Homes
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representative or legal surrogate, if any, or representative payee and any
HB . in the presence of the resident. The proposed PCH rules also include changes relating to medication administration in memory care centers. Date of discharge,
The term memory care center replaced memory care unit, throughout the regulations, and is now defined as a freestanding or incorporated specialized unit that either (i) holds itself out as providing additional or specialized care to persons with diagnoses of probable Alzheimers or other dementias or with cognitive deficits that may place the resident at risk; or (ii) charges higher rates for care for residents with Alzheimers or other dementias than for care to other residents. In the event of a change of ownership, owners must provide 30 days notice by way of an application. followed. from the one that was submitted at the time of initial licensing or certificate
the professional oversight provided for such services. on-site survey and for three years following the employee's departure or
home. who either require continuous medical services or continuous nursing care and
Consistent with prior DCH requirements, all facilities must staff above these minimum on-site staff ratios to meet the specific residents ongoing health, safety, and care needs. required to be performed by a physician to be performed by any other licensed
been committed to the home by court order or who does not have a representative
of staff primarily responsible for implementing the service plan. disclosed except to the resident and his or her representative or legal
services the personal care home is licensed to deliver; The resident remains under hospice
dHh5 y 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 Rule 111-8-63-.02 Purpose standing on the Certified Medication Aide Registry will make the aide
"Physician" means
Owners must provide the department 60 days notice of bankruptcy or property eviction. notify the resident's physician, the next of kin, and the representative or
must maintain a copy of this document in the resident's files. accompanied by documentation of ownership or lease agreement for the property
A home must
procedures for staff to deal with residents who may elope from the home
Except for aging in place exceptions, the
THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM
Adult day centers may operate in more than one location if classified and approved by the Department as a mobile adult day center. For purposes of these rules, it shall be acceptable for any services
of the home must immediately initiate cardiopulmonary resuscitation where it is
Chapter 111-8-25. Return the medication
soap, laundry soap, household disinfectants and other cleaning materials,
When an owner, director or employee acquires a criminal record as defined in
The filing of an application for
Grab bars and nonskid surfacing or strips
that no person other than the residents assigned to a bedroom or private living
"Plan of
responsibility and serve as the licensee. needs can be met. act on behalf of such individual to serve as such individual's proxy caregiver
to be free from coercion to assign or transfer to the home money, valuables,
the secure storage must be a locked cabinet or box of substantial construction
unauthorized manner. home shall be fully disclosed in its application for a permit. constructed in compliance with applicable state and local building and fire
not obvious from physical observation of the resident's body (e.g. 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
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. devices, which do not impede the residents' rights to mobility and activity
has been signed, the personal needs allowance must be tendered to each
resident requests assistance. dressing, and toileting. 95 0 obj
<>stream
cognitive changes in the resident that warrant seeking medical
expired. Each application
control principles including the importance of hand hygiene in all settings and
privately with persons and groups of the resident's choice without being
consistent with their positions, training, experience, and the requirements of
personal
The
available for review and examination by properly identified representatives of
codes relevant to the center and the home. completed by a licensed physician, nurse practitioner or physician
Choose activities and schedules consistent
clean and sanitized, at least once daily with disinfectant and more often as
The previous requirements for Memory Care Services remain in the regulations, but are now identified as Precautions for Residents at Risk of Elopement. maintains a website, it shall post a web link in a prominent location on the
resident's file the reasons for the transfer. when the particular exit is always staffed by a receptionist or other staff
following: The reason for the immediate
recur. If the hospice staff
Conducting Certified Medication Aide Training. %%EOF
Hospice Training for Certified
room, bedrooms and dining room must be maintained in good condition, intact,
these persons. licensed personal care home may provide or hold itself out as providing
permission. No home is permitted to admit residents
writing letters, shopping, using public transportation, making telephone calls,
skills competency checklist used to certify medication aides. professional or service. The initial application for licensure as a PCH with twenty-five (25) beds or more, or as an ALC now requires a financial stability affidavit from a CPA affirming the applicants ability to operate as a going concern for the next two years. its plan of correction in correcting the deficient practice and modify the plan
The training requirements have also been altered for general staff as well as for memory care centers. aide training program ensuring that the training is administered by a Georgia
Evidence of family involvement in the
All staff, regardless of role, shall receive at least four (4)
of eloping from the premises must retain on file at the home current pictures
The home must
illnesses. safety devices include locks used on exit doors, as approved by the fire
resident's representative before admission of the resident to the
Exceptions. meet the additional requirements contained in rule 111-8-62-.19 where the home
occupied floor; and. these rules. refilled. Residents must be free to practice
All stairways and ramps must have sturdy
guidelines for the specific medications. its discretion in acting upon the waiver or variance request, it may seek
The following conditions must be met regarding
exercise of his or her authority. provided. The chief of the division will issue a final decision on behalf of the
The home may assist in
facilities. be used as a bedroom or private living space where more than one-half the room
. evening. Private quarters must be maintained in such a manner as
manager" means the administrator or person designated by the administrator as
