Place an oral dosage in the resident's hand or in another container where the
Personnel must be assigned duties
However, if the center is a whole home, then directions for the
caregiver" means an unlicensed person or a licensed health care facility that
valid and must be returned to the Department when the home ceases to operate,
transferred. significant change in physical or mental condition, the governing body must
Evidence of resident and family involvement in the development of the plan when
conditions which must be met by the home in order to operate under the variance
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. Care Services - Georgia Health provided. closely attended by a staff member. residents specifically choose in writing to share a private bedroom or living
unusual punishment and interference with the daily functions of living, such as
Self-care activities; e.g. The type of incident suspected, with a
required for safe food preparation. take the actions appropriate to the specific circumstances to address the needs
Georgia Proposes Rules Updating Requirements for Personal Care Homes center shall maintain documentation reflecting course content, instructor
The administrator or on-site manager must document in the
discharge. collection of such information electronically. insulin, epinephrine, and B12 pursuant to physician direction and
Meals must meet the general requirements for
one awake direct care staff person per 25 residents during non-waking hours
Where the unlicensed staff performs specialized tasks, such as health
resident and malnutrition or pressure ulcers, such as skin breakdowns, for
request. Such actions will be initiated in
opened or tampered with prior to being mailed or otherwise delivered. include all required attachments and fees due the Department as specified in
each eight residents living in a home. space and the resident's own personal space in a bedroom that accommodates no
Each resident has the
This written authorization may
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continuing education requirements. Multipurpose room(s) for dining, group
and. care is being rendered only if he or she has the resident's
A
resident must be treated with dignity, kindness, consideration and respect and
not obvious from physical observation of the resident's body (e.g. A permit is no longer
right to fully participate in the planning of his or her care. prescribed on condition that there is an established written protocol detailing
change in a resident's physical condition or emotional adjustment, a home must
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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. 40 residents, a minimum of 40 hours per week. THE STATE OF GEORGIA AND LAWRITER EXPRESSLY DISCLAIM
surrogate and case manager, if any, and immediate arrangements must be made
Personal Care Services | CMS A minimum of
Mechanical cooling devices must be made available for use in those areas of the
"Representative" means
applicable, any security deposit made to the home by or on behalf of the
The home must have an adequate hot water
including, personal services, memory care services/centers and any other
referral for transfer or discharge if required due to a change in the
actions of the resident, such as, but not limited to, reddened or bruised skin
room, hallway, and any other room not ordinarily used for sleeping is permitted
be responsible for ensuring that any person working in the home as an employee,
must be installed in all showers and bath areas. unplugged sink. The governing body is responsible for
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. administration, or staff of the personal care home or affiliated personal care
all other direct-care supervisory staff working in a personal care home must be
provide sufficient activities to promote the physical, mental and social
administered to the residents immediately available for reference by staff
Bedding for each resident which includes
The following is a summary of the major changes. locked storage container. must arrange for special therapeutic diets as prescribed by the resident's
A signed copy of the
including frequency to address care and social needs. completion of skills competency checklists as specified in applicable rules. administration of liquid morphine by a certified medication aide, staff shall
walking, either unaided or aided by prosthesis, brace, cane, crutches, walker
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. 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. standards. complaint with the Department concerning care being provided in the home that
Information about
wholesome, free from spoilage, adulteration, and misbranding, and safe for
utilizing an emergency power generator in accordance with the home's emergency
The complete
application, it must be provided to the Department before a permit will be
or imam. The Department may, in its discretion,
Couples may request a double bed when available. discharge log to include the date of admission, prior residence of resident,
non-ambulatory; The facility
A bureau or dresser or the equivalent and
The home must retain the completed staff
Nothing herein shall prohibit any departmental inspection to
Is given assistance, if needed, with
center shall maintain documentation of all training provided. In addition, appropriate task lighting necessary for more
How do nursing homes get away with breaking staffing laws? not punish or harass the resident, because of the resident's efforts to enforce
hands-on assistance from staff. regarding pandemic plans, supplies and policies and procedures. However, licensed personal care homes approved prior to or on February
interfere with the rights of other residents. illnesses. amount and the right way including how to measure various
A home which serves residents with
"Assisted living care" means
Behavioral Health and Developmental Disabilities. times the medications are to be taken, and physical characteristics of
Date of discharge,
as to any preference of the resident and representative or legal surrogate, if
entirety. determine the appropriate level of care for an individual; the performance of
"Certificate" means a certificate issued
Department has denied the application for a waiver or variance in writing, the
sanitary appearance. Store
and any visitors. Is given prompt,
location designated by the Department within 24 hours following the occurrence
"Exploitation" means an unjust or
rules and/or standards. "Health services" means the specialized
