{"ref":"GA-HSP-ANE-01","title":"Recognizing and Reporting Abuse, Neglect and Exploitation","category":"Safeguarding","own":false,"summary":"Tells every employee, contractor and volunteer how to recognize abuse, neglect and exploitation of a hospice patient and exactly whom to tell under Georgia law: Adult Protective Services and law enforcement for elder persons and disabled adults living in the community; the Department and law enforcement, with a written report within 24 hours, for residents of long-term care facilities; the Division of Family and Children Services for children; the facility administrator for harm by facility staff; the Administrator every time; and the Department within 24 hours or the next business day through the incident report. Gives every patient a written notice of how to report.","inShort":["Everyone at the Agency must report suspected abuse, neglect or exploitation. You do not need proof.","Keep the patient safe and call 911 if needed. Then tell the Administrator at once.","Adults at home: report to Adult Protective Services (1-866-552-4464 (1-866-55AGING), option 3) and to law enforcement.","Residents of nursing homes, personal care homes or assisted living: report to the Department (1-800-878-6442) and law enforcement at once.","Children: report to DFCS (1-855-422-4453 (1-855-GACHILD)) immediately, never later than 24 hours.","If you cannot reach a manager within an hour, make the report yourself."],"primaryCitation":"O.C.G.A. §30-5-4","citations":["O.C.G.A. §30-5-4","O.C.G.A. §30-5-3","O.C.G.A. §30-5-4.1","O.C.G.A. §30-5-8","O.C.G.A. §31-8-81","O.C.G.A. §31-8-82","O.C.G.A. §19-7-5","Ga. Comp. R. & Regs. 111-8-37-.06(1)(b), (2)","Ga. Comp. R. & Regs. 111-8-37-.10(1)(d)","Ga. Comp. R. & Regs. 111-8-37-.13(2), (4)(b)"],"federalCitations":["42 CFR §418.52(b)(4)","42 CFR §418.52(c)(6)","42 CFR §418.112(c)(8)","45 CFR §164.512(b)(1)(ii), (c)"],"surveyorAsks":["Ask an aide: a patient tells you her son takes her pain medicine and her money. Whom do you call, and how fast?","Ask a nurse: you find an unexplained bruise on a resident of an assisted living community you serve. What reports do you make, and to whom?","Who is a mandated reporter at your hospice? Does that include volunteers and chaplains?","Show me the abuse reporting notice you give patients at admission and this patient’s acknowledgment.","Show me your last abuse report: when the Agency learned of it, when Adult Protective Services and law enforcement were told, and when the Department received the incident report."],"version":"1.0","effectiveDate":"2026-10-01","reviewDate":"2027-10-01","approvedBy":"Pat Sample, Administrator","forms":[{"ref":"GA-HSP-ANE-01-A","title":"Abuse, Neglect and Exploitation Reporting Notice"}],"sections":[{"heading":"Terms of Reference","body":["This section sets out the standing under which this policy is issued, who owns it, who is bound by it, and how it is kept current. It is not itself a procedure. The obligations begin at Section 1."],"table":{"caption":null,"headers":[["Item"],["Detail"]],"rows":[[["Issued by"],["The governing body of ",{"k":"field","name":"agency.name","text":"Sample Agency, LLC"}]],[["Document owner"],[{"k":"field","name":"people.administrator.name","text":"Pat Sample"},", ",{"k":"field","name":"people.administrator.title","text":"Administrator"}]],[["Authority"],["Adopted under O.C.G.A. §§30-5-3 to 30-5-8 (protection of disabled adults and elder persons), O.C.G.A. §§31-8-80 et seq. (long-term care facility residents), O.C.G.A. §19-7-5 (child abuse), and Ga. Comp. R. & Regs. 111-8-37-.06(1)(b), (2), -.10(1)(d) and -.13(2), (4). If the Agency is Medicare-certified, also 42 CFR §418.52(b)(4) and §418.112(c)(8)."]],[["Applies to"],["Every employee, contractor, volunteer and student of the Agency, in every setting."]],[["Status"],["Mandatory. No one needs permission to report, and no one may discourage or delay a report."]],[["Not covered here"],["How the Agency investigates, protects patients during an investigation and reports verified violations (Policy GA-HSP-ANE-02). The form, route and 45-day report for incidents