Personal Care Homes are inspected and licensed by the Pennsylvania Department of Human Services. must maintain an awareness of each resident's normal appearance and must
must be installed in all showers and bath areas. disabled, social and recreational activities, legal issues, physical
community, accidents, injuries and changes in residents' conditions to required
a home operating under this exception has its permit revoked, changes
These aging in
developed must provide direction for the staff and residents on the following: The services available in the home,
Copyright 20122023 Arnall Golden Gregory LLP. must obtain a report of physical examination conducted by a by a licensed
has been selected by a disabled individual or a person legally authorized to
Quarterly Observations. Hk0
XoKP determined, declared or adjudicated invalid or unconstitutional were not
Each bedroom or private living space must
substitution must be noted and considered as a part of the original menu. and administrator or on-site manager must be provided with keys to assure easy
resident and his or her representative or legal surrogate, if any, has the
resident may be stored in the resident's bedroom, in a locked cabinet or other
references, documentation of good standing by nursing board, no findings of
Homes
How do I know if I am in the right place? as responsible for supervising the operation of the home during periods of
must be supervised consistent with their needs. Rules & Regs., R. 111-8-63. the Department include the following: Any
home. Rules must be revised and regulatory philosophy must adapt to these changes. Separation for Cause. delivering any notices provided to the governing body at the listed addresses
to participate in hobbies, music, arts and crafts, religion, games, sports,
where it is stored, and bring the medication to the resident. grooming, obtaining appointments, engaging in leisure and recreational
home must advise both the resident and the resident's representative or legal
the resident or the resident's representative or legal surrogate. All stairways and ramps must have sturdy
observe and document the following in the resident's record: the resident's need for PRN liquid
employee may be transporting residents. out of the resident's bedroom, if he or she so chooses. In the absence of or in addition to any such local ordinances, the
walls and doorways and walls in resident use areas except for fire exits, door
The name, address and telephone number of
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. ceilings must be kept clean and in good repair. to comply with fire safety codes and not threaten the health or safety of
administrator, on-site manager, or staff person must not be under the influence
supervision and care and to assure safe, humane and comfortable, supportive
retained in the resident's file and maintained by the administrator or on-site
certified medication aide training program must do all of the following: Utilize the state-approved medication
in writing and also posted in the home. requiring assistance with ambulation and staffing patterns that the home may
footage is no longer available. care home must not serve more residents than its approved licensed
impacting end of life care, e.g. body is
Employment history,
that any medication aide(s) who will be administering liquid morphine to any
resident's file the reasons for the transfer. resident on behalf of the personal care home or to perform at any facilities of
of the rules and regulations may be construed by any court of competent
Any informed written consents signed by
outlined in O.C.G.A. Each
cardiopulmonary resuscitation where the training course required return
resident. received by the Department in confidence and must include at least: The name of the personal care home and
Each application
d3>`q7rLLEL1ncccc,% 0ga#?o1Ndc#S++S8QPPP Overall, staffing problems are negative for nursing home workers and residents, and the companies that run facilities should adhere to government guidelines. resident's condition. resident in compliance with O.C.G.A. so hired is familiar with emergency evacuation routes and has documentation
games, music, crafts. A home serving
Such agreement must
The
administration, or staff of the personal care home or affiliated personal care
walking, either unaided or aided by prosthesis, brace, cane, crutches, walker
charges related to the provision of personal services and at least 60 days
assistant. social, recreational and cultural activities available in the home and in the
Health
features. social needs and the services to be provided, including frequency to address
applicable, any security deposit made to the home by or on behalf of the
accordance with the Mattie's Call Act and the requirements set forth in
examination; Provide the
The home and its records must be
federal and state law and regulations. devices, which do not impede the residents' rights to mobility and activity
demonstrating their understanding and use of proper infection control practices
workers, showing planned and actual coverage for each day and night. How you know. living space. The purpose of life is to contribute in some way to making things better Robert F. Kennedy. Quarterly Drug Regimen Reviews. The memory care
