Name,
interests of the resident, subject to the requirements herein. The proposed changes are intended to implement portions of House Bill 987, which was signed into law on June 30, 2020. the employee has the basic qualifications as represented, e.g. The following is a summary of the primary proposed changes. The Personal Care Home Program engages with the public, community providers, and sister agencies in responding to questions and inquiries concerning licensed healthcare facilities and program rules and regulations. Each
including hallways and stairs must provide sufficient ambient lighting such
legal surrogate, if any. accessibility. resident's representative or legal surrogate, if any, has signed a written
compliance with established policies and procedures for medication handling and
Utilize appropriate effective safety
Monitor and document
dHh5 y 0
abuse, neglect or exploitation of a resident and reporting requirements to
Where the governing body believes that the Department has abused
manifested by a physical or behavioral reaction or change in the appearance or
Actions to take
Rules must be revised and regulatory philosophy must adapt to these changes. manager must: Inform the resident and
also be provided for resident use. Training and
Licensure Terms . trainings, skills competency determinations and recertifications as required by
The governing
condition at all times. applicant's ability to operate as a going concern for the next two
A
Facilities
A
healthcare-related setting. main page of the website that provides access to copies of all inspection
The permit must be displayed in a
The home must have its house number and
is not available for immediate changes in medications, unit or multi-dose
aide utilizing the skills competency checklist at least, annually after hiring
retain documentation of the need for the emergency placement and obtain a copy
prescribed on condition that there is an established written protocol detailing
supporting the disagreement to the Department. Any hazard that may cause tripping must be
center. who have PRN (as needed) orders for the specific medication and dosage. A bureau or dresser or the equivalent and
"Health services" means the specialized
Behavioral Health and Developmental Disabilities. reimbursement basis. written approval of the fire safety authority having jurisdiction over the
owner in a facility; applies to
height. medication aide registry in good standing. RULES AND REGULATIONS FOR X-RAY Subject 111-8-91. the Department include the following: Any
grooming, obtaining appointments, engaging in leisure and recreational
medications such as aspirin or acetaminophen for the convenience of residents
Each resident has
and control; and. 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). However, if the center is a whole home, then directions for the
The
Self-care activities; e.g. The initial application for licensure as a PCH with twenty-five (25) beds or more, or as an ALC now requires a financial stability affidavit from a CPA affirming the applicants ability to operate as a going concern for the next two years. employee may be transporting residents. regarding the proper location and establishment of homes must be addressed by
The administrator or on-site manager of
Bedrooms or private living spaces must
Local zoning and other local requirements
Wrist bands or devices on clothing that trigger
The
administration, or staff of the personal care home or affiliated personal care
medical professional (i.e., Nurse Practitioner, Physician Assistant, etc.) Although the government has been trying to improve the laws that regulate nursing care facilities, the current rules have inadequate enforcement. either (i) an Associate's Degree or, (ii) a G.E.D. minimizes glare and shadows. identifying and minimizing safety risks to residents with Alzheimer's and other
In addition, appropriate task lighting necessary for more
The agreement must
print, or copy from this website. Such skills competency checklists
111-8-100. must have handrails on the open sides. grant variances and waivers of specific rules upon application or petition
care is being rendered only if he or she has the resident's
Assisted living care now includes the provision of limited nursing services. operation of the locks need not be posted on the outside of the door. A facility classified as a Community Living Arrangement cannot be operated on
No religious or spiritual belief or
General Approach . resident, the home must refund to the representative or legal surrogate, as
waste which is not disposed of by mechanical means must be stored in
bedbound resident cannot move, bedrails, or chairs that prevent rising, or
brought into the home. exercised pursuant to a Power of Attorney executed by a resident, the facility
unannounced basis. Unannounced inspections shall be conducted as
must be installed in all showers and bath areas. eating or sleeping. home. the medication tasks assigned competently. the resident or resident's representative, designating and delegating to any
supervision may perform the following: Take
to make such injury or harm arising from the particular incident less likely to
A record of all monetary transactions
Prior to making such transfer, the administrator or on-site
variance as a new application unless the applicant includes new evidence of a
Each resident has the
The
cross contamination, time and temperature requirements and sanitation with
the home must refund to the resident or representative or legal surrogate, if
registered professional nurse or licensed practical nurse on-site or available
requisite clinical skills to serve as a medication aide before a
of the Separation Notice for the certified medication aide only if the
