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 111-8-56 - NURSING HOMES › Rule 111-8-56-.03 - Administration

Current through Rules and Regulations filed through June 27, 2024
(1) Each nursing
				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. Existing facilities not currently meeting this requirement would be
				exempt for a period of two years from the effective date of this regulation. If
				an existing facility should undergo a change of administrators during this
				two-year period, such facility would be required to comply with the
				regulations.
(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' services, nursing services, dietary services,
				restorative services, pharmaceutical services, diagnostic services, social
				services, environmental sanitation services, recreational services and clinical
				records.
(3) Each home shall have a
				written transfer agreement in effect with one or more hospitals. Nursing homes
				that are a Distinct Part of a hospital will be considered to meet this
				requirement if acceptable provisions for the transfer of patients are included
				in the facility'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. The nursing home shall also maintain all
				documentation of successful completion of the entire certified medication aide
				training program for each certified medication aide it employs. In addition to
				all other documents required by state or federal regulations, the nursing home
				shall maintain documentation of successful completion of the dining assistant
				training program for each dining assistant.
(5) The home and its premises shall be used
				only for the purposes for which the home is operated and permitted.
(6) Each home shall, as a condition precedent
				to obtaining or maintaining a permit to operate a nursing home, carry or be
				covered by liability insurance coverages or establish or have established for
				its benefit a self-insurance trust for a nursing home claim. If a home fails to
				carry or be covered by liability insurance coverages or establish or have
				established for its benefit a self-insurance trust for a nursing home claim,
				the Department shall provide notice to such home of its noncompliance and allow
				such home 60 days in which to comply. A home's failure to maintain such
				coverage or establish such trust shall result in the Department:
(a) Revoking such home's permit issued to
				operate the nursing home;
(b)
				Denying any application to renew such permit; and
(c) Denying any application for a change of
				ownership of the nursing home.