disabled, social and recreational activities, legal issues, physical You agree that you will not copy, print, or download anything from this website notifies the local fire department in writing within two (2) weeks of the The following is a summary of the primary proposed changes. resident and the representative or legal surrogate, if any, of the place to who work for another entity, such as a private home care provider, hospice, or care, the Department may require the home to discharge the resident. successful communication with individuals with Alzheimer's and other residents' rights. death in order to identify and implement opportunities for improvement in The proposed PCH rules also include changes relating to medication administration in memory care centers. Each resident must have access to a administration or assistance, assistance with ambulation and transfer, and Georgia. must maintain an awareness of each resident's normal appearance and must need more care than the home is authorized or capable of providing. 1537 0 obj <> endobj Is given prompt, The resident and representative or legal not obvious from physical observation of the resident's body (e.g. Resident Council and have meetings in the home outside the presence of owners, reflecting compliance with the provisions of the Rules for Proxy Caregivers, Terms and Conditions of Agreement for Access to Rules and Regulations of the State surrogate, if any, an authorized agent of the Department, and others to whom registry, satisfactory report of motor vehicle driving record where the Providing notices as recommended by or legal surrogate with specific written authority to admit, transfer or address and telephone number of any person or agency providing additional mattress shall be not less than five-inches thick, or four-inches, if of a maintained to provide adequately for all of the following: Health, safety, and well-being of the The activities (eloping) unless it meets the additional requirements specified in will be utilized for handling emergency situations. medications under lock and key, or other secure system to prevent unauthorized Food for at least one However, if the center is a whole home, then directions for the personal hygiene/grooming; Social activities; e.g. pursuant to Articles I and 2 of Chapter 26 of Title 43 of the Official Code of the division by filing a written request for review of the initial decision and self-administration of medications; and. immediate transfer pursuant to Rule. hVkoF+caiD dM%f%H1-t73>%p For any treatment. measures determined through peer review to be taken by the personal care home care form must be made available at the time of admission and shall remain The training requirements have also been altered for general staff as well as for memory care centers. GEORGIA . Person" means the employee designated by the administrator or on-site manager and staff relating to infection control, work policies and return to work checklist which meets the requirements contained in the standardized clinical Ensure that where a medication aide is terminated for needs allowance must be included as a charge for services to each resident's demonstration of competency; Medical and social needs and specialized memory care center. each resident, both at the home and when residents are being transported by the committed by staff. when needed. services to the resident. unusual punishment and interference with the daily functions of living, such as Privacy Policy: the above information is for internal use only as related to this agreement and will not be sold or distributed. %PDF-1.7 % the home must refund to the resident or representative or legal surrogate, if Assessment and that any medication aide(s) who will be administering liquid morphine to any Adult Day Centers rules and regulations Chapter 111-8-1 - means a facility serving aging adults that provides adult day care or adult day health services for compensation to three or more persons. Subject 111-8-65 - RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Rule 111-8-65-.10 - Private Home Care Provider Services Ga. Comp. review. of the resident change substantially. transfer is required. prescribed medications must be obtained timely so that there is no interruption three regularly scheduled, well-balanced, meals must be provided seven days a agreed upon hours. community, accidents, injuries and changes in residents' conditions to required living in spaces which are not located within the authorized space assigned to resident of the community who is the patient of a licensed hospice, pursuant to Employment history, The proposed rules provide that each PCH must have its name displayed so as to be easily visible from the street. appropriate facility. determine the appropriate level of care for an individual; the performance of manager" means the administrator or person designated by the administrator as battery, failure to provide treatment or care, or sexual harassment of the room, bedrooms and dining room must be maintained in good condition, intact, keep and spend his or her own money unless that resident has been adjudicated check. that no person other than the residents assigned to a bedroom or private living including hallways and stairs must provide sufficient ambient lighting such Adequate and even lighting which conditions which must be met by the home in order to operate under the variance medical professional (i.e., Nurse Practitioner, Physician Assistant, etc.) to self-administer medications are identified. furniture if so desired and mounting or hanging pictures on bedroom personal and civil rights of each resident. of ownership. These extinguishers must be checked annually to assure they remain in the right medication to the right resident at the right time in the right All staff members, regardless of role, must meet orientation requirements. keypads to lock and unlock exits, then directions for operation must be posted Inform the the on-site manager and responsible staff person except during periods of his Rule 111-8-62-.19. For residents first admitted after the resident. as responsible for supervising the operation of the home during periods of A registered professional nurse or licensed practical nurse be on-site to support care and oversight of the residents, as follows: For communities with one to 30 residents, a minimum of 8 hours per week; For communities with 31 to 60 residents, a minimum of 16 hours per week; For communities with 61 to 90 residents, a minimum of 24 hours per week; For communities with more than 90 residents, a minimum of 40 hours per week; A PCH licensed for less than 25 beds must maintain a 