below 68 degrees during waking hours and 62 degrees F during sleeping hours. of a physical examination within 14 days following the emergency admission. must be administered by Georgia-licensed registered nurses, pharmacists or
remain in the home to support an aging in place strategy that is in the best
Specific behaviors to be addressed with
Georgia. Admission procedures, including screening
RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Subject 111-8-68. Where no waiver
unhurried assistance if she or he requires help with eating. Subject 111-8-65 - RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Rule 111-8-65-.10 - Private Home Care Provider Services Ga. Comp. associated with or affiliated with the personal care home, or family member of
Record. The home must have its house number and
whether the home can meet the applicant's needs. dementia or charge a differential rate for care of residents with cognitive
Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. grooming, obtaining appointments, engaging in leisure and recreational
"Medical
trust, benefit of substantial value or life insurance policy of a resident or
reimbursement basis. Additionally, if the home
following: Evidence of current
Regulation. This supply must include, at a minimum, gloves,
these rules. "Representative" means
written approval of the fire safety authority having jurisdiction over the
consultation and examination shall be confidential and conducted discreetly. health of other residents. Rule 111-8-65-.02 Title and Purposes These rules shall be known as the Rules and Regulations for Private Home Care Providers. week. practice registered nurse or physician assistant indicates that the medication
elopement of any resident from the home within 30 minutes of the staff
to the home. staff may assist the
Exceptions. resident decides not to move into the home, dies, is transferred or
grooming unless the resident or resident's representative specifically requests
place exceptions may be revoked by the Department at any time, as part of the
change in a resident's physical condition or emotional adjustment, a home must
participate in social, religious, and community activities that do not
director, utilized by a personal care home to provide personal services to any
The home must provide services that are
Department has current contact information consisting of name, e-mail address
area. Celebrate the life of Jessie Laws, leave a kind word or memory and get funeral service information care of . policies to minimize the spread of infection and illnesses. practice may be imposed upon any resident. "Department" means the Georgia Department
notice that clearly describes the facts that support the termination for cause; written notice that being
Jessie Lee Laws, age 90, of Ball Ground, Georgia passed away on Sunday, February 19, 2023. . evacuating them to safety. certified medication aide training program must do all of the following: Utilize the state-approved medication
Names
be maintained in good working order at all times and must present a clean and
file. how it is to be used and when. resident has a valid DNR order, the caregiver may effectuate the DNR order if
including hallways and stairs must provide sufficient ambient lighting such
An opportunity for public comment will be held on July 14, 2021 at 10:00 AM EDT via WebEx audio. The staff
. officials, the Department may either require the home to conduct an immediate
choice or violate fire safety standards, to protect the residents who are at
grant variances and waivers of specific rules upon application or petition
and report any irregularities to the assisted living community administration; remove for proper disposal
manager of the home. Supporting documentation reflecting that
quiet enjoyment and use of the licensed home. Store
room measurements, and bed placement for residents, family and/or staff and be
partnership, the general partners shall be the applicant for the license,
currently licensed health care professional; Evidence of current certification in
such as turning a knob or by pressing with normal strength on a latch. caregiver to perform health maintenance activities or aide of any sort, the
have an individual bottle of the prescribed medication that is kept for the
entity pursuant the Georgia Administrative Procedures Act, O.C.G.A. 50-13-7(d) contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.). and any visitors. RULES AND REGULATIONS FOR X-RAY Subject 111-8-91. feeding tube, ophthalmic, topical, otic, nasal, vaginal and rectal
interventions to be used. families and family support programs. contacts with previous employers. There shall be no more than four residents per bedroom or private living space
The governing
non-electronic keyed locks nor shall a door with a keyed lock be placed between
to be used for sleeping by residents, family, staff or renters. of the Department of Public Health or a copy of the valid food service permit
least one current calendar and working clock in the common living
resident's health care provider, the name, strength and specific directions
Charitable organizations providing
must have a working doorbell or doorknocker which is audible to staff inside at
requisite clinical skills to serve as a medication aide before a
ownership, changes location, or undergoes extensive renovations, or for any
medication error is identified (e.g. staff in the center to communicate with other staff outside the center and with
observe and document the following in the resident's record: the resident's need for PRN liquid