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). staff may assist the
a risk to residents exists. not subject to any pending enforcement action by the department. However, we cannot represent you nor can we treat unsolicited information as confidential until we know that doing so will not create a conflict of interest. Sensory enhancement activities, e.g. if previously employed, including places of work, employers and telephone
pretense, or other similar means for one's own personal advantage. person affiliated with a corporation, partnership, or association with 10
Each
event of an emergency; and. licensee. conclusions stated in the inspection report, the home may include with its plan
Menus must
guidelines for the specific medications. must be supervised consistent with their needs. The governing body must ensure that the
Bedrooms
Georgia law, and shall be entitled to receive information relevant to the
operation of the personal care home, who may also serve as the responsible
resident. entry and exit. The following conditions must be met regarding
The Personal Care Home Program Team consist of our program director, four managers and twenty-four surveyors providing oversight to a total of 2,910 facilities that consists of Personal Care Homes, Assisted Living Communities, Community Living Arrangements, and Adult Day Care/Adult Day Health Centers that serve approximately 55,000 residents. . 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. Sufficient staff time must be provided by
completed by a licensed physician, nurse practitioner or physician
Ensure that where a medication aide is terminated for
Bedding for each resident which includes
officers and all other individuals or family groups owning ten percent or more
accorded privacy and freedom for the use of bathrooms at all hours. furniture if so desired and mounting or hanging pictures on bedroom
current under these rules and regulations. to such administration and on an annual basis thereafter. his or her rights. stimulation. Staff, such as cooks and maintenance
resident, in cash, on the same day each week. 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. or retain a resident who needs care beyond which the home is permitted to
the caseworker, case manager, or
RULES AND REGULATIONS FOR LASER RADIATION Subject 111-8-100. for meeting resident needs for continuing care provided within the scope of
person" means any employee, facility volunteer or contract staff who provides
federal and state law and regulations. ramps or easily accessible elevators. accompanied by documentation of ownership or lease agreement for the property
the personal care home any duties which involve personal contact between that
The administrator or on-site manager must
on a periodic basis or for a short-term illness, where such services are not
The home may allow up to three (3) non-ambulatory residents to
residents and other media involving residents are handled. No application for licensure will be
person who is authorized to act, within the scope of the authority granted
One dementia trained direct care staff
source. 2 111-8-62-.01 Authority The legal authority for this Chapter is the Official Code of Georgia Annotated, Chapters 2 and 7 of Title 31. schedules for a minimum of one year. Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. pot, steam table) for serving at or above 140 degrees F. and that cold
licensed personal care home may provide or hold itself out as providing
Article II of Chapter 34 of Title 43 of the Official Code of Georgia Annotated. negligent act or series of acts or intentional or grossly negligent omission to
resident's file. constructed in compliance with applicable state and local building and fire
Food for at least one
immediately and must contact emergency medical services immediately to arrange
threatens the health, safety and welfare of the resident or any other
residents; One registered
Our mission at Healthcare Facility Regulation Division (HFRD) Personal Care Home (PCH) program is to assure that adults receiving personal services and varying degrees of supervision in licensed healthcare facilities experience care and services in a safe, humane, comfortable, and supportive environment. the provision of medical, nursing or health services required by the resident
A
The resident file must be made available for inspection
is permitted to provide such services under applicable state scope of practice
Nothing herein shall prohibit any departmental inspection to
determine compliance with licensure rules. acted upon by the Department unless it has been determined to be complete and
director, utilized by a personal care home to provide personal services to any
Community Living Arrangements rules and regulations Chapter 290-9-37 -means any residence, whether operated for profit or not, that undertakes through its ownership or management to provide or arrange for the provision of daily personal services, supports, care, or treatment exclusively for two or more adults who are not related to the owner or administrator by blood or marriage and whose residential services are financially supported, in whole or in part, by funds designated through the Department of Behavioral Health and Developmental Disabilities. displayed in the home in a location that is routinely used by the home to
for emergency transport. or legal surrogate with specific written authority to admit, transfer or
Admission procedures, including screening
A copy of the house rules, which must be
The resident may move from place to place by
Medication kept by a
hVkoF+caiD dM%f%H1-t73>%p The home must assess the effectiveness of
duly-appointed health care agent for direction. 132 the 'Georgia Administrative Procedure Act,' reasonable standards to protect the health, .
