reglab/statecodes huggingface dataset:
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.32 - Outpatient Services

Current through Rules and Regulations filed through June 27, 2024
Outpatient services offered by the hospital, including but
				  not limited to ambulatory care services and off-campus clinics, shall be
				  integrated with other hospital services and systems and shall be provided in
				  accordance with applicable rules in this Chapter for the specific
				  service.
(a)
Organization of
				Outpatient Services.
1. The hospital
				shall develop and implement policies and procedures to ensure that outpatient
				care provided meets the needs of patients in accordance with generally accepted
				standards of practice.
2. Each
				outpatient service shall be staffed with sufficient qualified personnel to
				promptly, safely, and effectively meet the care needs of patients. Staff
				providing care to outpatients shall meet the same qualification requirements as
				staff providing similar services to inpatients of the hospital.
3. The hospital shall assign responsibility
				for the periodic assessment of the quality and effectiveness of the outpatient
				services provided, and this assessment shall be a part of the hospital's
				quality management program.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.33 - Rehabilitation Services

Current through Rules and Regulations filed through June 27, 2024
The hospital shall define the scope of rehabilitation
				  services provided to patients. The hospital may offer limited or comprehensive
				  rehabilitation services including such services as physical therapy,
				  occupational therapy, audiology, speech-language pathology, or other
				  services.
(a)
Organization of
				Limited Rehabilitation Services.
Where a hospital chooses to offer
				limited rehabilitation services, which are typically single or stand-alone
				therapy discipline(s), the rehabilitation service(s) shall be coordinated by an
				appropriately qualified individual assigned responsibility for the clinical
				aspects of organization and delivery of the rehabilitation service(s) provided
				by the hospital. The coordinator shall be responsible for monitoring the
				quality and appropriateness of rehabilitation services and for ensuring that
				identified problems are addressed through the quality management
				program.
(b)
Organization of
				Comprehensive Rehabilitation Services.
Where a hospital chooses to offer
				a comprehensive rehabilitation service program which provides integrated and
				coordinated multidisciplinary therapy services as an organized inpatient
				service, the director must be a qualified member of the medical staff with
				appropriate training and experience.
(c) Professional and paraprofessional staff
				providing patient care shall meet licensing or registration requirements
				consistent with state law.
(d)
				Rehabilitation services shall be provided in accordance with orders from the
				licensed practitioner responsible for the patient's care. Orders for services
				shall be entered in the patient's medical record with the date of the order and
				shall be signed by the person giving the order. If rehabilitation services are
				provided by the hospital on an outpatient basis, the hospital shall specify how
				orders from outside sources will be managed.
(e) Following assessment, treatment services
				shall be provided according to a written treatment plan, which specifies the
				goals of treatment and the frequency and expected duration of
				services.
(f) There shall be a
				functional system for recording in the patient's medical record the patient's
				response to treatment and for communicating information regarding the patient's
				response or progress to the ordering licensed practitioner.
O.C.G.A. §
										31-7-2.1.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.35 - Pediatric Services

Current through Rules and Regulations filed through June 27, 2024
Any hospital providing care to infants and children shall
				  have facilities, equipment, and policies and procedures specific to the
				  provision of services for pediatric patients.
(a) Hospital policies shall define the ages
				of patients considered to be appropriate for pediatric services and the scope
				of services to be provided to them.
(b) Staff providing services to pediatric
				patients shall have experience and training in serving the pediatric population
				and shall have documented in-service training at least annually on age-specific
				care issues for the pediatric population served by the hospital.
(c) Protocols for screening and assessment of
				pediatric patients shall be approved by the medical staff and shall be
				individualized for the age and presenting signs and symptoms of the patient. In
				addition to the screening and assessment information required for all patients,
				the general screening and assessment protocol for pediatric patients shall
				include at a minimum:
1. Chronological age,
				weight, and length or height;
2.
				For infants and young children, a measurement of head circumference;
3. Immunization history;
4. A statement as to the developmental age
				and growth of the child as related to established norms; and
5. Family relationships, including expected
				family involvement during treatment.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.36 - Dialysis Services

