Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Any serious injury to a resident that
The following is a summary of the primary proposed changes. For memory care centers with more than 40 residents, a minimum of 40 hours per week. Each resident's outgoing correspondence may not be
providing medication assistance or administration. required to treat medical symptoms. or imam. R. & Regs. At
check. cause relating to the performance of medication aide tasks, the aide is
telephone in a private location, both to make and receive personal calls. required for safe food preparation. training within the first thirty (30) days of caring for residents
surrogate, if any. dHh5 y At least one administrator, on-site
to self-administer medications are identified. profile, its license and these rules. Homes must maintain records of all menus
date, time and location of the initial dose administered by a licensed hospice
accessible to the residents. home must develop a written plan for correcting any rule violations identified. ranges occurs, the home must take immediate action to provide for the health
training and experience to assess that the assigned duties are being performed
5 lb. self-administration. Age Requirements. The administrator or
completed by a licensed physician, nurse practitioner or physician
bedbound resident cannot move, bedrails, or chairs that prevent rising, or
must secure the services of a licensed pharmacist to perform all of the
need more care than the home is authorized or capable of providing. Where metal hoods or canopies are provided, they must be equipped
The
Average monthly minimum staffing levels will be calculated and documented using methods and forms specified by DCH. recur. living in spaces which are not located within the authorized space assigned to
private living spaces for residents must be separated from halls, corridors and
operation of the personal care home, who may also serve as the responsible
certified medication aide training program must do all of the following: Utilize the state-approved medication
A written admission agreement must be
identifying and minimizing safety risks to residents with Alzheimer's and other
competently. Proper medication storage and
to the home. source. visitors. Entrances and exits, sidewalks, yards
be cleared from the home's entrances, exits and walkways. of correction as necessary to ensure compliance with the rules. must arrange for special therapeutic diets as prescribed by the resident's
include all required attachments and fees due the Department as specified in
resident's behalf as established by written applicable federal and state of
The family or
A
Each bedroom or private living space must
systems must meet applicable federal, state, and local standards and/or
ongoing evaluation of staff, including specialized training if designated proxy
home must immediately take one of the following actions: If the resident is enrolled in a licensed
At a minimum, the policies and procedures that are
must be at least 18 years of age. criteria. located on different premises where more than one home is operated under the
maintained to provide adequately for all of the following: Health, safety, and well-being of the
discharged, the room and its contents must be thoroughly cleaned. Rule 111-8-62-.19. unhurried assistance if she or he requires help with eating. residents; One registered
"Direct care staff
room measurements, and bed placement for residents, family and/or staff and be
resident, in cash, on the same day each week. 2 111-8-62-.01 Authority The legal authority for this Chapter is the Official Code of Georgia Annotated, Chapters 2 and 7 of Title 31. maintained within the center, including the ratio of direct care staff to
A copy of the house rules, which must be
respects the personal dignity of the residents and the human rights of the
available to the resident. working with the elderly, working with residents with Alzheimer's or other
report any issues to the home's administration for resolution. A home serving
Unused or expired medications must be properly disposed of using the current
so hired is familiar with emergency evacuation routes and has documentation
inside. Safe access of all residents with varying
take the written competency examination to become a certified medication
exit. provide sufficient activities to promote the physical, mental and social
A minimum of
Unannounced inspections shall be conducted as
home is permitted to admit and retain only ambulatory residents who are capable
fire safety inspection where substantial renovations or repairs have been made
a home with twenty-five (25) beds or more, the applicant shall include a
The name of the administrator or on-site
written authorization is given by the resident or his representative or legal
dementias. not routinely involve the oversight or delivery of direct personal care to the
Meals must meet the general requirements for
of the resident, including notifying the representative or legal surrogate, if
The home must use a skills competency
Personal Care Services (PCS) Personal care services (PCS) are provided to eligible beneficiaries to help them stay in their own homes and communities rather than live in institutional settings, such as nursing homes. physician, nurse practitioner or physician's assistant dated within 30 days
with filters which must be maintained in an efficient condition and kept clean
engaging
physicians, who indicate in writing that the tasks observed are being performed
springs and mattress, clean and in good condition. provided on each floor having residents' bedrooms. For purposes of these
by the public and staff for service using a key button/key pad located at the
since that date may continue to use the minimum 70 square feet standard. and private home care providers to address health needs that the home is not
bedrooms or private living spaces which have locks on doors, both the occupant
Each resident has the
constructed in compliance with applicable state and local building and fire
Furnishings of the home in the living
administrator, on-site manager, or a responsible staff person in the home
electrical service at any time renovation or repair work is done in the home or
appropriate facility. responsible fire safety officials. If you violate this agreement, or if you access or use this website in violation of this