reported to the Department (Policy GA-HSP-QA-02). Complaints that do not involve abuse, neglect or exploitation (Policy GA-HSP-CMP-01)."]],[["Review"],["Reviewed by the document owner at least every ",{"k":"field","name":"settings.reviewFrequencyMonths","text":"12"}," months, and within 30 days of any amendment to a rule cited in the References section. Each review is recorded in the Revision History."]],[["Amendment"],["Any change requires the approval of the governing body and the issue of a new version number. Superseded versions are retained for at least six years."]],[["Distribution"],["Master copy in the policy manual. Table 2 is printed on the back of every staff badge card and posted at the office. Form GA-HSP-ANE-01-A is given to every patient at admission."]],[["Questions"],["Direct to the document owner on ",{"k":"field","name":"agency.phone","text":"(404) 555-0100"}," or ",{"k":"field","name":"agency.email","text":"office@example.com"},"."]]]},"edited":false},{"heading":"1. Purpose","body":["Hospice patients are among the most vulnerable people in Georgia: often bedbound, confused, unable to speak, and dependent on others for medication and care. Controlled medications in the home create a particular risk of exploitation and diversion. This policy makes sure that everyone at ",{"k":"field","name":"agency.name","text":"Sample Agency, LLC"}," (the \"Agency\") recognizes abuse, neglect and exploitation and reports it at once to every body Georgia law requires, and that the patient is protected while that happens. Every patient has the right to receive hospice care in a manner that neither physically nor emotionally abuses the patient, nor neglects the patient’s needs (Ga. Comp. R. & Regs. 111-8-37-.10(1)(d))."],"edited":false},{"heading":"2. Scope","body":["Any act or failure to act, by anyone, that harms or could harm a patient: Agency employees, contractors and volunteers; family members, caregivers, friends and household members; staff of a nursing home, personal care home, assisted living community or inpatient facility; other residents and visitors; and strangers. It applies at home, in facilities and in any hospice care facility the Agency operates, and to patients of every age."],"edited":false},{"heading":"3. Definitions","body":["The following terms have the meanings given below when used in this policy."],"table":{"caption":null,"headers":[["Term"],["Meaning"]],"rows":[[["Patient"],["A terminally ill person receiving hospice care from the Agency and, where the Agency offers it, a person with an advanced and progressive disease receiving palliative care (Ga. Comp. R. & Regs. 111-8-37-.03(t)). 42 CFR Part 418 also says \"patient\"; the two mean the same person here."]],[["Department"],["The Georgia Department of Community Health (Ga. Comp. R. & Regs. 111-8-37-.03(g)), acting through its Healthcare Facility Regulation Division (",{"k":"field","name":"fixed.licensingAgency","text":"Georgia Department of Community Health, Healthcare Facility Regulation Division"},")."]],[["Abuse (O.C.G.A. Chapter 30-5)"],["\"the willful infliction of physical pain, physical injury, sexual abuse, mental anguish, unreasonable confinement, or the willful deprivation of essential services to a disabled adult or elder person\" (O.C.G.A. §30-5-3(1))."]],[["Neglect (O.C.G.A. Chapter 30-5)"],["\"the absence or omission of essential services to the degree that it harms or threatens with harm the physical or emotional health of a disabled adult or elder person\" (O.C.G.A. §30-5-3(14))."]],[["Exploitation (O.C.G.A. Chapter 30-5)"],["\"the illegal or improper use of a disabled adult or elder person or that person's resources through undue influence, coercion, harassment, duress, deception, false representation, false pretense, or other similar means for one's own or another's profit or advantage\" (O.C.G.A. §30-5-3(8))."]],[["Elder person"],["\"a person 65 years of age or older who is not a resident\" of a long-term care facility (O.C.G.A. §30-5-3(6), (16))."]],[["Disabled adult"],["A person 18 years of age or older who is not a resident of a long-term care facility