Current through Rules and Regulations filed through June 27, 2024
(1) If the hospital provides acute inpatient
				dialysis services or outpatient services either directly or through contract
				arrangements, the scope and organization of those services shall be
				defined.
(2)
Organization and
				Administration of Renal Dialysis Services.
The hospital shall have an
				organizational plan for dialysis services which clearly defines lines of
				authority, responsibility, and accountability and which includes provision for
				adequate staffing to provide dialysis care according to generally accepted
				standards of practice.
(a)
Medical
				Director.
The medical director for dialysis services shall be a
				physician member of the medical staff qualified to provide oversight to the
				specialized care required for dialysis patients and the medical director shall
				have at least one-year's experience in care for patients with end stage renal
				disease.
(b)
Nursing
				Services.
A registered nurse with demonstrated clinical competencies in
				providing dialysis services for patients shall be available during all dialysis
				treatments. Nursing staff and dialysis care technicians providing dialysis
				services shall have evidence of education, training, and demonstrated
				competencies in the provision of appropriate dialysis services and emergency
				care of patients receiving dialysis.
(c)
Policies and Procedures for
				Dialysis Services.
Where the hospital provides dialysis services
				directly to its patients, the hospital shall develop and implement policies and
				procedures that address the special needs of dialysis patients and shall
				include at least the following:
1.
				Maintenance of dialysis equipment;
2. Water treatment system safety;
3. Infection control;
4. Reuse of dialyzers and dialysis supplies,
				if applicable, and
5. Care of
				dialysis patients experiencing common complications of dialysis
				treatments.
(d)
Contracted Services.
Where the hospital provides dialysis services
				through a contract arrangement, the hospital must contract with a
				Georgia-licensed End Stage Renal Disease Facility. The contract must outline
				what specific services shall be provided and include who will be responsible
				for the maintenance of the dialysis equipment, the water treatment safety
				system, infection control, reuse of dialyzers and supplies, if applicable, the
				clinical qualification of staff to be provided, and the clinical supervision
				that will be provided to dialysis patients during the administration of
				dialysis treatments.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.37 - Psychiatric and Substance Abuse Services

Current through Rules and Regulations filed through June 27, 2024
(1) If the hospital provides psychiatric
				and/or substance abuse treatment services as an organized service, the scope of
				those services, including whether the services are provided for inpatients,
				outpatients, or both, shall be defined in the hospital's application for permit
				and meet the requirements set forth in this section and generally accepted
				standards of care.
(2)
Organization and Administration of Psychiatric and Substance Abuse
				Services.
The hospital shall have a plan for the service which clearly
				defines lines of authority, responsibility, and accountability and which
				includes provision for adequate staffing to provide patient care according to
				generally accepted standards of practice.
(a)
Director of Psychiatric and Substance Abuse Services.
The director
				of psychiatric and substance abuse services shall be a licensed physician
				member of the medical staff appropriately trained and qualified to supervise
				the provision of these services.
1. If the
				hospital offers substance abuse services only, the director shall be a licensed
				physician member of the medical staff certified or eligible for certification
				in addiction medicine by the American Society of Addiction Medicine or the
				American Osteopathic Academy of Addiction Medicine or a licensed physician
				member of the medical staff appropriately trained and qualified to supervise
				the service. If the director of the substance abuse services meets this
				certification requirement but is not board certified in psychiatry, the
				hospital must have a board eligible or board certified psychiatrist on staff to
				be utilized for psychiatric consultation as needed.
2. The director of the psychiatric and/or
				substance abuse services shall be responsible for all clinical aspects of the
				organization and delivery of services and for the evaluation of the
				effectiveness of the services in coordination with the hospital's quality
				management program.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.38 - Special Requirements for Critical Access Hospitals

