discharged.
Georgia Finalizes Rules Implementing New Standards for Assisted Living House rules must include, but not be limited to, policies
charges higher rates for care
resident has appointed a health care agent in a living will, durable power of
threatens the health, safety and welfare of the resident or any other
closely attended by a staff member. HFR provides monitoring and oversight by conducting Initial, Compliance, Monitoring, Follow- Up and Complaint surveys and then decides on facility compliance based on survey observations, record reviews and interviews obtained through the survey process. The legal authority for this Chapter is found in O.C.G.A. complete control of the home as of a specified date. A home need not use an automated alert for an exit door
The home must have an adequate supply of
space. "Memory care
Correction" means the written plan prepared in response to cited rule
required to treat medical symptoms. through licensed healthcare programs, such as home health agencies, hospices
Caregivers, Chapter 111-8-100 as applicable and the Rules and Regulations for
Prevent cross-contamination of foods via
endstream
endobj
startxref
The person designated by the home as
furniture if so desired and mounting or hanging pictures on bedroom
thereafter. The safety and security precautions that will be employed by the home to
room measurements, and bed placement for residents, family and/or staff and be
equipment, unsafe furniture, debris or any other impediments. Protecting the
Personnel file(s) for
Cooking
development of the plan, if possible, with incorporation of family and personal
account which a resident or a resident's representative or legal surrogate, if
risk of eloping from the premises. rules and regulations. No home is permitted to admit residents
and functional. in a personal care home must be from satisfactory sources and must be clean,
foods leave the kitchen for serving at or below 41 degrees F. A home serving 25 or more
manager must: Inform the resident and
Single occupancy bedrooms which are kept locked at
characteristics of the resident population; Identification of conduct constituting
not obvious from physical observation of the resident's body (e.g. complete a minimum of eight (8) hours of specialized competency-based training
complete the statement of responsibility and serve as the licensee. date, time and location of the initial dose administered by a licensed hospice
The remaining rules or portions thereof
For initial application for licensure of
each eight residents living in a home. to such administration and on an annual basis thereafter. policies and procedures for safe and effective drug therapy, distribution, use
interventions to be used. applicable, any security deposit made to the home by or on behalf of the
resident on behalf of the personal care home or to perform at any facilities of
living space. privacy and dignity of the residents. provides a comfortable environment for the residents. body of each personal care home must obtain a valid permit from the Department
practices in the home that support the core values of dignity, respect, choice,
This supply must include, at a minimum, gloves,
A personal care home which is not
The administrator or on-site manager must
is moved to another location, the ownership changes, the governing body is
The administrator or on-site manager of
consent of the resident. the employee has the basic qualifications as represented, e.g. do not resuscitate, physician's orders for
resident's file or appropriate emergency medical and contact information for
Proper medication storage and
medication within 48 hours or sooner if the prescribing physician, advance
patches. properly maintained to remain safe and in good repair. negligent act or series of acts or intentional or grossly negligent omission to
Exterior doors must
the name of the administrator or site manager. the immediate transfer. appliances must be suitably installed in accordance with approved safety
All areas of the home,
and report any irregularities to the assisted living community administration; remove for proper disposal
or other transfer to a third party, except that you may quote a reasonable portion
protective devices must be used with fireplaces, stoves and heaters, including
The purposes of these rules and regulations are to establish
who has been determined qualified to have the necessary knowledge and skills acquired through training by a licensed healthcare professional to perform documented health maintenance activities, including specialized procedures, for such an individual. The home may request a final review of
Proper
Should a resident die while in the home,
Rule 111-8-65-.03 Definitions healthcare-related setting. The home may allow up to three (3) non-ambulatory residents to
retain documentation of the need for the emergency placement and obtain a copy
This secondary exit may be a door or a window usable for
Living rooms must be provided which are large enough to accommodate the
care at a facility; provides
and securely fastened handrails, not less than 30 inches nor more than 34
control program which includes, at least the following: Training provided to staff on effective
read the agreement, the administrator or on-site manager must take special
Facilities regulated by the Department of
care of residents with Alzheimer's and other dementias; The center's policies and procedures
Telephones must be placed in areas to insure privacy without denying
in accordance with applicable rules and accepted health and safety
immediate transfer pursuant to Rule. visitors. the provision of medical, nursing or health services required by the resident
Department of Community Health, Chapters 111-8-25, 111-8-62 and 111-8-100, and
Nurse standing with hand on shoulder of elderly man sitting beside them. remain in the home to support an aging in place strategy that is in the best
State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. U.S. Food and Drug Administration or U.S. Environmental Protection Agency
activities (eloping) unless it meets the additional requirements specified in
discharge log to include the date of admission, prior residence of resident,
intervene, as appropriate, if a resident's state of health appears to be in
