Georgia policy and procedure manual template

Set up for Georgia

• The administrator is at least 21; under 25 beds, an associate's degree or a high school diploma or GED with two years of experience in a licensed personal care home or health care setting; 25 or more beds, a license from the State Board of Long-Term Care Facility AdministratorsGa. Comp. R. & Regs. 111-8-62-.08 (1)
• Staff who assist residents with self-administration are trained on the listed topics, pass a skills check at hire and yearly, and record on the Medication Assistance Record; homes using certified medication aides check the registry and arrange quarterly nurse or pharmacist observations and pharmacist drug regimen reviewsGa. Comp. R. & Regs. 111-8-62-.20
• The name, address and telephone number of the long-term care ombudsman are posted in a common area of the homeGa. Comp. R. & Regs. 111-8-62-.25 (1) (t)
• The home posts the name of the Department and the address and telephone number where licensing complaints are received in a common areaGa. Comp. R. & Regs. 111-8-62-.25 (1) (v)
• When an emergency forces residents to relocate, the home promptly gives the relocation address to residents, their family contacts and representatives, and the DepartmentGa. Comp. R. & Regs. 111-8-62-.08 (6)

Also required in Georgia

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• The administrator or on-site manager ensures the home's policies and procedures are effective and enforced, names qualified responsible staff to act in their absence (never a resident), investigates serious incidents and monitors staff performanceGa. Comp. R. & Regs. 111-8-62-.08 (2)
• Under 25 beds: at least one awake direct care staff person per 15 residents during waking hours and one per 25 during non-waking hours; 25 or more beds: an average monthly minimum of one per 15 waking and one per 20 non-waking, and more whenever residents' needs requireGa. Comp. R. & Regs. 111-8-62-.10 (1)
• Keep a staffing plan based on residents' needs and monthly work schedules for all employees showing planned and actual coverage for each day and night, and keep completed schedules for at least one yearGa. Comp. R. & Regs. 111-8-62-.10 (4), (5)
• Everyone working in the home is trained within the first 60 days in first aid, CPR, emergency evacuation, residents' needs, residents' rights, abuse, neglect and exploitation reporting, and infection control; one fully trained staff person is present whenever residents are; direct care staff complete at least 16 hours of training a yearGa. Comp. R. & Regs. 111-8-62-.09 (2) to (5)
• Before work: fingerprint records check determinations for the administrator, on-site manager and direct access employees, tuberculosis screening and a physical examination within the prior 12 months, and a five-year employment history; personnel files kept for three years after an employee leavesGa. Comp. R. & Regs. 111-8-62-.09 (6) to (11)
• Only adults who are ambulatory and capable of self-preservation with minimal assistance are admitted and kept, except up to three aging-in-place residents under strict conditions; never anyone needing restraints, isolation or continuous medical or nursing care; a physical examination on the Department's form dated within 30 days before admissionGa. Comp. R. & Regs. 111-8-62-.15
• A written admission agreement states the fees and charges, 30 days' notice of increases for personal services and 60 days' for room and board, the refund policy, transportation, medication handling, discharge, media and photo practices and the house rules; the resident gets a signed copyGa. Comp. R. & Regs. 111-8-62-.16
• Each resident's needs are assessed at admission and as they change; homes providing proxy caregivers or memory care write a care plan within 14 days of admission and update it at least yearlyGa. Comp. R. & Regs. 111-8-62-.17 (8), (9)
• Homes serving residents at risk of elopement train and enforce elopement procedures, use fire-safe devices and keep current photos; staff call local police within 30 minutes of learning a resident is missing (Mattie's Call) and report it to the Department within 30 minutesGa. Comp. R. & Regs. 111-8-62-.18 · Ga. Comp. R. & Regs. 111-8-62-.30 (1)
• The home has first-aid supplies (gloves, bandages, thermometer, tape, gauze, antiseptic) and an effective infection control program: staff training, outbreak response, observed practice, illness and return-to-work policies, and public health noticesGa. Comp. R. & Regs. 111-8-62-.23
• Each resident receives the Resident's Bill of Rights at admission, a personal needs allowance of 20 dollars a week unless waived in writing, and may form a resident councilGa. Comp. R. & Regs. 111-8-62-.25
• After an accident or sudden change the home acts, notifies the representative and records it; in cardiac or respiratory arrest staff follow hospice, DNR or health care agent direction, otherwise start CPR and call emergency medical servicesGa. Comp. R. & Regs. 111-8-62-.26
• Serious incidents (unexpected death, serious injury needing treatment, assault, abuse, neglect or exploitation, disasters, staff ties to a resident's accounts or will, staff criminal records) are reported to the Department within 24 hoursGa. Comp. R. & Regs. 111-8-62-.30 (2), (3)
• 30 days' written notice of discharge or transfer to the resident and representative unless an immediate transfer is required; on immediate transfer the resident's file goes to the receiving facility within 24 hours; security deposits are refundedGa. Comp. R. & Regs. 111-8-62-.29 · Ga. Comp. R. & Regs. 111-8-62-.28
• A written Disaster Preparedness Plan covering fire, explosion, utility interruptions, loss of heat or air conditioning and severe weather, rehearsed at least twice each calendar year and reviewed at least once a year (family personal care homes are exempt from Chapter 111-8-16)Ga. Comp. R. & Regs. 111-8-16-.03 · Ga. Comp. R. & Regs. 111-8-16-.04 · Ga. Comp. R. & Regs. 111-8-16-.02
• Evacuation instructions and escape routes posted on each floor, a secondary exit from each bedroom, smoke detectors with battery backup, and a 5 lb. ABC extinguisher on each occupied floor and in the basement checked yearlyGa. Comp. R. & Regs. 111-8-62-.13
• An individual, confidential file for each resident with the listed contents, including the signed admission agreement and Resident's Rights form, available to the Department, the resident and the representativeGa. Comp. R. & Regs. 111-8-62-.24
• Within 10 days of receiving a written inspection report, the home files a plan of correction stating the specific actions it will take, and when, for each rule cited; it displays the latest report and plan in the home and links 18 months of them from its website's main pageGa. Comp. R. & Regs. 111-8-62-.11 · Ga. Comp. R. & Regs. 111-8-25-.06 (6)

What is in it

• About this manual
• Administration and responsibility
• Staffing
• Hiring, screening and training
• Admission and retention
• Admission agreement and house rules
• Care, services and activities
• Residents at risk of elopement
• Medications
• Infection control, sanitation and supplies
• Residents' rights and complaints
• Change in a resident's condition
• Serious incidents and reporting
• Discharge and transfer
• Disaster preparedness and evacuation
• Resident files and confidentiality
• Inspections and plans of correction

Rules last reviewed November 5, 2026. Read the full Georgia policy and procedure manual requirements.