Current through Rules and Regulations filed through June 27, 2024
Critical access hospitals (CAHs) shall be required to comply
				  with the entirety of this chapter, as applicable to the scope of services
				  offered, with the following exceptions and/or additions:
(a) Prior to application for a hospital
				permit, the hospital shall be approved for critical access hospital status by
				the Georgia Department of Community Health.
(b) The CAH shall be a member of a rural
				health network having at least one (1) additional hospital that furnishes acute
				care hospital services, which will serve as an affiliate hospital for the CAH.
				The CAH shall have current written agreement(s) with affiliate hospital(s)
				which include provisions for:
1. Patient
				referral and transfer between the facilities, with the use of emergency and
				non-emergency transportation;
2.
				Credentialing of medical and professional staff; and
3. Participation in quality management
				activities.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.39 - Special Requirements for Rural Free Standing Emergency Departments

Current through Rules and Regulations filed through June 27, 2024
Rural Free Standing Emergency Departments shall be required
				  to comply with the entirety of this chapter, as applicable to the scope of
				  services offered by the Rural Free Standing Emergency Department, with the
				  following exceptions and/or additions:
(a) The Rural Free Standing Emergency
				Department shall make all reasonable efforts to secure written agreement(s)
				with hospital(s) within 35 miles which include provisions for patient referral
				and transfer between the facilities, with the use of emergency and
				non-emergency transportation.
(b)
				The Rural Free Standing Emergency Department's organization, scope, and
				availability of patient care services shall be defined and approved by the
				governing body.
(c) The Rural Free
				Standing Emergency Department shall have operational policies developed with
				participation from one (1) or more licensed physicians. The operational
				policies must describe the patient care services the Rural Free Standing
				Emergency Department will provide directly and those that will be provided
				through contract or other arrangement.
(d) A Rural Freestanding Emergency Department
				that is not otherwise subject to the federal Emergency Medical Treatment &
				Labor Act, 42 U.S.C.
				1395 dd shall provide to each patient,
				without regard to the individual's ability to pay, an appropriate medical
				screening examination to determine whether an emergency medical condition
				exists, and if so, shall provide stabilizing treatment within its capability.
				If the Rural Freestanding Emergency Department is unable to stabilize the
				patient within its capability, or if the patient requests, it shall implement a
				transfer of the patient to another facility that has the capability of
				stabilizing the patient.
O.C.G.A. §
										31-7-2.1.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.40 - Physical Plant Design and Construction

Current through Rules and Regulations filed through June 27, 2024
(1)
General.
The hospital shall
				be designed and constructed in accordance with the needs of the patients being
				served.
(a) The design and construction
				specifications for the hospital shall conform to those nationally accepted
				standards for hospital design and construction as set forth in the
Guidelines for Design and Construction of Hospital and Healthcare
				Facilities
, published by the American Institute of Architects' Press,
				which has been accepted for use by the Department and which are current, as
				determined by the Department to be applicable, at either:
1. The time of construction of the hospital
				when the initial permit was obtained; or
2. The time of request for approval for
				renovation(s) or addition(s) to areas of the hospital which impact patient
				care.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.41 - Requests for Waiver or Variance

Current through Rules and Regulations filed through June 27, 2024
A hospital may request a waiver or variance of a specific
				  rule by application on forms provided by the Department. A waiver or variance
				  may be granted in accordance with the following considerations:
(a) The Department may grant or deny the
				request for waiver or variance at its discretion. If the waiver or variance is
				granted, the Department may establish conditions which must be met by the
				hospital in order to operate under the waiver or variance. Waivers or variances
				may be granted with consideration of the following:
1.
Variance.
A variance may be
				granted by the Department upon a showing by the applicant that the particular
				rule or regulation that is the subject of the variance request should not be
				applied as written because strict application would cause undue hardship. The
				applicant must also show that adequate standards exist for affording protection
				for the health, safety, and care of patients, and these existing standards
				would be met in lieu of the exact requirements of the rule or
				regulation.
2.
Waiver.
The Department may dispense altogether with the enforcement of a rule
				or regulation by granting a waiver upon a showing by the applicant that the
				purpose of the rule or regulation is met through equivalent standards affording
				equivalent protection for the health, safety, and care of the
				patients.
3.
Experimental
				Waiver or Variance.
The Department may grant a waiver or variance to allow
				  experimentation and demonstration of new and innovative approaches to delivery
				  of services upon a showing by the applicant that the intended protections
				  afforded by the rule or regulation in question are met and the innovative
				  approach has the potential to improve service delivery;
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.42 - Enforcement of Rules and Regulations