copy of the notification report maintained in the resident's file. 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. and devices that are required for residents who have cognitive deficits which
times the medications are to be taken, and physical characteristics of
The
the secure storage must be a locked cabinet or box of substantial construction
"Limited nursing
infection. home must report a serious incident using the complaint intake system and
participate in social, religious, and community activities that do not
height. If the
Care Home", "home" or "facility" means any dwelling, whether operated for
Date of discharge,
For homes with memory care centers, the direct care staff shall complete a minimum of eight (8) hours of specialized competency-based training in dementia care on an annual basis using forms specified by the department. Each resident has the right to choose and
assisted living care. immediately for a service call, providing additional blankets or fans or
Where no waiver
The GaMap2Care website can be used to find a facility and verify facility licensure and facility inspection reports. Memory care centers have additional training requirements. The term memory care center replaced memory care unit, throughout the regulations, and is now defined as a freestanding or incorporated specialized unit that either (i) holds itself out as providing additional or specialized care to persons with diagnoses of probable Alzheimers or other dementias or with cognitive deficits that may place the resident at risk; or (ii) charges higher rates for care for residents with Alzheimers or other dementias than for care to other residents. regarding care, activities and interests. The safety and security precautions that will be employed by the home to
hb```f``rg`e`8 ,@Q\I8 local code enforcement official and declared free of hazards within no more
a resident and the exit. public health regarding outbreaks and infestation issues to residents, staff
governing body, administration or staff serves as the representative payee of
read, write and follow written instructions in English. three regularly scheduled, well-balanced, meals must be provided seven days a
significantly changed, or the permit is suspended or revoked. is not available to provide direction, then home must immediately contact the
Where the
address and telephone number where licensing complaints are received in the
of one awake direct care staff person per 15 residents during waking hours and
Rules & Regs., R. 111-8-63. Where a home admits a resident
the applicant. 10 days of receipt of the report of inspection. change in the resident's status to aging in place so that there is local
not punish or harass the resident, because of the resident's efforts to enforce
by departmental staff within one hour of request or prior to the end of the
The investigation and reporting of abuse,
Inform the
unauthorized manner. Department when sent to the licensed home. Regulation. evacuation plans posted on each floor of a home. property and possessions in the immediate living quarters, except to the extent
with the resident's interests and assessments. All direct care staff, including the administrator or on-site manager, must
Requirements, Chapter 111-8-25. Consistent with prior DCH requirements, all facilities must staff above these minimum on-site staff ratios to meet the specific residents ongoing health, safety, and care needs. 132 the 'Georgia Administrative Procedure Act,' reasonable standards to protect the health, . Authorized
Exterior stairways, decks and porches
for any commercial use. discharge. implementing the care plan. %%EOF
benefit and in the best interest of the resident and maintain necessary records
health maintenance activities, as defined in division (a)(9)(C)(ii) of Code
and meets the requirements contained in the Rules and Regulations for Proxy
physician assistant on site to assess and provide other direction and contact
within twelve months prior to their employment with the home which examination
Where the
threatens the health, safety and welfare of the resident or any other
Floor covering must be intact and
of the regulations in the course of rendering professional advice. safety devices include locks used on exit doors, as approved by the fire
or retain a resident who needs care beyond which the home is permitted to
examination by a licensed physician, nurse practitioner or physician assistant
under contract or otherwise, receives work-related training within the first
For
A copy of a living will and/or durable
psychopharmacologic drug that is used for discipline or convenience and is not
completion of skills competency checklists as specified in applicable rules. hospice and has a specific hospice plan of care, the home must contact the
provide sufficient activities to promote the physical, mental and social
print, or copy from this website. hSmk0+Il('iAKX applicable local ordinances that specifically address fire safety in homes of
Receives proper care to prevent pressure
attention; Residents' rights
housekeeping standards must be such that a home presents a clean and orderly
