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 111-8-53 - RULES AND REGULATIONS FOR NARCOTIC TREATMENT PROGRAMS › Rule 111-8-53-.16 - Drug-Screen Tests

Current through Rules and Regulations filed through June 27, 2024
The program shall develop and implement written policies and
				  procedures for random drug-screen tests. These policies and procedures will be
				  for the purposes of assessing the patient abuse of drugs and making decisions
				  about the patient's treatment. These policies and procedures must include the
				  following provisions:
(a) Clinically
				appropriate drug-screen tests done in accordance with current and accepted
				standards of medical practice must be conducted initially upon admission and on
				a random basis bi-weekly for new patients during the first 30 days of treatment
				and at least monthly thereafter. However, patients on a monthly schedule who
				fail the drug-screen tests will be returned to a bi-weekly schedule for at
				least two weeks or longer if clinically indicated;
(b) Each sample collected must be screened
				for opiates, oxycodone, methadone, methadone metabolite; amphetamines, cocaine,
				benzodiazepines, THC, and other drugs as indicated by individual patient use
				patterns or that are heavily used in the locale of the patient; and
(c) Programs shall develop and enforce
				policies for the proper collection and handling of drug-screen test samples to
				ensure that samples collected from patients are properly handled, are actually
				collected from the patient being tested, and are unadulterated. Such policies
				may include random direct observation, which shall be conducted professionally,
				ethically, and in a manner that respects patients' privacy.
O.C.G.A.
				  §§
											26-5-2
et seq.
,
				  31-2-5,
				  31-2-7.
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 111-8-53 - RULES AND REGULATIONS FOR NARCOTIC TREATMENT PROGRAMS › Rule 111-8-53-.17 - Quality Improvement

Current through Rules and Regulations filed through June 27, 2024
(1) Programs shall develop and implement a
				written quality improvement plan that provides for the delivery of care in
				accordance with accepted standards of practice. At a minimum, the plan must
				include the following areas:
(a) A service
				delivery assessment that evaluates appropriateness of treatment plans and
				services delivered, completeness of documentation in patient records, quality
				of and participation in staff training programs, linkage to and utilization of
				primary care and other out-of-program services, patient grievance procedures,
				availability of services and medications for other conditions, and at least one
				indicator to evaluate the effectiveness of services at the program;
				and
(b) A documented assessment of
				medication-related issues including take-home procedures, security, inventory,
				and dosage issues completed with the Director of Pharmacy Services or an
				appropriate delegate.
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 111-8-53 - RULES AND REGULATIONS FOR NARCOTIC TREATMENT PROGRAMS › Rule 111-8-53-.18 - Patient Rights, Responsibilities, and Complaints

Current through Rules and Regulations filed through June 27, 2024
(1) Programs shall
				develop and implement written policies and procedures regarding the rights and
				responsibilities of patients and the handling and resolution of complaints.
				These policies and procedures must include a written notice of rights and
				responsibilities provided to each patient at orientation. The required notice
				must contain the following items:
(a) Right
				to humane treatment that affords reasonable protection from harm, exploitation,
				and coercion;
(b) Right to be free
				from physical and verbal abuse;
(c)
				Right to be informed about the individual treatment plan and to participate in
				the planning, as able;
(d) Right to
				be promptly and fully informed of any changes in the plan of
				treatment;
(e) Right to accept or
				refuse treatment;
(f) Right to
				confidentiality of patient records;
(g) Right to be informed of the program's
				complaint policy and procedures and the right to submit complaints without fear
				of discrimination or retaliation and to have them investigated by the program
				within a reasonable period of time;
(h) Right to receive a written notice of the
				address and telephone number of the state licensing authority, i.e. the
				Department, and the right to file a complaint with the Department;
(i) Right to obtain a copy of the program's
				most recent completed report of licensing inspection from the program upon
				written request. The program is not required to release a report until the
				program has had the opportunity to file a written plan of correction for the
				violations as provided for in these rules; and
(j) Right to an informal review and appeal of
				any involuntary discharge.
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 111-8-53 - RULES AND REGULATIONS FOR NARCOTIC TREATMENT PROGRAMS › Rule 111-8-53-.19 - Central Registry