but who is mentally or physically incapacitated, has Alzheimer’s disease, or has dementia (O.C.G.A. §30-5-3(5)). Most adult hospice patients living in the community are elder persons or disabled adults."]],[["Long-term care facility; resident"],["Any skilled nursing home, intermediate care home, assisted living community, personal care home, or community living arrangement subject to regulation and licensure by the Department; a resident is any person receiving treatment or care in such a facility (O.C.G.A. §31-8-81(3)-(4)). For these residents, \"abuse\" includes any intentional or grossly negligent act or omission which causes injury, including failure to provide treatment or care (O.C.G.A. §31-8-81(1))."]],[["Reasonable cause to believe"],["Information that would lead a reasonable person to believe that abuse, neglect or exploitation has occurred. Proof is not needed, and staff do not investigate before reporting."]],[["Alleged violation (Medicare)"],["Mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of patient property (42 CFR §418.52(b)(4)(i))."]]]},"edited":false},{"heading":"4. Policy Statement (O.C.G.A. §30-5-4; Ga. Comp. R. & Regs. 111-8-37-.06(2))","body":["Every Agency employee who provides or supports patient care is a mandated reporter. O.C.G.A. §30-5-4(a)(1)(A) requires these persons, among others, to report when they have reasonable cause to believe that a disabled adult or elder person has been the victim of abuse, other than by accidental means, or has been neglected or exploited: any person required to report child abuse under O.C.G.A. §19-7-5(c), which includes physicians, physician assistants, hospital or medical personnel, registered and licensed practical nurses, nurse’s aides, licensed professional counselors and social workers; physical therapists; occupational therapists; employees of a public or private agency engaged in professional health related services to elder persons or disabled adults; and clergy members. The Agency requires every employee, contractor and volunteer to report, whether or not the statute names that person’s role.\n\nWhere hospice staff have reasonable cause to believe that a disabled adult or elder person has been the victim of abuse, other than by accidental means, or has been neglected or exploited, the Agency reports to an adult protection agency providing protective services as designated by the Department and to an appropriate law enforcement agency or prosecuting attorney (Ga. Comp. R. & Regs. 111-8-37-.06(2); O.C.G.A. §30-5-4(b)(1)(A)). Separately, any rape, assault, or any abuse, neglect or exploitation of a patient is reported to the Department within 24 hours or the next business day (Rule 111-8-37-.06(1)(b); Policy GA-HSP-QA-02).\n\nThe Georgia statute sets no number of hours for the adult protective services report. The Agency’s own standard is that the report is made immediately, and never later than the end of the shift or visit in which the staff member formed the belief. A report is made even where the information came from a communication that is otherwise privileged or confidential, except that a member of the clergy is not required to report matters confided solely within the context of confession or similar communication required to be kept confidential under church doctrine or practice (O.C.G.A. §30-5-4(d)). A person who makes a report in good faith is immune from civil liability and criminal prosecution on account of the report (O.C.G.A. §30-5-4(c)), and failure to make a required report is a misdemeanor (O.C.G.A. §30-5-8).