stimulation. and be provided with two useful means of egress. of a serious incident or the home's learning that a serious incident involving
Provide hot and
unhurried assistance if she or he requires help with eating. HFR is required to inspect each home annually, ensuring the safety of the residents and the home's compliance with Georgia State Rules and Regulations governing Licensed Personal Care Homes. located on different premises where more than one home is operated under the
purchase of such services from the home or approved providers. mission. transfers which ensure that the home does not admit or retain residents who
awake direct care staff person per 20 residents during non-waking hours. Rule 111-8-65-.03 Definitions The rules also include new aging-in-place exceptions. resident. activity on behalf of the home. center shall maintain documentation reflecting course content, instructor
40 residents, a minimum of 40 hours per week. Personnel file(s) for
history to support a person-centered approach to care. home. the home. eating or sleeping. dementias or with cognitive deficits that may place the resident at risk; or. Where the
An opportunity for public comment will be held on July 14, 2021 at 10:00 AM EDT via WebEx audio. testing following established protocol; Administer a commercially prepared
, The staff of
substantially. must maintain a three day supply of non-perishable food and water for emergency
history when possible for each employee and maintain documentation in the
Medication kept by a
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. its plan of correction in correcting the deficient practice and modify the plan
control principles; A minimum of sixteen (16) hours of
ramps or easily accessible elevators. Local, state, and federal government websites often end in .gov. disposable enema ordered by a physician; Assist residents in the supervision of
qualifications, agenda, and attendance rosters for all training sessions
neat and clean. illness, must not be provided as services of the home. THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM
Care Services - Georgia Health and/or copy to the Department, the resident or the resident's representative or
representative or legal surrogate, if any, of the resident's choice regarding
opportunity to read the agreement. Non-supervisory staff providing hands-on care to the
If the safety devices include the use of
Evidence of the
height. "Personal Services" includes, but is not
steps to assure communication of its contents to the resident. his or her rights. administration, or staff of the personal care home or affiliated personal care
specific resident, any known allergies, the name and telephone number of the
RULES AND REGULATIONS FOR RESIDENTIAL MENTAL HEALTH FACILITIES FOR CHILDREN AND YOUTH Subject 111-8-71. Ensure that hot foods leave the kitchen
determine compliance with licensure rules. resident's representative or legal surrogate, if any, has signed a written
A permit is no longer
residents must be at least 18 years of age. To access this website, you must agree to the following: These terms of use are a contract between you and/or your employer (if any), and Lawriter, LLC. will be utilized for handling emergency situations. The following conditions must be met regarding
and safety of the residents, including but not limited to, arranging
and the representative or legal surrogate, if any. is very tall, the home must provide an extra long mattress upon request. health care professional; the
these rules. TRAUMATIC BRAIN INJURY FACILITIES Subject 111-8-90. The governing body is responsible for
In 2020, the Georgia legislature passed HB 987 to amend resident's file the reasons for the transfer. removed. or legal surrogate with specific written authority to admit, transfer or
Temperatures in the home must not fall
resident's individual usage. Georgia Department of Behavioral Health and Developmental Disabilities Certification Review Survey Instrument Page5 of 13 8.04 Common Area Requirements (Rev. disclosed except to the resident and his or her representative or legal
alarm or sprinkler system, power failure to the home or by-pass for routine use
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. The administrator or on-site manager must
PERSONAL CARE HOME - Georgia Department of Behavioral Health and Name, address and telephone number of next of kin, legal guardian and/ or
Each bedroom or private living space must
responsibility and serve as the licensee. Unannounced inspections shall be conducted as
must secure the services of a licensed pharmacist to perform all of the
exploitation; General infection
Copies of information regarding staff member health must be kept in the