Current through Rules and Regulations filed through June 27, 2024
(1) To prevent simultaneous enrollment of a
				patient in more than one program, all programs shall participate in the Central
				Registry approved by the Department and operated by the Department of
				Behavioral Health and Developmental Disabilities and shall comply with any
				policies, procedures or rules of the Department of Behavioral Health and
				Developmental Disabilities which are associated with the Central Registry. The
				Central Registry shall require each program to provide the social security
				number and other identifying information of each patient. Patients must be
				informed of the program's participation in the Central Registry, and prior to
				initiating a Central Registry inquiry, the program must obtain the patient's
				signed consent. Within 24 hours of accepting patient for treatment, and prior
				to the administration of any medication, the program shall initiate a clearance
				inquiry by submitting to the approved Central Registry the patient's name, date
				of birth, social security number, anticipated date of admission, and any other
				relevant information required for the clearance procedure. All such information
				shall be considered confidential. No individual shall receive medication from a
				program if that individual is reported by the Central Registry to be
				participating in another such program. In the event a dual enrollment is
				discovered, the patient must be discharged from one program in order to
				continue enrollment at another program. Reports received by the Central
				Registry shall be treated as confidential and shall not be released except to a
				licensed program or as required by law. Information made available by the
				Central Registry to programs shall also be treated as confidential.
(2) To prevent simultaneous enrollment of
				persons in different programs located in different states, if a program
				operates within 125 miles of any adjoining state and that state also has a
				Central Registry, the program shall participate in the Central Registry of the
				adjoining state, if available.
O.C.G.A.
				  §§
											26-5-2
et seq.
,
				  31-2-5,
				  31-2-7.
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 111-8-53 - RULES AND REGULATIONS FOR NARCOTIC TREATMENT PROGRAMS › Rule 111-8-53-.20 - Reporting to the Department

Current through Rules and Regulations filed through June 27, 2024
(1) A narcotic treatment program shall report
				to the Department within 24 hours and also follow the Department of Behavioral
				Health and Developmental Disabilities reporting protocol whenever any of the
				following incidents involving patients occurs or the program has reasonable
				cause to believe that such an incident involving a patient has occurred:
(a) Any death of a patient;
(b) Any rape that occurs in the
				program;
(c) Any serious injury to
				a patient while at the program that requires medical attention;
(d) Any assault on a patient, any battery on
				a patient, or any abuse, neglect, or exploitation of a patient by program
				staff; and
(e) An external disaster
				or other emergency situation that affects the continued safe operation of the
				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 111-8-53 - RULES AND REGULATIONS FOR NARCOTIC TREATMENT PROGRAMS › Rule 111-8-53-.21 - Enforcement and Penalties

Current through Rules and Regulations filed through June 27, 2024
(1) When the Department finds that an
				applicant for a license fails to fulfill the requirements of these rules, the
				Department may, subject to notice and opportunity for a hearing, refuse to
				grant the license. The Department is not required to hold a hearing prior to
				taking such action.
(2) When the
				Department finds that any licensed program violates any requirements of these
				rules, the Department may, subject to notice and opportunity for a hearing,
				suspend or revoke the license.
(a) License
				Suspension.
1. The Department may suspend any
				license for a definite period calculated by the period necessary for the
				facility to implement long-term corrective measures and for the facility to be
				deterred from lapsing into noncompliance in the future. As an alternative to
				suspending a license for a definite period, the Department may suspend the
				license for an indefinite period in connection with the imposition of any
				condition or conditions reasonably calculated to elicit long-term compliance
				with licensing requirements that the program must meet and demonstrate before
				it may regain its license.
2. In
				lieu of a full suspension, the Department, in its discretion, may suspend the
				authority of the narcotic treatment program to operate a portion of the
				program, e.g. granting take-home medication privileges or admitting new
				patients.
3. If the sanction of
				license suspension is finally imposed, as defined by a final administrative
				decision, the program must return its license to the Department. Upon the
				expiration of any period of suspension, and upon a showing by the program that
				it is capable of achieving compliance with licensing requirements, the
				Department shall reissue the program license. Where the license was suspended
				for an indefinite period in connection with conditions for the re-issuance of a
				license, once the program can show that any and all conditions imposed by the
				Department have been met, the Department shall reissue the program
				license.
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 111-8-53 - RULES AND REGULATIONS FOR NARCOTIC TREATMENT PROGRAMS › Rule 111-8-53-.22 - Variance and Waiver

