carepolicy Assisted Living Facility Policies and Procedures Owner’s Manual

June 16, 2024
carepolicy

carepolicy Assisted Living Facility Policies and Procedures

Introduction

Welcome to the [AGENCY NAME] Assisted Living Facilities Policy and Procedure Manual. This manual serves as a comprehensive guide outlining the policies, procedures, and guidelines that govern our commitment to providing exceptional care and support to our residents in accordance with the regulations set forth by the State of Georgia.

At [AGENCY NAME], we are dedicated to creating a nurturing and safe environment that promotes the well-being, dignity, and independence of each resident under our care. Our policies and procedures are designed to ensure the highest standards of quality, safety, and resident-centered care, in alignment with the Georgia-Rules of Department of Community Health Chapter 111-8 Healthcare Facility Regulation and Chapter 111-8-63 Rules and Regulations for Assisted Living Communities.

This manual is a valuable resource for our employees, residents, and their families, offering transparent insight into how we operate, the rights and responsibilities of residents and staff, and the procedures that guide our day-to-day activities. It embodies our commitment to open communication, ethical practices, and the continuous improvement of our services.

We encourage all members of the [AGENCY NAME] community to familiarize themselves with this manual, as it not only establishes our shared expectations and principles but also supports our collective effort in creating a compassionate and enriching environment for our residents. By adhering to these policies and procedures, we reinforce our dedication to providing the highest quality of care and service to those we have the privilege to serve.

Thank you for choosing [AGENCY NAME] Assisted Living Facilities. Together, we are committed to making a positive difference in the lives of our residents and their families.

Vision Statement

Envisioning a Future Where Every Resident Thrives with Dignity and Fulfillment.

Mission Statement

Our mission at [AGENCY NAME] Assisted Living Facilities is to provide exceptional, compassionate, and personalized care to our residents, fostering an environment of dignity, respect, and empowerment. We are committed to enhancing the quality of life for our residents by offering a secure, nurturing, and engaging community that promotes independence, well-being, and meaningful connections.

Values

  1. Compassion: We approach our residents with empathy, understanding, and genuine concern. We recognize their individual needs and preferences, striving to create an environment that feels like home.
  2. Respect: We treat each resident, family member, and staff member with the utmost respect, valuing diversity, individuality, and the uniqueness of each person’s journey.
  3. Integrity: We uphold the highest standards of honesty, ethics, and transparency in all our interactions. Our commitment to integrity ensures a foundation of trust and accountability.
  4. Quality: We are dedicated to delivering exceptional care and services that exceed expectations. Our commitment to quality permeates every aspect of our operations, from care protocols to resident experiences.
  5. Collaboration: We foster an atmosphere of teamwork and collaboration among our staff, residents, families, and healthcare partners. By working together, we enhance the lives of those we serve.
  6. Empowerment: We empower our residents to maintain their independence and make informed decisions about their lives. Our aim is to enhance their sense of control and agency.
  7. Continuous Improvement: We embrace a culture of learning and innovation, continuously seeking ways to enhance our services, care approaches, and operational excellence.
  8. Community: We cultivate a sense of belonging and inclusion within our assisted living community, encouraging social engagement and a supportive network that enriches the lives of our residents.
  9. Safety and Well-being: We prioritize the safety and well-being of our residents and staff, maintaining the highest standards of health, security, and comfort throughout our facilities.
  10. Person-Centered Care: We are committed to providing personalized care that recognizes and respects the uniqueness of each resident, tailoring our services to meet their individual needs and preferences.

By embracing these values and striving to fulfill our mission, we aim to be a trusted and respected provider of assisted living services in the state of Georgia, enhancing the lives of our residents and their families each day.

Statement of Policy

Policy Statement:

The [AGENCY NAME] Assisted Living Facilities Policy and Procedure Manual outlines the principles, guidelines, and procedures that govern the operations, care, and services provided within the facility. This manual has been developed to ensure compliance with the rules and regulations set forth by the Georgia Department of Community Health, including Chapter 111-8 Healthcare Facility Regulation and Chapter 111-8-63 Rules and Regulations for Assisted Living Communities.

Purpose:

The purpose of this Policy and Procedure Manual is to establish a comprehensive framework that guides all aspects of the operations of [AGENCY NAME] Assisted Living Facilities. This manual serves as a reference for employees, residents, families, and stakeholders involved in the facility’s daily operations. By adhering to the policies and procedures outlined in this manual, the facility aims to ensure the wellbeing, safety, and quality of life for its residents while maintaining compliance with state regulations.