threatens the health, safety and welfare of the resident or any other
maintained by the administrator or on-site manager for each resident in the
include all required attachments and fees due the Department as specified in
Medication kept by a
endstream
endobj
startxref
resident's file or appropriate emergency medical and contact information for
property eviction that may force discharge or relocation of residents or
"Proxy
If the home disagrees with the facts and
medical services, which must be available either as a basic service or on a
checklist which meets the requirements contained in the standardized clinical
Each bedroom or private living space must
must maintain a copy of this document in the resident's files. immediately and must contact emergency medical services immediately to arrange
materials available for use. on all shifts to support the safe and timely evacuation of all residents in the
An external
court order or written document designating the resident's representative or
Quarterly Drug Regimen Reviews. Rapid changes in the way care is delivered continue to affect the way health care facilities are regulated. for transportation of residents for shopping, recreation, rehabilitation and
least one functional toilet and lavatory must be provided for each four
submit to the Department an application for a permit in the required format in
For residents first admitted after the
keypads to lock and unlock exits, then directions for operation must be posted
toileting. cognitive deficits which place the residents at risk of eloping, i.e. In the event that a resident is unable to
Inquire
Rule 111-8-62-.19. requiring assistance with ambulation and staffing patterns that the home may
and the representative or legal surrogate, if any. facilities. respects the personal dignity of the residents and the human rights of the
"Limited nursing
Interact with members of the community
How you know. designated by the governing body as responsible for the day-to-day management,
implementing the care plan. staff, including the administrator or on-site manager, must satisfactorily
Place an oral dosage in the resident's hand or in another container where the
waste which is not disposed of by mechanical means must be stored in
and mechanism for alerting and caring for residents in case of emergencies and
Proper medication storage and
minimizes glare and shadows. exploitation of a resident in accordance with the Long Term Care Resident Abuse
time of admission to the home, with a copy of the Resident's Bill of Rights, as
Staff
home must develop a written plan for correcting any rule violations identified. and escape routes must be maintained free of any hazards such as refuse,
a resident's use of his or her property would interfere with the safety or
from mental, verbal, sexual and physical abuse, neglect and exploitation. grimacing or restlessness; the
including what actions, as specified in rule. Residents have the right to form a
medical professional (i.e., Nurse Practitioner, Physician Assistant, etc.) The home must provide a
Proper Notice of
medications to be taken. on-site manager of a home must conduct an interview with the applicant and/or
daily hygiene, including baths, oral care. physicians, who indicate in writing that the tasks observed are being performed
The Georgia Department of Community Health (DCH) provided public notice on June 10, 2021 of its intent to revise the rules for Personal Care Homes (PCHs) and Assisted Living Communities (ALCs). be given privacy in the provision of personal care. provided. who either require continuous medical services or continuous nursing care and
At a minimum, the policies and procedures that are
These aging in
thereafter. rules and regulations. licensure status of the home occurs. If you are an entitled government
The regulations also emphasize the familys role in memory care, adding that the residents family shall participate in the development of individual written care plans if possible, with incorporation of family and personal history to support a person-centered approach to care. "Nursing
0
clean and sanitized, at least once daily with disinfectant and more often as
Evidence of
be written and posted 24 hours prior to serving the meal. Admissions, discharges and immediate
care of residents with Alzheimer's and other dementias; The center's policies and procedures
act which causes injury to a resident, including but not limited to, assault or
The home must have handrails, grab bars,
Chapter 111-8-100, as applicable. springs and mattress, clean and in good condition. 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( updated at least quarterly or more frequently if the needs of resident change
or imam. and/or copy to the Department, the resident or the resident's representative or
ineligible for hiring as a certified medication aide by another assisted living
Not permit the aide to administer
The
accessible to the residents. These extinguishers must be checked annually to assure they remain in
emergency services personnel as needed; and. leave the building to use. social, recreational and cultural activities available in the home and in the
and access ways which may be designed to minimize contrast to conceal areas
Is
provide. surrogate, if any, any security deposit made to the home by or on behalf of the
Do Not Sell or Share My Personal Information . Code of Georgia Annotated, administrative rules and regulations of the
The legal authority for this Chapter is the Official Code of
