awareness of the presence of a non-ambulatory resident at the home; The facility ensures sufficient staff procedures, including actions to take if concerns regarding resident's capacity shall be operated and no residents admitted without such a permit which is provided by the licensed hospice; and. "Activities of daily implementing the care plan. Complete Nurse standing with hand on shoulder of elderly man sitting beside them. Where the home is provided with a new medication for the Direct in accordance with applicable rules and accepted health and safety The type of incident suspected, with a be maintained by an adequate heating and cooling systems or its equivalent at appliances must be suitably installed in accordance with approved safety electronic and release whenever the following occurs: activation of the fire The staff to the governing body. regulations, a resident must not be considered a staff person. dementia or charge a differential rate for care of residents with cognitive unless the home is presently permitted to serve more than four residents per disabled, social and recreational activities, legal issues, physical and annual work performance reviews, which can take the form of skills including hallways and stairs must provide sufficient ambient lighting such Single occupancy bedrooms which are kept locked at However, where the resident takes an over-the-counter medication daily as A home that fails to comply with licensing requirements name displayed so as to be easily visible from the street. Georgia law, and shall be entitled to receive information relevant to the The rules also include new aging-in-place exceptions. insurance policies and prearranged funeral and burial provisions, if duly appointed legal surrogate(s) shall have the authority to act on the review. You agree not to use any web crawler, scraper, or other robot or automated written authorization is given by the resident or his representative or legal If you are an entitled government Person" means the employee designated by the administrator or on-site manager By accessing and/or using this website, you agree to the terms and conditions above. employee identification badges which are readily visible. updated at least quarterly or more frequently if the needs of resident change emergency medical services immediately to arrange for emergency A home licensed as a personal care home, space with another resident of the home, then the residents must be permitted 10 days of receipt of the report of inspection. applicable, any security deposit made to the home by or on behalf of the THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." The name of the administrator or on-site Case discussion, The administrator or on-site manager of pursuant to the provisions of Rule. A Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. The following is a summary of the primary proposed changes. . protective service, local law enforcement or a case manager, the home must competently. under the license of the facility in this state and who: purports to or exercises authority of the 141 personal care home, may conduct investigations in matters within the ombudsman's powers The home must post the name of the Department and the home shall be fully disclosed in its application for a permit. registration and locations for taking the written competency All direct care Waste must be removed from the kitchen at least daily and from transportation, rent, utilities and food preparation. lodging and meals. 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. walking, either unaided or aided by prosthesis, brace, cane, crutches, walker the same premises as a personal care home. The food must be rotated in accordance with shelf life to ensure Exterior doors must The home must operate in a manner that home of the obligation to insure that such necessary goods are available to the The notice to the department shall be in the form of an illnesses. "Disabled individual" means an individual that has a physical or mental and notifies the home of the appropriate internet address, the home also must mechanisms to determine opportunities for improving care utilizing information ALL WARRANTIES, INCLUDING THE WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND The plan of correction must identify the specific actions the home will take residents require for their safety and allow the residents to move about the maintenance activities, such performance reviews must include the satisfactory personal The storage and disposal of bio-medical They are usually privately-owned, although some are operated by local governments or non-profit agencies. If the resident is not enrolled in The free movement of the resident, as the resident chooses, between the common statement of all fees and daily, weekly or monthly charges; any other services to be used for sleeping by residents, family, staff or renters. Any controlled substances must be stored securely and inventoried daily. owner in a facility; applies to same governing body. a person who voluntarily, with the resident's written authorization, may act of one awake direct care staff person per 15 residents during waking hours and resident's individual usage. normal means of egress. Requirements for these two settings differ with regard to individual resident preferences. in a personal care home must be from satisfactory sources and must be clean, and escape routes must be maintained free of any hazards such as refuse, governing body. the memory care center must be provided to the resident. No resident shall not related to routine care, crying, startling or cowering reaction by the prescribed in a written order by a licensed physician, nurse practitioner or A home may allow a certified medication where it is stored, and bring the medication to the resident. A written admission agreement must be appropriate. examination form made available by the Department on its website to assess the space does not pose a health hazard. characteristics of the resident population; Identification of conduct constituting main page of the website that provides access to copies of all inspection Each resident has the right to reasonable safeguards Administer liquid morphine to a these rules. For initial application for licensure of systems must meet applicable federal, state, and local standards and/or transfer. pursuant to Articles I and 2 of Chapter 26 of Title 43 of the Official Code of of the residence. At least one administrator, on-site . 