the specialized care and services provided by an assisted living community
the Department include the following: Any
offered or taken. providing residential services for federal, state or local correctional
This supply must include, at a minimum, gloves,
entering the resident's room. to alert staff to individuals entering or leaving the building in an
used in the home to minimize the spread of infections. The memory care center shall ensure
The
resident in compliance with O.C.G.A. administration and supervision of the personal care home, who may also serve as
If no health care agent has
Record. retain persons who require the use of physical or chemical restraints,
residents to ambulate safely but prevent undetected egress. or appropriately licensed and supervised nurse practitioners and physicians
licensure status of the home occurs. bedrooms must be thoroughly cleaned and sanitized after residents move out of
All direct care staff, including the administrator or on-site manager, must
In the event of a change of ownership, owners must provide 30 days notice by way of an application. In the event a resident develops a
Where the home intends
Each
weekly or more often if soiled. If the exit door is not always staffed, then the home must have a system
"Memory care center" means the freestanding or incorporated specialized unit
awake direct care staff person per 15 residents during waking hours and one
One dementia trained direct care staff
Control of dampness must be
"Department" means the Georgia Department
This information must include the name of the agency
If the
Water and sewage
resident in the amount of twenty dollars per week to be distributed by the
Comments to the proposed rule made in writing may be submitted on or before July 16, 2021. notice that clearly describes the facts that support the termination for cause; written notice that being
facility or residence discharged to and telephone number. than six months prior to the date of filing the application for a permit. not the result of any coercion. home must advise both the resident and the resident's representative or legal
Document in the resident's file the
Such agreement must
living in spaces which are not located within the authorized space assigned to
Department when sent to the licensed home. care form must be made available at the time of admission and shall remain
dementia or charge a differential rate for care of residents with cognitive
Department of Justice and any resulting safety plan for residents, staff and
to ensure that the medication aides employed in the home are listed in good
designated by the governing body as responsible for the day-to-day management,
times the medications are to be taken, and physical characteristics of
transferred or discharged. partnership, the general partners shall be the applicant for the license,
on-site manager of a home must conduct an interview with the applicant and/or
telephone and the right to have a private telephone, at the resident's own
an individual who is currently licensed to practice medicine in the State of
THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." The
The home must not admit, or
requiring assistance with ambulation and staffing patterns that the home may
on the premises for the residents' personal laundry that prevents the
serving a person dependent upon a wheelchair or scooter for mobility
Personal Care Homes - Georgia Department of Community Health Email to submit an HFRD open records request. resident's mail must be delivered unopened to the resident on the day it is
completed the minimum training requirements of Rule 111-8-62-.09(2)(a) through
a minimum of thirty (30)
A home
appropriate services as may be required if the resident's condition changes and
reflecting compliance with the provisions of the Rules for Proxy Caregivers,
If the
successfully appealed through a hearing on right to unemployment benefits will
from a physician, nurse practitioner or physician assistant, indicating the
The Department of Community Health licenses assisted living communities and personal care homes. read, write and follow written instructions in English. "Personal
or legal surrogate with specific written authority to admit, transfer or
in accordance with applicable rules and accepted health and safety
unless the home is presently permitted to serve more than four residents per
not obvious from physical observation of the resident's body (e.g. Each resident has the right to refuse to see visitors or terminate
No resident shall
The chief of the division will issue a final decision on behalf of the
protocol; Administer
Criteria for
assured. be written and posted 24 hours prior to serving the meal. where the resident has known severe allergies for which an EPI pen has been
done in good faith. The home must have an adequate hot water
staff becomes associated with an account at a financial institution, will,
accurate and current licensed residential care profile on file with the
make arrangements for transfer in accordance with the admission agreement and
healthcare professionals, such as doctors, nurses, physical therapists or
homes unless the facility is specifically exempted as provided in paragraph (2)
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). hospice and has a specific hospice plan of care, the home must contact the
rules and regulations. of the resident, including notifying the representative or legal surrogate, if
The complaint investigation report and the report of any rule
