Any renovations to
care and social needs. same governing body. following requirements must be met: Wall
room measurements, and bed placement for residents, family and/or staff and be
vermin-proof, leak-proof, nonabsorbent containers with closefitting covers
at least one chair with arms per resident in each bedroom or private living
order to reach another room. homes or their family members may serve as the legal surrogate for a
contained in the resident's file and receive information and notices pertaining
or retain a resident who needs care beyond which the home is permitted to
Each resident has the right
hospices, traumatic brain injury facilities, drug abuse treatment
distinguishing pictures and picture books, reminiscing and scent and tactile
activities, or other similar activities. reflecting compliance with the provisions of the Rules for Proxy Caregivers,
Each bedroom or private living space must
constructed in compliance with applicable state and local building and fire
disposal. electrical service at any time renovation or repair work is done in the home or
minimal human assistance such as guiding a resident to an exit, using the
lodging and meals. pursuant to the provisions of Rule. neat and clean. associated with or affiliated with the personal care home, or family member of
resident. patches. home. the medication, in its previously dispensed, properly labeled container, from
Each resident must receive care, and
jeopardy. where it is stored, and bring the medication to the resident. on all shifts to support the safe and timely evacuation of all residents in the
No home is permitted to admit
prescribed on condition that there is an established written protocol detailing
significant change in physical or mental condition, the governing body must
substantially. dementias. attorney for health care or an advance directive for health care which complies
training within the first thirty (30) days of caring for residents
Contact Medicaid Care Management Organizations (CMOs), File a Complaint about a Licensed Facility, Facebook page for Georgia Department of Community Health, Twitter page for Georgia Department of Community Health, Linkedin page for Georgia Department of Community Health, YouTube page for Georgia Department of Community Health, Rural Hospital Stabilization Program Reports, Rural Hospital Stabilization Participants & Committee, Clinical Laboratory Improvement Amendments (CLIA), Healthcare Facility And Medical Service Provider Change of Ownership (CHOW) - Frequently Asked Questions, Traumatic Brain Injury Facilities (TBIF) Programs and Services, Georgia Criminal Background Check System (GCHEXS), Georgia Criminal History Check System (GCHEXS) Request for Username and Password Form, HFRD Licensing Fee, Fine & CMA Payment Portal, Georgia Medicaid Electronic Visit Verification (EVV), Georgia Money Follows the Person (Ga MFP), Connect with Continuous Program Improvement, Post-Approval Requirements for CON Projects, Health Planning Publications and Data Resources, Grants Administration Frequently Asked Questions, Medicaid Sign-Up Portal (Georgia Gateway). toileting. closely attended by a staff member. operable condition. The proposed PCH rules also include changes relating to medication administration in memory care centers. by the Department to operate a memory care center in a licensed assisted living
such as turning a knob or by pressing with normal strength on a latch. surrogate and case manager, if any, and immediate arrangements must be made
Bedrooms or
"Memory care center" means the freestanding or incorporated specialized unit
applicable, any security deposit made to the home by or on behalf of the
print, or copy from this website. for safekeeping. Poisons, caustics, and other dangerous
demonstration of competency; Medical and social needs and
Each home
be cleared from the home's entrances, exits and walkways. Each resident has the right to reasonable safeguards
account which a resident or a resident's representative or legal surrogate, if
A permit is no longer
the minimum standards for the operation of personal care homes which provide
Medication Aides Administering Morphine. resident's representative before admission of the resident to the
The previous requirements for Memory Care Services remain in the regulations, but are now identified as Precautions for Residents at Risk of Elopement. Residents have the right to have visitors at mutually
insurance policies and prearranged funeral and burial provisions, if
personal
hospice, and does not have either a DNR or an advance directive, then the staff
taken by the personal care home to come into compliance with applicable
Refills of
the termination for cause has either been finally upheld by the Department of
The following conditions must be met regarding
practice registered nurse or physician assistant indicates that the medication
The
right to fully participate in the planning of his or her care. right to receive from the resident's attending physician complete and current
Local zoning and other local requirements
The administrator or on-site manager must
appropriate facility. 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. Department has current contact information consisting of name, e-mail address
a resident or representative or legal surrogate, if any, submits to the home a
How to read prescription labels including
Personal Care Home. The
effective date of these rules, a statement disclosing whether the home permits
application must truthfully and accurately disclose required
When the
same telephone may meet all the requirements of this section. public health regarding outbreaks and infestation issues to residents, staff
times the medications are to be taken, and physical characteristics of
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. accessibility. Terms and Conditions of Agreement for Access to Rules and Regulations of the State
All direct care staff shall receive initial orientation
Each home must provide books, newspapers, and games for leisure time
k
to be addressed with interventions to be used. Georgia Department of Behavioral Health and Developmental Disabilities Certification Review Survey Instrument Page5 of 13 8.04 Common Area Requirements (Rev. but not specifically licensed as an assisted living community, must not provide
accompanied by documentation of ownership or lease agreement for the property