Current through Rules and Regulations filed through June 27, 2024
(1) The Department may, in its discretion,
				grant variances and waivers of specific rules upon application or petition
				filed on forms provided by the Department. The Department may establish
				conditions which must be met by the program in order to operate under the
				variance or waiver granted.
(a) Variance. A
				variance may be granted by the Department upon a showing by the applicant or
				petitioner that the particular rule or regulation that is the subject of the
				variance request should not be applied as written because strict application of
				the rule would cause undue hardship. The applicant or petitioner must also show
				that adequate standards affording protection for the health, safety, and care
				of patients exist and will be met in lieu of the exact requirements of the rule
				or regulations in question. The Department may require additional documentation
				by the program to support its application for a variance or waiver.
(b) Waiver. The Department, in its
				discretion, may dispense entirely with the enforcement of a rule or regulation
				by granting a waiver upon a showing by the applicant or petitioner that the
				purpose of the rule or regulation is met through equivalent standards affording
				equivalent protection for the health, safety, and care of patients.
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 111-8-53 - RULES AND REGULATIONS FOR NARCOTIC TREATMENT PROGRAMS › Rule 111-8-53-.23 - Severability

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.
				  §§
											26-5-2
et seq.
,
				  31-2-5,
				  31-2-7.
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-.01 - Definitions

Current through Rules and Regulations filed through June 27, 2024
Unless a different meaning is required by the context, the
				  following terms as used in these rules and regulations shall have the meaning
				  hereafter respectively ascribed to them; except, however, same do not apply to
				  nursing homes owned or operated by the Federal Government:
(a) "Nursing Home" is a facility which admits
				patients on medical referral only and for whom arrangements have been made for
				continuous medical supervision; it maintains the services and facilities for
				skilled nursing care, rehabilitative nursing care, and has a satisfactory
				agreement with a physician and dentist who will be available for any medical
				and/or dental emergency and who will be responsible for the general medical and
				dental supervision of the home; it otherwise complies with these rules and
				regulations;
(b) "Skilled Nursing
				Care" means the application of recognized nursing methods, procedures, and
				actions directed toward implementation of the physician's prescribed
				therapeutic and diagnostic plan, detection of changes in the human body's
				regulatory system, preservation of such body defenses, prevention of
				complications, and promotion of emotional well-being, including but not limited
				to the following:
1. The administration of
				oral or injectable medications which cannot be self-administered. Other
				examples include the administration of oxygen, the use of suction, the
				insertion or changing of catheters, the application of medicated dressings, the
				use of aseptic technique and preparation of the patient for special
				procedures;
2. Observation in the
				care of the patient for symptoms and/or physical and mental signs that may
				develop and which will require attention of the physician and a revision in the
				patient's treatment regimen.
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-.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
				home.
(2) The ownership of the home
				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 home.
(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 home, 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.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.04 - Nursing Services