Scope:

This Policy and Procedure Manual applies to all employees, residents, families, visitors, contractors, and stakeholders associated with [AGENCY NAME] Assisted Living Facilities. It covers a wide range of topics, including resident rights, staff responsibilities, health and safety measures, care protocols, communication, grievance resolution, non-discrimination, and other important aspects of the facility’s operations.

Policy Implementation:

  1. All employees are required to familiarize themselves with the policies and procedures outlined in this manual and to adhere to them in their daily activities.
  2. Residents and their families are encouraged to review relevant sections of the manual that pertain to their rights, responsibilities, and care.
  3. The facility’s management is responsible for overseeing the implementation of policies and procedures and ensuring that all staff members are trained in and compliant with them.
  4. The manual will be regularly reviewed and updated to reflect changes in regulations, best practices, and facility operations.

Compliance:

[AGENCY NAME] Assisted Living Facilities is committed to complying with all state regulations and guidelines set forth by the Georgia Department of Community Health. By following the policies and procedures outlined in this manual, the facility aims to maintain the highest standards of care, safety, and quality of life for its residents.

Responsibility:

The responsibility for maintaining and updating the Policy and Procedure Manual lies with the facility’s management. All staff members are responsible for adhering to the policies and procedures outlined in the manual as part of their roles within the organization.

Acknowledgment:

By adhering to the policies and procedures outlined in this manual, [AGENCY NAME] Assisted Living Facilities demonstrates its commitment to providing excellent care, promoting resident well-being, and operating in compliance with state regulations. All individuals associated with the facility are expected to contribute to the successful implementation of this Policy and Procedure Manual.

Owner Governance

Policy Statement:

[AGENCY NAME] Assisted Living Facility is dedicated to upholding the highest standards of owner governance as outlined by the state guidelines of Georgia. This policy and procedure chapter outlines the structure, responsibilities, and processes of the governing body to ensure compliance with the Georgia Rules of Department of Community Health, Chapter 111-8 Healthcare Facility Regulation, and Chapter 111-8-63 Rules and Regulations for Assisted Living Communities. The governing body of the facility is committed to promoting the well-being, dignity, safety, and rights of residents within a secure and respectful environment.

Procedure:

  1. Establishment and Composition of Governing Body:
    a. [AGENCY NAME] Assisted Living Facility shall maintain a functioning governing body responsible for providing oversight to ensure compliance with state regulations and laws.
    b. The governing body shall consist of individuals who demonstrate expertise and commitment to the well-being of residents, including representatives from various relevant fields such as healthcare, legal, and community involvement.

  2. Implementation of Policies, Procedures, and Practices:
    a. The governing body shall develop, review, and approve policies, procedures, and practices that align with the core values of dignity, respect, choice, independence, and privacy of residents in a safe environment.
    b. Policies and procedures shall be developed in accordance with the guidelines specified in Rule 111-8- 63-.07(2) and shall encompass the following areas:

    • Services available
    • Staffing plan
    • Admissions, discharges, and transfers
    • Refunds for transfers or discharges
    • Staff training and evaluation
    • House rules and enforcement
    • Resident rights protection
    • Medication management and procurement
    • Health and hygiene
    • Incident reporting
    • Discipline procedures
    • Emergency preparedness
    • Quality assurance
    • Use of volunteers
    • Proxy caregivers
    • Safety and security precautions
  3. Designation of Administrator or On-Site Manager:
    a. The governing body shall designate a capable administrator or on-site manager responsible for the overall management of the assisted living community.
    b. The designated individual shall ensure the effective implementation of approved rules and policies.

  4. Emergency Contact Information:
    a. The governing body shall maintain current emergency contact information for the Department, the facility, and the administrator or on-site manager.
    b. This information shall include names, e-mail contacts, physical addresses, and phone numbers for prompt communication during emergencies.

  5. Criminal Activity Prevention:
    a. The governing body shall develop and enforce measures to protect residents from criminal activities within the facility.
    b. All reasonable steps shall be taken to ensure residents’ safety and security.

  6. Prohibition of National Sex Offender Registry Individuals:
    a. The governing body shall strictly prohibit individuals listed on the National Sex Offender Registry from residing on the facility’s premises.

  7. Legal Surrogate or Representative:
    a. No member of the governing body, administration, staff, or their family members may serve as the legal surrogate or representative of a resident.