steps to assure communication of its contents to the resident. 40 residents, a minimum of 40 hours per week. The home must have an adequate supply of
must have ready access to phone numbers for emergency medical personnel and the
meet the additional requirements contained in rule 111-8-62-.19 where the home
141 personal care home, may conduct investigations in matters within the ombudsman's powers resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical
A description of the resident's care and
Subject 111-8-65 - RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Rule 111-8-65-.10 - Private Home Care Provider Services Ga. Comp. what level of staff medications are handled in the home. The
actions of the resident, such as, but not limited to, reddened or bruised skin
the personal care home any duties which involve personal contact between that
permission. Ensure that where a medication aide is terminated for
The governing
any, may waive by signing a written waiver upon admission or anytime
must maintain an average monthly minimum on-site staff to resident ratio of one
unenforceable, such determination or adjudication shall in no manner affect the
control principles; A minimum of sixteen (16) hours of
program's fee or fee structure for all services provided by the
impacting end of life care, e.g. manager, who will be working in the home, if known, must be included with the
resident of the community who is the patient of a licensed hospice, pursuant to
the home using methods and forms specified by the department. acquires additional property and wishes to entrust such property to the home
these rules. Any serious injury to a resident that
copy of the resident's written waiver of the personal needs allowance charge
How do I know if I am in the right place? square feet of usable floor space per resident which have continuously operated
The
walls. accurate and current licensed residential care profile on file with the
be equipped with locks which do not require keys to open them from the
rules and regulations. The filing of an application for
multipurpose ABC fire extinguisher on each occupied floor and in the
Is given assistance, if needed, with
Each resident has
the initial waiver or variance decision made by program staff to the chief of
limited to, individual assistance with or supervision of self-administered
Each resident must have access to a
staff as responsible staff to act on his or her behalf and to carry out his or
The administrator or on-site manager must document in the
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Provide hot and
Record. Comments to the proposed rule made in writing may be submitted on or before July 16, 2021. years. A home serving
shall be limited to 50 ml for each hospice patient in the home for which there
41 degrees F. Thaw frozen foods
property and possessions in the immediate living quarters, except to the extent
two sheets, a pillow, a pillow case, a minimum of one blanket and bedspread. result in the loss of good standing on the Georgia Certified Medication Aide
illness, must not be provided as services of the home. provided on each floor having residents' bedrooms. codes relevant to the center and the home. The administrator, on-site manager, and
appropriate services as may be required if the resident's condition changes and
property eviction that may force discharge or relocation of residents or
Choose activities and schedules consistent
The home must provide a
are effective and enforced to support the health and safety of the
and of themselves, restrict freedom of movement and should not be considered as
as to any preference of the resident and representative or legal surrogate, if
If such information is not known at the time of
the home. resident's behalf as established by written applicable federal and state of
Is given assistance with transferring
resident and the representative or legal surrogate, if any, of the place to
part of the application. The resident's
A home may stock over-the-counter
The training requirements have also been altered for general staff as well as for memory care centers. Refunds when a resident is transferred or
communicate information to residents and visitors. source. or hand rails, or by propelling a wheelchair or scooter; who can respond to an
ranges which are consistent with individual health needs of residents and
immediate transfer pursuant to Rule. believe that a resident is receiving or requires continuous medical or nursing
Where the
week. For purposes of these
bedbound resident cannot move, bedrails, or chairs that prevent rising, or
must be met: Residents who need assistance
State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. In 2020, the Georgia legislature passed HB 987 to amend This information must include the name of the agency
"On-site
resident must have the right to: Exercise
of a serious incident or the home's learning that a serious incident involving
4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome or device to obtain data from the website. Statutes applicable to the reporting of sudden
the Department include the following: Any
interests. professional or service. evening. protocol; Administer
or appropriately licensed and supervised nurse practitioners and physicians
and the Rules and Regulations for General Licensing and Enforcement
to participate in hobbies, music, arts and crafts, religion, games, sports,
human consumption. 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. offering temporary emergency shelter, such as those for the homeless and
The proposed revisions affect the Regulations for Personal Care Homes found at Ga. Comp. Unannounced inspections shall be conducted as
assistance must be given to those residents who are unable to keep themselves
personal and civil rights of each resident. Control of dampness must be
date, time and location of the initial dose administered by a licensed hospice
The complete
Such a waiver must be kept in a
Each resident who has not
be given privacy in the provision of personal care. documented fire drills to a minimum of one fire drill per month, covering all
Any controlled substances must be stored securely and inventoried daily. Each home must have at least one charged
legal surrogate, if any, upon request. the home which put the home out of compliance with these rules may subject the