Current through Rules and Regulations filed through June 27, 2024
A hospital that fails to comply with these rules and
				  regulations shall be subject to sanctions and/or permit revocation as provided
				  by law. The enforcement and administration of these rules and regulations shall
				  be as prescribed in the Rules and Regulations for General Licensing and
				  Enforcement Requirements, Chapter 111-8-25, pursuant to O.C.G.A. §
									31-2-8.
O.C.G.A. §
										31-2-8.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-40 - RULES AND REGULATIONS FOR HOSPITALS › Rule 111-8-40-.43 - Severability of These Rules

Current through Rules and Regulations filed through June 27, 2024
In the event that any rule, sentence, clause or phrase of any
				  of these rules and regulations may be construed by any court of competent
				  jurisdiction to be invalid, illegal, unconstitutional, or otherwise
				  unenforceable, such determination or adjudication shall in no manner affect the
				  remaining rules or portions thereof. The remaining rules or portions of rules
				  shall remain in full force and effect, as if such rule or portions thereof so
				  determined, declared or adjudged invalid or unconstitutional were not
				  originally a part of these rules.
O.C.G.A. §§
										31-2-1
et seq.
and
				  31-7-1
et seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-41 - RULES AND REGULATIONS FOR HOSPITAL TRANSPARENCY › Rule 111-8-41-.01 - Legal Authority

Current through Rules and Regulations filed through June 27, 2024
These rules are adopted and published pursuant to the
				  Official Code of Georgia Annotated (O.C.G.A.) §
									31-7-22 et seq. (effective Oct. 1,
				  2019).
O.C.G.A. §
											31-7-22.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-41 - RULES AND REGULATIONS FOR HOSPITAL TRANSPARENCY › Rule 111-8-41-.02 - Applicability

Current through Rules and Regulations filed through June 27, 2024
These rules shall apply to all Hospitals, any Affiliate, and
				  any Subsidiary as defined in these Rules. This information is provided with the
				  intent to give healthcare consumers the tools to make an informed decision in
				  selecting a hospital.
O.C.G.A. §
											31-7-22.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-41 - RULES AND REGULATIONS FOR HOSPITAL TRANSPARENCY › Rule 111-8-41-.03 - Definitions

Current through Rules and Regulations filed through June 27, 2024
As used in these Rules, the term
(1) "Administrative Position" shall mean a
				non-clinical hospital employee or contractor, which shall include, but is not
				limited to, a management company or similar entity, with a gross annual salary
				or payment of $100,000 or more.
(2)
				"Affiliate" shall mean any hospital that is united; being in close connection,
				allied, associated, or attached as a member or branch to another
				hospital.
(3) "Captive Insurance
				Company" shall include any agency captive insurance company, association
				captive insurance company, captive insurance company, dormant captive insurance
				company, industrial insured captive insurance company, or pure captive
				insurance company as defined in O.C.G.A. §
									33-41-2.
(4) "Hospital" shall mean a nonprofit
				hospital, a hospital owned or operated by a hospital authority, or a nonprofit
				corporation formed, created, or operated by or on behalf of a hospital
				authority.
(5) "Joint Venture"
				shall mean an enterprise shared between two or more entities. A joint venture
				is a business entity created by two or more business entities, which enter into
				an agreement to share funding, profits or losses, and control over the new
				entity.
(6) "Link" shall mean
				publicly-accessible single-click access from a prominent place on the webpage
				of either the Hospital or the department to the web location where the subject
				documents are posted.
(7) "Parent
				Corporation" shall mean a business entity that forms another business entity
				and retains ownership in the new entity. A parent corporation is a corporation
				that creates or acquires another business entity, retaining ownership or
				control in the new entity, which is the Subsidiary corporation.
(8) "Real Estate" shall mean the physical
				parcel of land, improvements to the land, improvements attached to the land,
				real fixtures, and appurtenances such as easements.
(9) "Real Property Holdings" shall mean the
				bundle of rights, interests, and benefits connected with the ownership of real
				estate. Real property does not include the intangible benefits associated with
				the ownership of real estate, such as the goodwill of a going business
				concern.
(10) "State Funds" shall
				mean state dollars, but shall not include funding necessary for the continued
				state participation in the federal Medicaid program.
(11) "Subsidiary" shall mean a company or
				companies organized by a parent corporation.
(12) "Subsidiary Holding Company" shall mean
				a company or companies organized by a parent corporation or a Subsidiary
				corporation to the parent corporation.
O.C.G.A. §
											31-7-22.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-41 - RULES AND REGULATIONS FOR HOSPITAL TRANSPARENCY › Rule 111-8-41-.04 - Required Documentation

