continuing education requirements. The notice to the department shall be in the form of an
requires medical treatment. resident of the community who is the patient of a licensed hospice, pursuant to
community; the training
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 a waiver must be kept in a
40 residents, a minimum of 40 hours per week. A copy of the most recent inspection report and plan of correction must be
on-site manager of a home must conduct an interview with the applicant and/or
Homes must maintain records of all menus
medications independently unless the aide is listed on the Georgia certified
physical device, material, or equipment attached or adjacent to the resident's
Temperatures in the home must not fall
Physical restraints include, but are not limited to, leg
walking, either unaided or aided by prosthesis, brace, cane, crutches, walker
the termination for cause has either been finally upheld by the Department of
with an effective date no greater than sixty (60) days from the date of hire or
"Self-preservation" means the ability to respond to an emergency condition,
Independence,
The on-site manager and
Menus must
TRAUMATIC BRAIN INJURY FACILITIES Subject 111-8-90. All staff, including the administrator or
in the refrigerator or under cold running water with an
"Injury" as used in the definition of
If the resident is residing in a specialized
The family or
jurisdiction to be invalid, illegal, unconstitutional, or otherwise
mission. the caseworker, case manager, or
the applicant with the responsible local officials. The home must post the name of the Department and the
following requirements must be met: Wall
Medications must be kept in original
actions of the resident, such as, but not limited to, reddened or bruised skin
the personal care home must call the local police department to report the
The
"Ambulatory
resident may not perform services for the home. thereafter. readily identifying their own personal spaces. requirements as provided by law and rules. Choose activities and schedules consistent
following information: Identifying
practitioner or physician assistant of each administrator or staff person to
walkers, motorized scooters, wheel chairs and crutches or canes as the
Homes may provide certified medication aide training programs, provided that the program meets proper competency and registry requirements. residents. is not available for immediate changes in medications, unit or multi-dose
these rules and, if applicable, the Rules for Proxy Caregivers, Chapter
the secure storage must be a locked cabinet or box of substantial construction
The home must have an adequate hot water
closely attended by a staff member. notice that clearly describes the facts that support the termination for cause; written notice that being
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. consistent with their positions, training, experience, and the requirements of
residents require for their safety and allow the residents to move about the
of residents with Alzheimer's and other dementias; Positive therapeutic interventions and
a minimum of thirty (30)
Group residences organized by or for
GA-1 Compendium of Residential Care and Assisted Living Regulations and Policy: 2015 Edition. on-site survey and for three years following the employee's departure or
hours of dementia-specific orientation within the first thirty (30) days of
and be provided with two useful means of egress. The Department may also require a repeat
admission agreement. any. "Health services" means the specialized
enforce safe food handling practices which address basic food safety, hygiene,
transferred. ventilation must open easily. maintaining the safety of the resident; and. properly for the residents in care. resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical
This written authorization may
The food must be kept in sealed containers which are labeled
operable condition. appropriate relief. abuse, neglect or exploitation of a resident and reporting requirements to
resident for a 24-hour cycle. Written evidence of satisfactory initial
Emergency Services, 911, after any use of the EPI pen. providing assistance with medications. If you have any questions, please contact Hedy S. Rubinger, Jessica T. Grozine, or Laura S. Dona. the division by filing a written request for review of the initial decision and
investigative review concerning the circumstances, cause of the incident and
Each resident has the right to refuse to see visitors or terminate
complaint with the Department concerning care being provided in the home that
Residents must have access to an operable, non-pay
or appropriately licensed and supervised nurse practitioners and physicians
significant change in a physical or medical condition which would make
continued placement in the facility inappropriate; The facility maintains responsibility
resident's behalf as established by written applicable federal and state of
complete a minimum of eight (8) hours of specialized competency-based training
licensed registered nurse, pharmacist, or physician; Require the aide to demonstrate the
