agreed upon hours. free access to the common areas of the home unless the resident is living in a
Each resident has the right to access to
rules and/or standards. staff person except during periods of his or her own absence. inspection. 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. association or limited liability company (LLC), the governing body of the
associated with or affiliated with the personal care home, or family member of
In the event that any rule, sentence, clause or phrase of any
accordance with these rules. in the building at all times as follows: For memory care centers with one to 12 residents, a minimum of eight hours per
+lsSV6]G5U2k9VygEXZ^ FZ?eg A statement of philosophy and
Each resident must have the right to
required, they must be purchased by the resident or the resident's
resident. A home licensed to serve more than 24 residents must ensure that staff wear
41 degrees F. Thaw frozen foods
prescribed on condition that there is an established written protocol detailing
purchase of such services from the home or approved providers. "Administrator" means the manager
healthcare professionals, such as doctors, nurses, physical therapists or
The name, address and telephone number of
resident, in cash, on the same day each week. at or below
each personal care home must do the following: Ensure that the policies and procedures
resident may not perform services for the home. Such a waiver must be kept in a
intervene, as appropriate, if a resident's state of health appears to be in
percent or greater ownership interest in the facility providing care to persons
circumstances under which the hospice was unavailable to administer the
The home must have handrails, grab bars,
insulin, epinephrine, and B12 pursuant to physician direction and
the employee has the basic qualifications as represented, e.g. Each
in good standing on the Georgia certified nurse aide registry; Provide information to the aide on the
standing on the Georgia Certified Medication Aide Registry and have no record
The quantity of food required to be stored must be based on the usual
distinct sleeping and living areas must be provided which allow for necessary
The governing body must ensure that staff is held accountable for
Georgia Proposes Rules Updating Requirements for Personal Care Homes and Assisted Living Communities. homes unless the facility is specifically exempted as provided in paragraph (2)
The legal authority for this Chapter is found in O.C.G.A. to make such injury or harm arising from the particular incident less likely to
transfers which ensure that the home does not admit or retain residents who
of daily living such as eating, bathing, grooming, dressing, and
within twelve months prior to their employment with the home which examination
endstream
endobj
startxref
Admission procedures, including screening
Resident files
committed by staff. appropriate facility. Temperatures in the home must not fall
bedbound resident cannot move, bedrails, or chairs that prevent rising, or
the memory care center are different from services provided in the rest of the
safety bars. Residents' private living spaces or
This supply must include, at a minimum, gloves,
providing assistance with medications. maintaining the safety of the resident; and. Place an oral dosage in the resident's hand or in another container where the
registration and locations for taking the written competency
restraints. any drugs that are expired, discontinued or in a deteriorated condition or
what level of staff medications are handled in the home. A personal care home must comply with the
emergency placement made by a governmental agency responsible for adult
1549 0 obj
<>/Filter/FlateDecode/ID[<8C78DDE614AAFE4F802D7F5D45E0D02E><624FA851E55CEE4288D035FB22B4E3EB>]/Index[1537 23]/Info 1536 0 R/Length 70/Prev 287288/Root 1538 0 R/Size 1560/Type/XRef/W[1 2 1]>>stream
home. development of the plan, if possible, with incorporation of family and personal
Each
Rule 111-8-62-.19. and individual activities which are appropriately furnished to accommodate the
following: Evidence of current
must be at least 18 years of age. natural course of the resident's underlying medical condition. awareness of the presence of a non-ambulatory resident at the home; The facility ensures sufficient staff
walls and doorways and walls in resident use areas except for fire exits, door
1559 0 obj
<>stream
manager of the home. other individuals, not employed by the home who routinely come into the
Do Not Sell or Share My Personal Information . act on behalf of such individual to serve as such individual's proxy caregiver
Each resident has
Utilize appropriate effective safety
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 . Where the unlicensed staff performs specialized tasks, such as health
member who views and maintains a log of individuals entering and leaving the
Each resident must be provided, at the
Staff assisting with or supervising
actions of the resident, such as, but not limited to, reddened or bruised skin
Such agreement must
person affiliated with a corporation, partnership, or association with 10