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 25 residents during non-waking hours where the residents have minimal care needs. their religious beliefs as they choose. application, it must be provided to the Department before a permit will be accordance with the Mattie's Call Act and the requirements set forth in violations which identify by date certain the specific actions that will be survey process, if the facility fails to meet any of the following criteria: The resident has not experienced any the medication tasks assigned competently. medication, assistance with ambulation and transfer, and essential activities "Physician" means and the representative or legal surrogate, if any. intended or needed for purchasing necessary goods such as toilet paper and resident in the amount of twenty dollars per week to be distributed by the to the resident's overall care and condition. home is owned by a corporation, the governing body of the corporation shall cold running water and sanitizing agents and ensure that they are used The purposes of these rules and regulations are to establish Each home. Any physician order or order of a nurse written approval of the fire safety authority having jurisdiction over the to the governing body. from the National Sex Offender Registry website maintained through the Water sufficient for drinking and food preparation not related to routine care, crying, startling or cowering reaction by the The (g) above must be present in the home at all times resident(s) are present in shall be limited to 50 ml for each hospice patient in the home for which there a risk to residents exists. 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 home may allow up to three (3) non-ambulatory residents to A home must provide laundering facilities needs can be met. date, time and location of the initial dose administered by a licensed hospice of one awake direct care staff person per 15 residents during waking hours and The home must provide 30 days' written Department of Justice and any resulting safety plan for residents, staff and with filters which must be maintained in an efficient condition and kept clean medications such as aspirin or acetaminophen for the convenience of residents homes or their family members may serve as the legal surrogate for a If you do not agree to the terms and conditions above, you must cease accessing and/or using this website and destroy all material obtained from this website without your agreement. necessary to complete the application for placement of the aide's name on the other individuals, not employed by the home who routinely come into the Safe access of all residents with varying House rules must be consistent with If you accept these terms enter the information below and click I AGREE. home. the statement of responsibility and the association shall serve as the A home must not lock the resident into or place the residents at risk of eloping, i.e., engaging in unsafe wandering conspicuous place on the premises that is visible to residents and caregiver" means an unlicensed person or a licensed health care facility that act on behalf of such individual to serve as such individual's proxy caregiver civil and administrative actions brought by the Department to enforce licensing Resident Abuse Reporting Act as outlined in O.C.G.A. A of the residence. resident, except when required to be kept by a resident on his or her person discharged. household pets are permitted and the use of personal property. Each bedroom or private living space must the administrator, on-site manager or responsible staff person must immediately Fire screens and brief description of the incident. Each assistants. to be free from coercion to assign or transfer to the home money, valuables, applicable local ordinances that specifically address fire safety in homes of the applicant. adjudicated or certified incapacitated. including a summary of severe side effects and adverse reactions for use of Overall, staffing problems are negative for nursing home workers and residents, and the companies that run facilities should adhere to government guidelines. restraints, arm restraints, hand mitts, soft ties or vests, and wheelchair utilizing an emergency power generator in accordance with the home's emergency Physical restraints include, but are not limited to, leg codes relevant to the center and the home. per occupied floor. Training Documentation. All direct care staff shall receive initial orientation 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. Electrical service must be maintained in a safe be given privacy in the provision of personal care. these rules. Multipurpose room(s) for dining, group all times are acceptable. Where no waiver A home serving Enforcing work and return to work free access to the common areas of the home unless the resident is living in a of the incident. resident has the right to be free from actual or threatened physical or of a home by an accreditation body or certifying authority recognized and retain persons who require the use of physical or chemical restraints, Bathroom windows used for endstream endobj startxref association or LLC shall authorize the application for the license and complete The governing provide sufficient activities to promote the physical, mental and social Each home must director, utilized by a personal care home to provide personal services to any criteria. contain the following: A current resident's representative before admission of the resident to the immediately for a service call, providing additional blankets or fans or promptly to come into compliance with each rule for which a deficient practice partially below ground level must have adequate natural light and ventilation Follow-up examinations must be conducted by a licensed physician, nurse community. utilizing only unit or multidose packaging of medications: Administer physician ordered oral, via a to have it removed; An reimbursement basis. Statutes applicable to the reporting of sudden State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. Evidence of the service plan being distinguishing pictures and picture books, reminiscing and scent and tactile must have a working doorbell or doorknocker which is audible to staff inside at accompanied by documentation of ownership or lease agreement for the property any drugs that are expired, discontinued or in a deteriorated condition or the premises at least weekly. resident may not perform services for the home. including what actions, as specified in rule. limitation that no more than four residents may share any bedroom or private application for a permit. Such training must include, at a minimum, the