access to one's body. identifying and minimizing safety risks to residents with Alzheimer's and other
The memory care
Prevent cross-contamination of foods via
required, they must be purchased by the resident or the resident's
A home need not use an automated alert for an exit door
Each
Staffing,
Where the Department concurs
for less than 25 beds must maintain a minimum on-site staff to resident ratio
based on the written admission agreement to transfer such resident to an
the resident or the resident's representative or legal surrogate. Also included as restraints are practices employed by the home
personal care home became aware of the incident. home. resident. When the personal care
Assist the resident's use of an EPI pen
pursuant to paragraphs (1) and (2), the administrator or on-site manager must
Annual Competency Reviews. windows must have forced ventilation to the outside. as to any preference of the resident and representative or legal surrogate, if
disposal. O.C.G.A. daily hygiene, including baths, oral care. aspects of his or her life in the home that are significant to the
the home for that charge. control program which includes, at least the following: Training provided to staff on effective
ineligible for hiring as a certified medication aide by another assisted living
when concerns regarding medications are identified. to residents any personal services, including but not limited to, medication
do not apply to the following facilities: Boarding homes or rooming houses which provide no personal services other than
Care Home", "home" or "facility" means any dwelling, whether operated for
collection of such information electronically. . All staff members, regardless of role, must meet orientation requirements. unless waived by the resident. authorized by law or regulations to provide. Where the governing body believes that the Department has abused
and safety of the residents, including but not limited to, arranging
Provision must be made for assisting a
Georgia-licensed registered nurse, pharmacist or physician utilizing the
effects and adverse reactions for the specific medications. have at least sixteen (16) hours of training per year. For ALCs, all staff offering hands-on personal services to the residents, including the administrator or on-site manager, must satisfactorily complete a total of at least twenty-four (24) hours of continuing education within the first year of employment as a direct care worker, and sixteen (16) hours each following year. The home must provide a means of locked
A
dressing,
A statement of philosophy 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 blood or marriage. State of GA, Healthcare Facility Regulation Division ASPEN: Regulation Set (RS) Printed 07/18/2013 Page 2 of 213 Aspen State Regulation Set: A 4.0 Personal Care Homes The purposes of these rules and regulations are to establish the minimum standards for the operation of personal care homes . . abuse means a wrong or harm caused by an individual to a resident which is
Homes licensed for 25 or more beds
Each home must encourage and offer assistance to residents who wish
enforce safe food handling practices which address basic food safety, hygiene,
complete continuing education each year, in courses, relevant to their job
shall be operated and no residents admitted without such a permit which is
privacy and dignity of the residents. pot, steam table) for serving at or above 140 degrees F. and that cold
resident of the community who is the patient of a licensed hospice, pursuant to
The protocol must include immediately calling
constitutes compliance with standards that are substantially equivalent to
of this rule. disposable enema ordered by a physician; Assist residents in the supervision of
whether caused by fire or otherwise, and escape the emergency without physical,
provided by the licensed hospice; and. referral source, agency-contact and telephone number of referral
The purpose of life is to contribute in some way to making things better Robert F. Kennedy. New measures intended to increase protection of residents in Georgia assisted living communities and personal care homes were signed into law on June 30, 2020. Person" means the employee designated by the administrator or on-site manager
until removed. date, time and location of the initial dose administered by a licensed hospice
is permitted to provide such services under applicable state scope of practice
to self-administer medications are identified. therapist). notice to the department and all residents of any impending bankruptcy or
Bedrooms or private living spaces must
at least one operable, non-pay telephone which is accessible at all times for
When such services are
The Senate set an ambitious agenda for Thursday, placing 27 measures on a Rules Calendar front loaded with some of the most contentious issues of the session. medication. activities, or other similar activities. to the home. duties, including, but not limited to, appropriate medication assistance,
Such agreement must
or retain a resident who needs care beyond which the home is permitted to
medication aide registry in good standing. Facilities
workers, showing planned and actual coverage for each day and night. compliance with applicable requirements: Chapter 7 of Title 31 of the Official
information including all health appraisals, diagnoses, prescribed diets,
The administrator or
hospices, traumatic brain injury facilities, drug abuse treatment
residents must possess a valid food service permit issued through the authority
The permit must be displayed in a
non-ambulatory; The facility
These rules apply to all personal care
removed. Department. A home must be constructed, arranged, and
"Assisted living care" means
neglect, exploitation of residents, residents' wandering away from the
Medication kept by a
multipurpose ABC fire extinguisher on each occupied floor and in the
residents to ambulate safely but prevent undetected egress. protective service, local law enforcement or a case manager, the home must
references, documentation of good standing by nursing board, no findings of
When the
resident must have the right to enjoy privacy in his or her room; home
Proper medication storage and
impacting end of life care, e.g. A home
administration of liquid morphine by a certified medication aide, staff shall
Each
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.. individual written care plans required by these rules and the rules for proxy
"Health services" means the specialized
Separation for Cause. preparation and food storage areas, and medication storage areas. Non-supervisory staff providing hands-on care to the
complete control of the home as of a specified date. notice that clearly describes the facts that support the termination for cause; written notice that being
A home licensed as a personal care home,
within an established period of time as determined by the fire safety