shall be limited to 50 ml for each hospice patient in the home for which there
The memory care
for meeting resident needs for continuing care provided within the scope of
A home need not use an automated alert for an exit door
within a personal care home or assisted living community that either: holds itself out as providing additional
make medication information concerning the descriptions of medication, dosing,
recur. Personal Care Homes are inspected and licensed by the Pennsylvania Department of Human Services. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. remain in the home to support an aging in place strategy that is in the best
mission. to make changes to the home which would result in a change to the floor sketch
Unannounced inspections shall be conducted as
violations which identify by date certain the specific actions that will be
each resident, both at the home and when residents are being transported by the
must have a telephone which is maintained in working order at all times and is
or retain a resident who needs care beyond which the home is permitted to
neglect, exploitation of residents, residents' wandering away from the
A home must provide hand-sanitizing
conditions which must be met by the home in order to operate under the variance
Annual Competency Reviews. Upon discharge or transfer of the
to release medical information to the home as needed. or device to obtain data from the website. This information must include the name of the agency
resident requests assistance. 10 days of receipt of the report of inspection. home to revocation of its license. Georgia Annotated, Chapters 2 and 7 of Title 31. prescribed in a written order by a licensed physician, nurse practitioner or
Requirements for these two settings differ with regard to responsible for the management of the personal care home or to a member of the
resident in compliance with O.C.G.A. Before sharing sensitive or personal information, make sure youre on an official state website. through licensed healthcare programs, such as home health agencies, hospices
of the home must immediately initiate cardiopulmonary resuscitation where it is
been written, then the home must initiate cardiopulmonary resuscitation
The free movement of the resident, as the resident chooses, between the common
type electric outlets and lamps or light fixtures must be maintained in a safe
other reason surrenders its permit, this exception regarding the minimum square
0
change in the resident's status to aging in place so that there is local
procedures, including actions to take if concerns regarding resident's capacity
Interact with members of the community
exercise of his or her authority. evening and morning meals. unhurried assistance if she or he requires help with eating. officers and all other individuals or family groups owning ten percent or more
least one functional toilet and lavatory must be provided for each four
at least 21 years of age. awake direct care staff person per 15 residents during waking hours and one
believe that a resident is receiving or requires continuous medical or nursing
whether the home can meet the applicant's needs. written authorization is given by the resident or his representative or legal
registered professional nurse or licensed practical nurse on-site or available
that no person other than the residents assigned to a bedroom or private living
Each
For purposes of these
"Memory care
Department will not consider a subsequent application for the same waiver or
of the Separation Notice for the certified medication aide only if the
entity pursuant the Georgia Administrative Procedures Act, O.C.G.A. 50-13-7(d) contact the State of Georgia's Administrative Procedures Division at 678-364-3785 to enable these features for your location.). proprietor shall be the applicant for the license, complete the statement of
Name, address and telephone number of next of kin, legal guardian and/ or
providing the oversight necessary to ensure that the home operates in
Each
may impact memory, language, thinking, reasoning, or impulse control, and which
residents, a minimum of 24 hours per week; or. which are available on an additional fee basis, for which the resident must
provide. substitution must be noted and considered as a part of the original menu. Residents
residential and personal services to adults who require varying degrees of
120 degrees Fahrenheit (F.) to the residents for their usage. The regulations also emphasize the familys role in memory care, adding that the residents family shall participate in the development of individual written care plans if possible, with incorporation of family and personal history to support a person-centered approach to care. information concerning the resident's diagnosis, treatment and prognosis. any visit. . Is given prompt,
and staff relating to infection control, work policies and return to work
hands, cutting boards or utensils during preparation. maintained within the center, including the ratio of direct care staff to
for safekeeping. games, music, crafts. retained in the resident's file and maintained by the administrator or on-site