Current through Rules and Regulations filed through June 27, 2024
Beginning October 1, 2019, each Hospital in this state shall
				  make public the most recent version of the following subject documents:
(1) Federal related disclosures:
(A) Copies of audited financial statements
				that are general purpose financial statements, which express the unqualified
				opinion of an independent certified public accounting firm for the most
				recently completed fiscal year for the Hospital; each of its Affiliates, except
				those Affiliates that were inactive or that had an immaterial amount of total
				assets; and the Hospital's parent corporation that include the following:
(i) A PDF version of all audited financial
				statements;
(ii) A note in the
				Hospital's audited financial statements that identifies individual amounts for
				such Hospital's gross patient revenue, allowances, charity care, and net
				patient revenue;
(iii) Audited
				consolidated financial statements for Hospitals with subsidiaries and
				consolidating financial statements that at a minimum contain a balance sheet
				and statement of operations and that provide a breakout of the Hospital's and
				each Subsidiary's numbers with a report from independent accountants on other
				financial information; and
(iv)
				Audited consolidated financial statements for the Hospital's parent corporation
				and consolidating financial statements that at a minimum contain a balance
				sheet and statement of operations and that provide a breakout of the Hospital's
				and each Affiliate's numbers with a report from independent accountants on
				other financial information; and
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-41 - RULES AND REGULATIONS FOR HOSPITAL TRANSPARENCY › Rule 111-8-41-.05 - Posting Requirements

Current through Rules and Regulations filed through June 27, 2024
(1) Each Hospital shall post a Link entitled
				"Hospital Transparency Information" in a prominent location on the main page of
				its website to the documents listed in Rule
				111-8-41-.04 on July 1 of each year
				or more frequently at its discretion. Documents from prior years shall remain
				posted and accessible on the Hospital's website indefinitely.
(2) All documents listed in Rule
				111-8-41-.03 shall be prepared in
				accordance with generally accepted accounting principles, as
				applicable.
(3) Each Hospital shall
				provide the Link to the department annually and in the manner
				requested.
(4) The department shall
				post the Link in a prominent location on its website for each Hospital in this
				state.
O.C.G.A. §
											31-7-22.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-41 - RULES AND REGULATIONS FOR HOSPITAL TRANSPARENCY › Rule 111-8-41-.06 - Enforcement

Current through Rules and Regulations filed through June 27, 2024
(1) Any Hospital
				that fails to post the documents required by these Rules within 30 days of the
				dates required in this Rule section shall be suspended from receiving any State
				Funds or any donations pursuant to O.C.G.A. §
									48-7-29.20; provided, however,
				that the department shall provide a hospital notice of any deficiency and
				opportunity to correct such deficiency prior to any suspension of funds
				pursuant to this subsection.
(2)
				Any hearing under these Rules shall be held in accordance with the Georgia
				Administrative Procedure Act.
(3)
				Any person who knowingly and willfully includes false, fictitious, or
				fraudulent information in any documents required to be posted pursuant to
				O.C.G.A. §
									31-7-22 and these Rules shall be
				subject to a violation of O.C.G.A. §
									16-10-20 and be referred by the
				department to the Office of the Attorney General for investigation.
O.C.G.A. §
											31-7-22.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.02 - Governing Body