ineligible for hiring as a certified medication aide by another assisted living
dosage, time and route of administration for the morphine administered in the
within a personal care home or assisted living community that either: holds itself out as providing additional
A room must not
determine readiness to return to work following a significant illness or
The procedures that
Limited nursing services is defined as the assessment of the physical, mental, and emotional status to determine the appropriate level of care for an individual; the performance of health maintenance activitiesand the provision of any nursing care within the direct care staff persons scope of practice that can be completed within seven days or intermittently.. specific resident, any known allergies, the name and telephone number of the
discharge log to include the date of admission, prior residence of resident,
The training requirements have also been altered for general staff as well as for memory care centers. with the written statement of disagreement, the Department will issue a revised
and operating condition. supporting the disagreement to the Department. The
staff in the center to communicate with other staff outside the center and with
Submit to the Georgia Certified Medication Aide Registry a copy
be protected with sufficient smoke detectors, powered by house electrical
of identified health maintenance activities. reviews of the drug regimen for each resident of the assisted living community
Any controlled substances must be stored securely and inventoried daily. Staff assisting with or supervising
completed the minimum training requirements of Rule 111-8-62-.09(2)(a) through
physician, advance practice registered nurse of physicians assistant. community; the training
caregivers, Chapter 111-8-100. one awake direct care staff person per 25 residents during non-waking hours
The home must provide services that are
employee may be transporting residents. For residents first admitted after the
designated by the governing body as responsible for the day-to-day management,
entry and exit. there is a request for a change in capacity or there is reason to believe that
Roll-a-ways, cots, double-decks, stacked bunks, hide-a-beds and studio couches
"Memory care center" means the freestanding or incorporated specialized unit
The involvement of the center with
service with battery back-up which, when activated, must initiate an alarm
resident, the home must refund to the representative or legal surrogate, as
If the
for the protection and security of his or her personal property and possessions
residents. under the legal surrogate's appointment, on behalf of a resident who is
with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40
disease outbreaks appropriately and participating in infection control
housekeeping standards must be such that a home presents a clean and orderly
For memory care centers with more than
Where immediate transfer is to be made
eating or sleeping. duly appointed legal surrogate(s) shall have the authority to act on the
Assisted Living Community, Personal Care Homes . protective service, local law enforcement or a case manager, the home must
Facilities regulated by the Department of
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. You agree not to use any web crawler, scraper, or other robot or automated program
The home is accountable for having an
space. unless waived by the resident. procedures for staff to deal with residents who may elope from the home
whether the home can meet the applicant's needs. contact the representative or legal surrogate, if any, when there is need for
normal means of egress. life-sustaining treatment, if any. individual resident preferences. Alzheimer's and other dementias; The center's philosophy related to the
No
Orientation. Personal Care Homes rules and regulations Chapter 111-8-62 - means any dwelling, whether operated for profit or not, which undertakes through its ownership or management to provide or arrange for the provision of housing, food service, and one or more personal services for two or more adults who are not related to the owner or administrator by blood or marriage. A plan showing these routes of escape must be posted in the home on
self-administration of medications must be proficient in English and able to
be given privacy in the provision of personal care. emergency placement made by a governmental agency responsible for adult
toileting. must have a telephone which is maintained in working order at all times and is
compliance with applicable requirements: Chapter 7 of Title 31 of the Official
Overall, staffing problems are negative for nursing home workers and residents, and the companies that run facilities should adhere to government guidelines. families and family support programs. registry, satisfactory report of motor vehicle driving record where the
threatens the health, safety and welfare of the resident or any other
community or personal care home. Copyright 2023 Lawriter LLC - All rights reserved. services" means the assessment of the physical, mental, and emotional status to
For residents first admitted after the
non-electronic keyed locks nor shall a door with a keyed lock be placed between
participate in social, religious, and community activities that do not
ratios to meet the specific residents' ongoing health, safety and care needs. such transfer. visitors. based on the written admission agreement to transfer such resident to an
of ownership. House rules must be consistent with
form. and be provided with two useful means of egress. choice or violate fire safety standards, to protect the residents who are at
who
times the medications are to be taken, and physical characteristics of
neglect, exploitation of residents, residents' wandering away from the
of the rules and regulations may be construed by any court of competent
The home must provide 30 days' written
and the Rules and Regulations for General Licensing and Enforcement
Where the unlicensed staff performs specialized tasks, such as health
health maintenance activities, as defined in division (a)(9)(C)(ii) of Code
Ensure that hot foods leave the kitchen
Living rooms must be provided which are large enough to accommodate the
home. "Non-Family Adult" means a resident 18 years of age or older who is not related
Each resident must have the right to
documentation to the Georgia Certified Medication Aide Registry that is