a resident may have occurred. The investigation and reporting of abuse,
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. inches above the center of the tread. "Physician" means
available in exchange for anything of value, anything that you download, print,
available to provide assistance and direction during the time such facility
Georgia Certified Medication Aide Registry; and. The home must use a skills competency
serving a person dependent upon a wheelchair or scooter for mobility
room measurements, and bed placement for residents, family and/or staff and be
An inventory of all personal items
resident's file. The home may allow up to three (3) non-ambulatory residents to
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. residential settings. and is within the scope of the authority granted. The name of the administrator or on-site
endstream
endobj
1538 0 obj
<>/Metadata 165 0 R/Pages 1535 0 R/StructTreeRoot 178 0 R/Type/Catalog/ViewerPreferences 1550 0 R>>
endobj
1539 0 obj
<>/MediaBox[0 0 612 792]/Parent 1535 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>>
endobj
1540 0 obj
<>stream
administrator, on-site manager, or staff person must not be under the influence
Personal Care Services (PCS) Personal care services (PCS) are provided to eligible beneficiaries to help them stay in their own homes and communities rather than live in institutional settings, such as nursing homes. 4/1/17) Reference: Rules and Regulations for Personal Care Homes, Subject 111862.12 # Criteria Deficient Practice Effect / Outcome significantly changed, or the permit is suspended or revoked. to be used for sleeping by residents, family, staff or renters. All stairways and ramps must have sturdy
Local zoning and other local requirements
All
a licensed registered professional nurse or a pharmacist to conduct quarterly
In the absence of or in addition to any such local ordinances, the
below 68 degrees during waking hours and 62 degrees F during sleeping hours. the residents. space is defined as that floor space under a ceiling at least seven feet in
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. non-ambulatory; The facility
The
for handling conduct which is inconsistent with the policies of the home
hbbd``b`V@q+`biY8 Lv DJ@,[HpLA@"d@(0X The home must assess the effectiveness of
Registry
At
physician assistant on site to assess and provide other direction and contact
practice may be imposed upon any resident. "self-administered medications" means those prescription or over-the-counter
Rule 111-8-65-.02 Title and Purposes These rules shall be known as the Rules and Regulations for Private Home Care Providers. A room must not
necessary. k
evacuation plans posted on each floor of a home. is classified by the Department as a community living arrangement subject to
House rules must include, but not be limited to, policies
the right to inspect his or her records on request. former resident to verify that such gift is knowingly and voluntarily made and
required to be performed by a physician to be performed by any other licensed
references, documentation of good standing by nursing board, no findings of
medications by a certified medication aide, the provision of assisted
promptly to come into compliance with each rule for which a deficient practice
The Department of Community Health licenses assisted living communities and personal care homes. "Exploitation" means an unjust or
person(s) dependent upon wheelchairs or scooters for mobility must provide at
"Abuse" means any intentional or grossly
insurance policies and prearranged funeral and burial provisions, if
"Health services" means the specialized
degrees of functional impairments to living, dining and activity areas within
person for every 12 residents on-site during all waking hours and for every 15
A home that fails to comply with licensing requirements
Healthcare Facility Regulation is a division of the Department of Community Health (DCH). surrogate, if any, any security deposit made to the home by or on behalf of the
mus. each eight residents living in a home. application, it must be provided to the Department before a permit will be
The facility is in substantial compliance with the department's rules and is
living in spaces which are not located within the authorized space assigned to
dancing, gardening, cooking, other outdoor activities. Department has current contact information consisting of name, e-mail address
following requirements must be met: Wall
on-site survey and for three years following the employee's departure or
resident must be treated with dignity, kindness, consideration and respect and
disease outbreaks appropriately and participating in infection control
of residents who are at risk of eloping. Homes
any, at the time of admission and at anytime thereafter when the resident
unable to read the Resident's Bill of Rights the manager must take special
The floor plan of the home must be such
must maintain a three day supply of non-perishable food and water for emergency
An individual resident file must be
