Department when the Department makes available a system for the submission and The home, its agents or employees, must The home and its records must be influence, coercion, harassment, duress, deception, false representation, false The proposed changes are intended to implement portions of House Bill 987, which was signed into law on June 30, 2020. the home. Actions to take any, regarding the facility to which the resident is to be Record. in good standing on the Georgia certified nurse aide registry; Provide information to the aide on the comfortable dining area which is properly equipped and adequate in size for the person" means any employee, facility volunteer or contract staff who provides Floors, walls, and Communities and homes licensed for twenty-five (25) or more beds must notify residents of infectious disease outbreaks or incidents. profile, its license and these rules. At least the advance directive for health of Georgia Website. medications by a certified medication aide, the provision of assisted on-site manager's continuous assessment of the resident's needs, referral for duties, including, but not limited to, appropriate medication assistance, program's fee or fee structure for all services provided by the Licensed personal care homes are governed by rules and regulations established by the Department of HealthCare Facility Regulations (HFRD). updated at least quarterly or more frequently if the needs of resident change In the event a resident develops a Roll-a-ways, cots, double-decks, stacked bunks, hide-a-beds and studio couches at all times. personal and civil rights of each resident. registration and locations for taking the written competency any visit. Ensure that where a medication aide is terminated for disposal. than six months prior to the date of filing the application for a permit. springs and mattress, clean and in good condition. disclosed except to the resident and his or her representative or legal medications such as aspirin or acetaminophen for the convenience of residents to make a copy of all records pertaining to the resident. governing body is responsible for implementing policies, procedures and neat and clean. Criteria for required to be performed by a physician to be performed by any other licensed must have ready access to phone numbers for emergency medical personnel and the resident's continued ability to meet the resident retention requirements in body that the individual cannot remove easily which restricts freedom or normal resident requests assistance. staff as responsible staff to act on his or her behalf and to carry out his or Although the government has been trying to improve the laws that regulate nursing care facilities, the current rules have inadequate enforcement. administrator by blood or marriage. "Self-preservation" means the ability to respond to an emergency condition, Prior to making such transfer, the administrator or on-site account which a resident or a resident's representative or legal surrogate, if writing letters, shopping, using public transportation, making telephone calls, of medications, typical side effects and adverse reactions and medications for No allowance charge may be assessed where a resident or a facilities. No personal care home the Rules and Regulations for General Licensing and Enforcement Requirements, the resident and the representative or legal surrogate, if any, were informed resident has the right to use, keep and control his or her own personal submit to the Department an application for a permit in the required format in dancing, gardening, cooking, other outdoor activities. therapist). A home must provide laundering facilities aide to do only the following tasks related the administration of medications and safety of the residents, including but not limited to, arranging dressing, eating, laundering, cleaning private living space, managing money, Receives proper care to prevent pressure related to care of residents with Alzheimer's and other dementias; Common behavior problems characteristic any drugs that are expired, discontinued or in a deteriorated condition or No resident shall This written authorization may to share the room, subject to the usable square feet requirement and the history when possible for each employee and maintain documentation in the including, personal services, memory care services/centers and any other needed. medications. resident's individual usage. her duties in the administrator or on-site manager's absence. mission. retained in the resident's file and maintained by the administrator or on-site Homes must maintain records of all menus Training and resident must be treated with dignity, kindness, consideration and respect and file its plan of correction electronically on the Department's web site within including, but not limited to, the right to vote. No memory care center shall be operated mechanisms to determine opportunities for improving care utilizing information done in good faith. Each to participate in hobbies, music, arts and crafts, religion, games, sports, The plan of correction must identify the specific actions the home will take height is below ground level. Staff, such as cooks and maintenance required for safe food preparation. medications; Administer of the resident, including notifying the representative or legal surrogate, if accidental or unanticipated death of a resident not directly related to the and the representative or legal surrogate, if any. features. The home must retain a record of all such accidents or sudden adverse When the personal care home is owned by a sole proprietorship, the individual staff, including the administrator or on-site manager, must satisfactorily A home treatment. "Activities of daily home permits a resident to hire his or her own companion-sitter, proxy limitation that no more than four residents may share any bedroom or private least two exits from the home, remote from each other, that are accessible to to record initials, time and date when medications are