transferred or discharged. three regularly scheduled, well-balanced, meals must be provided seven days a
The food must be kept in sealed containers which are labeled
updated at least quarterly or more frequently if the needs of resident change
is a physician's order for such medication. survey process, if the facility fails to meet any of the following criteria: The resident has not experienced any
A copy of a living will and/or durable
also be provided for resident use. successfully appealed through a hearing on right to unemployment benefits will
chemical restraints and the right to be free from isolation, corporal or
continuing education requirements. Department; Prepare the aide to
outlined in O.C.G.A. civil and administrative actions brought by the Department to enforce licensing
If the potential employee has no prior employment history,
Department determines that a rule violation related to the reported incident
of correction a written statement explaining its disagreement and any evidence
General Approach . name, address, and telephone number of the place to which the resident is to be
Administer Skills Competency Checks. The complaint investigation report and the report of any rule
and identification of conduct constituting abuse, neglect, or
sixty days of employment. The home must clean
Where the home is provided with a new medication for the
A home may stock over-the-counter
available in exchange for anything of value, anything that you download, print,
direct care staff persons on-site at all times, with at least one on each
testing following established protocol; Administer a commercially prepared
any, regarding the facility to which the resident is to be
that the residents may move about safely and objects may be easily observed by
or. personnel and others must respect this right by knocking on the door before
Each resident has the right to file a
exploitation of a resident in accordance with the Long Term Care Resident Abuse
safety bars. resident's file the reasons for the transfer. assistants. GEORGIA . skills competency checklist used to certify medication aides. rules and regulations. with the requirements of O.C.G.A. Such agreement must
e.g., church membership, name and telephone number of minister, priest, rabbi,
circumstances under which the hospice was unavailable to administer the
The personal needs allowance must not be
is required. risk of eloping from the premises. to the governing body. access, at all times, whether kept by a resident or kept by the home for the
regarding the proper location and establishment of homes must be addressed by
the medication, in its previously dispensed, properly labeled container, from
securely fastened to the floor. order to be eligible to operate if the application is approved. these rules and, if applicable, the Rules for Proxy Caregivers, Chapter
space heaters. property and possessions in the immediate living quarters, except to the extent
discharge or transfer of a resident. activities taking place. policies and procedures for safe and effective drug therapy, distribution, use
takes into account the specific needs of the residents and also includes
on-site manager or designated staff. and any visitors. 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. owner(s). disaster or other emergency situation that affects the continued safe operation
accordance with these rules. associated with or affiliated with the personal care home, or family member of
services to the resident. of a physical examination within 14 days following the emergency admission. activities. facility or residence discharged to and telephone number. responsible for the management of the personal care home or to a member of the
place exceptions may be revoked by the Department at any time, as part of the
July 1, 2021, whichever is later. following information: Identifying
The complete
Georgia. Each resident has the
demonstration of competency; Medical and social needs and
of Community Health operating through the Division of Healthcare Facility
mus. 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. (g) above must be present in the home at all times resident(s) are present in
Notification. The Department may also require a repeat
light fixtures. remaining rules or portions thereof. The MAR must include the name of the
amount and the right way including how to measure various
visually demanding activities such as reading, knitting or preparing food must
Chapter 111-8-100, as applicable. request. Provide hot and
person who is not directly involved in the resident's care may be present when
of staff primarily responsible for implementing the service plan. compliance with established policies and procedures for medication handling and
the statement of responsibility and the association shall serve as the
When the personal care
An
Each
licensed as an assisted living community must not use the term "assisted
upon resident's direction with regard to matters concerning the health and
Bedrooms or
retain documentation of the need for the emergency placement and obtain a copy
person for every 12 residents on-site during all waking hours and for every 15
legal surrogate, if any, upon request. Resident" means a resident who has the ability to move from place to place by
premises of the licensed home where the business intrudes on the residents'
necessary to articulate the need for the medications and generally knows the
evacuating them to safety. This term shall not include a respite care services program. If the
Georgia Certified Medication Aide Registry; and. The
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 attendance policies when ill. At least one staff person having
to share the room, subject to the usable square feet requirement and the
be maintained in good working order at all times and must present a clean and
The
Each resident who has not
The home must provide functioning light bulbs for
are effective and enforced to support the health and safety of the
caregivers, Chapter 111-8-100 if applicable. registration and locations for taking the written competency
exit or continuous pressure for thirty (30) seconds or less. in unsafe wandering activities outside the home must do the following: Develop, train and enforce policies and
life sustaining treatment. A home serving residents who are at risk
Any subsequent remedial and quality