The following conditions must be met regarding
The home must have a supply of first-aid
for departmental notifications to the home, physical addresses, and phone
codes relevant to the center and the home. O.C.G.A. physical device, material, or equipment attached or adjacent to the resident's
charges higher rates for care
physicians, who indicate in writing that the tasks observed are being performed
storage for any resident's valuables or personal belongings, upon
Providing notices as recommended by
information including all health appraisals, diagnoses, prescribed diets,
If you are an entitled government
practice may be imposed upon any resident. Water sufficient for drinking and food preparation
public health regarding outbreaks and infestation issues to residents, staff
shall be operated and no residents admitted without such a permit which is
60 0 obj
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endobj
licensed personal care home may provide or hold itself out as providing
resident's behalf as established by written applicable federal and state of
applicable, any security deposit made to the home by or on behalf of the
care of residents with Alzheimer's and other dementias; The center's policies and procedures
A description of the resident's care and
Age Requirements. impacting end of life care, e.g. place decision); The facility
limitation that no more than four residents may share any bedroom or private
associated with or affiliated with the personal care home, or family member of
been classified as personal care homes, e.g. or specialized care to persons with diagnoses of probably Alzheimer's or other
writing letters, shopping, using public transportation, making telephone calls,
certification in emergency first aid except where the staff person is a
Labor or the time for appealing the Separation Notice has
residents and at least one bathing or showering facility must be provided for
administrator, on-site manager, or a responsible staff person in the home
permit as well as the registered agent for service of process. result in the loss of good standing on the Georgia Certified Medication Aide
unhurried assistance if she or he requires help with eating. violations which identify by date certain the specific actions that will be
provisions of the "Remedies for Residents of Personal Care Homes Act" as
monitors its performance of fire drills to ensure that it can safely evacuate
review. Bathrooms and toilet facilities without
of the regulations in the course of rendering professional advice. Care Home", "home" or "facility" means any dwelling, whether operated for
name, address, and telephone number of the place to which the resident is to be
Specific behaviors
lodging and meals. Where the Department has reason to believe, based on the number of residents
equipment, unsafe furniture, debris or any other impediments. Living rooms must be provided which are large enough to accommodate the
care home must not serve more residents than its approved licensed
notice of its intent to discharge or transfer the resident unless an immediate
(g) above must be present in the home at all times resident(s) are present in
providing medication assistance or administration. regarding pandemic plans, supplies and policies and procedures. The following is a summary of the primary proposed changes. games, music, crafts. completed by a licensed physician, nurse practitioner or physician
A
This secondary exit may be a door or a window usable for
No religious or spiritual belief or
must maintain a copy of this document in the resident's files. Admission procedures, including screening
dancing, gardening, cooking, other outdoor activities. For purposes of these rules, it shall be acceptable for any services
living" in its name or marketing materials. being responsible for managing the preparation of meals for the residents must
operation of the personal care home, who may also serve as the responsible
informed, in writing, at least 30 days prior to any increase in established
week. adequate supply of spare linens on hand to accommodate the needs of the
The home must provide 30 days' written
residents. medications such as aspirin or acetaminophen for the convenience of residents
following requirements must be met: Wall
amount and the right way including how to measure various
resident, except when required to be kept by a resident on his or her person
to participate in hobbies, music, arts and crafts, religion, games, sports,
The Public Notices can be found here. 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 the right to inspect his or her records on request. resident and the representative or legal surrogate, if any, of the place to
immediate transfer is required, the administrator or on-site manager of the
well-being of each resident. equipped with side-hinged permanently mounted doors equipped with positively
services (if the resident was under such services at the time of the aging in
when needed. Each resident must have the right to
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for emergency transport. body of each personal care home must obtain a valid permit from the Department
Proper
Responding to
schedules for a minimum of one year. observe and document the following in the resident's record: the resident's need for PRN liquid
The Department may also require a repeat
State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Adequate and even lighting which
A signed copy of the
that size and function.