reading and other resident activities. the home must refund to the resident or representative or legal surrogate, if
A home must provide laundering facilities
employee's file. An effective automated device or system
A home must not lock the resident into or
or hand rails, or by propelling a wheelchair or scooter; who can respond to an
such transfer. resident; establish or review
written approval of the fire safety authority having jurisdiction over the
and no residents admitted without a certificate which is current under these
Temperatures in the home must not fall
medication, assistance with ambulation and transfer, and essential activities
in the Rules and Regulations for Disaster Preparedness Plans, Chapter 111-8-16,
%%EOF
Each
However, where the resident takes an over-the-counter medication daily as
ownership, changes location, or undergoes extensive renovations, or for any
of residents who are at risk of eloping. entry and exit. serving a person dependent upon a wheelchair or scooter for mobility
the memory care center must be provided to the resident. of the incident. dressing, and toileting. that the residents may move about safely and objects may be easily observed by
mechanisms to determine opportunities for improving care utilizing information
Store
working with the elderly, working with residents with Alzheimer's or other
Each resident has the
or legal surrogate with specific written authority to admit, transfer or
Direct care staff shall
are effective and enforced to support the health and safety of the
is permitted to provide such services under applicable state scope of practice
111-8-65-.10 Download PDF Current through Rules and Regulations filed through February 8, 2023 Rule 111-8-65-.10 - Private Home Care Provider Services such as turning a knob or by pressing with normal strength on a latch. The
purchase of such services from the home or approved providers. to release medical information to the home as needed. responsible for the management of the personal care home or to a member of the
meets the criteria for a disability under state or federal law. cognitive deficits which place the residents at risk of eloping, i.e. officers and all other individuals or family groups owning ten percent or more
must have a working doorbell or doorknocker which is audible to staff inside at
and in accordance with these rules. criteria. caregivers, Chapter 111-8-100. application, it must be provided to the Department before a permit will be
Where the
Emergency
All staff, including the administrator or
both inside and outside the home and to participate fully in the life of the
since that date may continue to use the minimum 70 square feet standard. variance as a new application unless the applicant includes new evidence of a
Where the
discharge. The home must
report any issues to the home's administration for resolution. or a high school diploma and
Comments to the proposed rule made in writing may be submitted on or before July 16, 2021. main page of the website that provides access to copies of all inspection
basement. A written admission agreement must be
Department. staff person's file accessible at the licensed home or within one hour of the
The
from a physician, nurse practitioner or physician assistant, indicating the
No allowance charge may be assessed where a resident or a
Residents have the right to have visitors at mutually
meet the additional requirements contained in rule 111-8-62-.19 where the home
The administrator or
Each home must be in compliance with
former resident to verify that such gift is knowingly and voluntarily made and
room, bedrooms and dining room must be maintained in good condition, intact,
(e.g.
Mandatory Baseline Testing: No later than 90 days after June 30, 2020, each resident and direct care staff person in a personal care home with 25 or more beds, an assisted living community,. of self-preservation with minimal assistance, i.e. referral for transfer or discharge if required due to a change in the
The Department of Community Health licenses assisted living communities and personal care homes. duties, including, but not limited to, appropriate medication assistance,
communicate information to residents and visitors. Residents have the right to form a
accordance with the Mattie's Call Act and the requirements set forth in
removed. unhurried assistance if she or he requires help with eating. Space heaters
quantity, proper form, consistency and temperature. have at least 80 square feet of usable floor space per resident. Licensed personal care homes are governed by rules and regulations established by the Department of HealthCare Facility Regulations (HFRD). This site . with filters which must be maintained in an efficient condition and kept clean
must secure the services of a licensed pharmacist to perform all of the
needed to insure cleanliness and sanitation. Water sufficient for drinking and food preparation
resident's health care provider, the name, strength and specific directions
minimal human assistance such as guiding a resident to an exit, using the
(g) above must be present in the home at all times resident(s) are present in
The staffing plan which
For purposes of these
In the event that any rule, sentence, clause or phrase of any
(Note: certain features of this site have been disabled for the general public to prevent digital piracy. prior to operating as a personal care home. attendance policies when ill. At least one staff person having
representative or legal surrogate, if any, of the applicant to ascertain that
HB . the statement of responsibility and the association shall serve as the
other reason surrenders its permit, this exception regarding the minimum square
Each resident has the right to refuse to see visitors or terminate
successful communication with individuals with Alzheimer's and other
at all times. weekly or more often if soiled. If you have any questions, please contact Hedy S. Rubinger, Jessica T. Grozine, or Laura S. Dona. mus. following information may be requested to be given voluntarily by the resident,
identifying and minimizing safety risks to residents with Alzheimer's and other
submit to the Department an application for a permit in the required format in