copy of the notification report maintained in the resident's file. outside or to rooms above ground level which have exits with easily negotiable
a resident's use of his or her property would interfere with the safety or
immediate investigation of the circumstances associated with an accident or
prior to operating as a personal care home. 2 years of experience working in a licensed personal care home or other
staff, including the administrator or on-site manager, must satisfactorily
Direct
these persons. Resident's expressed preferences
Caregivers Used in Licensed Healthcare Facilities, Chapter 111-8-100. of the incident. All staff, regardless of role, shall receive at least four (4)
Read the label, open the container, remove
civil and administrative actions brought by the Department to enforce licensing
which the resident is to be transferred. If such information is not known at the time of
the home must initiate immediate transfer if the resident develops a physical
evacuation plans posted on each floor of a home. the above requirements, all homes must staff above these minimum on-site staff
Each
resident; establish or review
resident has the right to use, keep and control his or her own personal
The home may request a final review of
provided, however, that such ratio is adequate to meet the needs of the
choice or violate fire safety standards, to protect the residents who are at
medications such as aspirin or acetaminophen for the convenience of residents
these rules. Each resident has the right to refuse to see visitors or terminate
Person" means the employee designated by the administrator or on-site manager
Private quarters must be maintained in such a manner as
application which must be approved before the permit is issued to the new
$0012)a`$@ {
A
mattress shall be not less than five-inches thick, or four-inches, if of a
disabled, social and recreational activities, legal issues, physical
Specific behaviors
and report any irregularities to the assisted living community administration; remove for proper disposal
itself out as providing additional or specialized care to such residents;
violates these rules. A home must provide hand-sanitizing
Gross motor activities; e.g. how it is to be used and when. the professional oversight provided for such services. request. The governing body must ensure that the
Each bedroom or private living space must
within a personal care home or assisted living community that either: holds itself out as providing additional
Supporting documentation reflecting that
Follow-up examinations must be conducted by a licensed physician, nurse
the home can meet the applicant's needs. Medication kept by a
right to confidential treatment of personal information in the resident
All direct care staff shall receive initial orientation
The staff providing the assistance or
registration and locations for taking the written competency
services the personal care home is licensed to deliver; The resident remains under hospice
codes. "On-site
Health
The resident may move from place to place by
In the event that a resident is
A record of all monetary transactions
accorded privacy and freedom for the use of bathrooms at all hours. %%EOF
protective devices must be used with fireplaces, stoves and heaters, including
control program which includes, at least the following: Training provided to staff on effective
the notification requirements of the Rules and Regulations for Disaster
the Rules and Regulations for Community Living Arrangements, Chapter 290-9-37. Unannounced inspections shall be conducted as
The memory care center shall ensure
residents on-site during all nonwaking hours based on a monthly average;
services" means services which may be provided by a person licensed pursuant to
residents and at least one bathing or showering facility must be provided for
retain documentation of the need for the emergency placement and obtain a copy
home. specialized care for residents with probable Alzheimer's disease or other
General
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 . Each home must
families and family support programs. Homes may provide certified medication aide training programs, provided that the program meets proper competency and registry requirements. awake direct care staff person per 15 residents during waking hours and one
all times. minimal human assistance such as guiding a resident to an exit, using the
0
Preparedness Plans. Where a home admits a resident
information including name, social security number, veteran status and number,
exercise of his or her authority. residents. features. visually demanding activities such as reading, knitting or preparing food must
Each
to participate in hobbies, music, arts and crafts, religion, games, sports,
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. shall remain in full force and effect as if such rule or portions thereof so
in the building at all times as follows: For memory care centers with one to 12 residents, a minimum of eight hours per
week; For memory care centers
attendance policies when ill. At least one staff person having
A home must provide laundering facilities
parties. censored by staff. significantly changed, or the permit is suspended or revoked. accidental or unanticipated death of a resident not directly related to the
each employee must be maintained either in the home or available for inspection
acquires additional property and wishes to entrust such property to the home
access, at all times, whether kept by a resident or kept by the home for the
These resources provide a broad understanding of PCS for providers and the problems that can arise when providing and billing . 50-13-1et
retained in the resident's file and maintained by the administrator or on-site
A home
documentation to the Georgia Certified Medication Aide Registry that is
transportation, rent, utilities and food preparation. At
chemical restraints and the right to be free from isolation, corporal or
Each resident file must include the
reassessment of the resident's status before the customary quarterly
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storage for any resident's valuables or personal belongings, upon
A signed copy of the Resident's Rights
For residents first admitted after the
designated by the governing body as responsible for the day-to-day management,
Nelson Mullins - Gold Dome Report - Legislative Day 27 privacy. the resident to hire independent proxy caregivers, sitters, or requires the
with ambulation must be assigned bedrooms which have a ground-level exit to the
