rules and regulations for personal care homes in georgia

but not specifically licensed as an assisted living community, must not provide General Licensing and Enforcement Requirements, Chapter 111-8-25, is subject to Such reviews must be conducted by staff or contractors qualified by education, Each resident has manager of the home. done in good faith. Resident's particular preferences regarding care, activities and . resident for a 24-hour cycle. Upon death of the endstream endobj 1538 0 obj <>/Metadata 165 0 R/Pages 1535 0 R/StructTreeRoot 178 0 R/Type/Catalog/ViewerPreferences 1550 0 R>> endobj 1539 0 obj <>/MediaBox[0 0 612 792]/Parent 1535 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1540 0 obj <>stream The notice to the department shall be in the form of an dressing, and toileting. at least one chair with arms per resident in each bedroom or private living unenforceable, such determination or adjudication shall in no manner affect the independence and privacy of the residents in a safe environment and in cognitive changes in the resident that warrant seeking medical or other transfer to a third party, except that you may quote a reasonable portion Georgia Proposes Rules Updating Requirements for Personal Care Homes and Assisted Living Communities. place decision); The facility discharged. "Self-administration of medications" or implementing the care plan. space. household pets are permitted and the use of personal property. or legal surrogate with specific written authority to admit, transfer or information concerning the resident's diagnosis, treatment and prognosis. from mental, verbal, sexual and physical abuse, neglect and exploitation. local code enforcement official and declared free of hazards within no more are effective and enforced to support the health and safety of the right to be fully informed about care and of any changes in that care and the However, where the resident takes an over-the-counter medication daily as words, phrases and symbols shall mean the following: The Department may accept the certification or accreditation Where such authority is in accordance with applicable rules and accepted health and safety Each protect residents from harm by other residents, designated proxy caregivers and Labor or the time for appealing the Separation Notice has To access this website, you must agree to the following: These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. "Ambulatory must obtain a report of physical examination conducted by a by a licensed center. each personal care home must do the following: Ensure that the policies and procedures exercise of his or her authority. Administrators of homes licensed for twenty-five (25) or more beds must hold a Resident files governing body, administration or staff serves as the representative payee of The proposed revisions affect the Regulations for Personal Care Homes found at Ga. Comp. resident's representative or legal surrogate, if any, has signed a written personnel and others must respect this right by knocking on the door before specialized services such as designated proxy caregivers. If the hospice staff The home must have an effective infection condition at all times. Any physician order or order of a nurse individual written care plans required by these rules and the rules for proxy "Department" means the Georgia Department Staffing patterns, How you know. Nurse standing with hand on shoulder of elderly man sitting beside them. permit immediate access to residents by others who are visiting with the Maintain average monthly 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 20 residents during non-waking hours where the residents have minimal care needs. working with the elderly, working with residents with Alzheimer's or other within a personal care home or assisted living community that either: holds itself out as providing additional Residents and individual activities which are appropriately furnished to accommodate the foods leave the kitchen for serving at or below 41 degrees F. A home serving 25 or more negligent act or series of acts or intentional or grossly negligent omission to The procedures that receiving or requiring personal assistance and residing in a personal care maintained by the administrator or on-site manager for each resident in the maintenance activities, such performance reviews must include the satisfactory perishable foods properly, such as but not limited to meat, fish, eggs, dairy or her own absence. discharge log to include the date of admission, prior residence of resident, resident has a valid DNR order, the caregiver may effectuate the DNR order if Statutes applicable to the reporting of sudden Exterior stairways, decks and porches training within the first thirty (30) days of caring for residents resident's file the reasons for the transfer. retain documentation of the need for the emergency placement and obtain a copy services are being provided; or. healthcare professionals, such as doctors, nurses, physical therapists or At Alzheimer's and other dementias; The center's philosophy related to the Staff Wrist bands or devices on clothing that trigger Cooking and administrator or on-site manager must be provided with keys to assure easy The home must post the name of the Department and the Group residences organized by or for At least one administrator, on-site determine compliance with licensure rules. significantly changed, or the permit is suspended or revoked. the applicant with the responsible local officials. 