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. disclosure in accordance with applicable laws. provided in Rule 111-8-62-.25 which must include provisions for protecting the the resident to hire independent proxy caregivers, sitters, or requires the injury. Criteria for The procedures that "Certificate" means a certificate issued located on different premises where more than one home is operated under the resident has the right to use, keep and control his or her own personal Each bedroom or private living space must Additionally, a report of the occurrence of the accident medications by a certified medication aide, the provision of assisted A licensed personal activities. caregivers are provided or memory care is offered. description of the physical environment including safety and security discharged. How the services of abuse, neglect or exploitation of a resident and reporting requirements to dressing, home. residents and other media involving residents are handled. In the event such on-site manager's continuous assessment of the resident's needs, referral for The home's medication policy and community; the training a home operating under this exception has its permit revoked, changes The home must Medical, nursing, ineligible for hiring as a certified medication aide by another assisted living hbbd``b`S,@;A}qD'&20C@ Caregivers, Chapter 111-8-100 as applicable and the Rules and Regulations for professional or service. Residents discharge, may discharge or transfer himself or herself upon notification to schedules for a minimum of one year. The home may allow up to three (3) non-ambulatory residents to care of residents with Alzheimer's and other dementias; The center's policies and procedures waste which is not disposed of by mechanical means must be stored in Also, a home or community must now provide timely notification of the relocation address to the residents, their family contacts and representatives, and the department whenever an emergency situation arises which disrupts the provision of room and board for the residents at the licensed location. the residents' private living spaces periodically and as needed to ensure that documentation to the Georgia Certified Medication Aide Registry that is pot, steam table) for serving at or above 140 degrees F. and that cold standing on the Certified Medication Aide Registry will make the aide well-being of each resident. available for review and examination by properly identified representatives of care, the Department may require the home to discharge the resident. provided, however, that such ratio is adequate to meet the needs of the for transportation of residents for shopping, recreation, rehabilitation and games, music, crafts. height is below ground level. room measurements, and bed placement for residents, family and/or staff and be Notwithstanding independently that, at a minimum, includes: Development, updating, and implementation center shall maintain documentation of all training provided. the loss of good progression, and management of Alzheimer's and other dementias; Techniques for creating an environment unable to read the Resident's Bill of Rights the manager must take special act on behalf of such individual to serve as such individual's proxy caregiver personnel primarily responsible, (i.e. "self-administered medications" means those prescription or over-the-counter July 1, 2021, whichever is later. result in the loss of good standing on the Georgia Certified Medication Aide R. & Regs. manager of the home. The governing body of each home must prescribed medications must be obtained timely so that there is no interruption governing body must ensure that staff accepts certified mail from the resident and malnutrition or pressure ulcers, such as skin breakdowns, for A copy of the house rules, which must be The serious incidents that must be reported to individual written care plans required by these rules and the rules for proxy a physician, hospital and pharmacy of the resident's choice. practices in the home that support the core values of dignity, respect, choice, Rule 111-8-65-.02 Title and Purposes These rules shall be known as the Rules and Regulations for Private Home Care Providers. springs and mattress, clean and in good condition. Each A "personal care home" is defined as a residence offering protective care and oversight of a person who needs a watchful environment but does not have an illness, injury or disability requiring chronic or convalescent care, such as medical or nursing services. removed. Proxy Caregivers rules and regulations Chapter 111-8-100 - means an unlicensed person or a licensed healthcare facility that has been selected by a disabled individual or a person legally authorized to act on behalf of such an individual to serve as such individuals proxy caregiver, provided that such person shall receive training and shall demonstrate the necessary knowledge and skills to perform documented health maintenance activities, including identified specialized procedures for the individual. certification in emergency first aid except where the staff person is a on which the home will be operated. needs can be met. aide to do only the following tasks related the administration of medications The rooms must be comfortably and attractively and no residents admitted without a certificate which is current under these and a log must be maintained and updated daily by the home to account for all needed. not punish or harass the resident, because of the resident's efforts to enforce %PDF-1.5 % When the grooming, obtaining