\n\nIf the Agency is Medicare-certified, every hospice employee and contracted staff member reports every alleged violation, including injuries of unknown source and misappropriation of patient property, by anyone furnishing services on behalf of the hospice, immediately to the hospice administrator (42 CFR §418.52(b)(4)(i)). The Agency applies this as its own standard to every concern, whoever the suspected person is."],"edited":false},{"heading":"5. Recognizing Abuse, Neglect and Exploitation","body":["Hospice patients often have bruising, skin breakdown, weight loss, confusion and falls because of their illness. Staff do not dismiss a sign because it could be disease-related; they report what they see and hear and let the investigators decide. Watch for:"],"list":[["Physical: unexplained bruises, burns, fractures or marks in the shape of fingers or objects; injuries at different stages of healing; a patient who flinches or is afraid of a caregiver; restraint marks."],["Sexual: injury, bleeding or infection in the genital area; a patient’s report or sudden fear of a particular person."],["Emotional: threats, insults, isolation from friends or the hospice team, a caregiver who will not let the patient speak alone with staff."],["Neglect: a patient left soiled, hungry, thirsty or alone; untreated pressure injuries; medications or oxygen not given; a caregiver who refuses the care the plan of care needs; in a facility, care in the plan not being given by facility staff."],["Exploitation and diversion: missing money, valuables or bank cards; sudden changes to a will, deed, power of attorney or bank account; pain medications that run out early or counts that do not match; a caregiver asking for more opioids than the patient seems to use."],["Unreasonable confinement: a patient locked in a room, tied, or kept from leaving or from seeing visitors."]],"ordered":false,"edited":false},{"heading":"6. Who to Report To","body":["Table 1 shows the reports each situation needs. More than one row may apply; make every report that applies. In every case, also tell the Administrator at once (Section 7, step 2)."],"table":{"caption":["Table 1.  Where reports go"],"headers":[["Situation"],["Report to"],["Time"],["Authority"]],"rows":[[["Anyone in immediate danger or needing emergency medical care"],["911, then the routes below"],["At once"],["—"]],[["Abuse, neglect or exploitation of an elder person (65 or older) or a disabled adult (18 or older) who does not live in a long-term care facility, by anyone, including Agency staff"],["Adult Protective Services: ",{"k":"field","name":"fixed.abuseReportRoute","text":"Adult Protective Services, Georgia Department of Human Services, Division of Aging Services: call 1-866-552-4464 (1-866-55AGING) and press 3, Monday to Friday 8 a.m. to 7 p.m., or report online at any hour through https://aging.georgia.gov/report-elder-abuse-neglect-or-exploitation; and the local law enforcement agency or prosecuting attorney (in an emergency, call 911)"},". Both Adult Protective Services and law enforcement or a prosecuting attorney must be told."],["Immediately; Agency standard never later than the end of the shift or visit"],["O.C.G.A. §30-5-4(b)(1)(A); Rule 111-8-37-.06(2)"]],[["Abuse or exploitation (including grossly negligent failure to provide treatment or care) of a resident or former resident while residing in a nursing home, intermediate care home, assisted living community, personal care home or community living arrangement"],["The Department, by telephone or in person, on its Healthcare Facility Regulation Division intake line ",{"k":"field","name":"fixed.complaintHotline","text":"1-800-878-6442"},", and the appropriate law enforcement agency or prosecuting attorney. Then a written report to the Department."],["Immediately by telephone or in person; written report to the Department within 24 hours after the initial report"],["O.C.G.A. §31-8-82(a)-(b); §30-5-4(b)(1)(B)"]],[["A facility resident harmed or possibly harmed by someone unrelated to the hospice (facility staff, another resident, a visitor), including an injury of unknown source or misappropriation of property"],["The facility administrator, in addition to the report in the row above"],["Within 24 hours of the Agency becoming aware (Agency standard: at once)"],["42 CFR §418.112(c)(8); Policy GA-HSP-FAC-01"]],[["A child patient (under 18) who may have been abused, by anyone"],["Division of Family and Children Services: ",{"k":"field","name":"fixed.childAbuseHotline","text":"1-855-422-4453 (1-855-GACHILD)"}],["Immediately, but in no case later than 24 hours from the time there is reasonable cause to believe"],["O.C.G.A. §19-7-5(c), (e)(2)"]],[["Any