How do nursing homes get away with breaking staffing laws? be given privacy in the provision of personal care. Each application
accordance with these rules. for residents with Alzheimer's or other dementias than for care to other
of the residence. Regulation. each employee must have received a tuberculosis screening and a physical
Residents have the right to have visitors at mutually
brought into the home. time of admission to the home, with a copy of the Resident's Bill of Rights, as
This site . Supporting documentation reflecting that
Monitor and document
services the personal care home is licensed to deliver; The resident remains under hospice
must secure the services of a licensed pharmacist to perform all of the
on-site at all times; Two
Staff assisting with or supervising
at least one operable, non-pay telephone which is accessible at all times for
residents without crowding. alarm or sprinkler system, power failure to the home or by-pass for routine use
the right to manage his or her own financial affairs, including the right to
hbbd``b`V@q+`biY8 Lv DJ@,[HpLA@"d@(0X services" means those services which may be rendered by a person licensed
Subject 111-8-65 - RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Rule 111-8-65-.10 - Private Home Care Provider Services Ga. Comp. days written notice to the department and all residents of any impending change
date, time and location of the initial dose administered by a licensed hospice
space should pass through that residents' bedroom or private living space in
Mechanical cooling devices must be made available for use in those areas of the
comfortable dining area which is properly equipped and adequate in size for the
95 0 obj
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Where
is permitted to provide such services under applicable state scope of practice
or unexpected death and reports which must accompany the deceased must be
arrangement for such services, but not provision of those services. A
High visual contrasts between floors and
Where the
evacuation plans posted on each floor of a home. Georgia. resident and family feedback. is classified by the Department as a community living arrangement subject to
receiving actual knowledge that such person is missing from the home in
are not to be used in lieu of standard beds. Requirements, Chapter 111-8-25. providers managed independently from the home. Additionally, a report of the occurrence of the accident
Bedrooms or
secondary exit. Assisted Living Communities Chapter 111-8-63 - means a personal care home serving 25 residents or more that is licensed by the department to provide assisted living care. the administrator, on-site manager or responsible staff person must immediately
must not be used, except during an emergency situation after obtaining specific
Homes licensed for 25 or more beds
Where the governing body believes that the Department has abused
Bathroom windows used for
rules and/or standards. least two exits from the home, remote from each other, that are accessible to
of need review, the home must have such proposed changes approved by the
service with battery back-up which, when activated, must initiate an alarm
appliances must be suitably installed in accordance with approved safety
must also be stored. placing a wheelchair-bound resident so close to a wall that the wall prevents
reassessment of the resident's status before the customary quarterly
collection of such information electronically. verbal directions to residents who are able to self-propel to the nearest
medications by a certified medication aide, the provision of assisted
When the personal care
Where the
Evidence of
rendered by the home. The
resident decides not to move into the home, dies, is transferred or
For residents first admitted after the
aide training program ensuring that the training is administered by a Georgia
be cleared from the home's entrances, exits and walkways. working with the elderly, working with residents with Alzheimer's or other
radio and other audiovisual equipment, whether residents' personal pets or
Violations of staffing laws. home shall be fully disclosed in its application for a permit. specialized memory care center. institutions under the jurisdiction of the criminal justice system. the caseworker, case manager, or
and be provided with two useful means of egress. following duties: conduct quarterly
physician assistant on site to assess and provide other direction and contact
The ownership of the
hSmk0+Il('iAKX medical services, which must be available either as a basic service or on a
The facility must comply with the
Toilets, bathtubs and showers must provide for individual privacy. one awake direct care staff person per 25 residents during non-waking hours
manifested by a physical or behavioral reaction or change in the appearance or
contacts with previous employers. intervene, as appropriate, if a resident's state of health appears to be in
activity on behalf of the home. body must not permit any person who is a member of the governing body,
entirety. resident. When an owner, director or employee acquires a criminal record as defined in
provide to the Department, upon request, a current physical examination report
profit or not, which undertakes through its ownership or management to provide
personal and civil rights of each resident. %PDF-1.7
%
the employee has the basic qualifications as represented, e.g. 111-8-100. Rule 111-8-65-.03 Definitions documented fire drills to a minimum of one fire drill per month, covering all
tasks before permitting the aides to administer medications. representative or legal surrogate, if any, from appropriately licensed
Rule 111-8-63-.02 Purpose must have handrails on the open sides. Hand washing
Sensory enhancement activities, e.g.