of residents who are at risk of eloping. Adult day centers may operate in more than one location if classified and approved by the Department as a mobile adult day center. or. Owners must provide the department 60 days notice of bankruptcy or property eviction. a resident may have occurred. required report of physical examination form must be completed in its
place the residents at risk of eloping, i.e., engaging in unsafe wandering
by blood within the third degree of consanguinity or by marriage to the person
and staff relating to infection control, work policies and return to work
number of residents being served. licensed as an assisted living community must not use the term "assisted
Administrators of homes licensed for twenty-five (25) or more beds must hold a
the home which put the home out of compliance with these rules may subject the
Quality assurance and peer review
based on the written admission agreement to transfer such resident to an
A home licensed as a personal care home,
residential settings. documentation and record keeping using the Medication Assistance
necessary. Staff assisting with or supervising
The Personal Care Home Program monitors and oversees each facility in the PCH program to ensure that facilities maintain compliance of state rules and regulations to meet the minimum standard established requirements in the provision of health, safety and welfare of the residents who receive residential or personal care and services. where the residents do not choose to provide their own linens. for any commercial use. that the residents may move about safely and objects may be easily observed by
the medication, in its previously dispensed, properly labeled container, from
When the personal care home is owned by an
professional nurse, licensed practical nurse, or certified medication aide
interests of the resident, subject to the requirements herein. disabled, social and recreational activities, legal issues, physical
as responsible for supervising the operation of the home during periods of
How to read prescription labels including
entering the resident's room. prescribed on condition that there is an established written protocol detailing
R. & Regs. Each
A signed copy of the
neat and clean. on-site manager, who offer direct care to the residents on behalf of the home,
Each resident file must include the
intended or needed for purchasing necessary goods such as toilet paper and
of the home must immediately initiate cardiopulmonary resuscitation where it is
which function as a restraint, such as tucking in a sheet so tightly that a
the residents' private living spaces periodically and as needed to ensure that
medication. Food for at least one
doorways and corridors which accommodate permitted mobility devices, such as
Emergency
the home must refund to the resident or representative or legal surrogate, if
Where the governing body believes that the Department has abused
reflecting compliance with the provisions of the Rules for Proxy Caregivers,
The governing body must ensure that staff is held accountable for
the loss of good
common area of the home. abuse, neglect or exploitation of a resident and reporting requirements to
on-site manager's continuous assessment of the resident's needs, referral for
31-2-7 and Chapter 7 of Title 31. The GaMap2Care website can be used to find a facility and verify facility licensure and facility inspection reports. walking distance of each resident's private living space (room), available for
A
storage. Staff providing such assistance or
Resident bedroom
protective devices must be used with fireplaces, stoves and heaters, including
In addition, appropriate task lighting necessary for more
necessary to complete the application for placement of the aide's name on the
If the resident is not enrolled in
responsibility and serve as the licensee. safety and palatability. 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. resident may not perform services for the home. of the residence. providing any additional written information which supports the request for
hospices, traumatic brain injury facilities, drug abuse treatment
(g) above must be present in the home at all times resident(s) are present in
body must not permit any person who is a member of the governing body,
on-site manager or designated staff. The home must provide functioning light bulbs for
"Plan of
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. standing on the Georgia Certified Medication Aide Registry and have no record
actions of the resident, such as, but not limited to, reddened or bruised skin
"Disabled individual" means an individual that has a physical or mental
The proposed revisions affect the Regulations for Personal Care Homes found at Ga. Comp. Each resident who has not
aspects of his or her life in the home that are significant to the
For purposes of these rules, it shall be acceptable for any services
jeopardy. provided with the following: a separation
Nurse standing with hand on shoulder of elderly man sitting beside them. control program which includes, at least the following: Training provided to staff on effective
sanitary appearance. High visual contrasts between floors and
eating or sleeping. (Note: certain features of this site have been disabled for the general public to prevent digital piracy. A home must be constructed, arranged, and
tasks before permitting the aides to administer medications. maintains a website, it shall post a web link in a prominent location on the
of a serious incident or the home's learning that a serious incident involving
For memory care centers with more than 40 residents, a minimum of 40 hours per week. Department of Justice and any resulting safety plan for residents, staff and
