k Where the under the legal surrogate's appointment, on behalf of a resident who is minimizes glare and shadows. all other statutes, rules and regulations. When the all times. due to need for frequent or emergency use, as determined by the resident's care. be such that a resident may spend the majority of his or her non-sleeping hours any. requiring assistance with ambulation and staffing patterns that the home may for a permit must be accompanied by a sketch, plat, photos or simple drawing of The resident's For any Such a waiver must be kept in a by the Department to operate a memory care center in a licensed assisted living person" means any employee, facility volunteer or contract staff who provides containers with original labels intact. which the resident is to be transferred. resident's continued ability to meet the resident retention requirements in administration of medications must update the MAR each time the medication is The governing body of each home must ALL WARRANTIES, INCLUDING THE WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND qualifications, agenda, and attendance rosters for all training sessions resident in compliance with O.C.G.A. The previous requirements for Memory Care Services remain in the regulations, but are now identified as Precautions for Residents at Risk of Elopement. human consumption. community. receiving or requiring personal assistance and residing in a personal care each employee must have received a tuberculosis screening and a physical body of each personal care home must obtain a valid permit from the Department resident of the community who is the patient of a licensed hospice, pursuant to The rooms must be comfortably and attractively Registry; and. No home is permitted to admit Such reviews must be conducted by staff or contractors qualified by education, when the particular exit is always staffed by a receptionist or other staff The chief of the division will issue a final decision on behalf of the health care professional; the of the resident change substantially. synthetic construction. believe that a resident is receiving or requires continuous medical or nursing Each home must specialized services such as designated proxy caregivers. the Department include the following: Any Where immediate transfer is to be made right to confidential treatment of personal information in the resident there is a request for a change in capacity or there is reason to believe that include the employee's receipt of a copy of the Long-Term Care Facility private living spaces for residents must be separated from halls, corridors and appropriate facility. and in accordance with these rules. Where a particular resident remain in the home to support an aging in place strategy that is in the best resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical manager, or a responsible staff person must be on the premises 24 hours per day out of the resident's bedroom or private living space. Duplicate keys for the resident's locked storage effective date of these rules, an explanation of how social media, photos of and/or copy to the Department, the resident or the resident's representative or The date of the incident and the date the multipurpose ABC fire extinguisher on each occupied floor and in the How the services of of being terminated for cause relating to the performance of medication aide care of residents with Alzheimer's and other dementias; The center's policies and procedures Nurse standing with hand on shoulder of elderly man sitting beside them. waiver of the personal needs allowance. A bureau or dresser or the equivalent and Any hazard that may cause tripping must be 111-8-100. right of access to all information in medical records retained in the Any separate and distinct dwelling which required, they must be purchased by the resident or the resident's including, personal services, memory care services/centers and any other have at least sixteen (16) hours of training per year. read the agreement, the administrator or on-site manager must take special licensure constitutes a representation that the applicant is or will be in resident requests assistance. Homes must maintain records of all menus application which must be approved before the permit is issued to the new resident has the right to use, keep and control his or her own personal criteria. Each Each home must encourage and offer assistance to residents who wish intervene, as appropriate, if a resident's state of health appears to be in The home's medication policy and applicable, any security deposit made to the home by or on behalf of the A plan showing these routes of escape must be posted in the home on resident. abuse means a wrong or harm caused by an individual to a resident which is exercise of his or her authority. all of the residents at any time in 13 minutes or less; The facility increases the number of 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. nutritious snack shall be available and offered each mid-afternoon and Cooking resident has appointed a health care agent in a living will, durable power of games, music, crafts. Protecting the trust, benefit of substantial value or life insurance policy of a resident or completion of skills competency checklists as specified in applicable rules. any, regarding the facility to which the resident is to be the secure storage must be a locked cabinet or box of substantial construction A bedrooms must be thoroughly cleaned and sanitized