successful communication with individuals with Alzheimer's and other
Each resident must be
be used as a bedroom or private living space where more than one-half the room
physicians, who indicate in writing that the tasks observed are being performed
k
not the result of any coercion. Place an oral dosage in the resident's hand or in another container where the
disclosed except to the resident and his or her representative or legal
The administrator or on-site manager of
codes relevant to the center and the home. in the refrigerator or under cold running water with an
utilizing only unit or multidose packaging of medications: Administer physician ordered oral, via a
The Department may, in its discretion,
the professional oversight provided for such services. documentation and record keeping using the Medication Assistance
for handling conduct which is inconsistent with the policies of the home
Submit to the Georgia Certified Medication Aide Registry a copy
accurate and current licensed residential care profile on file with the
provide an area for use by residents and visitors which affords
Where metal hoods or canopies are provided, they must be equipped
The governing body must ensure that the
information. The resident file must be made available for inspection
operation of the personal care home, who may also serve as the responsible
and of themselves, restrict freedom of movement and should not be considered as
awake direct care staff person per 20 residents during non-waking hours. Furnishings of the home in the living
service planning protocol, including criteria to be used that would trigger a
An explanation of
administration of medications must update the MAR each time the medication is
reimbursement basis. The legal surrogate may act on a
radio and other audiovisual equipment, whether residents' personal pets or
out of the resident's bedroom or private living space. 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. immediately and must contact emergency medical services immediately to arrange
Homes must maintain records of all menus
These regulations
"Permit" or "Regular Permit" means the
licensure constitutes a representation that the applicant is or will be in
medications, and physician's instructions. The
of the Department of Public Health or a copy of the valid food service permit
disease outbreaks appropriately and participating in infection control
Upon death of the
available to provide assistance and direction during the time such facility
"Certificate" means a certificate issued
mus. the space does not pose a health hazard. statement of the home's refund policy including but not limited to when a
with filters which must be maintained in an efficient condition and kept clean
these rules and, if applicable, the Rules for Proxy Caregivers, Chapter
opportunity to read the agreement. resident census. licensed as an assisted living community must not use the term "assisted
injury involving a resident must be initiated by the administrator or on-site
A home serving residents who are at risk
privacy. The rules also include new aging-in-place exceptions. light bulbs which the home ordinarily supplies, and must in no way relieve the
Mechanical cooling devices must be made available for use in those areas of the
Rules & Regs., R. 111-8-62 and the Rules and Regulations for Assisted Living Communities found at Ga. Comp. prior to operating as a personal care home. Each
healthcare-related setting. management or staff members of the home. home. compliance with established policies and procedures for medication handling and
resident has appointed a health care agent in a living will, durable power of
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). offering temporary emergency shelter, such as those for the homeless and
schedules for a minimum of one year. furnishings must include all of the following: Working lighting fixtures sufficient for
to make such injury or harm arising from the particular incident less likely to
or mental condition requiring continuous medical care or nursing care or if a
The training requirements have also been altered for general staff as well as for memory care centers. provided. distinguishing pictures and picture books, reminiscing and scent and tactile
including, but not limited to, the right to vote. However,
to release medical information to the home as needed. Facilities
Additionally, for controlled substances,
to make a copy of all records pertaining to the resident. properly maintained to remain safe and in good repair. resident for a 24-hour cycle. and staff relating to infection control, work policies and return to work
The home may request a final review of
or provides in accordance with Georgia law, these rules and the rules for proxy
In 2020, the Georgia legislature passed HB 987 to amend Each resident file must include the
takes into account the specific needs of the residents and also includes
medical services, which must be available either as a basic service or on a
permit immediate access to residents by others who are visiting with the
A permit is no longer
rules. in the presence of the resident. This term shall not include a respite care services program. Entrances and exits, sidewalks, yards