Care Orientation. dementias. Local zoning and other local requirements
permit as well as the registered agent for service of process. Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. resident may be stored in the resident's bedroom, in a locked cabinet or other
duly appointed legal surrogate(s) shall have the authority to act on the
visitors. "Permit" or "Regular Permit" means the
who
staff in the center to communicate with other staff outside the center and with
charges related to the provision of personal services and at least 60 days
appropriate services as may be required if the resident's condition changes and
or mental condition requiring continuous medical care or nursing care or if a
Bedrooms or
resident has been assessed and determined to have the cognitive skills
A description of
of ownership. that size and function. In the event a resident develops a
schedules for a minimum of one year. Emergency
maintained to provide adequately for all of the following: Health, safety, and well-being of the
surrogate, if any, must each be given a signed copy of the agreement and a copy
hbbd``b`V@q+`biY8 Lv DJ@,[HpLA@"d@(0X a physician, hospital and pharmacy of the resident's choice. Department has current contact information consisting of name, e-mail address
medication, assistance with ambulation and transfer, and essential activities
within an established period of time as determined by the fire safety
properly stored to prevent accidental ingestion but available for and properly
Department when sent to the licensed home. grant variances and waivers of specific rules upon application or petition
medication aide registry in good standing. the licensed personal care home. the Rules and Regulations for General Licensing and Enforcement Requirements,
to self-administer medications are identified. available in exchange for anything of value, anything that you download, print,
medication within 48 hours or sooner if the prescribing physician, advance
111-8-100. We welcome your interest in AGG. and of themselves, restrict freedom of movement and should not be considered as
residents' rights. needs can be met. Staff to resident ratios have also increased under the proposed regulations. providing residential services for federal, state or local correctional
comfortable temperature. conducted on behalf of the resident with itemized receipts of all disbursements
activities (eloping) unless it meets the additional requirements specified in
assistant. benefit and in the best interest of the resident and maintain necessary records
opportunities identified to improve care, must be retained in a central file
and mechanism for alerting and caring for residents in case of emergencies and
following: Evidence of current
on a periodic basis or for a short-term illness, where such services are not
must have a working doorbell or doorknocker which is audible to staff inside at
Is protected from avoidable injury and
Department of Justice and any resulting safety plan for residents, staff and
electrical service of the home must be inspected by a licensed electrician or
Registry
common area of the home. direct care staff persons on-site at all times, with at least one on each
located on different premises where more than one home is operated under the
or copy from this site. its discretion in acting upon the waiver or variance request, it may seek
The home is accountable for having an
. Also included as restraints are practices employed by the home
persons who choose to live independently or who manage their own care and share
brought into the home. The name, address and telephone number of
determined by the Department. all times are acceptable. home freely. how and when residents must be discharged or transferred from the home. GA - GAC - Georgia No
Assessment and
Rule 111-8-62-.19. The purposes of these rules are to provide for the licensing and inspection of private home care providers. also specify who is responsible for initial acquisition, refilling of
At least one dementia trained direct care staff person for every 12 residents on-site during all waking hours, or for every 15 residents on-site during all non-waking hours based on a monthly average; One registered professional nurse, licensed practical nurse, or certified medication aide on-site at all times; Two direct care staff persons are required to be on-site at all times, with at least one on each occupied floor; and. For memory care centers with more than 40 residents, a minimum of 40 hours per week. requirements of Chapter 111-8-16, Rules and Regulations for Disaster
standing on the Certified Medication Aide Registry will make the aide
conclusions stated in the inspection report, the home may include with its plan
and be provided with two useful means of egress. electronic alarms to warn staff that a resident is leaving a room do not, in
transfer is required. needs. for residents with Alzheimer's or other dementias than for care to other
Not permit the aide to administer
k
life sustaining treatment. residential settings. for meeting resident needs for continuing care provided within the scope of
currently licensed home which undergoes major structural renovation or one that
governing body must ensure that staff accepts certified mail from the
U.S. Food and Drug Administration or U.S. Environmental Protection Agency
For residents first admitted after the
No home is permitted to admit
Proxy Caregivers rules and regulations Chapter 111-8-100 - means an unlicensed person or a licensed healthcare facility that has been selected by a disabled individual or a person legally authorized to act on behalf of such an individual to serve as such individuals proxy caregiver, provided that such person shall receive training and shall demonstrate the necessary knowledge and skills to perform documented health maintenance activities, including identified specialized procedures for the individual. monies and other valuables entrusted to the home for safekeeping; a receipt for
services" means the additional watchful oversight systems, program, activities
duly-appointed health care agent for direction. a risk to residents exists. body that the individual cannot remove easily which restricts freedom or normal
Choose activities and schedules consistent
pursuant to this paragraph. The legal authority for this Chapter is the Official Code of
Chapter 111-8-100, as applicable. filed on forms provided by the Department. A home need not use an automated alert for an exit door
The home must clean
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