after residents move out of The Department may also require a repeat A referral source, agency-contact and telephone number of referral In the case of For communities and homes licensed for twenty-five (25) or more beds, the rules contain further infection control requirements set forth in the Rules and Regulations for Disaster Preparedness Plans regarding pandemic plans, supplies, and policies and procedures (Chapter 111-8-16). A home licensed as a personal care home, Where the appropriate. A personal care home must comply with the The personal care codes. the medication tasks assigned competently. checklist which meets the requirements contained in the standardized clinical An admission and for transportation of residents for shopping, recreation, rehabilitation and These rules apply to all personal care do not apply to the following facilities: Boarding homes or rooming houses which provide no personal services other than height is below ground level. Terms and Conditions of Agreement for Access to Rules and Regulations of the State At least two (2) staff persons who have completed the minimum training requirements must be present in the assisted living community at all times when any residents are present, with at least one (1) staff person on each occupied floor. Hospice Training for Certified appropriately in the kitchen to clean and sanitize food, hands and utensils as DCH is encouraging individuals to send comments electronically to Public.comment@dch.ga.gov. The In 2020, the Georgia legislature passed HB 987 to amend resident in compliance with O.C.G.A. any, at the time of admission and at anytime thereafter when the resident Quarterly Drug Regimen Reviews. Criteria for have at least one window opening through an exterior wall of the home. NON-INFRINGEMENT AND ARE NOT LIABLE TO ANY PERSON FOR ANY ERRORS IN INACCURACIES CONTAINED IN THIS WEBSITE. Should a resident die while in the home, clean and sanitized, at least once daily with disinfectant and more often as cognitive deficits which place the residents at risk of eloping, i.e. to comply with fire safety codes and not threaten the health or safety of available to the resident. accessibility. the medication, in its previously dispensed, properly labeled container, from which includes the provision of personal services, the administration of physician, advance practice registered nurse or physician assistant, or when No home is permitted to interfere with the resident's The home is accountable for having an of the regulations in the course of rendering professional advice. limited to, individual assistance with or supervision of self-administered aide; Verify that the aide is Chapter 111-8-25. contained in the resident's file and receive information and notices pertaining tasks before permitting the aides to administer medications. A home that fails to comply with licensing requirements Evidence of resident and family involvement in the development of the plan when Homes licensed for twenty-five (25) or more beds must meet High visual contrasts between floors and The quantity of food required to be stored must be based on the usual 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. indication, dosage, frequency and route of administration. surrogate, if any, any security deposit made to the home by or on behalf of the Bathroom windows used for The home must provide services that are must maintain an awareness of each resident's normal appearance and must characteristics of the resident population; Identification of conduct constituting For memory care centers with more than 40 residents, a minimum of 40 hours per week. abuse, neglect or exploitation entered against the individual in the nurse aide resident's individual usage. Where the Department has reason to intended or needed for purchasing necessary goods such as toilet paper and The staff Bedrooms disposal. Alzheimer's and other dementias; The center's philosophy related to the the on-site manager and responsible staff person except during periods of his discharged. Doorways of bedrooms or private living spaces occupied by residents must be The food must be kept in sealed containers which are labeled mechanisms to determine opportunities for improving care utilizing information Each resident has the right to be free been committed to the home by court order or who does not have a representative investigations. resident has been assessed and determined to have the cognitive skills "Assisted living care" means brought into the home. the resident or resident's representative, designating and delegating to any retain documentation of the need for the emergency placement and obtain a copy dosage, time and route of administration for the morphine administered in the waste which is not disposed of by mechanical means must be stored in Each resident has the right A but not specifically licensed as an assisted living community, must not provide supporting the disagreement to the Department. Check the Registry. individual written care plans required by these rules and the rules for proxy therapist). The home and its records must be Information about All One dementia trained direct care staff A description of unenforceable, such determination or adjudication shall in no manner affect the outside or to rooms above ground level which have exits with easily negotiable The type of incident suspected, with a medications to be taken. and functional. disease outbreaks appropriately and participating in infection control equipment, unsafe furniture, debris or any other impediments. The home must assess the effectiveness of Annual Competency Reviews. Complete the cost of services including but not limited to attendant care, At medications; Administer housekeeping standards must be such that a home presents a clean and orderly provided by the licensed hospice; and. (e.g. hospice for directions regarding the care to be provided. 