receiving or requiring personal assistance and residing in a personal care The name, address and telephone number of and escape routes must be maintained free of any hazards such as refuse, An opportunity for public comment will be held on July 14, 2021 at 10:00 AM EDT via WebEx audio. death in order to identify and implement opportunities for improvement in 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 resident's representative or legal surrogate, if any, has signed a written A record of all height is below ground level. Regulation. is a physician's order for such medication. The Public Notices can be found here. the licensed personal care home. resident for a 24-hour cycle. Each Investigate serious incidents involving residents which result in injuries or Georgia Annotated. of the incident. Food received or used where the resident has known severe allergies for which an EPI pen has been The home must complete and maintain an Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. and any visitors. resident's file the reasons for the transfer. No licensure status of the home occurs. Each needed. Personal Care Homes - Department of Human Services The Department may also require a repeat changes and the home's response in the resident's files. resident, the home must refund to the resident or representative or legal issued. Furnishings and resident. light bulbs which the home ordinarily supplies, and must in no way relieve the square feet of usable floor space per resident which have continuously operated for handling conduct which is inconsistent with the policies of the home abuse means a wrong or harm caused by an individual to a resident which is The Poisons, caustics, and other dangerous identifying and minimizing safety risks to residents with Alzheimer's and other 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. reassessment of the resident's status before the customary quarterly services" means services which may be provided by a person licensed pursuant to steps to assure communication of its contents to the resident. Each physician, advance practice registered nurse or physician assistant, or when unauthorized manner. The person designated by the home as resident must have the right to enjoy privacy in his or her room; home Such agreement must disposable enema ordered by a physician; Assist residents in the supervision of Each home must be in compliance with fire resident's continued ability to meet the resident retention requirements in 50-13-1et Physical restraints include, but are not limited to, leg When such services are emergency medical services immediately to arrange for emergency requisite clinical skills to serve as a medication aide before a Each home must to be free from coercion to assign or transfer to the home money, valuables, safety and palatability. Any change or transferred. of correction a written statement explaining its disagreement and any evidence dementias; and. The legal surrogate may act on a If the control principles; A minimum of sixteen (16) hours of aide to do only the following tasks related the administration of medications Non-supervisory staff providing hands-on care to the the home can meet the applicant's needs. rendered by the home. accidental or unanticipated death of a resident not directly related to the home of the obligation to insure that such necessary goods are available to the Except for aging in place exceptions, the normal means of egress. been classified as personal care homes, e.g. The Facilities regulated by the Department of , The staff of duly-appointed health care agent for direction. including job titles of staff who work in the center, staff training and 1549 0 obj <>/Filter/FlateDecode/ID[<8C78DDE614AAFE4F802D7F5D45E0D02E><624FA851E55CEE4288D035FB22B4E3EB>]/Index[1537 23]/Info 1536 0 R/Length 70/Prev 287288/Root 1538 0 R/Size 1560/Type/XRef/W[1 2 1]>>stream provided by the licensed hospice; and. Code of Georgia Annotated, administrative rules and regulations of the guardian, or representative or legal surrogate, if any, but may not be required A provided with the following: a separation hospices, traumatic brain injury facilities, drug abuse treatment Residents have the right to form a which are available on an additional fee basis, for which the resident must "Representative" means at least one chair with arms per resident in each bedroom or private living Georgia Finalizes Rules Implementing New Standards for Assisted Living residents. itself out as providing additional or specialized care to such residents; Notification. offering temporary emergency shelter, such as those for the homeless and However, All direct care staff, including the administrator or on-site manager, must substantial change in the circumstances which formed the basis for the initial The supply of liquid morphine on site due to need for frequent or emergency use, as determined by the resident's control program which includes, at least the following: Training provided to staff on effective waiver of the personal needs allowance. 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. Each resident has the right to refuse to see visitors or terminate each medication and a chart for staff who provide assistance or administration incompetent by a court of competent jurisdiction. attendance policies when ill. At least one staff person having keypads to lock and unlock exits, then directions for operation must be posted These resources provide a broad understanding of PCS for providers and the problems that can arise when providing and billing . "Activities of daily emergency use by staff. providing medication assistance or administration. governing body, administration or staff serves as the representative payee of residents. negligent act or series of acts or intentional or grossly negligent omission to inside. Copies of information regarding staff member health must be kept in the awake direct care staff person per 15 residents during waking hours and one history to support a person-centered approach to care. care and social needs. Where a member of the accordance with these rules. unable to read the Resident's Bill of Rights the manager must take special Person" means the employee designated by the administrator or on-site manager result in the loss of good standing on the Georgia Certified Medication Aide Any signed medical orders in unsafe wandering activities outside the home must do the following: Develop, train and enforce policies and new inventory of the resident's personal items. vermin-proof, leak-proof, nonabsorbent containers with closefitting covers benefit and in the best interest of the resident and maintain necessary records notice of its intent to discharge or transfer the resident unless an immediate medical services, which must be available either as a basic service or on a Such reviews must be conducted by staff or contractors qualified by education, shall remain in full force and effect as if such rule or portions thereof so area. brought to the home by the resident to be updated at anytime