Current through Rules and Regulations filed through June 27, 2024
(1) There shall be a governing body which
				assumes full legal responsibility for the overall conduct of the
				facility.
(2) The ownership of the
				facility shall be fully disclosed to the Department. In the case of
				corporations, partnerships and other bodies created by statute, the corporate
				officers and all others owning ten percent or more of the corporate stock or
				ownership shall be made known to the Department.
(3) The governing body shall be responsible
				for compliance with all applicable laws and regulations pertaining to the
				facility.
(4) The governing body
				shall certify to the Commissioner, the name of the person to whom is delegated
				the responsibility for the management of the facility, including the carrying
				out of rules and policies adopted by the governing body. This person shall be
				known as the administrator.
(5) The
				word hospital, sanitorium or sanitarium shall not be used in the official title
				of any home permitted under the provisions of these rules and
				regulations.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.03 - Administration

Current through Rules and Regulations filed through June 27, 2024
(1) Each
				intermediate care home shall be under the supervision of a licensed nursing
				home administrator. An administrator may serve as the administrator of not more
				than one facility, except that two facilities having common ownership or
				management located on the same premises may be served by a single
				administrator. Distinct part facilities sharing a common roof shall be
				considered one facility. In exceptional circumstances, a waiver may be granted
				by the Department for a period of six months.
(2) Each home shall be operated in accordance
				with policies approved by the Department. These policies shall include but not
				be limited to those governing admissions, transfers, discharges, physicians'
				and dental services, social services, intermediate resident care services,
				housekeeping, environmental sanitation, recreational services and health
				records.
(3) Each facility shall
				have a written transfer agreement in effect with one or more hospitals and
				nursing homes. Intermediate care homes that are a Distinct Part of a hospital
				or skilled nursing home will be considered to meet this requirement if
				acceptable provisions for the transfer of residents are included in the home's
				policies.
(4) There shall be a
				separate personnel folder maintained for each employee. This folder shall
				contain all personal information concerning the employee, including the
				application and qualifications for employment, physical examination and job
				title assigned. A current job description shall be available for each
				classification of employee, but may be maintained separately from the personnel
				folder.
(5) The facility and its
				premises shall be used only for those purposes for which the facility is
				operated and permitted.
(6) In
				response to a reasonable request by a resident or visitor, privacy shall be
				afforded for private conversation and/or consultations.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.04 - Personal Care Services

Current through Rules and Regulations filed through June 27, 2024
(1) A registered nurse, licensed
				undergraduate nurse, or a licensed practical nurse, shall be employed full time
				as supervisor of care.
(2) In
				addition to the supervisor of care, there shall be sufficient staff members on
				duty at all times to assure each resident proper care according to his needs.
				This includes staff members awake and on duty all night. Proper care includes,
				but is not limited to: assistance with activities of daily living, clean and
				proper clothing, good grooming, free of body odor, clean hair and scalp, clean
				and trimmed finger and toe nails, daily mouth care and barber services,
				including shaves.
(3) All resident
				care and related services shall be carried out in accordance with written
				resident care policies which are assembled, available and understood by all
				staff and including but not limited to:
(a)
				Clearly established lines of administrative and supervisory
				responsibility;
(b) Clearly defined
				duties which are assigned to staff members and consistent with their training
				and experience.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.05 - Professional Service

Current through Rules and Regulations filed through June 27, 2024
(1) Residents shall be admitted only on
				medical evaluation and referral.
(2) Each resident's health care is under the
				continuing supervision of a physician who sees the resident as needed and in no
				case less often than sixty (60) days, unless justified otherwise and documented
				by the attending physician.
(3)
				There shall be a physician and dentist on call who will provide for the
				resident's medical and/or dental needs when his attending physician or dentist
				is not available.
(4) A home shall
				admit only those residents for whom it can provide the care needed and for
				which it holds a permit.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.06 - Dietary Service