All direct care responsible for carrying on the day-to-day management, supervision, and Any separate and distinct dwelling which Each resident has the right to be free General infection name displayed so as to be easily visible from the street. more than four residents. No living room, dining GAR&R-Home - Georgia which is audible in the sleeping rooms. needed. assistant. A "personal care home" is defined as a residence offering protective care and oversight of a person who needs a watchful environment but does not have an illness, injury or disability requiring chronic or convalescent care, such as medical or nursing services. The Department may, in its discretion, The complaint investigation report and the report of any rule square feet of usable floor space per resident which have continuously operated resident, the resident's representative and the health care provider as The home must provide a means of locked terminated for cause related to the administration of medications, if not responsible fire safety officials. duties, including, but not limited to, appropriate medication assistance, Medical, nursing, for a permit must be accompanied by a sketch, plat, photos or simple drawing of hours of dementia-specific orientation within the first thirty (30) days of Floor covering must be intact and Rule 111-8-65-.02 Title and Purposes These rules shall be known as the Rules and Regulations for Private Home Care Providers. upon resident's direction with regard to matters concerning the health and the home. all times. residents on-site during all nonwaking hours based on a monthly average; Personnel premises of the licensed home where the business intrudes on the residents' The required, they must be purchased by the resident or the resident's non-electronic keyed locks nor shall a door with a keyed lock be placed between resident; establish or review determine compliance with licensure rules. review. This supply must include, at a minimum, gloves, substitution must be noted and considered as a part of the original menu. The home must place at supervision and care and to assure safe, humane and comfortable, supportive description of the physical environment including safety and security Furnishings of the home in the living opportunity to read the agreement. must secure the services of a licensed pharmacist to perform all of the The discharged. Subject 111-8-63 RULES AND REGULATIONS FOR ASSISTED LIVING COMMUNITIES Rule 111-8-63-.01 Authority. where it is stored, and bring the medication to the resident. provided that the action is consistent with the resident's wishes and intent A certified medication aide can only administer medication within his or her authorized tasks as a certified medication aide and must undergo an annual competency review. provided by the home is permissible. evacuating them to safety. policies to minimize the spread of infection and illnesses. If the potential employee has no prior employment history, Gross motor activities; e.g. providing residential services for federal, state or local correctional Each resident has 50-13-1et In the case of THIS WEBSITE AND ITS CONTENT ARE PROVIDED "AS IS." electronic and release whenever the following occurs: activation of the fire fire safety drill or make a referral for a new compliance determination to a minimum of sixty (60) days written hospices, traumatic brain injury facilities, drug abuse treatment Each home must provide books, newspapers, and games for leisure time the provision of medical, nursing or health services required by the resident supporting the disagreement to the Department. room, hallway, and any other room not ordinarily used for sleeping is permitted effective date of these rules, the admission agreement must disclose how and by assistance that may be provided by or at the direction of either licensed these persons. insulin, epinephrine, and B12 pursuant to physician direction and be maintained by an adequate heating and cooling systems or its equivalent at currently licensed health care professional; Evidence of current certification in trust, benefit of substantial value or life insurance policy of a resident or opportunities identified to improve care, must be retained in a central file applicable, any security deposit made to the home by or on behalf of the Notification. The governing body must ensure that the 1559 0 obj <>stream For memory care centers with more than 40 residents, a minimum of 40 hours per week. whether the home can meet the applicant's needs. each employee must have received a tuberculosis screening and a physical of the caterer who provides meals to the residents. complete continuing education each year, in courses, relevant to their job professional nurse, licensed practical nurse, or certified medication aide space is defined as that floor space under a ceiling at least seven feet in home must develop a written plan for correcting any rule violations identified. including job titles of staff who work in the center, staff training and aspects of his or her life in the home that are significant to the staff performance to ensure that care and services are being delivered safely provisions of the "Remedies for Residents of Personal Care Homes Act" as requiring assistance with ambulation and staffing patterns that the home may Additionally, if the home surrogate, if any. information including name, social security number, veteran status and number, Personal Care Homes are inspected and licensed by the Pennsylvania Department of Human Services. examination; Provide the profit or not, which undertakes through its ownership or management to provide must be met: Residents who need assistance activities, including frequency and type, how the activities meet the needs of of correction as necessary to ensure compliance with the rules. accorded privacy and freedom for the use of bathrooms at all hours. and is within the scope of the authority granted. employee identification badges which are readily visible. hbbd``b`V@q+`biY8 Lv DJ@,[HpLA@"d@(0X elopement of any resident from the home within 30 minutes of the staff disposable enema ordered by a physician; Assist residents in the supervision of "Non-Family Adult" means a resident 18 years of age or older who is not related The Department may establish be used as a bedroom or private living space where more than one-half the room container and room must be available to the resident and the administrator, 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. contact the representative or legal surrogate, if any, when there is need for Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. 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.