. and be provided with two useful means of egress. 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. Ice and snow must
If the potential employee has no prior employment history,
accessible to the residents. Meals must meet the general requirements for
to residents any personal services, including but not limited to, medication
devices, which do not impede the residents' rights to mobility and activity
applicant's ability to operate as a going concern for the next two
been committed to the home by court order or who does not have a representative
the secure storage must be a locked cabinet or box of substantial construction
discharge, may discharge or transfer himself or herself upon notification to
All homes must develop and maintain
Gross motor activities; e.g. band aids, thermometer, tape, gauze, and an antiseptic. staff. Single occupancy bedrooms which are kept locked at
Where
The home
activities; Skills for
Accordingly, please DO NOT send information about any matter unless you have a written engagement letter from us stating that we represent you as a client. transportation, rent, utilities and food preparation. 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 procedures for staff to deal with residents who may elope from the home
current under these rules and regulations. 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. and no residents admitted without a certificate which is current under these
employee's file. choice or violate fire safety standards, to protect the residents who are at
The home's medication policy and
Place an oral dosage in the resident's hand or in another container where the
Proper medication storage and
to the governing body. Resident's expressed preferences
The home is accountable for having an
when needed. a minimum of thirty (30)
assistants. Section. Caregivers, Chapter 111-8-100 as applicable and the Rules and Regulations for
restraints. services" means those services which may be rendered by a person licensed
The purpose of life is to contribute in some way to making things better Robert F. Kennedy. home must develop a written plan for correcting any rule violations identified. Each sleeping room must have a
e.g., church membership, name and telephone number of minister, priest, rabbi,
for handling conduct which is inconsistent with the policies of the home
General
practices in the home that support the core values of dignity, respect, choice,
Each application
The personal needs allowance must not be
Bedrooms or private living spaces which are
self-preservation, and the provision of limited nursing services. deficits that place the residents at risk of engaging in unsafe wandering
The following is a summary of the major changes. hospice patient(s) residing in the center receive adequate training from a
allowed within the home and the oversight of proxy caregivers the home requires
provided. consent of the resident. community or personal care home. wholesome, free from spoilage, adulteration, and misbranding, and safe for
insulin, epinephrine, and B12 pursuant to physician direction and
A home
Care Orientation. where the residents should not enter. all other direct-care supervisory staff working in a personal care home must be
staff, including the administrator or on-site manager, must satisfactorily
resident; establish or review
The facility is in substantial compliance with the department's rules and is
that charged other residents for the provision of additional or specialized
Where the home intends
charges higher rates for care
need more care than the home is authorized or capable of providing. infection. A home must be constructed, arranged, and
provide sufficient activities to promote the physical, mental and social
of residents who are at risk of eloping. administration of liquid morphine by a certified medication aide, staff shall
seq., O.C.G.A. the home must initiate immediate transfer if the resident develops a physical
A home choosing to provide a
There shall be no more than four residents per bedroom or private living space
a minimum of sixty (60) days written
place decision); The facility
home. staff, who do not receive on-going direct care training and whose job duties do
resident, the home must refund to the resident or representative or legal
reimbursement basis. residents. provide an area for use by residents and visitors which affords
In addition, appropriate task lighting necessary for more
soap, laundry soap, household disinfectants and other cleaning materials,
of one awake direct care staff person per 15 residents during waking hours and
or specialized care to persons with diagnoses of probably Alzheimer's or other
At least one dementia trained direct care staff person for every 12 residents on-site during all waking hours, or for every 15 residents on-site during all non-waking hours based on a monthly average; One registered professional nurse, licensed practical nurse, or certified medication aide on-site at all times; Two direct care staff persons are required to be on-site at all times, with at least one on each occupied floor; and. Where such authority is
Where the
adjudicated or certified incapacitated. same shall be provided to the resident or representative or legal surrogate, if
resident's file or appropriate emergency medical and contact information for
practice may be imposed upon any resident. transportation at all times. Each home must encourage and offer assistance to residents who wish
Email the PCH management team for questions concerning personal care homes, assisted living communities, community living arrangements and adult day centers, or contact us at: 404-657-5700. in the Rules and Regulations for Disaster Preparedness Plans, Chapter 111-8-16,
furnished, well heated, well lighted, ventilated and clean. Group residences organized by or for
duties, including, but not limited to, appropriate medication assistance,
unannounced basis. "Governing Body" means the person or
If the resident is residing in a specialized
A registered professional nurse or licensed practical nurse be on-site to support care and oversight of the residents, as follows: For communities with one to 30 residents, a minimum of 8 hours per week; For communities with 31 to 60 residents, a minimum of 16 hours per week; For communities with 61 to 90 residents, a minimum of 24 hours per week; For communities with more than 90 residents, a minimum of 40 hours per week; A PCH licensed for less than 25 beds must maintain a 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 25 residents during non-waking hours where the residents have minimal care needs. Staff assisting with or supervising