Current through Rules and Regulations filed through June 27, 2024
(1) A registered nurse shall be employed full
				time as director of nursing services. She shall not also be the
				administrator.
(2) The director of
				nursing services shall normally be employed on the daytime shift and shall
				devote full time to the administration of the nursing service which includes a
				reasonable amount of time with all nursing shifts.
(3) The director of nursing services may also
				serve as the director of nursing services in another facility in close
				proximity to the home provided she has a registered nurse assistant who is
				assigned to each facility full time as supervisor of nursing care. The
				director's assistant shall devote full time to the supervision of nursing
				care.
(4) There shall be at least
				one nurse, registered, licensed undergraduate, licensed on duty and in charge
				of all nursing activities during each eight-hour shift.
(5) A nursing home may employ certified
				medication aides for the purpose of performing the technical aspects of the
				administration of certain medications in accordance with O.C.G.A. §
									31-7-12.7. A nursing home shall
				not employ an individual as a certified medication aide unless such individual
				is listed in the medication aide registry established and maintained by the
				Department pursuant to paragraph (2) of subsection (g) of O.C.G.A §
									31-7-12.2, and is in good standing
				with the Department, and has met all of the qualifications in paragraph (3) of
				subsection (g) of O.C.G.A §
									31-7-12.2.
(a) A certified medication aide who meets the
				criteria established in O.C.G.A. §
										31-7-12.7 shall be permitted to
				perform the following tasks in a nursing home in accordance with the written
				instructions of a physician:
i. Administer
				physician ordered oral, ophthalmic, topical, otic, nasal, vaginal, and rectal
				medications;
ii. Administer
				insulin, epinephrine, and B12 pursuant to physician direction and protocol;
iii. Administer medications via a
				metered dose inhaler;
iv. Conduct
				finger stick blood glucose testing following established protocol;
v. Administer a commercially prepared
				disposable enema as ordered by a physician; and
vi. Assist residents in the supervision of
				self-administration of medications.
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-.05 - Professional Service

Current through Rules and Regulations filed through June 27, 2024
(1) There shall be an organized professional
				staff, with one physician designated as chief of staff. The professional staff
				shall consist of at least one physician, one dentist and one registered nurse.
				Other professional personnel such as the dietitian, social worker, physical
				therapist, pharmacist, etc. may be included on the professional staff. This
				organization shall function under appropriate bylaws and shall meet at
				regularly scheduled intervals not less than semiannually. It shall be the
				responsibility of this staff to develop and review care policies and to advise
				administration on matters pertaining to patient care. The minutes of the
				meetings of this staff shall be available for inspection by the
				Department.
(2) Patients shall be
				admitted only on referral of a physician.
(3) Each patient shall be under the
				continuing care of a physician who sees the patient at least once every thirty
				(30) days following admission. The patient's total program of care (including
				medications and treatment) is reviewed during a visit by the attending
				physician at least once every thirty (30) days for the first ninety (90) days,
				and revised as necessary. A progress note is written and signed by the
				physician at the time of each visit and he signs all his orders. Subsequent to
				the ninetieth day following admission, an alternate schedule for physician
				visits may be adopted where the attending physician determines and so justifies
				in the patient's medical record that the patient's condition does not
				necessitate visits at thirty-day intervals.
(4) A home shall admit only those patients
				for which it can provide needed care and only if the home has a permit covering
				that type of care. When a patient develops a condition requiring care of a
				level or type not provided at that home, the administration shall arrange for
				transfer of the patient to another home, hospital or home health agency which
				has a permit or is certified to provide such care or shall make satisfactory
				arrangements for the needed care if the condition is to be of short
				duration.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.06 - Dietary Service

Current through Rules and Regulations filed through June 27, 2024
(1) Each home shall employ the services of a
				qualified dietitian (American Dietetic Association or equivalent
				qualifications). The services of the dietitian shall not be less than eight (8)
				hours per month.
(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 each patient.
(3) A
				nutritionally adequate diet shall be provided all patients and adjusted to
				patient'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 or approved by a
				qualified dietitian and dated. Used menus shall be kept on file for a period of
				thirty days for reference by the patient'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.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.07 - Social Service