Current through Rules and Regulations filed through June 27, 2024
(1) If an intermediate care home accepts or
				retains residents in need of medically prescribed special diets, the menus for
				such diets shall be planned by a qualified dietitian (American Dietetic
				Association or equivalent qualifications), or shall be reviewed and approved in
				writing by the attending physician.
(2) Meals, adequate as to quantity and
				quality, shall be served in sufficient numbers with a maximum of five (5) hours
				apart with no longer than fourteen (14) hours between the evening meal and
				breakfast. Between meal and bedtime snacks shall be offered to each
				resident.
(3) A nutritionally
				adequate diet shall be provided all residents and adjusted to resident's age,
				sex, activity, and physical condition. Nutrient concentrates and supplements
				shall be given only on written order of a physician.
(4) Menus shall be planned and dated. Used
				menus shall be kept on file for a period of thirty days for reference by the
				resident's physician and personnel of the home.
(5) Modified diets shall be provided in
				accordance with written orders of a physician or dentist. An approved diet
				manual shall be readily available to food service personnel.
(6) Sufficient perishable foods for a
				twenty-four hour period and nonperishable foods for a three-day period shall be
				on the premises for use in an emergency.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.07 - Social Service

Current through Rules and Regulations filed through June 27, 2024
(1) Each home shall provide services to
				assist all residents in dealing with social and related problems through one or
				more caseworkers on the staff of the facility or through arrangements with an
				appropriate outside agency.
(2)
				Social service information concerning each resident shall be obtained and kept.
				This information shall cover social and emotional factors related to the
				resident's condition and information concerning his home situation, financial
				resources and relationships with other people.
(3) All employees having contact with
				residents shall receive social service orientation and inservice training
				toward understanding emotional problems and social needs of
				residents.
(4) One person in each
				home shall be designated as being responsible for the social services aspects
				of care in the home.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.08 - Medications

Current through Rules and Regulations filed through June 27, 2024
Each facility shall insure that the handling of patient
				  medication is in full compliance with state and federal laws and
				  regulations.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.09 - Physical Therapy Service

Current through Rules and Regulations filed through June 27, 2024
(1) When a home has a physical therapy
				program, the services must be provided or directly supervised by a physical
				therapist.
(2) A therapy record
				will be kept as part of the health folder on each resident receiving physical
				therapy. Information in the health folder shall include referral, diagnosis,
				precautions, initial physical therapy evaluation, treatment plans and
				objectives, frequency and dates of medical reevaluation.
(3) The physical therapist shall keep
				progress notes on each resident including progress or lack of progress,
				symptoms noted, and changes in treatment plans.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.10 - Resident Care

Current through Rules and Regulations filed through June 27, 2024
(1) Each resident shall have a physician's
				written statement of his or her condition at time of admission or within
				forty-eight (48) hours thereafter and it shall be kept on file in the
				resident's health folder.
(a) Physicians'
				prescriptions for medications for residents needing medication shall accompany
				the resident upon admission to the facility;
(b) The physician's statement of the
				resident's condition should state any special care required including special
				diets.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.11 - Records

Current through Rules and Regulations filed through June 27, 2024
(1) There shall be
				an individual health folder for each resident including:
(a) The name, address and telephone number of
				his physician and dentist;
(b) A
				record of the physician's findings and recommendations including the
				preadmission evaluation of the resident's condition and subsequent
				reevaluations and all orders and recommendations of the physician for care;
				and
(c) All symptoms and other
				indications of illness or injury brought to the attention of the staff by the
				residents, or from other sources, including the date, time and action taken
				regarding each.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.12 - Equipment

Current through Rules and Regulations filed through June 27, 2024
(1) Resident beds
				shall be single, at least thirty-six (36) inches wide, with firm even springs
				covered by a mattress not less than four inches thick.
(2) The home shall provide all linens and
				blankets essential to the treatment and comfort of residents.
(3) Wheelchairs and walkers shall be provided
				by the home when needed.
(4) Each
				resident shall have necessary furniture which shall include a bedside table, a
				reading lamp, a chair, drawer space for clothes, enclosed space for hanging
				clothing, individual towel rack, soap dish, drinking glass, and access to a
				mirror. Each resident shall have a suitable signaling device.
(5) Individual equipment shall be cleaned
				after each use and disinfected at least once each week. Equipment such as
				bedpans, urinals and wash basins, if not individual, should be disinfected
				after each use.
(6) Each resident
				shall be provided adequate supplies and equipment for proper oral hygiene
				including a toothbrush or a denture brush and denture receptacle when
				needed.
(7) Bedrails shall be
				available for use as required by the resident's condition.
(8) There shall be an electric clock with a
				bold face that can be read from a distance of twenty (20) feet installed in the
				lobby of each home.
(9) Disposable
				equipment and supplies shall be used only once and disposed of in an approved
				manner.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.13 - Safety