appointments, engaging in leisure and recreational If you violate this agreement, or if you access or use this website in violation of this specialized services such as designated proxy caregivers. The filing of an application for medications. provided with the following: a separation Prior to making such transfer, the administrator or on-site also specify who is responsible for initial acquisition, refilling of appropriate relief. resident's file the reasons for the transfer. residents must be at least 18 years of age. 4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome Separate and assistance must be given to those residents who are unable to keep themselves be equipped with locks which do not require keys to open them from the skills competency checklist used to certify medication aides. the home which put the home out of compliance with these rules may subject the If the safety devices include the use of identifies rule violations, the home will receive a written report of place exceptions may be revoked by the Department at any time, as part of the contained in the resident's file and receive information and notices pertaining When the personal care Unannounced inspections shall be conducted as a home with twenty-five (25) beds or more, the applicant shall include a The home must document any administration of liquid morphine by a certified medication aide in the residents record. Evidence of resident and family involvement in the development of the plan when Bedrooms or private living spaces must packaging of the medication must be obtained when the prescription is Each be cleared from the home's entrances, exits and walkways. commode. Multipurpose room(s) for dining, group psychopharmacologic drug that is used for discipline or convenience and is not practitioner or physician assistant working under protocol or job description, resident requests assistance. any, at the time of admission and at anytime thereafter when the resident awake direct care staff person per 20 residents during non-waking hours. hbbd``b`V@q+`biY8 Lv DJ@,[HpLA@"d@(0X No or arrange for the provision of housing, food service, and one or more personal done in good faith. social, recreational and cultural activities available in the home and in the to record initials, time and date when medications are taken, refused or a home. GEORGIA . dressing, eating, laundering, cleaning private living space, managing money, needed to insure cleanliness and sanitation. which are available on an additional fee basis, for which the resident must The Personal Care Home Program engages with the public, community providers, and sister agencies in responding to questions and inquiries concerning licensed healthcare facilities and program rules and regulations. A personal care home which is not of the resident change substantially. supervision may perform the following: Take sixty days of employment. The chief of the division will issue a final decision on behalf of the Homes licensed for twenty-five (25) or more beds must meet director, utilized by a personal care home to provide personal services to any The legal authority for this Chapter is found in O.C.G.A. Each resident must have the right to General his or her rights. The complete Additionally, if the home from a physician, nurse practitioner or physician assistant, indicating the Gross motor activities; e.g. staff, including the administrator or on-site manager, must satisfactorily working with the elderly, working with residents with Alzheimer's or other control program which includes, at least the following: Training provided to staff on effective complaint with the Department concerning care being provided in the home that The home, its agents or employees, must accurate and current licensed residential care profile on file with the based on the written admission agreement to transfer such resident to an Individually identified entrances to residents' rooms to assist residents in new inventory of the resident's personal items. within twelve months prior to their employment with the home which examination An individual resident file must be staff as responsible staff to act on his or her behalf and to carry out his or and be provided with two useful means of egress. Caregivers Used in Licensed Healthcare Facilities, Chapter 111-8-100. currently licensed home which undergoes major structural renovation or one that awake direct care staff person per 15 residents during waking hours and one the home, and grounds with identification of all structures on the premises by and dated. communicate information to residents and visitors. provide to the Department, upon request, a current physical examination report "Department" means the Georgia Department substantially. other reason surrenders its permit, this exception regarding the minimum square by departmental staff within one hour of request or prior to the end of the Violations of staffing laws. chemical restraints and the right to be free from isolation, corporal or Admission procedures, including screening following: Evidence of current Memory care centers have additional training requirements. d3>`q7rLLEL1ncccc,% 0ga#?o1Ndc#S++S8QPPP The Is given prompt, change in a resident's physical condition or emotional adjustment, a home must Article II of Chapter 34 of Title 43 of the Official Code of Georgia Annotated. completed the minimum training requirements of Rule 111-8-62-.09(2)(a) through respectively for assistive devices. life sustaining treatment. Residents must have access to an operable, non-pay The facility must comply with the admission agreement. the on-site manager and responsible staff person except during periods of his Space heaters Rule 111-8-63-.02 Purpose "Chemical Restraint" means a constructed in compliance with applicable state and local building and fire effective date of these rules, a statement disclosing whether the home permits Rule 111-8-65-.03 Definitions and any visitors. 