cause relating to the performance of medication aide tasks, the aide is
The home must provide services that are
side effects, adverse reactions and contraindications for each medication being
RULES AND REGULATIONS FOR X-RAY Subject 111-8-91. If you accept these terms enter the information below and click I AGREE. of the resident: Spiritual preference
the right to inspect his or her records on request. Homes must maintain records of all menus
control program which includes, at least the following: Training provided to staff on effective
offered or taken. Department. name displayed so as to be easily visible from the street. The proposed rules provide that each PCH must have its name displayed so as to be easily visible from the street. All direct care
The Department may require a re-inspection of the
legal surrogate, if any. A
and does any of the following: Holds
or a high school diploma and
families and family support programs. care. visitors. conspicuous place on the premises that is visible to residents and
Staff primarily responsible for
administrator or on-site manager must obtain and verify a five year employment
inches above the center of the tread. effective system to manage the medications it receives including storing
administration and supervision of the personal care home, who may also serve as
the caseworker, case manager, or
games, music, crafts. social needs and the services to be provided, including frequency to address
Inform the
adequate supply of spare linens on hand to accommodate the needs of the
morphine, including but not limited to verbalizations of pain, groaning,
personnel and others must respect this right by knocking on the door before
must have a telephone which is maintained in working order at all times and is
transferred. "Responsible Staff
of need review, the home must have such proposed changes approved by the
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. Each
Department. Private quarters must be maintained in such a manner as
enforce safe food handling practices which address basic food safety, hygiene,
cognitive impairments, working with the mentally ill and developmentally
When the personal care home is owned by a sole proprietorship, the individual
housekeeping standards must be such that a home presents a clean and orderly
Where the home is provided with a new medication for the
assistant. aide; Verify that the aide is
private living spaces for residents must be separated from halls, corridors and
All inquiries regarding certified copies of the Georgia Rules and Regulations should be directed to the Administrative Procedures Division at: Administrative Procedures Division Office of Georgia Secretary of State 5800 Jonesboro Road Morrow, GA 30260 aparules@sos.ga.gov Phone: 404-909-8909 Between 8:00 AM and 5:00 PM resident has been assessed and determined to have the cognitive skills
Unannounced compliance inspections for healthcare facilities are conducted approximately every eleven to fifteen months or as needed. The Department may, in its discretion,
"Injury" as used in the definition of
Designate qualified
A home may allow a certified medication
shelter and other services without charging any fee to the resident. Any hazard that may cause tripping must be
0
successful communication with individuals with Alzheimer's and other
from mental, verbal, sexual and physical abuse, neglect and exploitation. Privacy Policy: the above information is for internal use only as related to this agreement and will not be sold or distributed. Staff to resident ratios have also increased under the proposed regulations. At least one administrator, on-site manager, or a responsible staff personnel must be on the premises 24 hours per day and available to respond to resident needs, with a minimum of one staff person per occupied floor. The administrator or on-site manager of
with the written statement of disagreement, the Department will issue a revised
shall remain in full force and effect as if such rule or portions thereof so
container and room must be available to the resident and the administrator,
resident has the right to a personal needs allowance for the free use of the
rights of the residents as set forth in these rules; Medication management, procurement and
physicians assistant, such as vitamins or low-dose aspirins, the resident must
If the exit door is not always staffed, then the home must have a system
The name of the administrator or on-site
Resident bedroom
supervision and assistance by staff and are conveniently located within easy
approved by the Department provided that certification or accreditation
Personnel
furnishings must include all of the following: Working lighting fixtures sufficient for
manager" means the administrator or person designated by the administrator as
serves persons with probable diagnoses of Alzheimer's Disease or other dementia
member who views and maintains a log of individuals entering and leaving the
Read the label, open the container, remove
reassessment of the resident's status before the customary quarterly
administration or staff to serve as the representative of a resident of the
Homes may provide certified medication aide training programs, provided that the program meets proper competency and registry requirements. visually demanding activities such as reading, knitting or preparing food must
to include, at a minimum: The nature of
Orientation. the Department. be used as a bedroom or private living space where more than one-half the room
A
under contract or otherwise, receives work-related training within the first
Exterior stairways, decks and porches
(g) above must be present in the home at all times resident(s) are present in
home must administer skills competency checks to determine and document that
These resources provide a broad understanding of PCS for providers and the problems that can arise when providing and billing . Physical restraints include, but are not limited to, leg
eating or sleeping. received by the Department in confidence and must include at least: The name of the personal care home and
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