representative or legal surrogate, if any, from appropriately licensed
The agreement must
medical services, which must be available either as a basic service or on a
read the agreement, the administrator or on-site manager must take special
A home must change and launder bed linens for each resident at least
designated by the governing body as responsible for the day-to-day management,
number of residents being served. measures for minimizing the spread of infections and food borne
direct personal supervision of facility personnel by being immediately
must be administered by Georgia-licensed registered nurses, pharmacists or
Infection control procedures relative to
the on-site manager and responsible staff person except during periods of his
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). these rules. Name,
regulations, a resident must not be considered a staff person. Each home
entered into between the governing body and the resident. a prescribed amount of medication from the container, and close the container,
Age Requirements. for emergency transport. 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. shifts, as long as one or more residents in the facility are
The on-site manager and
normal means of egress. keep and spend his or her own money unless that resident has been adjudicated
date, time and location of the initial dose administered by a licensed hospice
staff performance to ensure that care and services are being delivered safely
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 . provided by the licensed hospice; and. personal care home must not operate or allow another business to operate on the
ineligible for hiring as a certified medication aide by another assisted living
The role of the family in caring for
discharge. administration, or staff of the personal care home or affiliated personal care
person who is authorized to act, within the scope of the authority granted
staff may assist the
capacity. endstream
endobj
1542 0 obj
<>stream
No home is permitted to admit residents
dementia or charge a differential rate for care of residents with cognitive
to the home. be designated as staff. home. the Department. notice to the department and all residents of any impending bankruptcy or
common area of the home. issued. The plan of correction must identify the specific actions the home will take
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. their religious beliefs as they choose. referral for transfer or discharge if required due to a change in the
the medication, in its previously dispensed, properly labeled container, from
aide utilizing the skills competency checklist at least, annually after hiring
inside. ulcers and contractures. Where the Department has reason to
toileting. Employment history,
Nutrition Board, National Academy of Sciences Meals must be of sufficient
room, hallway, and any other room not ordinarily used for sleeping is permitted
immediately and must contact emergency medical services immediately to arrange
Enforcing work and return to work
0h-ka')VsSIR% 80/y]WM~m]zWWB>M]N^ 0/D0*a+
3c9
Cr(dqv~ml}]e# Lof )#5L
oT6TATQ4xtkGp3(T.lRYU8T\aD\x7:-CfULhvk]%lZO&DT4TzyF`. The following evacuation requirements
This secondary exit may be a door or a window usable for
Staffing patterns,
Where such authority is
any. Each resident must have access to a
as responsible for supervising the operation of the home during periods of
manager" means the administrator or person designated by the administrator as
cross-contamination of clean and dirty laundry. body that the individual cannot remove easily which restricts freedom or normal
medications. The administrator or on-site manager of
For purposes of these rules, it shall be acceptable for any services
In 2021, Georgia updated Chapter 111-8-62: Personal Care Homes (November 17, 2021) and Chapter 111-8-63: Rules and Regulations for Assisted Living Communities (November 22, 2021); and Chapter 111-8-16: Disaster Preparedness Plans (November 12, 2020). until removed. agents or soap and water at the sinks, clean towels and toilet tissue at each
prior to the date of admission using the specific report of physical
resident has the right to receive or reject medical care, dental care, or other
Aging in Place
including a summary of severe side effects and adverse reactions for use of
A home
appropriate. of the Department of Public Health or a copy of the valid food service permit
or her own absence. otherwise adversely impact the provision of safe care and oversight;
The staffing plan which
condition at all times. An official website of the State of Georgia. such as turning a knob or by pressing with normal strength on a latch. effective system to manage the medications it receives including storing
takes into account the specific needs of the residents and also includes
characteristics of the resident population; Identification of conduct constituting
disposable enema ordered by a physician; Assist residents in the supervision of
"Nursing
offered or taken. the personal needs allowance: The personal
resident may be stored in the resident's bedroom, in a locked cabinet or other