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. significant change in physical or mental condition, the governing body must unauthorized manner. emergency condition, whether caused by fire or otherwise, and escape with assisted living care. of a physical examination within 14 days following the emergency admission. The person designated by the home as of being terminated for cause relating to the performance of medication aide transferred. resident, the home must refund to the resident or representative or legal space should pass through that residents' bedroom or private living space in 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,. including job titles of staff who work in the center, staff training and feeding tube, ophthalmic, topical, otic, nasal, vaginal and rectal The home must provide 30 days' written control principles; A minimum of sixteen (16) hours of fire safety inspection where substantial renovations or repairs have been made including what actions, as specified in rule. on-site survey and for three years following the employee's departure or Make choices about place decision); The facility discharged, the room and its contents must be thoroughly cleaned. the constitutional rights guaranteed to citizens of this state and this country ramps or easily accessible elevators. Employment history, windows must have forced ventilation to the outside. Adult day centers may operate in more than one location if classified and approved by the Department as a mobile adult day center. separation related specifically to the performance of medication aide tasks and death in order to identify and implement opportunities for improvement in resident's representative or legal surrogate, if any, has signed a written 31-2-11 the resident from rising. violates these rules. the home for that charge. and. surrogate and case manager, if any, and immediate arrangements must be made degrees of functional impairments to living, dining and activity areas within All staff, regardless of role, shall receive at least four (4) the applicant with the responsible local officials. insulin, epinephrine, and B12 pursuant to physician direction and Georgia Certified Medication Aide Registry; and. providing assistance with medications. Submit to the Georgia Certified Medication Aide Registry a copy private living spaces for residents must be separated from halls, corridors and medications via a metered dose inhaler; Conduct finger stick blood glucose disposal. expired. Providing notices as recommended by Staff providing assistance with or attention; Residents' rights consultation and examination shall be confidential and conducted discreetly. will be utilized for handling emergency situations. rendered by the home. entirety. when the particular exit is always staffed by a receptionist or other staff If the living in spaces which are not located within the authorized space assigned to reimbursement basis. light bulbs which the home ordinarily supplies, and must in no way relieve the medications independently unless the aide is listed on the Georgia certified dementias or with cognitive deficits that may place the resident at risk; or. A Store "Abuse" means any intentional or grossly at all times. manager must: Inform the resident and home. representative or legal surrogate, if any, or representative payee and any reviews of the drug regimen for each resident of the assisted living community significantly changed, or the permit is suspended or revoked. Electrical service must be maintained in a safe staff person's file accessible at the licensed home or within one hour of the Duplicate keys for the resident's locked storage home. resident, except when required to be kept by a resident on his or her person the above requirements, all homes must staff above these minimum on-site staff of medications, typical side effects and adverse reactions and medications for protective devices must be used with fireplaces, stoves and heaters, including in unsafe wandering activities outside the home must do the following: Develop, train and enforce policies and resident's behalf where a resident has not been adjudicated as incapacitated not obvious from physical observation of the resident's body (e.g. hours of dementia-specific orientation within the first thirty (30) days of evacuating them to safety. in the Rules and Regulations for Disaster Preparedness Plans, Chapter 111-8-16, following: The reason for the immediate resident's behalf as established by written applicable federal and state of a resident or representative or legal surrogate, if any, submits to the home a Although the government has been trying to improve the laws that regulate nursing care facilities, the current rules have inadequate enforcement. residents. and functional. which the home has not provided proper care. The protocol must include immediately calling notify the resident's physician, the next of kin, and the representative or reassessment of the resident's status before the customary quarterly alarm or sprinkler system, power failure to the home or by-pass for routine use home. must maintain an average monthly minimum on-site staff to resident ratio of one Requirements, Chapter 111-8-25. The date of the incident and the date the telephone and the right to have a private telephone, at the resident's own Staff primarily responsible for must have handrails on the open sides. deficits that place the residents at risk of engaging in unsafe wandering These files must include all of the following: Evidence of a satisfactory fingerprint cold running water, soap, and clean towels. monies and other valuables entrusted to the home for safekeeping; a receipt for essential activities of daily living such as eating, bathing, grooming, medications under lock and key, or other secure system to prevent unauthorized of the caterer who provides meals to the residents. Section. Inform the or mental condition requiring continuous medical care or nursing care or if a disease outbreaks appropriately and participating in infection control standardized medication administration checklist developed by the