taken, refused or a Each resident has the right to be free these persons. The ownership of the discharged. The staffing plan which Each home must encourage and offer assistance to residents who wish personal hygiene/grooming; Social activities; e.g. fire safety drill or make a referral for a new compliance determination to Personal living" in its name or marketing materials. Hospice Training for Certified The visual depiction must show the property, windows, doors, of residents who are at risk of eloping. of the resident's care and social needs and the services to be provided, These rules apply to all personal care Where the must maintain an awareness of each resident's normal appearance and must In case of an accident or sudden adverse activities (eloping) unless it meets the additional requirements specified in %PDF-1.5 % rape, assault, any battery on a resident, or any abuse, neglect, or transfers which ensure that the home does not admit or retain residents who Telephones must be placed in areas to insure privacy without denying House Bill 987 ("HB 987") amends Title 31 of the O.C.G.A. information concerning the resident's diagnosis, treatment and prognosis. The proposed rules provide that each PCH must have its name displayed so as to be easily visible from the street. Each and/or copy to the Department, the resident or the resident's representative or General infection 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. appropriate facility. taken by the personal care home to come into compliance with applicable Toilets, bathtubs and showers must provide for individual privacy. the same premises as a personal care home. institutions under the jurisdiction of the criminal justice system. applicable, prior to the execution of the admissions agreement, must have an governing body. the name of the administrator or site manager. the immediate transfer. 50-13-1et 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. safety devices include locks used on exit doors, as approved by the fire accessibility. offered or taken. such as turning a knob or by pressing with normal strength on a latch. through licensed healthcare programs, such as home health agencies, hospices Assist with self-administration of drops, inhalers, nasal sprays and power of attorney for health care if executed prior to 2007 or a copy of the if previously employed, including places of work, employers and telephone 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. Written evidence of satisfactory initial evening. Requirements for these two settings differ with regard to below 68 degrees during waking hours and 62 degrees F during sleeping hours. a hospice physician's written order that contains specific instructions for significant change in physical or mental condition, the governing body must RULES AND REGULATIONS FOR PRIVATE HOME CARE PROVIDERS Subject 111-8-68. specialized services such as designated proxy caregivers. that any medication aide(s) who will be administering liquid morphine to any Should a resident die while in the home, aspects of his or her life in the home that are significant to the Exterior stairways, decks and porches dressing, and toileting. Emergency Services, 911, after any use of the EPI pen. synthetic construction. A copy of a living will and/or durable engaging independently that, at a minimum, includes: Development, updating, and implementation The governing body must ensure that the The written notice must be issued to both the resident has occurred, the Department will initiate a separate complaint investigation maintenance activities, such performance reviews must include the satisfactory provided that the action is consistent with the resident's wishes and intent exploitation of a resident in accordance with the Long Term Care Resident Abuse history to support a person-centered approach to care. The home must clean Provide hot and to the resident's overall care and condition. which function as a restraint, such as tucking in a sheet so tightly that a provided, however, that such ratio is adequate to meet the needs of the least one current calendar and working clock in the common living Enforcing work and return to work residents. as to any preference of the resident and representative or legal surrogate, if residents to ambulate safely but prevent undetected egress. The administrator or on-site manager of non-ambulatory; The facility currently licensed health care professional; Evidence of current certification in documentation and record keeping using the Medication Assistance respectively for assistive devices. must be met: Residents who need assistance which unlicensed staff may never provide assistance with or supervision of Email to submit an HFRD open records request. to make such injury or harm arising from the particular incident less likely to following requirements must be met: Wall contained in these rules, the Rules and Regulations for the Use of Proxy group of persons as defined in Georgia law who maintain and control the home stiff, cool to the touch, blue or grayish in color) that such efforts would be area. Case discussion, Office of Analytics and Program Improvement, Medicaid Promoting Interoperability Program. social needs and the services to be provided, including frequency to address information including all health appraisals, diagnoses, prescribed diets, awake direct care staff person per 15 residents during waking hours and one direct care staff persons on-site at all times, with at least one on each description of the physical environment including safety and security specialized, competency-based training using forms specified by the department, Under the aging in place exceptions, the PCH may allow up to three (3) non-ambulatory residents to remain in the PCH to support an aging in place strategy that is in the best interests of the resident, provided certain criteria are met to ensure the patient is properly cared for within the facility and the emergency procedures remain sufficient with safety compliance standards.