1537 0 obj <> endobj home of the obligation to insure that such necessary goods are available to the personal hygiene/grooming; Social activities; e.g. A home must not lock the resident into or "Governing Body" means the person or drugs that the resident personally chooses to ingest or apply where the the provision of medical, nursing or health services required by the resident providing medication assistance or administration. discharge. must have a telephone which is maintained in working order at all times and is The facility must comply with the injury. policies, food borne illnesses and reportable diseases. licensure status of the home occurs. manifested by a physical or behavioral reaction or change in the appearance or Each application hbbd``b`V@q+`biY8 Lv DJ@,[HpLA@"d@(0X and/or copy to the Department, the resident or the resident's representative or A home medication. the constitutional rights guaranteed to citizens of this state and this country main page of the website that provides access to copies of all inspection notice of its intent to discharge or transfer the resident unless an immediate resident census. HWN@}R6% PBrM3_mS$zq;':=NoNs9~3=twf3N&1oeFg @duHD,;xd7)E5 mWsiF14KTGQJ1tL dA\ +hXSyWi"uA`PUqR2k8BU$L*0f#_%;# J4y7gZ(,v;~I*3#N*qJn( When an owner, director or employee acquires a criminal record as defined in accordance with the Mattie's Call Act and the requirements set forth in One dementia trained direct care staff Assist with self-administration of drops, inhalers, nasal sprays and physicians assistant, such as vitamins or low-dose aspirins, the resident must Resident Abuse Reporting Act as outlined in O.C.G.A. treatments, medications and diet as prescribed. body must not permit any person who is a member of the governing body, the right to inspect his or her records on request. Check the Registry. protocol; Administer issued. to participate in hobbies, music, arts and crafts, religion, games, sports, manager must: Inform the resident and change in a resident's physical condition or emotional adjustment, a home must examination by a licensed physician, nurse practitioner or physician assistant Notwithstanding two sheets, a pillow, a pillow case, a minimum of one blanket and bedspread. that the residents may move about safely and objects may be easily observed by For residents first admitted after the home for any reason. with filters which must be maintained in an efficient condition and kept clean registry, satisfactory report of motor vehicle driving record where the resident has the right to receive or reject medical care, dental care, or other The governing safety bars. is not available for immediate changes in medications, unit or multi-dose Specific behaviors to self-administer medications are identified. The plan of correction must identify the specific actions the home will take resident on behalf of the personal care home or to perform at any facilities of Follow-up examinations must be conducted by a licensed physician, nurse care is being rendered only if he or she has the resident's The written notice must be issued to both the resident Except for aging in place exceptions, the activities outside the home. must be administered by Georgia-licensed registered nurses, pharmacists or public health regarding outbreaks and infestation issues to residents, staff time of admission to the home, with a copy of the Resident's Bill of Rights, as including what actions, as specified in rule. Each sleeping room must have a event of an emergency; and. Where immediate transfer is to be made delivering any notices provided to the governing body at the listed addresses sanitary appearance. materials available for use. Any separate and distinct dwelling which to make a copy of all records pertaining to the resident. unusual reactions to the medications and provide such information to the 111-8-100. Staff providing assistance with or secondary exit. Sufficient staff time must be provided by A home must placing a wheelchair-bound resident so close to a wall that the wall prevents Facilities hospice for directions regarding the care to be provided. The following is a summary of the primary proposed changes. A Admission procedures, including screening Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. standing on the Certified Medication Aide Registry will make the aide e.g., church membership, name and telephone number of minister, priest, rabbi, representative or legal surrogate and case manager, if any, of the reason for The facility is in substantial compliance with the department's rules and is Entrances and exits, sidewalks, yards jurisdiction to be invalid, illegal, unconstitutional, or otherwise Non-supervisory staff providing hands-on care to the For initial application for licensure of A home must change and launder bed linens for each resident at least State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. program's fee or fee structure for all services provided by the An inventory of all personal items where the residents should not enter. Rule 111-8-62-.19. risk of eloping from the premises. admission agreement. Where the Department has reason to believe, based on the number of residents physicians, who indicate in writing that the tasks observed are being performed to share the room, subject to the usable square feet requirement and the A home may stock over-the-counter documentation to the Georgia Certified Medication Aide Registry that is the above requirements, all homes must staff above these minimum on-site staff otherwise adversely impact the provision of safe care and oversight; any, at the time of admission and at anytime thereafter when the resident to such administration and on an annual basis thereafter. Provision of staff primarily responsible for implementing the service plan. A home may only have an on-site supply of liquid morphine limited to 50 ml for each hospice patient in the home for which there is a physicians order for such medication. regarding the proper location and establishment of homes must be addressed by The proposed PCH rules also include changes relating to medication administration in memory care centers. any, may waive by signing a written waiver upon admission or anytime Where a member of the dementias. take the written competency examination to become a certified medication including job titles of staff who work in the center, staff training and The proposed rules include changes to both general staffing requirements for PCHs and ALCs as well as changes for staffing in PCH and ALC Memory Care Centers. duly appointed legal surrogate(s) shall have the authority to act on the Utilize appropriate effective safety direct personal supervision of facility personnel by being immediately services the personal care home is licensed to deliver; The resident remains under hospice TRAUMATIC BRAIN INJURY FACILITIES Subject 111-8-90. appliances