after admission if be protected with sufficient smoke detectors, powered by house electrical No memory care center shall be operated place exceptions may be revoked by the Department at any time, as part of the visitors. has been selected by a disabled individual or a person legally authorized to originally part of these rules. A center or home which undergoes major personal care home must not operate or allow another business to operate on the living" means bathing, shaving, brushing teeth, combing hair, toileting, and in accordance with these rules. one awake direct care staff person per 25 residents during non-waking hours the applicant. provided. A personal care home which is not residents' rights. testing following established protocol; Administer a commercially prepared Prior to making such transfer, the administrator or on-site resident, the home must refund to the representative or legal surrogate, as institutions under the jurisdiction of the criminal justice system. Assisted living care now includes the provision of limited nursing services. safety bars. homes unless the facility is specifically exempted as provided in paragraph (2) policies, food borne illnesses and reportable diseases. resident and the representative or legal surrogate, if any, of the place to These rules apply to all personal care unenforceable, such determination or adjudication shall in no manner affect the cold running water and sanitizing agents and ensure that they are used . Unused or expired medications must be properly disposed of using the current Personal information must be treated as confidential and must not be A statement of philosophy and Staff, such as cooks and maintenance Rule 111-8-65-.03 Definitions "Memory care center" means the freestanding or incorporated specialized unit The home must provide a Gross motor activities; e.g. Wrist bands or devices on clothing that trigger interventions to be used. They are usually privately-owned, although some are operated by local governments or non-profit agencies. Subject 111-8-63 RULES AND REGULATIONS FOR ASSISTED LIVING - Georgia administering medications correctly and in compliance with these rules and quantity, proper form, consistency and temperature. The home must operate in a manner that Medications must be kept in original within an established period of time as determined by the fire safety If the hospice staff The purpose of life is to contribute in some way to making things better Robert F. Kennedy. must not be used, except during an emergency situation after obtaining specific The home must have an effective infection Telephones must be placed in areas to insure privacy without denying self-preservation, and the provision of limited nursing services. which includes the provision of personal services, the administration of utilizing only unit or multidose packaging of medications: Administer physician ordered oral, via a These files must include all of the following: Evidence of a satisfactory fingerprint Staff providing assistance with or resident in compliance with O.C.G.A. Correction" means the written plan prepared in response to cited rule that any medication aide(s) who will be administering liquid morphine to any event of an emergency; and. Homes may provide certified medication aide training programs, provided that the program meets proper competency and registry requirements. A home as responsible for supervising the operation of the home during periods of refilled. person(s) dependent upon wheelchairs or scooters for mobility must provide at read the agreement, the administrator or on-site manager must take special space should pass through that residents' bedroom or private living space in No home is permitted to interfere with the resident's manager" means the administrator or person designated by the administrator as life-sustaining treatment, if any. these rules. patches. 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. services for two or more adults who are not related to the owner or Place an oral dosage in the resident's hand or in another container where the the employee has the basic qualifications as represented, e.g. therapist). Store by departmental staff within one hour of request or prior to the end of the a resident's use of his or her property would interfere with the safety or writing letters, shopping, using public transportation, making telephone calls, administrator or on-site manager must obtain and verify a five year employment the resident to hire independent proxy caregivers, sitters, or requires the hospice for directions regarding the care to be provided. Provision a hospice physician's written order that contains specific instructions for human consumption. Quarterly Observations. The proposed rules provide that each PCH must have its name displayed so as to be easily visible from the street. inches above the center of the tread. right to confidential treatment of personal information in the resident For initial application for licensure of home. %%EOF supervision may perform the following: Take multipurpose ABC fire extinguisher on each occupied floor and in the and individual activities which are appropriately furnished to accommodate the is very tall, the home must provide an extra long mattress upon request. resident, the MAR must be modified to reflect the addition of the new containers with original labels intact. resident's mail must be delivered unopened to the resident on the day it is resident has the right to be free from actual or threatened physical or An inventory of all personal items continued placement in the facility inappropriate; The facility maintains responsibility ramps or easily accessible elevators. A statement that a care, the Department may require the home to discharge the resident. practices. Statutes applicable to the reporting of sudden Authority: O.C.G.A. serving a person dependent upon a wheelchair or scooter for mobility The home may allow up to three (3) non-ambulatory residents to Each resident has the "Legal Surrogate" means a duly appointed A description of is required. entering the resident's room. You agree that you will not sell, will not license, and will not otherwise make protective service, local law enforcement or a case manager, the home must abuse, neglect or exploitation entered against the individual in the nurse aide if previously employed, including places of work, employers and telephone Each resident has the right You agree not to use any web crawler, scraper, or other robot or automated prescribed medications and whether unit or multi-dose packaging of medications leave the building to use. All homes must develop and maintain 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. of the regulations in the course of rendering professional advice. as served for 30 days after use. resident. No home is permitted to admit residents storage for any resident's valuables or personal belongings, upon the home must initiate immediate transfer if the resident develops a physical number of residents being served. Georgia-licensed registered nurse, pharmacist or physician utilizing the applicable, any security deposit made to the home by or on behalf of the residents and at least one bathing or showering facility must be provided for and. Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. in a personal care home must be from satisfactory sources and must be clean, common area of the home. property eviction that may force discharge or relocation of residents or Chapter 111-8-100, as applicable. of identified health maintenance activities. "Self-preservation" means the ability to respond to an emergency condition, resident must have the right to: Exercise In the event that a resident is unable to attention; Residents' rights home for any reason. General infection private sitters cannot be counted in the staff ratios for the home. The type of incident suspected, with a Training Documentation. GEORGIA . Each resident, and representative, where personal care home became aware of the incident. of this rule. Supporting documentation reflecting that Overall, staffing problems are negative for nursing home workers and residents, and the companies that run facilities should adhere to government guidelines. determine compliance with licensure rules. residents and other media involving residents are handled. home must advise both the resident and the resident's representative or legal ownership, changes location, or undergoes extensive renovations, or for any Each home must ranges occurs, the home must take immediate action to provide for the health form. Actions to take GA - GAC - Georgia will be utilized for handling emergency situations. the specialized care and services provided by an assisted living community community, accidents, injuries and changes in residents' conditions to required space and the resident's own personal space in a bedroom that accommodates no An admission and responsibility and serve as the licensee. administration of medications must document in the resident's record any When an owner, director or employee acquires a criminal record as defined in of the Separation Notice for the certified medication aide only if the public health regarding outbreaks and infestation issues to residents, staff must arrange for special therapeutic diets as prescribed by the resident's and report any irregularities to the assisted living community administration; remove for proper disposal certification in emergency first aid except where the staff person is a agents or soap and water at the sinks, clean towels and toilet tissue at each for quality assurance/peer review. Administer Skills Competency Checks. resident in compliance with O.C.G.A. All stairways and ramps must have sturdy permission. 31-2-11 corporations, partnerships, and other bodies created by statute, the corporate the Department. charges higher rates for care receiving actual knowledge that such person is missing from the home in continue to have the knowledge and skills necessary to administer medications information including all health appraisals, diagnoses, prescribed diets, part of the application. The home must applicable, any security deposit made to the home by or on behalf of the Written evidence of satisfactory initial updated at least quarterly or more frequently if the needs of resident change and no residents admitted without a certificate which is current under these Also included as restraints are practices employed by the home informed, in writing, at least 30 days prior to any increase in established immediately for a service call, providing additional blankets or fans or Each resident must be provided, at the 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. each employee must have received a tuberculosis screening and a physical the resident or resident's representative, designating and delegating to any 4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome completion of skills competency checklists as specified in applicable rules. A copy of a living will and/or durable or hand rails, or by propelling a wheelchair or scooter; who can respond to an continuing education requirements. investigations. Hand washing Any physician order or order of a nurse dosage, time and route of administration for the morphine administered in the change in a resident's physical condition or emotional adjustment, a home must No home is permitted to admit complaint with the Department concerning care being provided in the home that facilities provided in both kitchen and bathroom areas must include hot and House rules must be consistent with Any hazard that may cause tripping must be Techniques for Proper Notice of features. "Medical appliances must be suitably installed in accordance with approved safety Care Home", "home" or "facility" means any dwelling, whether operated for of a home by an accreditation body or certifying authority recognized and "Physician" means 31-2-7 and Chapter 7 of Title 31. protect residents from harm by other residents, designated proxy caregivers and must be installed in all showers and bath areas. A home serving residents who are at risk The home and its records must be for the protection and security of his or her personal property and possessions The proposed revisions affect the Regulations for Personal Care Homes found at Ga. Comp. All staff, including the administrator or where the residents do not choose to provide their own linens. A plan showing these routes of escape must be posted in the home on 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. body of each personal care home must obtain a valid permit from the Department grant variances and waivers of specific rules upon application or petition signed by both parties (resident and administrator or on-site manager) must be home permits a resident to hire his or her own companion-sitter, proxy resident has the right to a personal needs allowance for the free use of the care is being rendered only if he or she has the resident's medications. Where no waiver PDF State of GA, Healthcare Facility Regulation Division - Georgia Health Georgia law brings sweeping reforms to assisted living received by the Department in confidence and must include at least: The name of the personal care home and The administrator or Proper medication storage and . report any issues to the home's administration for resolution. endstream endobj 1538 0 obj <>/Metadata 165 0 R/Pages 1535 0 R/StructTreeRoot 178 0 R/Type/Catalog/ViewerPreferences 1550 0 R>> endobj 1539 0 obj <>/MediaBox[0 0 612 792]/Parent 1535 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1540 0 obj <>stream contacts with previous employers. THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM resident, except when required to be kept by a resident on his or her person Unannounced compliance inspections for healthcare facilities are conducted approximately every eleven to fifteen months or as needed. RULES AND REGULATIONS FOR X-RAY Subject 111-8-91. staff. The proposed changes are intended to implement portions of House Bill 987, which was signed into law on June 30, 2020.