  8. Surety Bond for Representative Payee:
    a. In cases where a governing body member, staff, or family member serves as the representative payee, a surety bond shall be secured to ensure accountability and protection of residents’ finances.

  9. Notification of Emergency Relocation:
    a. [AGENCY NAME] Assisted Living Facility shall promptly notify residents, family contacts, representatives, and the Department in the event of emergency relocations, ensuring transparency and safety.

  10. Notification of Changes:
    a. The facility shall provide written notice to the Department and residents regarding impending bankruptcy, eviction, or change of ownership in accordance with state regulations.

All staff members, including administrators, shall be educated and trained on the Legal and Regulatory Compliance policy and procedures as outlined in this chapter. Training shall be ongoing to ensure consistent adherence to state regulations and legal obligations.

Community Leadership

Policy Statement:

[AGENCY NAME] Assisted Living Facility is committed to providing effective community leadership in accordance with the state regulations outlined in Rule 111-8-63-.08. This chapter establishes policies and procedures to ensure that the administrator and on-site manager oversee the daily operations, enforce policies, maintain compliance with state rules, and implement a quality assurance program that upholds  the well-being, safety, and satisfaction of residents.

Procedure:

  1. Administrator Qualifications and Licensing:
    a. [AGENCY NAME] Assisted Living Facility shall employ a full-time administrator who is at least 21 years of age and holds a valid license from the State Board of Long-Term Care Facility Administrators.
    b. The administrator’s license must be effective within 60 days of hire or after July 1, 2021, whichever is later.

  2. Administrator Responsibilities:
    a. The administrator is responsible for ensuring that all policies and procedures are effectively implemented and enforced to maintain compliance with state regulations and community policies.
    b. The administrator shall oversee the community’s operations, ensuring that all activities align with the welfare and rights of residents.

  3. On-Site Manager Role:
    a. Each assisted living community must have an on-site manager who works under the supervision of the administrator.
    b. The on-site manager shall assist the administrator in day-to-day operations, providing leadership in the administrator’s absence.

  4. Designation of Responsible Staff:
    a. The administrator or on-site manager shall designate qualified staff members as responsible staff to act on their behalf and perform duties in their absence.
    b. Responsible staff shall be trained and knowledgeable to ensure seamless continuity of operations.

  5. Residents’ Non-Involvement in Staff Roles:
    a. Residents of the assisted living community shall not be engaged in staff roles or counted as part of the staffing numbers.

  6. Staff Assignment and Duties:
    a. Staff members shall be assigned duties based on their positions, training, experiences, and the requirements outlined in Rule 111-8-63-.09.
    b. Duties shall be clearly defined to ensure efficient and effective operations.

  7. Quality Assurance Program:
    a. The administrator shall establish and maintain an effective quality assurance program to assess and enhance the quality of care and services provided.
    b. The quality assurance program shall encompass the following components:

    • Investigating resident incidents resulting in injuries or death to identify improvement opportunities.
    • Implementing necessary changes to support improved care, including minimizing illness outbreaks and eliminating rule violations.
    • Monitoring staff performance to ensure safe and compliant care delivery.
    • Obtaining and utilizing feedback from residents and representatives at least annually to enhance services.
  8. Incident Investigation and Improvement:
    a. The administrator shall promptly investigate resident incidents resulting in injuries or death to identify contributing factors and implement strategies for improvement.
    b. The findings of incident investigations shall inform the quality improvement initiatives.

  9. Changes Implementation:
    a. Changes necessary for improved care, including those required to prevent illness outbreaks and rectify rule violations, shall be effectively implemented under the administrator’s oversight.

  10. Staff Performance Monitoring:
    a. The administrator shall monitor staff performance to ensure that care and services are delivered safely, efficiently, and in accordance with state rules and community policies.

  11. Resident Feedback Collection:
    a. The administrator shall gather feedback from residents and their representatives at least annually to assess the quality of services provided by the community.
    b. Feedback shall be used to identify areas for improvement and enhance the overall resident experience.

Implementation and Training:

All staff members shall be educated and trained on the policies and procedures outlined in this chapter to ensure consistent adherence to state regulations and community guidelines.

*This is only a preview of the Original Document

Copyright [Year] © [Agency Name] Disclaimer: All rights reserved. No part of this publication may be utilized, reproduced, stored in a retrieval system, or transmitted in any form by any means, electronic, mechanical, recording or otherwise, without the prior written consent of the publisher.

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