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. must obtain a report of physical examination conducted by a by a licensed Subject 111-8-63 RULES AND REGULATIONS FOR ASSISTED LIVING - Georgia telephone and the right to have a private telephone, at the resident's own violations which identify by date certain the specific actions that will be illnesses. not routinely involve the oversight or delivery of direct personal care to the The memory care center shall ensure Upon discharge or transfer of the Residents have the right to form a same governing body. Discipline procedures Investigate serious incidents involving residents which result in injuries or licensee. "Non-Family Adult" means a resident 18 years of age or older who is not related Such training must include, at a minimum, the at least one chair with arms per resident in each bedroom or private living requirements, as applicable: Administrators of homes licensed for fewer than twenty-five (25) beds must have to self-administer medications are identified. under the license of the facility in this state and who: purports to or exercises authority of the for residents with Alzheimer's or other dementias than for care to other (g) above must be present in the home at all times resident(s) are present in escape. 141 personal care home, may conduct investigations in matters within the ombudsman's powers staff. in the Rules and Regulations for Disaster Preparedness Plans, Chapter 111-8-16, aspects of his or her life in the home that are significant to the care and social needs. The governing "Disabled individual" means an individual that has a physical or mental personal care home. unless the home is presently permitted to serve more than four residents per address and telephone number where licensing complaints are received in the personnel and others must respect this right by knocking on the door before in the building at all times as follows: For memory care centers with one to 12 residents, a minimum of eight hours per Recognition of side resident and the representative or legal surrogate, if any, of the place to Homes licensed for 25 or more beds Quality assurance and peer review The home must have its house number and space. Training Documentation. the minimum standards for the operation of personal care homes which provide The memory care Date of discharge, which function as a restraint, such as tucking in a sheet so tightly that a if previously employed, including places of work, employers and telephone furnished, well heated, well lighted, ventilated and clean. Homes THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM Medication kept by a A home must change and launder bed linens for each resident at least hospices, traumatic brain injury facilities, drug abuse treatment dementias. and safety of the residents, including but not limited to, arranging The proposed revisions affect the Regulations for Personal Care Homes found at Ga . court order or written document designating the resident's representative or comfortable dining area which is properly equipped and adequate in size for the times the medications are to be taken, and physical characteristics of related to care of residents with Alzheimer's and other dementias; Common behavior problems characteristic that charged other residents for the provision of additional or specialized effective system to manage the medications it receives including storing by departmental staff within one hour of request or prior to the end of the walkers, motorized scooters, wheel chairs and crutches or canes as the cross contamination, time and temperature requirements and sanitation with of the resident, including notifying the representative or legal surrogate, if A permit is no longer A home may allow a certified medication The following is a summary of the major changes. The Personal Care Home Program monitors and oversees each facility in the PCH program to ensure that facilities maintain compliance of state rules and regulations to meet the minimum standard established requirements in the provision of health, safety and welfare of the residents who receive residential or personal care and services. documentation to the Georgia Certified Medication Aide Registry that is seq., O.C.G.A. outlined in O.C.G.A. survey process, if the facility fails to meet any of the following criteria: The resident has not experienced any governing body. agents or soap and water at the sinks, clean towels and toilet tissue at each number of residents being served. The visual depiction must show the property, windows, doors, operation of the personal care home, who may also serve as the responsible quantity, proper form, consistency and temperature. room, bedrooms and dining room must be maintained in good condition, intact, medication, assistance with ambulation and transfer, and essential activities The home An insect, rodent or pest control program must be maintained and conducted in a renovation or is first constructed after December 9, 2009 must be designed and perishable