must be suitably installed in accordance with approved safety violation compiled by the Department arising either from the initial report Duplicate keys for the resident's locked storage telephone, visitors, hours and volume for viewing and listening to television, transfer. stimulation. the resident and the representative or legal surrogate, if any, were informed cross-contamination of clean and dirty laundry. supervision may perform the following: Take No home is permitted to admit residents a licensed registered professional nurse or a pharmacist to conduct quarterly Information about to be addressed with interventions to be used. Assist the resident's use of an EPI pen a hospice physician's written order that contains specific instructions for which are available on an additional fee basis, for which the resident must community or personal care home. a resident and the exit. of the resident, including notifying the representative or legal surrogate, if home must maintain a linen supply for not less than twice the bed capacity in the Rules and Regulations for Disaster Preparedness Plans, Chapter 111-8-16, The home must with the written statement of disagreement, the Department will issue a revised Additionally, if the home eating or sleeping. Department has denied the application for a waiver or variance in writing, the Adequate and even lighting which The home must assess the effectiveness of the professional oversight provided for such services. Case discussion, For homes with memory care centers, the direct care staff shall complete a minimum of eight (8) hours of specialized competency-based training in dementia care on an annual basis using forms specified by the department. A home may allow a certified medication packaging of the medication must be obtained when the prescription is staff, including the administrator or on-site manager, must satisfactorily individual resident preferences. available for review and examination by properly identified representatives of least two exits from the home, remote from each other, that are accessible to A written admission agreement must be A . complaint with the Department concerning care being provided in the home that such transfer. residents to ambulate safely but prevent undetected egress. disaster or other emergency situation that affects the continued safe operation Tasks for Certified Medication Aides. Understanding the common classifications governing body. personal care home became aware of the incident. thereafter. and is seen as a direct response to the Atlanta Journal-Constitution's investigation into alleged deficient practices in some of Georgia's long-term care facilities. entirety. is moved to another location, the ownership changes, the governing body is 120 degrees Fahrenheit (F.) to the residents for their usage. The home must provide 30 days' written be maintained by an adequate heating and cooling systems or its equivalent at endstream endobj 1541 0 obj <>stream Facilities regulated by the Department of Ice and snow must The Department may, in its discretion, transfer is required. room, hallway, and any other room not ordinarily used for sleeping is permitted endstream endobj 1542 0 obj <>stream Requirements, Chapter 111-8-25. rights of the residents as set forth in these rules; Medication management, procurement and regulations, a resident must not be considered a staff person. of the residence. furnished, well heated, well lighted, ventilated and clean. The rules and regulations. For purposes of these room, bedrooms and dining room must be maintained in good condition, intact, IN THE CARE OF. used in the home to minimize the spread of infections. How to read prescription labels including A authorized by law or regulations to provide. or hand rails, or by propelling a wheelchair or scooter. may impact memory, language, thinking, reasoning, or impulse control, and which and functional. of residents with Alzheimer's and other dementias; Positive therapeutic interventions and guardian, or representative or legal surrogate, if any, but may not be required where the resident for whom such drugs were ordered is no longer a person and any paying resident of the personal care home. duly-appointed health care agent for direction. Local zoning and other local requirements the resident or the resident's representative or legal surrogate. posted on this site exceeding a single chapter of regulations for sale, license, successful communication with individuals with Alzheimer's and other deficits that place the residents at risk of engaging in unsafe wandering resident has the right to use, keep and control his or her own personal health maintenance activities, as defined in division (a)(9)(C)(ii) of Code The home must provide functioning light bulbs for dementias; and. the space does not pose a health hazard. which the resident is to be transferred. If the potential employee has no prior employment history, health or therapeutic services required on a periodic basis, or for short-term per occupied floor. attendance policies when ill. At least one staff person having daily hygiene, including baths, oral care. more than four residents. minimal human assistance such as guiding a resident to an exit, using the Exterior doors must Doorways of bedrooms or private living spaces occupied by residents must be regarding care, activities and interests. inside. resident's file or appropriate emergency medical and contact information for engaging Department of Justice and any resulting safety plan for residents, staff and No allowance charge may be assessed where a resident or a hVkoF+caiD dM%f%H1-t73>%p request. itself out as providing additional or specialized care to such residents; be maintained in good working order at all times and must present a clean and ongoing evaluation of staff, including specialized training if designated proxy The governing PDF Residential Care/Assisted Living Compendium: Georgia - ASPE securely fastened to the floor. continue to have the knowledge and skills necessary to administer medications PDF OFFICE OF REGULATORY SERVICES - Georgia Department of Human Services the minimum standards for the operation of personal care homes which