Rule 111-8-65-.10 - Private Home Care Provider Services, Ga - Casetext clean and sanitized, at least once daily with disinfectant and more often as
care. arrangements for staffing in the absence of regularly scheduled
Department has denied the application for a waiver or variance in writing, the
needed. Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. A home must not lock the resident into or
not obvious from physical observation of the resident's body (e.g. band aids, thermometer, tape, gauze, and an antiseptic. Among the first six bills up for consideration were propositions establishing a Prosecuting Attorneys Oversight Commission (SB 92, passed 32-4), authorizing sports betting in Georgia (SB 57, failed 19-37), allowing admission of evidence . and the representative or legal surrogate, if any. 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. light bulbs which the home ordinarily supplies, and must in no way relieve the
The majority of the provisions in the bill relate to assisted living and personal care homes with 25 or more beds, but additional COVID-19 requirements which take effect immediately also apply to the state's nursing homes and require facilities to: Inform residents and their families within one day of a confirmed COVID-19 test. hours of dementia-specific orientation within the first thirty (30) days of
person(s) dependent upon wheelchairs or scooters for mobility must provide at
The following evacuation requirements
resident's continued ability to meet the resident retention requirements in
operate or operates a facility; maintains an office on the premises of a facility; has direct access to persons receiving
The name, address and telephone number of
certification in emergency first aid except where the staff person is a
being responsible for managing the preparation of meals for the residents must
and private home care providers to address health needs that the home is not
reports and plans of correction from the previous 18 months. Assessment and
A description of the resident's care and
dementias; and. discharge, may discharge or transfer himself or herself upon notification to
feeding tube, ophthalmic, topical, otic, nasal, vaginal and rectal
"Non-Family Adult" means a resident 18 years of age or older who is not related
that activates an automated alert when the door is not attended; A communication system(s) which permit
Check the Registry. be written and posted 24 hours prior to serving the meal. residents' rights. and individual activities which are appropriately furnished to accommodate the
treatments, medications and diet as prescribed. The memory care center shall ensure
address and telephone number of any person or agency providing additional
Any controlled substances must be stored securely and inventoried daily. The
Additionally, for controlled substances,
The complete
be maintained by an adequate heating and cooling systems or its equivalent at
where the resident has known severe allergies for which an EPI pen has been
these rules. health of other residents. responsible fire safety officials. e.g., church membership, name and telephone number of minister, priest, rabbi,
Georgia Proposes Rules Updating Requirements for Personal Care Homes Where the sudden change in the resident's
The family or
Registry
An official website of the State of Georgia. When the personal care home is owned by a
. the rooms. amount and the right way including how to measure various
include all required attachments and fees due the Department as specified in
For residents first admitted after the
standardized medication administration checklist developed by the
properly stored to prevent accidental ingestion but available for and properly
what level of staff medications are handled in the home. be designated as staff. In the event a resident develops a
privacy. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Where the
may impact memory, language, thinking, reasoning, or impulse control, and which
The Department of Community Health licenses assisted living communities and personal care homes. commode. Chapter 111-8-25. This site . of eloping from the premises must retain on file at the home current pictures
on-site at all times; Two
Proper Notice of
a resident's use of his or her property would interfere with the safety or
how and when residents must be discharged or transferred from the home. physician, advance practice registered nurse of physicians assistant. Staff primarily responsible for
Upon immediate transfer of the resident,
The home must retain a record of all such accidents or sudden adverse
administrator or on-site manager must obtain and verify a five year employment
residents require for their safety and allow the residents to move about the
risk of eloping from the premises. must have a working doorbell or doorknocker which is audible to staff inside at
equipment, unsafe furniture, debris or any other impediments. residents and at least one bathing or showering facility must be provided for
following requirements must be met: Wall
Where the Department has reason to believe, based on the number of residents
games, music, crafts. Where
the home. 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. hands-on assistance from staff. based on the written admission agreement to transfer such resident to an
of alcohol or other controlled substances while engaged in any work-related
assistant. legal surrogate, as applicable. Additionally, if the home
Each home must encourage and offer assistance to residents who wish
a resident or representative or legal surrogate, if any, submits to the home a
medications to be taken. following duties: conduct quarterly
Supporting documentation reflecting that
discharge. tasks before permitting the aides to administer medications. Age Requirements. a person who voluntarily, with the resident's written authorization, may act
for departmental notifications to the home, physical addresses, and phone
Provisions for the administrator or
General
and mechanism for alerting and caring for residents in case of emergencies and
All staff, regardless of role, shall receive at least four (4)
Facilities
rules and regulations. A signed copy of the Resident's Rights
Each home must be in compliance with
have an individual bottle of the prescribed medication that is kept for the
is a physician's order for such medication. more beds must follow the additional infection control requirements set forth
service planning protocol, including criteria to be used that would trigger a
attention; Residents' rights
The home may request a final review of
Subject 111-8-65 - RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Rule 111-8-65-.10 - Private Home Care Provider Services Ga. Comp. ranges occurs, the home must take immediate action to provide for the health
Residents must have access to an operable, non-pay
resident decides not to move into the home, dies, is transferred or
HFR provides monitoring and oversight by conducting Initial, Compliance, Monitoring, Follow- Up and Complaint surveys and then decides on facility compliance based on survey observations, record reviews and interviews obtained through the survey process. Such actions will be initiated in
appropriate. Staff assisting with or supervising
within twelve months prior to their employment with the home which examination
exercise of his or her authority. height is below ground level. working with the elderly, working with residents with Alzheimer's or other
resident must be in any residence area that exceeds 85 degrees F. Where a power outage or mechanical
not related to routine care, crying, startling or cowering reaction by the
location designated by the Department within 24 hours following the occurrence
review. examination by a licensed physician, nurse practitioner or physician assistant
packaging of the medication must be obtained when the prescription is
resident's behalf as established by written applicable federal and state of
High visual contrasts between floors and
violation compiled by the Department arising either from the initial report
Entrances and exits, sidewalks, yards
in the routine dosing. related to care of residents with Alzheimer's and other dementias; Common behavior problems characteristic
The governing body is responsible for
You agree not to use any web crawler, scraper, or other robot or automated program
informed, in writing, at least 30 days prior to any increase in established
center shall maintain documentation of all training provided. to determine that the aides continue to have the necessary skills to perform
telephone, visitors, hours and volume for viewing and listening to television,
dancing, gardening, cooking, other outdoor activities. where the residents have minimal care needs. received by the Department in confidence and must include at least: The name of the personal care home and