rape, assault, or any abuse, neglect or exploitation of a patient, in any setting"],["The Department, through the peer review incident report (Policy GA-HSP-QA-02)"],["Within 24 hours or the next business day"],["Rule 111-8-37-.06(1)(b)"]],[["A long-term care facility resident who wants an advocate"],["Offer the Long-Term Care Ombudsman: ",{"k":"field","name":"fixed.ombudsmanHotline","text":"Georgia Long-Term Care Ombudsman Program: 1-866-552-4464, option 5"},". This is in addition to, never instead of, the reports above."],["As soon as possible"],["Agency standard"]]]},"note":["Each report includes, as far as known: the name and address of the patient, and should include the name and address of the caretaker, the patient’s age, the nature and extent of the injury or condition, and other pertinent information (O.C.G.A. §30-5-4(b)(2)); for a facility resident, also the name and address of the facility, the suspected cause and the reporter’s own name and address (O.C.G.A. §31-8-82(d)). Report even if some details are unknown."],"edited":false},{"heading":"7. Procedure","body":[],"list":[["Protect the patient (any staff member, at once). Make the patient safe; call 911 if needed. Do not leave the patient alone with a suspected perpetrator. Do not confront the suspected person or disturb evidence. If controlled medications may be diverted, follow Policy GA-HSP-MED-02 to secure or count them."],["Tell the Administrator (any staff member, at once). Call ",{"k":"field","name":"people.administrator.name","text":"Pat Sample"}," on ",{"k":"field","name":"agency.phone","text":"(404) 555-0100"},", or the Alternate Administrator, ",{"k":"field","name":"people.alternate.name","text":"Jo Sample"},", or the on-call line ",{"k":"field","name":"agency.afterHoursPhone","text":"(404) 555-0199"},". Give the patient’s name, what you saw or heard, when, and who was involved. This internal report never replaces the external reports."],["Make the external reports (Administrator, with the staff member). Use Table 1. The Administrator or Alternate Administrator makes the reports with the staff member on the line or present, so that the person with first-hand knowledge gives the facts. If neither can be reached within one hour, or the shift is ending, the staff member makes every report personally. Anyone may report directly at any time without asking permission."],["Record the report. Write down the date and time of each call or online submission, the intake worker’s name, the law enforcement agency and officer, and any intake or case number, and give them to the Administrator for the incident file. Complete Form GA-HSP-QA-01-A."],["Report to the Department. The quality lead or Administrator makes the incident report to the Department within 24 hours or the next business day (Policy GA-HSP-QA-02)."],["Remove the alleged perpetrator. If an Agency employee, contractor or volunteer is alleged, the Administrator removes that person from all patient contact pending the investigation (Policy GA-HSP-ANE-02)."],["Start the investigation. The Administrator starts the internal investigation immediately under Policy GA-HSP-ANE-02."],["Inform the patient. Unless doing so would place the patient at risk of serious harm, or the person who would be told is believed to be responsible for the abuse, the Administrator informs the patient or representative that a report was made (45 CFR §164.512(c)(2))."],["Update the plan of care. The hospice care team reviews the patient’s safety, caregiver arrangements and medication management, and documents the facts and the care given in the medical record without opinions and without mentioning the incident report."]],"ordered":true,"edited":false},{"heading":"7.1 Children","body":["When a staff member who must report child abuse attends to a child as part of his or her duties for the Agency, the staff member may notify the person in charge (the Administrator or Alternate Administrator), who must then report or cause a report to be made; the staff member who notifies the person in charge is deemed to have complied (O.C.G.A. §19-7-5(c)(2)). The