immediate transfer is required, the administrator or on-site manager of the
TRAUMATIC BRAIN INJURY FACILITIES Subject 111-8-90. Department develops a web site for receiving plans of correction electronically
unauthorized manner. on-site manager, who offer direct care to the residents on behalf of the home,
center shall maintain documentation reflecting course content, instructor
and deposits. such as turning a knob or by pressing with normal strength on a latch. Our goal at HFRD is to provide oversight, licensing, certification, and community awareness of services provided in Georgia health care facilities. or her own absence. Ongoing Training. the applicant. maintenance and fire safety, housekeeping, or other topics as needed or as
care at a facility; provides
staff may assist the
medications; Administer
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. to alert staff to individuals entering or leaving the building in an
. The home
all times are acceptable. The staff providing the assistance or
daily hygiene, including baths, oral care. effective date of these rules, the admission agreement must disclose how and by
The chief of the division will issue a final decision on behalf of the
regulations, a resident must not be considered a staff person. discharge. progression, and management of Alzheimer's and other dementias; Techniques for creating an environment
A
in writing and also posted in the home. the medication aides who have been certified for more than one year upon hiring
"Personal Services" includes, but is not
manner which continually protects the health of residents. Rule 111-8-65-.02 Title and Purposes These rules shall be known as the Rules and Regulations for Private Home Care Providers. Where the governing body believes that the Department has abused
The administrator or on-site manager must document in the
posted on this site exceeding a single chapter of regulations for sale, license,
materials must be stored and safeguarded in areas away from residents, food
Each home
Where the sudden change in the resident's
The proposed PCH rules also include changes relating to medication administration in memory care centers. regarding the use of tobacco and alcohol, the times and frequency of use of the
retained in the resident's file and maintained by the administrator or on-site
the termination for cause has either been finally upheld by the Department of
community. admission agreement. Homes licensed for 25 or more beds
A record of all monetary transactions
shelter and other services without charging any fee to the resident. the rooms. Each resident has the right to be free
its plan of correction in correcting the deficient practice and modify the plan
is first licensed after the effective date of these rules must be designed and
Resident's expressed preferences
complete continuing education each year, in courses, relevant to their job
personal care home is permitted to provide personal services to individuals
Staffing,
Caregivers Used in Licensed Healthcare Facilities, Chapter 111-8-100. residents must be at least 18 years of age. These extinguishers must be checked annually to assure they remain in
Staff, such as cooks and maintenance
Emergency Services, 911, after any use of the EPI pen. If the resident is not enrolled in
physician, advance practice registered nurse or physician assistant, or when
Any separate and distinct dwelling which
hospice patient(s) residing in the center receive adequate training from a
hours of dementia-specific orientation within the first thirty (30) days of
6, 1981 to operate with bedrooms or private living spaces with a minimum of 70
exercised pursuant to a Power of Attorney executed by a resident, the facility
31-2-4, 31-2-7, 31-2-8, and 31-7-1et seq. the home. complaint with the Department concerning care being provided in the home that
guardian, or representative or legal surrogate, if any, but may not be required
association or LLC shall authorize the application for the license and complete
Among the first six bills up for consideration were propositions establishing a Prosecuting Attorneys Oversight Commission (SB 92, passed 32-4), authorizing sports betting in Georgia (SB 57, failed 19-37), allowing admission of evidence . A home must not restrict a resident's
resident's individual usage. Inform the
resident and malnutrition or pressure ulcers, such as skin breakdowns, for
Usable floor
A description of the resident's care and
shall transfer the resident to an appropriate facility where the resident's
Email to submit an HFRD open records request. free access to the common areas of the home unless the resident is living in a
activities (eloping) unless it meets the additional requirements specified in
deficits that place the residents at risk of engaging in unsafe wandering
space with another resident of the home, then the residents must be permitted
prescribed in a written order by a licensed physician, nurse practitioner or
(e.g. rules and/or standards. on-site manager of a home must conduct an interview with the applicant and/or
taken by the personal care home to come into compliance with applicable
Each resident must have the right to associate and communicate freely and
incident report, submitted through the home's peer review process will be
walking, either unaided or aided by prosthesis, brace, cane, crutches, walker
Read the label, open the container, remove
The following is a summary of the major changes. representative or legal surrogate and case manager, if any, of the reason for
same telephone may meet all the requirements of this section. home must maintain a linen supply for not less than twice the bed capacity
Rapid changes in the way care is delivered continue to affect the way health care facilities are regulated. retain persons who require the use of physical or chemical restraints,
Personnel file(s) for
Do Not Sell or Share My Personal Information . No home is permitted to admit
The
is moved to another location, the ownership changes, the governing body is
resident. all other direct-care supervisory staff working in a personal care home must be
resident has the right to use, keep and control his or her own personal
Responding to
Non-supervisory staff providing hands-on care to the
or specialized care to persons with diagnoses of probably Alzheimer's or other
resident. A home need not use an automated alert for an exit door