Current through Rules and Regulations filed through June 27, 2024
(1) Each home shall provide services to
				assist all patients in dealing with social and related problems through one or
				more case-workers on the staff of the facility or through arrangements with an
				appropriate outside agency.
(2)
				Social service information concerning each patient shall be obtained and kept.
				This information shall cover social and emotional factors related to the
				patient's condition and information concerning his home situation, financial
				resources and relationships with other people.
(3) All nursing personnel and employees
				having contact with patients shall receive social service orientation and
				in-service training toward understanding emotional problems and social needs of
				patients.
(4) One person in each
				home shall be designated as being responsible for the social services aspects
				of care in the home.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.08 - Pharmacy Management and Administration

Current through Rules and Regulations filed through June 27, 2024
Each home shall provide pharmaceutical services in full
				  compliance with State and Federal laws and regulations.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.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 a part of the medical record on each patient receiving physical
				therapy. Information in the medical record shall include referral, diagnosis,
				precautions, initial physical therapy evaluation treatment plan and objectives,
				frequency and dates of medical reevaluations.
(3) The physical therapist shall keep
				progress notes on each patient including progress or lack of progress, symptoms
				noted, and changes in treatment plans.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.10 - Medical, Dental and Nursing Care

Current through Rules and Regulations filed through June 27, 2024
(1) Each patient 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 with the
				patient's medical record.
(2) Each
				patient shall have a physician's orders for treatment and/or care upon
				admission to the facility.
(3) Each
				home shall have an adequate arrangement for medical and dental
				emergencies.
(4) Reports of all
				evaluations and examinations shall be kept with the patient's medical
				records.
(5) The home shall have a
				microbial and infection control program. Policies and procedures for infection
				control shall be written, assembled and available to all staff members.
				Procedures shall be specific for practice in the home and shall be included in
				the training of every staff member. As a minimum, procedures shall include the
				following control measures:
(a) Prevention of
				spread of infection from personnel to patient: Any person whose duties include
				direct patient care, handling food, or handling clean linen, and who has an
				acute illness such as "strep" throat, or an open sore or boil, shall not be
				allowed to work until he is fully recovered;
(b) Prevention of spread of infection from
				visitors to patients;
(c)
				Prevention of spread of infection from patient to personnel or other patients:
				Isolation techniques to be observed according to the source of infection and
				the method of spread;
(d) Reporting
				of communicable diseases as required by the rules and regulations for
				notification of diseases which have been promulgated by the
				Department.
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-.11 - Records

Current through Rules and Regulations filed through June 27, 2024
(1) Each home shall
				maintain a complete medical record on each patient containing sufficient
				information to validate the diagnosis and to establish the basis upon which
				treatment is given. All active medical records shall be maintained at the
				nurses' station. The completed record shall normally contain the following:
(a) Name, address, birth date, sex, marital
				status of the patient and religion; the name, address and telephone number of
				physician; the name, address and telephone number of the responsible party to
				contact in emergency;
(b) Date and
				time of admission;
(c) Date and
				time of discharge or death;
(d)
				Admitting diagnosis;
(e) Final
				diagnosis;
(f) Condition on
				discharge;
(g) History and physical
				examination;
(h) Treatment and
				medication orders;
(i) Physicians'
				progress notes (at least monthly);
(j) Nurses' notes;
(k) Special examination and
				reports.
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-.12 - Equipment

Current through Rules and Regulations filed through June 27, 2024
(1) Patient beds
				shall be single, at least thirty-six 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 patients.
(3) Wheelchairs, walkers, and mechanical
				lifters shall be provided by the home when needed.
(4) Each patient shall have necessary
				furniture which shall include a bedside table, a reading lamp, a chair, drawer
				space for clothes, enclosed space for hanging clothing, and individual towel
				rack, soap dish, drinking glass, and access to a mirror. Each patient 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 patient
				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 patient'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.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.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. Stairways 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
				patients 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 patient areas are
				prohibited.
(7) Showers, tubs and
				toilets shall have grab bars firmly installed convenient to patient use; the
				floor in bathing areas shall be provided with a nonslip surface. No patient
				shall be permitted to bathe without an available attendant to regulate water
				temperature and to provide generally for the safety of the patient, unless the
				patient's physician has provided a written statement to the effect that the
				patient 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.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.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 ingress of flies, insects and
				rodents.
(4) Sanitary containers,
				sputum cups, and other satisfactory individual containers must be provided when
				needed.
(5) 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.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.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.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.16 - Recreation