person in charge may not control, restrain or modify the information provided by the reporter, or make any other change to it (O.C.G.A. §19-7-5(c)(2)). The report is made immediately, but in no case later than 24 hours from the time there is reasonable cause to believe that suspected child abuse has occurred (O.C.G.A. §19-7-5(e)(2)). As the Agency’s own standard, if the person in charge has not confirmed within one hour that the report was made, the staff member reports directly to ",{"k":"field","name":"fixed.childAbuseHotline","text":"1-855-422-4453 (1-855-GACHILD)"},"."],"edited":false},{"heading":"8. Notice to Patients and Staff","body":[],"list":[["At admission each patient and, where applicable, the patient representative receives Form GA-HSP-ANE-01-A, which explains the patient’s right to be free from abuse and neglect and how to report directly to Adult Protective Services, the Department, the Division of Family and Children Services and the Agency. The patient’s signed acknowledgment is filed in the medical record. The form is available in Spanish and is explained in a language the patient understands."],["Orientation for every person providing services includes patient rights including abuse reporting requirements, and the Agency’s policies on reporting abuse and neglect (Ga. Comp. R. & Regs. 111-8-37-.13(2)(b)-(c)). The annual training for all staff and volunteers who provide hands-on care includes recognizing abuse and neglect and reporting requirements (Rule 111-8-37-.13(4)(b))."]],"ordered":false,"edited":false},{"heading":"9. No Retaliation","body":["No person shall discriminate or retaliate in any manner against any person who makes a report, testifies, provides protective services or participates in an investigation, or against any disabled adult or elder person who is the subject of a report (O.C.G.A. §30-5-4.1). The Agency does not reduce or end a patient’s services because a report was made. If the Agency is Medicare-certified, patients have the right not to be subjected to discrimination or reprisal for exercising their rights (42 CFR §418.52(b)(1)(iv)). Any employee who discourages, delays or retaliates for a report is disciplined."],"edited":false},{"heading":"10. Responsibilities","body":["Each role named below carries the duties shown."],"table":{"caption":null,"headers":[["Role"],["Responsibility"]],"rows":[[["Governing body"],["Adopts this policy; is told of every allegation against Agency staff; appoints an independent investigator if the Administrator is alleged."]],[[{"k":"field","name":"people.administrator.name","text":"Pat Sample"},", ",{"k":"field","name":"people.administrator.title","text":"Administrator"}],["Receives every internal report; makes or confirms every external report; removes alleged staff from patient contact; starts the investigation; keeps the incident file."]],[[{"k":"field","name":"people.alternate.name","text":"Jo Sample"},", ",{"k":"field","name":"people.alternate.title","text":"Alternate Administrator"}],["Acts for the Administrator when the Administrator is unavailable."]],[[{"k":"field","name":"people.qualityLead.name","text":"Lee Sample"},", ",{"k":"field","name":"people.qualityLead.title","text":"Quality program lead"}],["Makes the incident report to the Department within 24 hours or the next business day (Policy GA-HSP-QA-02)."]],[[{"k":"field","name":"people.supervisingNurse.name","text":"Robin Sample, RN"},", ",{"k":"field","name":"people.supervisingNurse.title","text":"Supervising Nurse"}," (director of nursing)"],["Assesses the patient, updates the plan of care, and makes sure Form GA-HSP-ANE-01-A is given at every admission."]],[["Every employee, contractor and volunteer"],["Recognizes and reports at once, protects the patient, and makes the external report personally if the Administrator cannot be reached in time."]]]