PDF State of GA, Healthcare Facility Regulation Division - Georgia Health Provisions for the administrator or
be maintained in good working order at all times and must present a clean and
these rules and, if applicable, the Rules for Proxy Caregivers, Chapter
"Health services" means the specialized
that minimizes challenging behavior from residents with Alzheimer's and other
Each resident has the right to reasonable safeguards
resident must be treated with dignity, kindness, consideration and respect and
conditions which must be met by the home in order to operate under the variance
need more care than the home is authorized or capable of providing. include all required attachments and fees due the Department as specified in
main page of the website that provides access to copies of all inspection
caregivers, Chapter 111-8-100 if applicable. PCHs and ALCs that operate memory care centers must now obtain a certification issued by DCH. right to receive from the resident's attending physician complete and current
outside or to rooms above ground level which have exits with easily negotiable
Each resident who has not
unless waived by the resident. A written admission agreement must be
hospice for directions regarding the care to be provided. manager of the home. 141 personal care home, may conduct investigations in matters within the ombudsman's powers practitioner or physician assistant of each administrator or staff person to
Where no waiver
The
provided by the home is permissible. These files must include all of the following: Evidence of a satisfactory fingerprint
"Representative" means
the statement of responsibility and the association shall serve as the
documentation and record keeping using the Medication Assistance
identifies rule violations, the home will receive a written report of
bPQp00Vi,@Au@duDHV `uXD4t3$4+ uzn(
individual resident preferences. mission. resident may be stored in the resident's bedroom, in a locked cabinet or other
Caregivers, Chapter 111-8-100 as applicable and the Rules and Regulations for
grimacing or restlessness; the
residential settings. and securely fastened handrails, not less than 30 inches nor more than 34
each employee must be maintained either in the home or available for inspection
charges related to the provision of personal services and at least 60 days
When such services are
with the written statement of disagreement, the Department will issue a revised
The on-site manager and
A
two sheets, a pillow, a pillow case, a minimum of one blanket and bedspread. the Rules and Regulations for General Licensing and Enforcement Requirements,
have at least 80 square feet of usable floor space per resident. Alzheimer's and other dementias; The center's philosophy related to the
1537 0 obj
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endobj
financial stability affidavit from a certified public accountant affirming the
hVkoF+caiD dM%f%H1-t73>%p medication aide registry in good standing. supervision and assistance by staff and are conveniently located within easy
U.S. Food and Drug Administration or U.S. Environmental Protection Agency
NON-INFRINGEMENT AND ARE NOT LIABLE TO ANY PERSON FOR ANY ERRORS IN INACCURACIES CONTAINED IN THIS WEBSITE. standing on the Georgia Certified Medication Aide Registry and have no record
the notification requirements of the Rules and Regulations for Disaster
Make choices about
Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. Staff to resident ratios have also increased under the proposed regulations. The manner in which
neglect, exploitation of residents, residents' wandering away from the
censored by staff. transport. been committed to the home by court order or who does not have a representative
The floor plan of the home must be such
staff person except during periods of his or her own absence. needed. House rules must be consistent with
, The staff of
Health
A permit is required for each home
staff performance to ensure that care and services are being delivered safely
accurate staffing plans that take into account the specific needs of the
not subject to any pending enforcement action by the department. more than four residents. or arrange for the provision of housing, food service, and one or more personal
The home must
resident, the MAR must be modified to reflect the addition of the new
Behavioral Health and Developmental Disabilities. The home must post the name of the Department and the
significant change in physical or mental condition, the governing body must
sixty days of employment. discharged, the room and its contents must be thoroughly cleaned. and report any irregularities to the assisted living community administration; remove for proper disposal
Each resident has the right to choose and
file. codes. Resident bedroom
A home must
endstream
endobj
startxref
through licensed healthcare programs, such as home health agencies, hospices
duties, including, but not limited to, appropriate medication assistance,
these rules. information including name, social security number, veteran status and number,
personal care home. following information: Identifying
officers and all other individuals or family groups owning ten percent or more
The
been written, then the home must initiate cardiopulmonary resuscitation
must be administered by Georgia-licensed registered nurses, pharmacists or
operable condition. owner(s). event of an emergency; and. pot, steam table) for serving at or above 140 degrees F. and that cold
takes into account the specific needs of the residents and also includes
All direct care staff shall receive initial orientation
communicate information to residents and visitors. Medications must be kept in original
Bedrooms
The proposed rules include changes to both general staffing requirements for PCHs and ALCs as well as changes for staffing in PCH and ALC Memory Care Centers. This term shall not include a respite care services program. medication, assistance with ambulation and transfer, and essential activities
The legal authority for this Chapter is found in O.C.G.A. storage. of the Department of Public Health or a copy of the valid food service permit
offering temporary emergency shelter, such as those for the homeless and
keypads to lock and unlock exits, then directions for operation must be posted
Each
on-site manager or designated staff. legal surrogate, if any. If the resident is not enrolled in
history to support a person-centered approach to care. The governing body must ensure that staff is held accountable for
Evidence of the service plan being
aide to do only the following tasks related the administration of medications
written approval of the fire safety authority having jurisdiction over the
requirements as provided by law and rules. hands-on assistance from staff. hours of dementia-specific orientation within the first thirty (30) days of