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-.15 - Admission

Current through Rules and Regulations filed through June 27, 2024
(1) Criteria for
				admission and retention of residents in a home are as follows:
(a) Persons admitted to a personal care home
				must be at least 18 years of age.
(b) Except for aging in place exceptions, the
				home is permitted to admit and retain only ambulatory residents who are capable
				of self-preservation with minimal assistance, i.e. staff may assist the
				resident in transferring from a sitting or reclining position and provide
				verbal directions to residents who are able to self-propel to the nearest
				exit.
(c) Aging in Place
				Exceptions. The home may allow up to three (3) non-ambulatory residents to
				remain in the home to support an aging in place strategy that is in the best
				interests of the resident, subject to the requirements herein. These aging in
				place exceptions may be revoked by the Department at any time, as part of the
				survey process, if the facility fails to meet any of the following criteria:
(i) The resident has not experienced any
				significant change in a physical or medical condition which would make
				continued placement in the facility inappropriate;
(ii) The facility maintains responsibility
				for meeting resident needs for continuing care provided within the scope of
				services the personal care home is licensed to deliver;
(iii) The resident remains under hospice
				services (if the resident was under such services at the time of the aging in
				place decision);
(iv) The facility
				monitors its performance of fire drills to ensure that it can safely evacuate
				all of the residents at any time in 13 minutes or less;
(v) The facility increases the number of
				documented fire drills to a minimum of one fire drill per month, covering all
				shifts, as long as one or more residents in the facility are
				non-ambulatory;
(vi) The facility
				notifies the local fire department in writing within two (2) weeks of the
				change in the resident's status to aging in place so that there is local
				awareness of the presence of a non-ambulatory resident at the home;
(vii) The facility ensures sufficient staff
				on all shifts to support the safe and timely evacuation of all residents in the
				event of an emergency; and
(viii)
				The facility is in substantial compliance with the department's rules and is
				not subject to any pending enforcement action by the department.
(d) The home must not admit, or
				retain persons who require the use of physical or chemical restraints,
				isolation, or confinement for behavioral control.
(e) No home is permitted to admit residents
				who either require continuous medical services or continuous nursing care and
				treatment.
(f) Medical, nursing,
				health or therapeutic services required on a periodic basis, or for short-term
				illness, must not be provided as services of the home. When such services are
				required, they must be purchased by the resident or the resident's
				representative or legal surrogate, if any, from appropriately licensed
				providers managed independently from the home. The home may assist in
				arrangement for such services, but not provision of those services.