Current through Rules and Regulations filed through June 27, 2024
(1) An individual
				shall be designated as being in charge of patient activities. This individual
				shall have experience and/or training in group activities, or shall have
				consultation made available from a qualified recreational therapist or group
				activity leader.
(2) Provisions
				shall be made for suitable recreational and entertainment activities for
				patients according to their needs and interests. These activities are an
				important adjunct to daily living and are to encourage restoration to self-care
				and resumption of normal activities. Variety in planning shall include some
				outdoor activities in suitable weather.
(3) Patients shall be encouraged but not
				forced to participate in patient activities.
(4) The facility shall make available a
				variety of supplies and equipment adequate to satisfy the individual interests
				of residents. Examples are: books, magazines, daily newspapers, games,
				stationery, radio, television and the like.
(5) An active patient activities program
				shall be carried out that will meet the needs of all patients.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.17 - Patient Capacity

Current through Rules and Regulations filed through June 27, 2024
(1) The number of beds provided shall be
				indicated on each permit and provisional permit.
(2) The number of patients receiving care
				within the home shall not exceed the number of beds shown on the permit. In
				exceptional cases, temporary waivers, not to exceed thirty (30) days, may be
				granted by the Department.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.19 - Application for Permit

Current through Rules and Regulations filed through June 27, 2024
(1) The governing body shall submit to the
				Department an application for a permit.
(2) The application for a permit shall be
				made on forms provided by the Department and shall be filed at least thirty
				(30) days prior to the anticipated date of opening and commencement of
				operation of a new home.
(3) Each
				application shall be accompanied by a copy of the bylaws of the professional
				staff, a copy of the policies for operating the home and a certification from
				each member appointed to the professional staff that he has accepted the
				appointment including the name and license number of the administrator and the
				name and license number of the director of nursing. In homes with a
				professional staff of ten (10) or more physician members, only the physician
				members elected as officers need submit a certification as to their
				appointment.
(4) A plan for
				progressive employment of personnel to match increase bed occupancy and to
				assure compliance with these rules and regulations shall be submitted at the
				time established for the preopening inspection.
(5) Proof of ownership shall accompany the
				application.
(a) Corporations shall submit a
				copy of their charter and the name and address of all owners with ten (10)
				percent or more of the stock and shall identify each corporate
				officer;
(b) Nonprofit associations
				and hospital authorities shall submit legal proof of the organization, the name
				and address of each trustee and the office held, if any;
(c) All others shall submit the name and
				address of each person owning any part of the facility.
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-.21 - Provisional Permits