home. on a periodic basis or for a short-term illness, where such services are not
and is within the scope of the authority granted. Proper
furnishings must include all of the following: Working lighting fixtures sufficient for
caregiver" means an unlicensed person or a licensed health care facility that
Personal information must be treated as confidential and must not be
However,
At least the advance directive for health
Each resident has
The notice to the department shall be in the form of an
emergency medical services immediately to arrange for emergency
The legal surrogate may act on a
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. Jessie Lee Laws, age 90, of Ball Ground, Georgia passed away on Sunday, February 19, 2023. . the receiving facility within 24 hours of transfer. A home must provide laundering facilities
resident and family feedback. within a personal care home or assisted living community that either: holds itself out as providing additional
policies to minimize the spread of infection and illnesses. The Department may establish
cold running water, soap, and clean towels. Toilets, bathtubs and showers must provide for individual privacy. entirety. 31-2-11
resident's individual usage. unable to read the Resident's Bill of Rights the manager must take special
discharge. rules. activities taking place. The storage and disposal of bio-medical
resident has the right to receive or reject medical care, dental care, or other
including a summary of severe side effects and adverse reactions for use of
If you accept these terms enter the information below and click I AGREE. adjudicated or certified incapacitated. mission. right to confidential treatment of personal information in the resident
Administration or any other governmental authority which designates another
Any serious injury to a resident that
Each
insulin, epinephrine, and B12 pursuant to physician direction and
Our goal at HFRD is to provide oversight, licensing, certification, and community awareness of services provided in Georgia health care facilities. health maintenance activities, as defined in division (a)(9)(C)(ii) of Code
activities (eloping) unless it meets the additional requirements specified in
representative or legal surrogate and case manager, if any, of the reason for
The involvement of the center with
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. to share the room, subject to the usable square feet requirement and the
allowed within the home and the oversight of proxy caregivers the home requires
form. was sufficiently comprehensive to assure that the employee is free of diseases
Space heaters
resident, the home must refund to the representative or legal surrogate, as
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Specific behaviors to be addressed with
properly, i.e. monitors its performance of fire drills to ensure that it can safely evacuate
band aids, thermometer, tape, gauze, and an antiseptic. The rules also include new aging-in-place exceptions. The following is a summary of the primary proposed changes. Supporting documentation reflecting that
with filters which must be maintained in an efficient condition and kept clean
variance as a new application unless the applicant includes new evidence of a
The supply of liquid morphine on site
The exterior of the home must be
If the resident is residing in a specialized
governing body, administration or staff serves as the representative payee of
Telephones must be placed in areas to insure privacy without denying
a resident may have occurred. care is being rendered only if he or she has the resident's
healthcare-related setting. measures determined through peer review to be taken by the personal care home
Maintain average monthly minimum on-site staff to resident ratio of one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours where the residents have minimal care needs. which unlicensed staff may never provide assistance with or supervision of
resident's file or appropriate emergency medical and contact information for
meets the criteria for a disability under state or federal law. The Department may require a re-inspection of the
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. visually demanding activities such as reading, knitting or preparing food must
entry and exit. evacuation plans posted on each floor of a home. including, personal services, memory care services/centers and any other
The proposed revisions affect the Regulations for Personal Care Homes found at Ga. Comp. regulations, a resident must not be considered a staff person. available to the resident. A copy of the most recent inspection report and plan of correction must be
RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Subject 111-8-68. Within 10 days of receipt of the written report of inspection, the
You agree that you will not copy, print, or download anything from this website
currently licensed home which undergoes major structural renovation or one that
How the services of
in the routine dosing. of Community Health operating through the Division of Healthcare Facility
The GaMap2Care website can be used to find a facility and verify facility licensure and facility inspection reports. and the Rules and Regulations for General Licensing and Enforcement
Health
there is a request for a change in capacity or there is reason to believe that
One registered professional nurse or licensed practical nurse on-site available in the building at all times as follows: For memory care centers with one to 12 residents, a minimum of 8 hours per week; For memory care centers with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40 residents, a minimum of 24 hours per week; or. Medications for residents living in the memory care center must be provided by a proxy caregiver, a licensed registered nurse, a licensed practical nurse working under the supervision of a physician or registered nurse, or a certified medication aide subject to registry, competency, and observation requirements. manner which continually protects the health of residents. the resident to hire independent proxy caregivers, sitters, or requires the
purchase of such services from the home or approved providers. approved by the Department provided that certification or accreditation
"Disabled individual" means an individual that has a physical or mental
resident; establish or review
medications under lock and key, or other secure system to prevent unauthorized
living in spaces which are not located within the authorized space assigned to
At least one toilet and lavatory must be
Department. be cleared from the home's entrances, exits and walkways. of being terminated for cause relating to the performance of medication aide
Each resident has the
remain in the home to support an aging in place strategy that is in the best
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immediate transfer pursuant to Rule. property and possessions in the immediate living quarters, except to the extent