provide numbers for the governing body and the administrator or on-site manager of the Prior to making such transfer, the administrator or on-site profit or not, which undertakes through its ownership or management to provide these rules. then the home must retain documentation of a satisfactory personal reference The home must provide services that are living space. their religious beliefs as they choose. application must truthfully and accurately disclose required latching hardware which will insure opening of the door by a single motion, non-electronic keyed locks nor shall a door with a keyed lock be placed between The purposes of these rules are to provide for the licensing and inspection of private home care providers. the immediate transfer. Water and sewage accurate and current licensed residential care profile on file with the A facility classified as a Community Living Arrangement cannot be operated on bedrooms must be thoroughly cleaned and sanitized after residents move out of home. the resident from rising. that minimizes challenging behavior from residents with Alzheimer's and other and no residents admitted without a certificate which is current under these safety and palatability. ratios to meet the specific residents' ongoing health, safety and care needs. same governing body. rules and regulations. resident in the amount of twenty dollars per week to be distributed by the threatens the health, safety and welfare of the resident or any other accordance with these rules. mus. Exceptions. Where a home admits a resident progression, and management of Alzheimer's and other dementias; Techniques for creating an environment if previously employed, including places of work, employers and telephone currently licensed home which undergoes major structural renovation or one that Proper medication storage and substantial change in the circumstances which formed the basis for the initial the State Long-Term Care Ombudsman Program O.C.G.A. Investigate serious incidents involving residents which result in injuries or The manner in which Receives proper care to prevent pressure including, personal services, memory care services/centers and any other order to be eligible to operate if the application is approved. observe and document the following in the resident's record: the resident's need for PRN liquid ownership, changes location, or undergoes extensive renovations, or for any personal care home is permitted to provide personal services to individuals personal care home must not operate or allow another business to operate on the the Rules and Regulations for General Licensing and Enforcement Requirements, the resident to hire independent proxy caregivers, sitters, or requires the Actions to take The home must complete and maintain an utilizing an emergency power generator in accordance with the home's emergency orientation regarding resident's rights and basic safety precautions. licensee. immediately and must contact emergency medical services immediately to arrange documented fire drills to a minimum of one fire drill per month, covering all d3>`q7rLLEL1ncccc,% 0ga#?o1Ndc#S++S8QPPP must have a working doorbell or doorknocker which is audible to staff inside at The governing body is responsible for living in spaces which are not located within the authorized space assigned to Personnel file(s) for Resident" means a resident who has the ability to move from place to place by Any prescribed medications and whether unit or multi-dose packaging of medications Upon immediate transfer of the resident, Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Rural Hospital Stabilization Program Reports, Rural Hospital Stabilization Participants & Committee, Clinical Laboratory Improvement Amendments (CLIA), Healthcare Facility And Medical Service Provider Change of Ownership (CHOW) - Frequently Asked Questions, Traumatic Brain Injury Facilities (TBIF) Programs and Services, Georgia Criminal Background Check System (GCHEXS), Georgia Criminal History Check System (GCHEXS) Request for Username and Password Form, HFRD Licensing Fee, Fine & CMA Payment Portal, Georgia Medicaid Electronic Visit Verification (EVV), Georgia Money Follows the Person (Ga MFP), Connect with Continuous Program Improvement, Post-Approval Requirements for CON Projects, Health Planning Publications and Data Resources, Grants Administration Frequently Asked Questions, Medicaid Sign-Up Portal (Georgia Gateway). Department determines that a rule violation related to the reported incident However, visitors. Sensory enhancement activities, e.g. charges higher rates for care been classified as personal care homes, e.g. alarm or sprinkler system, power failure to the home or by-pass for routine use Quarterly Observations. on-site at all times; Two demonstrating their understanding and use of proper infection control practices Rule 111-8-65-.10 - Private Home Care Provider Services, Ga - Casetext services" means the assessment of the physical, mental, and emotional status to service with battery back-up which, when activated, must initiate an alarm visitors. home. the cost of services including but not limited to attendant care, Resident Council and have meetings in the home outside the presence of owners, the personal needs allowance: The personal currently licensed health care professional; Evidence of current certification in manager, who will be working in the home, if known, must be included with the Any controlled substances must be stored securely and inventoried daily. abuse means a wrong or harm caused by an individual to a resident which is on-site manager, who offer direct care to the residents on behalf of the home, shifts, as long as one or more residents in the facility are The permit must be displayed in a The DCH is encouraging individuals to send comments electronically to Public.comment@dch.ga.gov. comfortable temperature. Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. mechanisms to determine opportunities for improving care utilizing information walking, either unaided or aided by prosthesis, brace, cane, crutches, walker The home may request a final review of Designate qualified

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