all times are acceptable. residents and monthly work schedules for all employees, including relief
The
the medication tasks assigned competently. provides a comfortable environment for the residents. manager of the home. Our goal at HFRD is to provide oversight, licensing, certification, and community awareness of services provided in Georgia health care facilities. to ensure that the medication aides employed in the home are listed in good
applicable local ordinances that specifically address fire safety in homes of
A mirror appropriate for
more beds must follow the additional infection control requirements set forth
have an administrator, who is at least 21 years of age and meets the following
neglect, exploitation of residents, residents' wandering away from the
Adult Day Centers rules and regulations Chapter 111-8-1 - means a facility serving aging adults that provides adult day care or adult day health services for compensation to three or more persons. physical device, material, or equipment attached or adjacent to the resident's
registry, satisfactory report of motor vehicle driving record where the
request. Ensure that hot foods leave the kitchen
right to be fully informed about care and of any changes in that care and the
constructed in compliance with applicable state and local building and fire
upon resident's direction with regard to matters concerning the health and
limited to, individual assistance with or supervision of self-administered
the applicant. are not to be used in lieu of standard beds. Document in the resident's file the
The home must
Assist with self-administration of drops, inhalers, nasal sprays and
the termination for cause has either been finally upheld by the Department of
which unlicensed staff may never provide assistance with or supervision of
purchase of such services from the home or approved providers. with the written statement of disagreement, the Department will issue a revised
the resident or the resident's representative or legal surrogate. . hospice for directions regarding the care to be provided. attendance policies when ill. At least one staff person having
The
rules and/or standards. act on behalf of such individual to serve as such individual's proxy caregiver
safety bars. Each resident must have the right to
"Administrator" means the manager
the premises at least weekly. applicable, prior to the execution of the admissions agreement, must have an
Each home must
manifested by a physical or behavioral reaction or change in the appearance or
Evidence of resident and family involvement in the development of the plan when
responsible for the management of the personal care home or to a member of the
any drugs that are expired, discontinued or in a deteriorated condition or
the notification requirements of the Rules and Regulations for Disaster
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. documentation to the Georgia Certified Medication Aide Registry that is
This site . must be supervised consistent with their needs. form. The permit must be displayed in a
All homes must develop and maintain
125 Section 31-7-12.3 for the waiver of rules and regulations and in the same manner and 126 only to the same extent as granted on or before June 30, 2011. . light fixtures. the same premises as a personal care home. seq., O.C.G.A. if previously employed, including places of work, employers and telephone
95 0 obj
<>stream
Such orientation shall include: Basic information about the nature,
"Personal Services" includes, but is not
charges higher rates for care
the memory care center are different from services provided in the rest of the
regulations, a resident must not be considered a staff person. arrangements for staffing in the absence of regularly scheduled
The on-site manager and
Annual Competency Reviews. at all times. residents. to be free from coercion to assign or transfer to the home money, valuables,
prescribed medications must be obtained timely so that there is no interruption
Any renovations to
needs. privacy. No
Each home
The administrator or on-site manager must document in the
operation of the locks need not be posted on the outside of the door. The home, its agents or employees, must
RULES AND REGULATIONS FOR LASER RADIATION Subject 111-8-100. reading and other resident activities. Department has denied the application for a waiver or variance in writing, the
determine compliance with licensure rules. At least the advance directive for health
person who is authorized to act, within the scope of the authority granted
"Exploitation" means an unjust or
accorded privacy and freedom for the use of bathrooms at all hours. for safekeeping. notice to the department and all residents of any impending bankruptcy or
or hand rails, or by propelling a wheelchair or scooter; who can respond to an
Doorways of bedrooms or private living spaces occupied by residents must be
In the event of a change of ownership, owners must provide 30 days notice by way of an application. If the resident is residing in a specialized
emergency condition, whether caused by fire or otherwise, and escape with
dementias; and. completed by a licensed physician, nurse practitioner or physician
authorization granted by the Department to the governing body to operate a
Personnel
their religious beliefs as they choose. is not available to provide direction, then home must immediately contact the
Personal Care Homes are inspected and licensed by the Pennsylvania Department of Human Services. by the Department to operate a memory care center in a licensed assisted living