Current through Rules and Regulations filed through June 27, 2024
(1) All buildings
				and equipment shall be maintained in such condition that no hazards to the life
				and safety of the patients exist.
(2) Adequate parking shall be available
				nearby. Parking areas and service entrances shall be so designated that fire
				fighting equipment will have unobstructed access to all parts of the
				building.
(3) Handrails shall be
				provided on all stairways and ramps. Stairtreads shall be made of or covered
				with safe nonslip material. Doors opening onto stairways shall not open
				directly onto risers, but shall open onto a landing not less than the width of
				the door.
(4) Safety barriers at
				the head of stairways, and handrails in hallways shall be provided. There shall
				be no low windows, open porches, changes in floor levels or similar
				hazards.
(5) Doors to rooms used by
				residents shall be equipped with locks or other devices which will not allow
				the room to be locked from the inside.
(6) Floor surfaces shall be smooth and level;
				scatter rugs and highly polished floors in resident areas are
				prohibited.
(7) Showers, tubs, and
				toilets shall have grab bars firmly installed convenient to resident use; the
				floor in bathing areas shall be provided with a nonslip surface. No resident
				shall be permitted to bathe without an attendant available to regulate water
				temperature and to provide generally for the safety of the resident, unless the
				resident's physician has provided a written statement to the effect that the
				resident is sufficiently responsible to bathe himself. Shower heads shall not
				be installed above bathtubs.
(8)
				Warning signs shall be posted prohibiting smoking or open flames of any kind in
				areas where oxygen is in use or stored.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.14 - Environmental Sanitation and Housekeeping

Current through Rules and Regulations filed through June 27, 2024
(1) Equipment and supplies for proper
				sanitation will be maintained on the premises.
(2) Laundry shall be handled, stored and
				processed so that spread of infection will be minimized. A sufficient clean
				linen supply shall be insured at all times. Soiled linen shall not be permitted
				to accumulate.
(3) The premises and
				all areas within the home shall be kept clean and free from debris. Ventilation
				openings, such as ports for exhaust fans, shall be equipped with covers that
				close automatically when the fan is not in operation. Doors and other openings
				shall be equipped and maintained to minimize the ingress of flies, insects and
				rodents.
(4) Provision shall be
				made to maintain clean containers and store garbage in areas that are separate
				from food handling, food preparation and food storage area.
(5) Sanitary containers, sputum cups, and
				other satisfactory individual containers must be provided when
				needed.
(6) Each home shall have an
				infection control program which provides for policies, procedures and training
				programs. Great care should be exercised to prevent spread of infection by
				fomites or by infected person to person.
Ga. L. 1964, pp. 507.
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.
Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-8 - HEALTHCARE FACILITY REGULATION › Subject 111-8-47 - INTERMEDIATE CARE HOMES › Rule 111-8-47-.15 - Health of Employees

Current through Rules and Regulations filed through June 27, 2024
Each home shall require that each employee receive a physical
				  examination upon employment. The examination shall be in sufficient detail,
				  with pertinent laboratory and X-ray data to insure that the employee is
				  physically and mentally qualified to perform the job to which he is assigned.
				  An annual physical examination thereafter is recommended. However, as a
				  minimum, on an annual basis each employee will have a physical inspection to
				  help insure freedom from communicable disease. As part of the annual
				  examination or inspection a tuberculin skin test will be given to all previous
				  negative reactors. If the skin test is positive, a chest X-ray will be required
				  and the individual referred to his physician or appropriate health authority
				  for possible prophylaxis treatment. Copies or certificates of physical
				  examinations shall be kept in the employee's personnel
				  folder.
Ga. L. 1964, pp. 507,
				  612, as amended by Ga. L. 1969, p. 715 et seq., Ga. L. 1972, p. 1015 et seq.,
				  O.C.G.A. §§
										31-2-4 et seq.,
				  31-7-1 et
				  seq.