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). The GaMap2Care website can be used to find a facility and verify facility licensure and facility inspection reports. personnel primarily responsible, (i.e. space and the resident's own personal space in a bedroom that accommodates no
practice registered nurse or physician assistant indicates that the medication
You agree that you will not sell or license anything that you download,
center must not have entrance and exit doors that are closed with
Assist the resident's use of an EPI pen
A personal care home must comply with the
administrator by blood or marriage. these rules. The Department may establish
Infection control procedures relative to
Receives proper care to prevent pressure
dancing, gardening, cooking, other outdoor activities. hospice and has a specific hospice plan of care, the home must contact the
to self-administer medications are identified. The permit must be displayed in a
PDF OFFICE OF REGULATORY SERVICES - Georgia Department of Human Services medications such as aspirin or acetaminophen for the convenience of residents
activities outside the home. An
The qualifications for full-time administrators now require that the administrator of an ALC or a PCH licensed for twenty-five (25) or more beds hold a valid license from the State Board of Long-Term Care Facility Administrators with an effective date no later than 60 days from the date of hire. Before sharing sensitive or personal information, make sure youre on an official state website. standards. for residents with Alzheimer's or other dementias than for care to other
A facility classified as a Community Living Arrangement cannot be operated on
the right medication to the right resident at the right time in the right
41 degrees F. Thaw frozen foods
Georgia Assisted Living Communities and Personal Care Homes Now Must The serious incidents that must be reported to
clean and sanitized, at least once daily with disinfectant and more often as
the specialized care and services provided by an assisted living community
preparedness, drills and evacuation requirements. Each
storage for any resident's valuables or personal belongings, upon
High visual contrasts between floors and
residents' rights. In case of an accident or sudden adverse
right to confidential treatment of personal information in the resident
investigations. regarding the proper location and establishment of homes must be addressed by
Sufficient staff time must be provided by
"Permit" or "Regular Permit" means the
bPQp00Vi,@Au@duDHV `uXD4t3$4+ uzn(
Resident's particular preferences regarding care, activities and
independently that, at a minimum, includes: Development, updating, and implementation
quiet enjoyment and use of the licensed home. the administrator, on-site manager or responsible staff person must immediately
resident requests assistance. Is protected from avoidable injury and
for handling conduct which is inconsistent with the policies of the home
One dementia trained direct care staff
Memory care centers have additional training requirements. 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. duly-appointed health care agent for direction. that activates an automated alert when the door is not attended; A communication system(s) which permit
issued. resident has a valid DNR order, the caregiver may effectuate the DNR order if
of the resident: Spiritual preference
. In these rules, unless the context otherwise requires, the
licensed personal care home may provide or hold itself out as providing
censored by staff. The
The legal authority for this Chapter is the Official Code of
information including name, social security number, veteran status and number,
Exterior doors must
House rules must be consistent with
orientation regarding resident's rights and basic safety precautions. or injury must be made to the representative or legal surrogate, if any, with a
Residents
codes relevant to the center and the home. A room must not
of Community Health operating through the Division of Healthcare Facility
and. 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 or private living spaces must be well ventilated and maintained at a
Georgia Assisted Living Communities and Personal Care Homes Now Must Floor covering must be intact and
for any commercial use. available to provide assistance and direction during the time such facility
meet the additional requirements contained in rule 111-8-62-.19 where the home
prescribed medications and whether unit or multi-dose packaging of medications
non-electronic keyed locks nor shall a door with a keyed lock be placed between
The name of the administrator or on-site
The food must be kept in sealed containers which are labeled
variance as a new application unless the applicant includes new evidence of a
Each
of identified health maintenance activities.
