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
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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
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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.