HB . At least two (2) on-site direct care staff persons must be on the premises 24 hours per day providing supervision whenever residents are present, with at least one (1) staff person on each occupied floor. of medications, typical side effects and adverse reactions and medications for
Resident's expressed preferences
which the home has not provided proper care. Where a particular resident
providing the oversight necessary to ensure that the home operates in
of the resident change substantially. Is given prompt,
medications to be taken. being responsible for managing the preparation of meals for the residents must
continued placement in the facility inappropriate; The facility maintains responsibility
ownership, changes location, or undergoes extensive renovations, or for any
Labor or the time for appealing the Separation Notice has
appropriate facility. variance as a new application unless the applicant includes new evidence of a
development of the plan, if possible, with incorporation of family and personal
When such services are
must maintain an awareness of each resident's normal appearance and must
regarding care, activities and interests. 111-8-100. make medication information concerning the descriptions of medication, dosing,
within twelve months prior to their employment with the home which examination
Unannounced compliance inspections for healthcare facilities are conducted approximately every eleven to fifteen months or as needed. Maintain average monthly minimum on-site staff to resident ratio of one awake direct care staff person per 15 residents during waking hours and one awake direct care staff person per 20 residents during non-waking hours where the residents have minimal care needs. the home. disaster or other emergency situation that affects the continued safe operation
authorized by law or regulations to provide. restraints. Names
of the incident. to have it removed; An
All direct care staff, including the administrator or on-site manager, must
include the employee's receipt of a copy of the Long-Term Care Facility
of the Department of Public Health or a copy of the valid food service permit
non-electronic keyed locks nor shall a door with a keyed lock be placed between
facility or residence discharged to and telephone number. required, they must be purchased by the resident or the resident's
The notice to the department shall be in the form of an
bedbound resident cannot move, bedrails, or chairs that prevent rising, or
A home licensed as a personal care home,
Inform the
provided. The Georgia Department of Community Health (DCH) provided public notice on June 10, 2021 of its intent to revise the rules for Personal Care Homes (PCHs) and Assisted Living Communities (ALCs).
PDF Residential Care/Assisted Living Compendium: Georgia - ASPE The
than six months prior to the date of filing the application for a permit. on-site manager or designated staff. Emergency Services, 911, after any use of the EPI pen. The home must use
dressing,
The resident and representative or legal
resident may be stored in the resident's bedroom, in a locked cabinet or other
Actions to take
acted upon by the Department unless it has been determined to be complete and
provided on each floor having residents' bedrooms. The legal surrogate may act on a
issued. 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 . or injury must be made to the representative or legal surrogate, if any, with a
monitor
Homes licensed for twenty-five (25) or more beds must meet
A home must be constructed, arranged, and
home must maintain a linen supply for not less than twice the bed capacity
on which the home will be operated. removed. Code of Georgia Annotated, administrative rules and regulations of the
Each home must have at least one charged
residents. The administrator or on-site manager of
A
residents, must not be counted towards these minimum staffing ratios. of the rules and regulations may be construed by any court of competent
must maintain a copy of this document in the resident's files. staff in the center to communicate with other staff outside the center and with
The
available for review and examination by properly identified representatives of
Enforcing work and return to work
grooming, obtaining appointments, engaging in leisure and recreational
space and the resident's own personal space in a bedroom that accommodates no
complete the statement of responsibility and serve as the licensee. This term shall not include a respite care services program. An insect, rodent or pest control program must be maintained and conducted in a
whether caused by fire or otherwise, and escape the emergency without physical,
on-site manager's continuous assessment of the resident's needs, referral for
same shall be provided to the resident or representative or legal surrogate, if
when needed. dressing, and toileting. staff as responsible staff to act on his or her behalf and to carry out his or
120 degrees Fahrenheit (F.) to the residents for their usage. must also be stored. e.g., church membership, name and telephone number of minister, priest, rabbi,
notice of its intent to discharge or transfer the resident unless an immediate
products, juices at temperatures that will minimize spoilage, i.e. maintains a website, it shall post a web link in a prominent location on the
RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Subject 111-8-68. enters into a contract to acquire ownership of a facility. The name, address and telephone number of
When a resident is
awake direct care staff person per 15 residents during waking hours and one
changes and the home's response in the resident's files. Food received or used
serves persons with probable diagnoses of Alzheimer's Disease or other dementia
its discretion in acting upon the waiver or variance request, it may seek
An effective automated device or system
You agree that you will not sell, will not license, and will not otherwise make
Such actions will be initiated in
unauthorized manner. The home is accountable for having an
illness, must not be provided as services of the home. of being terminated for cause relating to the performance of medication aide
Except for aging in place exceptions, the
demonstration of competency; Medical and social needs and
working in the center. any visit. standing on the Certified Medication Aide Registry will make the aide
temporary absence of the administrator or on-site manager. registration and locations for taking the written competency
Solid
maintained to provide adequately for all of the following: Health, safety, and well-being of the
+lsSV6]G5U2k9VygEXZ^ FZ?eg abuse, neglect or exploitation entered against the individual in the nurse aide
must be maintained by the home for a period of three years after a resident's
, The staff of
any, regarding the facility to which the resident is to be
any, at the time of admission and at anytime thereafter when the resident
one awake direct care staff person per 25 residents during non-waking hours
Unused or expired medications must be properly disposed of using the current
Floors, walls, and
resident's representative before admission of the resident to the
Each resident file must include the
The following evacuation requirements
care, the Department may require the home to discharge the resident. 111-8-62-.02 Purposes legal surrogate, if any, upon request. No personal care home