},"edited":false},{"heading":"11. Records and Compliance Monitoring","body":["The Administrator keeps a confidential incident file for every concern reported, with the internal report, Form GA-HSP-QA-01-A, the date and time of each external report and the intake or case number, the Department incident report, protective actions, and the link to the investigation file (Policy GA-HSP-ANE-02), for at least six years (the Agency’s own standard). Acknowledgments of Form GA-HSP-ANE-01-A are kept in the medical record. Each quarter the quality management committee reviews the number and type of reports and the time from awareness to each report, and the Administrator checks a sample of new admissions for the signed acknowledgment (Policy GA-HSP-QA-01)."],"edited":false},{"heading":"12. Staff Training","body":["Every employee, contractor and volunteer is trained at orientation, before any patient contact, on Sections 4 to 9, with practice scenarios for home and facility settings, and annually thereafter (Ga. Comp. R. & Regs. 111-8-37-.13(2), (4)(b)). Managers and on-call nurses are also trained on making each report in Table 1. Training is recorded under Policy GA-HSP-HR-01."],"edited":false},{"heading":"13. References","body":["This policy implements the following authorities."],"list":[["O.C.G.A. §30-5-3, definitions"],["O.C.G.A. §30-5-4, reporting of need for protective services"],["O.C.G.A. §30-5-4.1, no retaliation"],["O.C.G.A. §30-5-8, failure to report"],["O.C.G.A. §§31-8-81 and 31-8-82, abuse of long-term care facility residents"],["O.C.G.A. §19-7-5, reporting of child abuse"],["Ga. Comp. R. & Regs. 111-8-37-.06(1)(b), (2), reports to the Department and to the adult protection agency"],["Ga. Comp. R. & Regs. 111-8-37-.10(1)(d), right to care free of abuse and neglect"],["Ga. Comp. R. & Regs. 111-8-37-.13(2), (4)(b), orientation and annual training"],["42 CFR §418.52(b)(4), (c)(6), reporting alleged violations; right to be free from abuse (Medicare-certified hospices)"],["42 CFR §418.112(c)(8), alleged violations in SNF/NF or ICF/IID settings"],["45 CFR §164.512(b)(1)(ii), (c), disclosures about victims of abuse, neglect or domestic violence"]],"ordered":false,"edited":false},{"heading":"14. Related Policies and Forms","body":["The following documents are read together with this policy."],"table":{"caption":null,"headers":[["Reference"],["Title"]],"rows":[[["Form GA-HSP-ANE-01-A"],["Abuse, Neglect and Exploitation Reporting Notice"]],[["Form GA-HSP-QA-01-A"],["Adverse Event and Incident Report"]],[["Policy GA-HSP-ANE-02"],["Investigation of Alleged Violations and Protection of Patients"]],[["Policy GA-HSP-QA-02"],["Reports to the Department of Community Health and Internal Investigations"]],[["Policy GA-HSP-QA-01"],["Quality Management, Utilization and Peer Review (QAPI)"]],[["Policy GA-HSP-FAC-01"],["Hospice Care for Residents of Nursing Homes, Personal Care Homes and Assisted Living Communities"]],[["Policy GA-HSP-MED-02"],["Controlled Substances in the Home: Management and Disposal"]],[["Policy GA-HSP-PR-01"],["Patient and Family Rights"]],[["Policy GA-HSP-PRV-01"],["HIPAA Privacy and Georgia Confidentiality Laws"]],[["Policy GA-HSP-CMP-01"],["Complaints and Grievances"]],[["Policy GA-HSP-HR-01"],["Orientation, Annual Training and Competency"]],[["Policy GA-HSP-HR-03"],["Criminal Background Checks and Registry Checks"]]]},"edited":false},{"heading":"15. Approval","body":["This policy is adopted by the governing body of ",{"k":"field","name":"agency.name","text":"Sample Agency, LLC"},". The effective date, the person who approved it, and the date of approval are shown in the header block and recorded in the signature lines below."],"edited":false},{"heading":"16. Revision History","body":["Every version of this policy, the date it took effect, a summary of what changed, and who approved it is recorded below. Where a rule cited in the References section is amended, the amendment is recorded in this table and a new version of this policy is issued."],"edited":false}],"missing":[],"editedCount":0,"pack":"ga-hospice","state":"Georgia","service":"Hospice","guides":[{"path":"/guides/abuse-neglect-exploitation-reporting/","h1":"Abuse, neglect and exploitation policies: what each state requires"},{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"sample":true,"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}