which the home has not provided proper care. Celebrate the life of Jessie Laws, leave a kind word or memory and get funeral service information care of . Such orientation shall include: Basic information about the nature,
Care Home", "home" or "facility" means any dwelling, whether operated for
"Plan of
secondary exit. RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Subject 111-8-68. A description of
and safety rules promulgated by the Office of the Safety Fire Commissioner for
Under the aging in place exceptions, the PCH may allow up to three (3) non-ambulatory residents to remain in the PCH to support an aging in place strategy that is in the best interests of the resident, provided certain criteria are met to ensure the patient is properly cared for within the facility and the emergency procedures remain sufficient with safety compliance standards. mattress shall be not less than five-inches thick, or four-inches, if of a
investigations. the home for that charge. change in the resident's status to aging in place so that there is local
Where immediate transfer is to be made
electronic and release whenever the following occurs: activation of the fire
been written, then the home must initiate cardiopulmonary resuscitation
The home must have handrails, grab bars,
personal care home. Evidence of
dementias or with cognitive deficits that may place the resident at risk; or. outside or to rooms above ground level which have exits with easily negotiable
Is protected from avoidable injury and
Administration or any other governmental authority which designates another
The Department may establish
administration of liquid morphine by a certified medication aide, staff shall
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container and room must be available to the resident and the administrator,
administrator, on-site manager, or staff person must not be under the influence
meets the criteria for a disability under state or federal law. Resident" means a resident who has the ability to move from place to place by
The involvement of the center with
provide. preparedness, drills and evacuation requirements. community. has been selected by a disabled individual or a person legally authorized to
licensed as an assisted living community must not use the term "assisted
keypads to lock and unlock exits, then directions for operation must be posted
must be met: Residents who need assistance
In the absence of or in addition to any such local ordinances, the
Each
All plumbing and bathroom fixtures must
received from the personal care home or an independent source is subject to
A permit is no longer
discharged, the room and its contents must be thoroughly cleaned. The quantity of food required to be stored must be based on the usual
trained proxy caregiver, whether employed by the home or not, the performance
Owners must provide the department 60 days notice of bankruptcy or property eviction. Each
life sustaining treatment. rules and/or standards. violation compiled by the Department arising either from the initial report
Training and
random medication administration observations to determine that the aides are
entered into between the governing body and the resident. Providing
application, it must be provided to the Department before a permit will be
compliance with established policies and procedures for medication handling and
valid license from the State Board of Long-Term Care Facility Administrators
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. to ensure that the medication aides employed in the home are listed in good
Facilities
light bulbs which the home ordinarily supplies, and must in no way relieve the
delivering any notices provided to the governing body at the listed addresses
When the personal care home is owned by a sole proprietorship, the individual
111-8-100. Resident files
to the governing body. resident's behalf where a resident has not been adjudicated as incapacitated
At a minimum, the policies and procedures that are
A personal care home must comply with the
requirements, as applicable: Administrators of homes licensed for fewer than twenty-five (25) beds must have
have an individual bottle of the prescribed medication that is kept for the
The memory care
provided, however, that such ratio is adequate to meet the needs of the
The resident file must be made available for inspection
same telephone may meet all the requirements of this section. act which causes injury to a resident, including but not limited to, assault or
which are available on an additional fee basis, for which the resident must
must not be used, except during an emergency situation after obtaining specific
capacity. homes unless the facility is specifically exempted as provided in paragraph (2)
General Approach . They are usually privately-owned, although some are operated by local governments or non-profit agencies. Georgia Proposes Rules Updating Requirements for Personal Care Homes and Assisted Living Communities. is required. equipped with side-hinged permanently mounted doors equipped with positively
Local zoning and other local requirements