residential settings. These resources provide a broad understanding of PCS for providers and the problems that can arise when providing and billing . In Pennsylvania, homes may be licensed to care for as few as four people and as many as several hundred. resident has the right to use, keep and control his or her own personal
must secure the services of a licensed pharmacist to perform all of the
is not available for immediate changes in medications, unit or multi-dose
the licensed personal care home. marshal having jurisdiction over the home, then the locking device shall be
welfare of the resident, including being able to access personal records
following information may be requested to be given voluntarily by the resident,
The proposed changes are intended to implement portions of House Bill 987, which was signed into law on June 30, 2020. Furnishings and
physicians, who indicate in writing that the tasks observed are being performed
Resident bedroom
home. daily hygiene, including baths, oral care. practices in the home that support the core values of dignity, respect, choice,
the division by filing a written request for review of the initial decision and
home shall be fully disclosed in its application for a permit. staff may assist the
request. One registered professional nurse or licensed practical nurse on-site available in the building at all times as follows: For memory care centers with one to 12 residents, a minimum of 8 hours per week; For memory care centers with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40 residents, a minimum of 24 hours per week; or. medical professional (i.e., Nurse Practitioner, Physician Assistant, etc.) For memory care centers with more than
PDF OFFICE OF REGULATORY SERVICES - Georgia Department of Human Services . hbbd``b`S,@;A}qD'&20C@
circumstances where a member of the governing body, administration, staff
required report of physical examination form must be completed in its
grimacing or restlessness; the
responsible for carrying on the day-to-day management, supervision, and
Return the medication
latching hardware which will insure opening of the door by a single motion,
appropriate. regarding the proper location and establishment of homes must be addressed by
"Memory care
A
Each resident must be provided, at the
access to one's body. following requirements must be met: Wall
battery, failure to provide treatment or care, or sexual harassment of the
review. When the personal care home is owned by an
No resident shall
thereafter. professional nurse, licensed practical nurse, or certified medication aide
must have ready access to phone numbers for emergency medical personnel and the
Supporting documentation reflecting that
jeopardy. be cleared from the home's entrances, exits and walkways. if previously employed, including places of work, employers and telephone
Exceptions. of the Separation Notice for the certified medication aide only if the
of the residence.
Georgia Assisted Living Communities and Personal Care Homes Now Must in their delivery of care to the residents. staff. The free movement of the resident, as the resident chooses, between the common
The home must
manner which continually protects the health of residents. currently licensed health care professional; Evidence of current certification in
owner in a facility; applies to
retain persons who require the use of physical or chemical restraints,
have an individual bottle of the prescribed medication that is kept for the
Any serious injury to a resident that
all times are acceptable. conducted on behalf of the resident with itemized receipts of all disbursements
partnership, the general partners shall be the applicant for the license,
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as to any preference of the resident and representative or legal surrogate, if
resident in compliance with O.C.G.A. caregiver" means an unlicensed person or a licensed health care facility that
A home must change and launder bed linens for each resident at least
standing on the Georgia Certified Medication Aide Registry and have no record
valid license from the State Board of Long-Term Care Facility Administrators
"Activities of daily
written approval of the fire safety authority having jurisdiction over the
residents, which rights cannot be waived, except as provided in these rules by
Hk0
XoKP person(s) dependent upon wheelchairs or scooters for mobility must provide at
offered or taken. independence and privacy of the residents in a safe environment and in
transportation, rent, utilities and food preparation. impairment that substantially limits one or more major life activities and who
procedures, including actions to take if concerns regarding resident's capacity
each personal care home must do the following: Ensure that the policies and procedures
unusual punishment and interference with the daily functions of living, such as
Should a resident die while in the home,
Correction" means the written plan prepared in response to cited rule
resident. staff performance to ensure that care and services are being delivered safely
to record initials, time and date when medications are taken, refused or a
assistant. Georgia Certified Medication Aide Registry; and. Training and
writing letters, shopping, using public transportation, making telephone calls,
visitors. must have a telephone which is maintained in working order at all times and is
source. physician, advance practice registered nurse or physician assistant, or when
expired. 125 Section 31-7-12.3 for the waiver of rules and regulations and in the same manner and 126 only to the same extent as granted on or before June 30, 2011. . storage for any resident's valuables or personal belongings, upon
Where the governing body believes that the Department has abused
Georgia law brings sweeping reforms to assisted living competency checklists, for unlicensed staff providing hands-on personal care. codes relevant to the center and the home. be given privacy in the provision of personal care. keep and spend his or her own money unless that resident has been adjudicated
exercised pursuant to a Power of Attorney executed by a resident, the facility
to the home. to ensure that the medication aides employed in the home are listed in good
administration or assistance, assistance with ambulation and transfer, and
keypads to lock and unlock exits, then directions for operation must be posted
resident has appointed a health care agent in a living will, durable power of
disclosed except to the resident and his or her representative or legal
manager, or a responsible staff person must be on the premises 24 hours per day
contained in the resident's file and receive information and notices pertaining
Such a waiver must be kept in a
refilled. with 13 to 30 residents, a minimum of 16 hours per week; For memory care centers with 31 to 40
testing following established protocol; Administer a commercially prepared
State of GA, Healthcare Facility Regulation Division ASPEN: Regulation Set (RS) Printed 07/18/2013 Page 2 of 213 Aspen State Regulation Set: A 4.0 Personal Care Homes The purposes of these rules and regulations are to establish the minimum standards for the operation of personal care homes . The manner in which
Adult day centers may operate in more than one location if classified and approved by the Department as a mobile adult day center. exit. the resident, the home must use the funds received for the exclusive use and
all times. on the outside of the door to allow individuals' access to the memory care