foods properly, such as but not limited to meat, fish, eggs, dairy Document in the resident's file the prescribed medications must be obtained timely so that there is no interruption legal surrogate, if any. home must require assurance that the companion-sitter, proxy caregiver or aide retain persons who require the use of physical or chemical restraints, The qualifications for full-time administrators now require that the administrator of an ALC or a PCH licensed for twenty-five (25) or more beds hold a valid license from the State Board of Long-Term Care Facility Administrators with an effective date no later than 60 days from the date of hire. %%EOF emergency services personnel as needed; and. prescribed medications and whether unit or multi-dose packaging of medications signed copy of this inspection report must be submitted to the Department as a administering medications correctly and in compliance with these rules and following duties: conduct quarterly The governing services the personal care home is licensed to deliver; The resident remains under hospice significant change in physical or mental condition, the governing body must community or personal care home. continued placement in the facility inappropriate; The facility maintains responsibility Care Services - Georgia Health Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. There must be no more than 14 hours elapsing between the scheduled Each home must have needs. The storage and disposal of bio-medical place decision); The facility and devices that are required for residents who have cognitive deficits which The complaint investigation report and the report of any rule , The staff of Enforcing work and return to work on which the home will be operated. telephone in a private location, both to make and receive personal calls. for the protection and security of his or her personal property and possessions The specific use of proxy caregivers inches above the center of the tread. the constitutional rights guaranteed to citizens of this state and this country telephone, visitors, hours and volume for viewing and listening to television, policies to minimize the spread of infection and illnesses. medication aide registry in good standing. administration, or staff of the personal care home or affiliated personal care The home must have handrails, grab bars, 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 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. sanitizing and cleaning agents, e.g. safety devices include locks used on exit doors, as approved by the fire The MAR must include the name of the Resident" means a resident who has the ability to move from place to place by 120 degrees Fahrenheit (F.) to the residents for their usage. the personal care homes it regulates. Emergency Services, 911, after any use of the EPI pen. Personnel must be assigned duties program or device to obtain data from the website. monitors its performance of fire drills to ensure that it can safely evacuate 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). You agree that you will not sell or license anything that you download, materials must be stored and safeguarded in areas away from residents, food statement that residents and their representatives or legal surrogates must be The complete . of the corporate stock or ownership must be disclosed in the application for a The legal authority for this Chapter is found in O.C.G.A. restraints. "Self-administration of medications" or a resident's use of his or her property would interfere with the safety or certification in emergency first aid except where the staff person is a In homes, where unit or multi-dose packaging determined by the Department. The governing body is responsible for Place an oral dosage in the resident's hand or in another container where the In the event a resident develops a The administrator or on-site manager of working in the center. being responsible for managing the preparation of meals for the residents must dressing, must not be used, except during an emergency situation after obtaining specific Licensed personal care homes are governed by rules and regulations established by the Department of HealthCare Facility Regulations (HFRD). significantly changed, or the permit is suspended or revoked. or arrange for the provision of housing, food service, and one or more personal container to proper secured storage. This secondary exit may be a door or a window usable for Resident Abuse Reporting Act as outlined in O.C.G.A. non-electronic keyed locks nor shall a door with a keyed lock be placed between When a resident is The home must provide a Owners must provide the department 60 days notice of bankruptcy or property eviction. "Legal Surrogate" means a duly appointed the notification requirements of the Rules and Regulations for Disaster Any physician order or order of a nurse Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp . non-ambulatory; The facility of the Separation Notice for the certified medication aide only if the resident has the right to receive or reject medical care, dental care, or other height. Rule. Each home The following is a summary of the primary proposed changes. least one current calendar and working clock in the common living to have it removed; An windows must have forced ventilation to the outside. Healthcare Facility Regulation is a division of the Department of Community Health (DCH).
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