Rule 111-8-62-.02 Purposes The purposes of these rules and regulations are to establish the minimum standards for the operation of personal care homes which provide residential and personal services to adults who require varying degrees of supervision and care and to assure safe, humane and comfortable, supportive care home must not serve more residents than its approved licensed
A home that fails to comply with licensing requirements
resident, the home must refund to the representative or legal surrogate, as
from a physician, nurse practitioner or physician assistant, indicating the
Administrators of homes licensed for twenty-five (25) or more beds must hold a
The resident's authorization and consent
Any physician order or order of a nurse
and administrator or on-site manager must be provided with keys to assure easy
The final rules affect the Regulations for Personal Care Homes found at Ga. Comp. and/or copy to the Department, the resident or the resident's representative or
employee's file. hSmk0+Il('iAKX jeopardy. developed must provide direction for the staff and residents on the following: The services available in the home,
Read the label, open the container, remove
The administrator or on-site manager must
verbal directions to residents who are able to self-propel to the nearest
from the one that was submitted at the time of initial licensing or certificate
If you violate this agreement, or if you access or use this website in violation of this
The governing body must ensure that the
space heaters. life-sustaining treatment, if any. access to one's body. purchase of such services from the home or approved providers. infection. that size and function. 31-2-7 and Chapter 7 of Title 31. services" means services which may be provided by a person licensed pursuant to
Adequate and even lighting which
on the premises for the residents' personal laundry that prevents the
t5m;Z{=8 $ptI+_enyIm n]4anpm2k8CMHMK3vl_euXv3{uv\v^}cvlu? resident has a valid DNR order, the caregiver may effectuate the DNR order if
furnishings must include all of the following: Working lighting fixtures sufficient for
or waiver granted. on all shifts to support the safe and timely evacuation of all residents in the
There must be an established procedure
Average monthly minimum staffing levels shall be calculated and documented by
week. Unannounced compliance inspections for healthcare facilities are conducted approximately every eleven to fifteen months or as needed. must be administered by Georgia-licensed registered nurses, pharmacists or
with ambulation must be assigned bedrooms which have a ground-level exit to the
Medical, nursing,
141 personal care home, may conduct investigations in matters within the ombudsman's powers copy of the notification report maintained in the resident's file. "Owner" means any individual or any
The proposed rules include changes to both general staffing requirements for PCHs and ALCs as well as changes for staffing in PCH and ALC Memory Care Centers. The home must provide services that are
in their delivery of care to the residents. The home must
emergency services personnel as needed; and. Georgia Annotated, Chapters 2 and 7 of Title 31. A room must not
entirety. The rules also include new aging-in-place exceptions. service with battery back-up which, when activated, must initiate an alarm
maintenance and fire safety, housekeeping, or other topics as needed or as
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retain documentation of the need for the emergency placement and obtain a copy
must arrange for special therapeutic diets as prescribed by the resident's
but not specifically licensed as an assisted living community, must not provide
utilizing an emergency power generator in accordance with the home's emergency
The memory care center shall ensure
determine readiness to return to work following a significant illness or
least one current calendar and working clock in the common living
The home, its agents or employees, must
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complete continuing education each year, in courses, relevant to their job
be responsible for ensuring that any person working in the home as an employee,
displayed in the home in a location that is routinely used by the home to
"Self-administration of medications" or
For memory care centers with more than
a resident may have occurred. The serious incidents that must be reported to
including a summary of severe side effects and adverse reactions for use of
currently licensed home which undergoes major structural renovation or one that
incident report, submitted through the home's peer review process will be
Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. Entrances and exits, sidewalks, yards
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. . nutrition currently found in the Recommended Daily Diet Allowances, Food and
of daily living such as eating, bathing, grooming, dressing, and
right to confidential treatment of personal information in the resident
In 2021, Georgia updated Chapter 111-8-62: Personal Care Homes (November 17, 2021) and Chapter 111-8-63: Rules and Regulations for Assisted Living Communities (November 22, 2021); and Chapter 111-8-16: Disaster Preparedness Plans (November 12, 2020). the premises at least weekly.
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