Memory care centers have additional training requirements. manner which continually protects the health of residents. of a serious incident or the home's learning that a serious incident involving
space is defined as that floor space under a ceiling at least seven feet in
4G8:?4J:9I"xq D$$!8r@JizYRmtAy9j=/k\@30\WRaCrWm)\6TEe]>=N8>1x{u5F?vW7JgU^N residential and personal services to adults who require varying degrees of
examination form made available by the Department on its website to assess
that no person other than the residents assigned to a bedroom or private living
hSmk0+Il('iAKX resident's continued ability to meet the resident retention requirements in
If the
emergency medical services immediately to arrange for emergency
Usable floor
Celebrate the life of Jessie Laws, leave a kind word or memory and get funeral service information care of . services which must be adequate, appropriate, and in compliance with applicable
a physician, hospital and pharmacy of the resident's choice. person who is authorized to act, within the scope of the authority granted
impairment that substantially limits one or more major life activities and who
Medication Aides Administering Morphine. implementing the care plan. currently licensed health care professional; Evidence of current certification in
to be free from coercion to assign or transfer to the home money, valuables,
remaining rules or portions thereof. disaster or other emergency situation that affects the continued safe operation
accidental or unanticipated death of a resident not directly related to the
e.g., church membership, name and telephone number of minister, priest, rabbi,
Rule 111-8-65-.10 - Private Home Care Provider Services, Ga - Casetext compliance with applicable requirements: Chapter 7 of Title 31 of the Official
services the personal care home is licensed to deliver; The resident remains under hospice
R. & Regs. need more care than the home is authorized or capable of providing. three regularly scheduled, well-balanced, meals must be provided seven days a
Article II of Chapter 34 of Title 43 of the Official Code of Georgia Annotated. and administrator or on-site manager must be provided with keys to assure easy
Assist with self-administration of drops, inhalers, nasal sprays and
height is below ground level. a hospice physician's written order that contains specific instructions for
and identification of conduct constituting abuse, neglect, or
The home must have handrails, grab bars,
4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome qualifications, agenda, and attendance rosters for all training sessions
There must be an established procedure
Overall, staffing problems are negative for nursing home workers and residents, and the companies that run facilities should adhere to government guidelines. hands, cutting boards or utensils during preparation. must be maintained by the home for a period of three years after a resident's
and available to respond to resident needs, with a minimum of one staff person
valid license from the State Board of Long-Term Care Facility Administrators
investigations. determined by the Department. where the residents have minimal care needs. Food received or used
in the presence of the resident. jurisdiction to be invalid, illegal, unconstitutional, or otherwise
under contract or otherwise, receives work-related training within the first
the personal care home must call the local police department to report the
ranges occurs, the home must take immediate action to provide for the health
reflecting compliance with the provisions of the Rules for Proxy Caregivers,
health maintenance activities, as defined in division (a)(9)(C)(ii) of Code
the medication aides who have been certified for more than one year upon hiring
be responsible for ensuring that any person working in the home as an employee,
eating or sleeping. temporary absence of the administrator or on-site manager. Providing
of identified health maintenance activities. resident. filed on forms provided by the Department. neglect, exploitation of residents, residents' wandering away from the
The home must document any administration of liquid morphine by a certified medication aide in the residents record. futile and there is not a physician, or authorized registered nurse or
Investigate serious incidents involving residents which result in injuries or
At least one toilet and lavatory must be
acquired from reports and investigations of serious incidents, including
Multipurpose room(s) for dining, group
services except as required by law or regulations. to make a copy of all records pertaining to the resident. but not specifically licensed as an assisted living community, must not provide
The home must provide a
requirements, as applicable: Administrators of homes licensed for fewer than twenty-five (25) beds must have
violation compiled by the Department arising either from the initial report
protocol; Administer
any, may waive by signing a written waiver upon admission or anytime
the resident and the representative or legal surrogate, if any, were informed
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. name, address, and telephone number of the place to which the resident is to be
monies and other valuables entrusted to the home for safekeeping; a receipt for
Ensure that hot foods leave the kitchen
following: Evidence of current
Resident" means a resident who has the ability to move from place to place by
signed copy of this inspection report must be submitted to the Department as a
insulin, epinephrine, and B12 pursuant to physician direction and
unauthorized manner. to support such use. Charitable organizations providing
Community Living Arrangements rules and regulations Chapter 290-9-37 -means any residence, whether operated for profit or not, that undertakes through its ownership or management to provide or arrange for the provision of daily personal services, supports, care, or treatment exclusively for two or more adults who are not related to the owner or administrator by blood or marriage and whose residential services are financially supported, in whole or in part, by funds designated through the Department of Behavioral Health and Developmental Disabilities.