Current through Rules and Regulations filed through June 27, 2024
(1) Provisional permits may be granted to the
				governing body of a newly established home to demonstrate operational
				procedures in satisfactory compliance.
(2) A provisional permit may be granted to
				the governing body of an existing home to demonstrate operational procedures in
				satisfactory compliance.
(3)
				Provisional permits granted to allow a reasonable time to demonstrate
				satisfactory compliance of operational procedure shall be limited to a period
				of not more than six (6) months.
(4) A provisional permit may be granted to
				the governing body of an existing home to give reasonable time to comply with
				violations of regulations and standards which relate to the structural or
				physical condition of the home. Provisional permits granted to allow time for
				correction of structural or physical conditions shall not exceed twelve (12)
				months.
(5) No provisional permits
				shall be granted to the governing body of a newly established home which is in
				substantial noncompliance with rules, regulations and standards relating to the
				structural or physical condition of the home.
(6) A provisional permit shall not be issued
				when there are noncompliances of any type which present an immediate hazard to
				the life, health or safety of the patients.
(7) No provisional permit shall be granted to
				an existing home unless the governing body shall first present to the
				Commissioner a plan of improvement which shall list each noncompliance to be
				corrected, the time required to demonstrate acceptable operational procedures
				or to correct noncompliances which relate to the structural or physical
				condition of the home and the means, methods and procedures to be used in the
				correction of the noncompliances.
(8) The governing body of a home operating
				under a provisional permit may petition the Department for an extension of time
				if needed to correct noncompliances where the failure to make such corrections
				within the time allotted is an extenuating circumstance beyond the control of
				the governing body. Such petitions shall be submitted to the Department at
				least thirty (30) days prior to expiration date of the provisional
				permit.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.22 - Inspections

Current through Rules and Regulations filed through June 27, 2024
(1) The home shall
				be available at reasonable hours for observation and examination by properly
				identified representatives of the Department.
(2) The administrator or authorized
				representative shall notify the Department of the anticipated opening date of a
				newly constructed home in order that a pre-opening licensure survey of the home
				may be conducted to determine compliance with these rules and
				regulations.
(3) The administrator
				or his representative shall accompany the Department representative on tours of
				inspection.
O.C.G.A. §§
										31-2-4
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 111-8-56 - NURSING HOMES › Rule 111-8-56-.23 - New Construction

Current through Rules and Regulations filed through June 27, 2024
(1) General Requirements:
(a) A program narrative and all plans and
				specifications for construction, including additions, alterations and
				renovations, shall be approved by the Department prior to commencing work on
				the building;
(b) The program
				narrative shall be submitted prior to or along with the schematic or initial
				plans for construction. The program narrative should include the following:
1. The names and addresses of each owner. If
				the owner is a public stock corporation, the names and addresses of each
				officer shall be included;
2. The
				geographical area to be served;
3.
				Admission policies;
4. Cooperative
				programs of service with local agencies, including hospitals;
5. Arrangements for medical and dental care,
				e.g., physicians on contract and agreements with hospital for patient
				referral;
6. List of personnel by
				types of employees and proposed salaries;
7. Plans for securing the services of
				professional personnel including registered nurses, licensed practical nurses,
				social workers, dietitians, pharmacists, physicians and therapists;
8. A description of the service to be
				provided the community, i.e., the level of care to be provided and the economic
				segments of the population to be served;
9. Source and amount of financing;
10. Anticipated first two-year cost of
				operation, income and source of operating funds;
11. Exact location of proposed
				site;
12. Utilities available,
				i.e., electricity, gas, water, sewage and waste disposal and
				transportation;
13. The name,
				address and telephone number of the person selected to represent the owner
				during the period of planning construction.
(c) Any individual or group planning
				construction shall submit complete architectural, structural, mechanical and
				electrical plans and specifications to the Department for review and approval
				prior to any new construction, addition, alteration or renovation. Final plans
				submitted shall be in sufficient detail to show the building site, driveways
				and parking areas, type of construction, mechanical and electrical systems, the
				type and location of major items of equipment, the intended use of each room,
				the proposed location of beds, the type and source of utilities, food service
				system, and the proposed system of garbage and refuse disposal;
(d) Plans for addition and/or remodeling of
				an existing building will be submitted in sufficient detail to include type of
				construction and layout of the existing building to show overall relationship.
				Any changes in the approved final plans shall also be submitted to the
				Department for approval.
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-.24 - Enforcement

Current through Rules and Regulations filed through June 27, 2024
The administration and enforcement of these rules and
				  regulations shall be as prescribed in O.C.G.A. §§
									31-2-8 and
				  50-13-13
et
				  seq.
O.C.G.A. §§
										31-2-4
et seq.
,
				  31-7-1
et seq.
and
				  50-13-13
et seq.