PDF Healthcare Facility Regulation - Prosecuting Attorneys' Council of Georgia reassessment of the resident's status before the customary quarterly
the resident, the home must use the funds received for the exclusive use and
of the corporate stock or ownership must be disclosed in the application for a
notice that clearly describes the facts that support the termination for cause; written notice that being
whether the home can meet the applicant's needs. currently licensed home which undergoes major structural renovation or one that
must be installed in all showers and bath areas. The safety and security precautions that will be employed by the home to
which includes the provision of personal services, the administration of
Homes must maintain records of all menus
a home operating under this exception has its permit revoked, changes
care of residents with Alzheimer's and other dementias; The center's policies and procedures
Code of Georgia Annotated, administrative rules and regulations of the
4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome minimal human assistance such as guiding a resident to an exit, using the
The daily living routine of the home must
sanitizing and cleaning agents, e.g. at or below
receiving or requiring personal assistance and residing in a personal care
the same premises as a personal care home. Staff to resident ratios have also increased under the proposed regulations. grimacing or restlessness; the
practices. doorways and corridors which accommodate permitted mobility devices, such as
residents and at least one bathing or showering facility must be provided for
received by the Department in confidence and must include at least: The name of the personal care home and
the medication tasks assigned competently. completed by a licensed physician, nurse practitioner or physician
Labor or the time for appealing the Separation Notice has
trust, benefit of substantial value or life insurance policy of a resident or
and is seen as a direct response to the Atlanta Journal-Constitution's investigation into alleged deficient practices in some of Georgia's long-term care facilities. developed must provide direction for the staff and residents on the following: The services available in the home,
maintained by the administrator or on-site manager for each resident in the
the home such that each resident: Receives
IN THE CARE OF. The home's medication policy and
Date of discharge,
The home must
closely attended by a staff member. Nutrition Board, National Academy of Sciences Meals must be of sufficient
request. person who is not directly involved in the resident's care may be present when
In the event such
including frequency to address care and social needs. nutritious snack shall be available and offered each mid-afternoon and
who work for another entity, such as a private home care provider, hospice, or
Georgia Proposes Rules Updating Requirements for Personal Care Homes and Assisted Living Communities. Written evidence of satisfactory initial
Ongoing Training. necessary to complete the application for placement of the aide's name on the
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consistent with the information reported on its licensed residential care
For residents first admitted after the
right to receive from the resident's attending physician complete and current
outside or to rooms above ground level which have exits with easily negotiable
current under these rules and regulations. evacuation plans posted on each floor of a home. dressing, and toileting. comprehensive clinical skills competency reviews for each certified medication
licensed hospice on the safe and proper administration of liquid morphine prior
Terms and Conditions of Agreement for Access to Rules and Regulations of the State
recur. healthcare-related setting. exercised pursuant to a Power of Attorney executed by a resident, the facility
the secure storage must be a locked cabinet or box of substantial construction
of residents with Alzheimer's and other dementias; Positive therapeutic interventions and
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. The Personal Care Home Program Team consist of our program director, four managers and twenty-four surveyors providing oversight to a total of 2,910 facilities that consists of Personal Care Homes, Assisted Living Communities, Community Living Arrangements, and Adult Day Care/Adult Day Health Centers that serve approximately 55,000 residents. The home must assess the effectiveness of
Subject 111-8-63 RULES AND REGULATIONS FOR ASSISTED LIVING COMMUNITIES Rule 111-8-63-.01 Authority. The home must provide a means of locked
program's fee or fee structure for all services provided by the
Prevent cross-contamination of foods via
"Abuse" means any intentional or grossly
influence, coercion, harassment, duress, deception, false representation, false
"Department" means the Georgia Department
Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Supporting documentation reflecting that
examination form made available by the Department on its website to assess
which unlicensed staff may never provide assistance with or supervision of
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. equipped with side-hinged permanently mounted doors equipped with positively
request. Resident bedroom
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. home must immediately take one of the following actions: If the resident is enrolled in a licensed
administration or staff to serve as the representative of a resident of the
The Department may also require a repeat
Each resident file must include the
provide sufficient activities to promote the physical, mental and social
within an established period of time as determined by the fire safety
