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 111-8-62 - PERSONAL CARE HOMES › Rule 111-8-62-.24 - Resident Files

Current through Rules and Regulations filed through June 27, 2024
(1) An individual resident file must be
				maintained by the administrator or on-site manager for each resident in the
				home. Personal information must be treated as confidential and must not be
				disclosed except to the resident and his or her representative or legal
				surrogate, if any, an authorized agent of the Department, and others to whom
				written authorization is given by the resident or his representative or legal
				surrogate, if any. The resident file must be made available for inspection
				and/or copy to the Department, the resident or the resident's representative or
				legal surrogate, if any, upon request.
(2) Each resident file must include the
				following information:
(a) Identifying
				information including name, social security number, veteran status and number,
				age, sex, and previous address.
(b)
				Name, address and telephone number of next of kin, legal guardian and/ or
				representative or legal surrogate, if any, or representative payee and any
				court order or written document designating the resident's representative or
				legal surrogate, if any.
(c) Name,
				address and telephone number of any person or agency providing additional
				services to the resident. This information must include the name of the agency
				personnel primarily responsible, (i.e. the caseworker, case manager, or
				therapist).
(d) An admission and
				discharge log to include the date of admission, prior residence of resident,
				referral source, agency-contact and telephone number of referral
				source.
(e) Date of discharge,
				facility or residence discharged to and telephone number.
(f) The name, address and telephone number of
				a physician, hospital and pharmacy of the resident's choice.
(g) A record of all monetary transactions
				conducted on behalf of the resident with itemized receipts of all disbursements
				and deposits.
(h) A record of all
				monies and other valuables entrusted to the home for safekeeping; a receipt for
				same shall be provided to the resident or representative or legal surrogate, if
				any, at the time of admission and at anytime thereafter when the resident
				acquires additional property and wishes to entrust such property to the home
				for safekeeping.
(i) Health
				information including all health appraisals, diagnoses, prescribed diets,
				medications, and physician's instructions.
(j) An inventory of all personal items
				brought to the home by the resident to be updated at anytime after admission if
				a resident or representative or legal surrogate, if any, submits to the home a
				new inventory of the resident's personal items.
(k) A signed copy of the Resident's Rights
				form.
(l) A signed copy of the
				admission agreement.
(m) Any power
				of attorney or document issued by a court or by the Social Security
				Administration or any other governmental authority which designates another
				person as responsible for management of the resident's finances.
(n) A copy of a living will and/or durable
				power of attorney for health care if executed prior to 2007 or a copy of the
				Georgia advance directive for health care and a physician's order for
				life-sustaining treatment, if any. At least the advance directive for health
				care form must be made available at the time of admission and shall remain
				available to the resident.
(o) A
				copy of the resident's written waiver of the personal needs allowance charge
				pursuant to the provisions of Rule
				111-8-62-.26(p)1.
(p) Any signed medical orders
				impacting end of life care, e.g. do not resuscitate, physician's orders for
				life sustaining treatment.
(q) All
				individual written care plans required by these rules and the rules for proxy
				caregivers, Chapter 111-8-100 if applicable.
(r) Any informed written consents signed by
				the resident or resident's representative, designating and delegating to any
				trained proxy caregiver, whether employed by the home or not, the performance
				of identified health maintenance activities.
(s) A copy of the search results obtained
				from the National Sex Offender Registry website maintained through the
				Department of Justice and any resulting safety plan for residents, staff and
				visitors.