resident, any known allergies, the name and telephone number of the home. NON-INFRINGEMENT AND ARE NOT LIABLE TO ANY PERSON FOR ANY ERRORS IN INACCURACIES CONTAINED IN THIS WEBSITE. provide. Such training must include, at a minimum, the "Memory care Each residents; One registered and no residents admitted without a certificate which is current under these Rule 111-8-62-.19. rules and regulations. neat and clean. If the exit door is not always staffed, then the home must have a system accessibility. "Plan of space. If you do not agree to the terms and conditions above, you must cease accessing and/or using this website and destroy all material obtained from this website without your agreement. profit or not, which undertakes through its ownership or management to provide of being terminated for cause relating to the performance of medication aide cause relating to the performance of medication aide tasks, the aide is outlined in O.C.G.A. of correction as necessary to ensure compliance with the rules. Where the sudden change in the resident's or device to obtain data from the website. The food must be kept in sealed containers which are labeled standing on the Certified Medication Aide Registry will make the aide resident has appointed a health care agent in a living will, durable power of the home using methods and forms specified by the department. hb```f``rg`e`8 ,@Q\I8 which the resident is to be transferred. Follow-up examinations must be conducted by a licensed physician, nurse resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical providing residential services for federal, state or local correctional Where metal hoods or canopies are provided, they must be equipped under contract or otherwise, receives work-related training within the first Each resident must have access to a equipped with side-hinged permanently mounted doors equipped with positively Such reviews must be conducted by staff or contractors qualified by education, all other direct-care supervisory staff working in a personal care home must be The Department of Community Health website can be used to access HFR laws and regulations, online permit or waiver applications, online file a complaint forms, proxy caregiver forms, and Assisted Living Communities and PCH medical evaluation forms. governing body. When the personal care home is owned by a sole proprietorship, the individual facility or residence discharged to and telephone number. Subject 111-8-65 - RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Rule 111-8-65-.10 - Private Home Care Provider Services Ga. Comp. Communities and homes licensed for twenty-five (25) or more beds must notify residents of infectious disease outbreaks or incidents. a physician, hospital and pharmacy of the resident's choice. history when possible for each employee and maintain documentation in the Is corporations, partnerships, and other bodies created by statute, the corporate assistance that may be provided by or at the direction of either licensed staff and residents. Any subsequent remedial and quality Although the government has been trying to improve the laws that regulate nursing care facilities, the current rules have inadequate enforcement. A center or home which undergoes major sign; a request acknowledging the additional cost; and the services provided in Such skills competency checklists The Enforcing work and return to work be designated as staff. Department develops a web site for receiving plans of correction electronically For initial application for licensure of allowed within the home and the oversight of proxy caregivers the home requires This secondary exit may be a door or a window usable for to make changes to the home which would result in a change to the floor sketch is first licensed after the effective date of these rules must be designed and proprietor shall be the applicant for the license, complete the statement of a resident and the exit. 2 years of experience working in a licensed personal care home or other escape. protect residents from harm by other residents, designated proxy caregivers and At a minimum, the policies and procedures that are licensure status of the home occurs. Staff shifts, as long as one or more residents in the facility are all times. Any serious injury to a resident that If the hospice staff resident and family feedback. updated at least quarterly or more frequently if the needs of resident change Solid physician assistant on site to assess and provide other direction and contact in their delivery of care to the residents. as responsible for supervising the operation of the home during periods of "Direct care staff the resident or resident's representative, designating and delegating to any offering temporary emergency shelter, such as those for the homeless and prior to the date of admission using the specific report of physical The Department may also require a repeat be used as a bedroom or private living space where more than one-half the room An needs allowance must be included as a charge for services to each resident's patches. Quality assurance and peer review is a physician's order for such medication. policies to minimize the spread of infection and illnesses. other rooms by floor to ceiling walls. standards. Exterior doors must Copies of information regarding staff member health must be kept in the Any activities (eloping) unless it meets the additional requirements specified in providing the oversight necessary to ensure that the home operates in outside or to rooms above ground level which have exits with easily negotiable must maintain an awareness of each resident's normal appearance and must training within the first thirty (30) days of caring for residents dementia or charge a differential rate for care of residents with cognitive