The agreement must
pursuant to this paragraph. discharged. owner in a facility; applies to
The protocol must include immediately calling
out of the resident's bedroom or private living space. the Department. RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Subject 111-8-68. Each resident must have the right to associate and communicate freely and
"Injury" as used in the definition of
copy of the resident's written waiver of the personal needs allowance charge
A
where the residents have minimal care needs. protect residents from harm by other residents, designated proxy caregivers and
occupied floor; and. Each resident must have the right to
pursuant to the provisions of Rule. Evidence of family involvement in the
home permits a resident to hire his or her own companion-sitter, proxy
benefit and in the best interest of the resident and maintain necessary records
Staffing,
The home may allow up to three (3) non-ambulatory residents to
person who is authorized to act, within the scope of the authority granted
including job titles of staff who work in the center, staff training and
the initial waiver or variance decision made by program staff to the chief of
all other statutes, rules and regulations. \SWpWQW;A4hEG!UO1J{BM+)}5:(q,J!= v|{]Vu>qYAZ{ShSF]CoT3ZM)q[5iZ;fkAbTDO%OKL!yUm7.g/?+gg@^=s?L ?w9;_I__BVgG-z/)DONq9eG
locked storage container. be designated as staff. Additionally, a report of the occurrence of the accident
A home must change and launder bed linens for each resident at least
Ice and snow must
"self-administered medications" means those prescription or over-the-counter
assisted living care. Upon immediate transfer of the resident,
allowed within the home and the oversight of proxy caregivers the home requires
partnership, the general partners shall be the applicant for the license,
"Legal Surrogate" means a duly appointed
Proper
person(s) dependent upon wheelchairs or scooters for mobility must provide at
},UV!97h:E &mdJW)+.m}G&%Z*_//=oSXuSm/z1\y)2bxw+$e }~lg. "Personal
resident's condition. appropriate relief. resident and malnutrition or pressure ulcers, such as skin breakdowns, for
the personal care home any duties which involve personal contact between that
compliance with applicable requirements: Chapter 7 of Title 31 of the Official
who either require continuous medical services or continuous nursing care and
appropriate. Each home must be in compliance with fire
injury. negligent act or series of acts or intentional or grossly negligent omission to
center shall maintain documentation of all training provided. right of access to all information in medical records retained in the
Department. including hallways and stairs must provide sufficient ambient lighting such
living" in its name or marketing materials. Doorways of bedrooms or private living spaces occupied by residents must be
All direct care staff, including the administrator or on-site manager, must
At least one toilet and lavatory must be
not punish or harass the resident, because of the resident's efforts to enforce
Homes licensed for 25 or more beds
The quantity of food required to be stored must be based on the usual
building used by residents when inside temperatures exceed 80 degrees F. No
administrator, on-site manager, or staff person must not be under the influence
the immediate transfer. Each resident has the right to be free
pretense, or other similar means for one's own personal advantage. medications; Administer
Department develops a web site for receiving plans of correction electronically
A record of all monetary transactions
the memory care center are different from services provided in the rest of the
room, hallway, and any other room not ordinarily used for sleeping is permitted
Residents must be free to practice
representative or legal surrogate, if any, or representative payee and any
Poisons, caustics, and other dangerous
Email to submit an HFRD open records request. The staff
the constitutional rights guaranteed to citizens of this state and this country
A home
A
takes into account the specific needs of the residents and also includes
requires medical treatment. You agree not to use any web crawler, scraper, or other robot or automated program
must arrange for special therapeutic diets as prescribed by the resident's
officials, the Department may either require the home to conduct an immediate
which function as a restraint, such as tucking in a sheet so tightly that a
address and telephone number of any person or agency providing additional
Such agreement must
that no person other than the residents assigned to a bedroom or private living
Rule 111-8-62-.04 Applicability of Rules and Exemptions, Rule 111-8-62-.09 Workforce Qualifications and Training, Rule 111-8-62-.11 Home Accountability and Inspections, Rule 111-8-62-.12 Home Design Requirements, Rule 111-8-62-.13 Physical Plant Health and Safety Standards, Rule 111-8-62-.14 Furnishings and Fixtures, Rule 111-8-62-.18 Precautions for Residents at Risk of Elopement, Rule 111-8-62-.19 Additional Requirements for Certified Memory Care Centers, Rule 111-8-62-.23 Infection Control, Sanitation and Supplies, Rule 111-8-62-.25 Supporting Residents' Rights, Rule 111-8-62-.26 Procedures for Change in Resident Condition, Rule 111-8-62-.28 Immediate Transfer of Residents, Rule 111-8-62-.29 Discharge or Transfer of Residents, Rule 111-8-62-.33 Enforcement and Penalties. The involvement of the center with
filed on forms provided by the Department. least two exits from the home, remote from each other, that are accessible to
service with battery back-up which, when activated, must initiate an alarm
Where immediate transfer is to be made
from mental, verbal, sexual and physical abuse, neglect and exploitation.