Ga. Comp. R. & Regs. R. 111-8-62-.15 - Admission
(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.
(2) No home is permitted to admit
or retain a resident who needs care beyond which the home is permitted to
provide.
(3) The administrator or
on-site manager of a home must conduct an interview with the applicant and/or
representative or legal surrogate, if any, of the applicant to ascertain that
the home can meet the applicant's needs. The administrator or on-site manager
must obtain a report of physical examination conducted by a by a licensed
physician, nurse practitioner or physician's assistant dated within 30 days
prior to the date of admission using the specific report of physical
examination form made available by the Department on its website to assess
whether the home can meet the applicant's needs. Where a home admits a resident
without the required physical examination pursuant to a specific request for an
emergency placement made by a governmental agency responsible for adult
protective service, local law enforcement or a case manager, the home must
retain documentation of the need for the emergency placement and obtain a copy
of a physical examination within 14 days following the emergency admission. The
required report of physical examination form must be completed in its
entirety.
Notes
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No prior version found.