{"ref":"GA-HSP-FAC-03","title":"Hospice Care Facilities: Residential and Inpatient Units","category":"Hospice care","summary":"Applies only if the Agency operates a residential or inpatient hospice care facility. Sets out the Georgia approval needed before opening one, admission criteria, unit size and location limits, the building, rooms and environment, policies for post-mortem care, pronouncement of death and smoking, 24-hour staffing with a registered nurse, meals and dietitian review, missing patients, the facility disaster plan and annual rehearsal, and, if Medicare-certified, the federal inpatient unit standards including restraint and seclusion and death reporting.","inShort":["This policy applies only if the Agency runs its own residential or inpatient hospice facility.","At least two staff are on duty at all times, and a registered nurse directs all care.","In an inpatient facility, a registered nurse gives direct care on every shift.","Three meals a day, no more than 14 hours between the evening meal and breakfast unless medically contraindicated.","If a patient is missing, search, call 911 and tell the nurse in charge at once.","Know the facility fire and evacuation plan. It is rehearsed at least once a year."],"primaryCitation":"Ga. Comp. R. & Regs. 111-8-37-.24","citations":["Ga. Comp. R. & Regs. 111-8-37-.24","Ga. Comp. R. & Regs. 111-8-37-.04(15)","Ga. Comp. R. & Regs. 111-8-37-.03(aa), (p)","Ga. Comp. R. & Regs. 111-8-37-.14(3)-(4)","Ga. Comp. R. & Regs. 111-8-37-.11(3), (6)","Ga. Comp. R. & Regs. 111-8-37-.06(1)(c)","Ga. Comp. R. & Regs. 111-8-37-.12(b)15.","Ga. Comp. R. & Regs. 111-8-37-.18(4)","Ga. Comp. R. & Regs. 111-8-37-.19(e)","Ga. Comp. R. & Regs. 111-8-37-.21(2)"],"federalCitations":["42 CFR §418.110","42 CFR §418.106","42 CFR §418.113(b)(6), (c)(7), (d)(3)"],"surveyorAsks":["Show me the Department’s approval of the change in service level for this facility and the certificate of occupancy.","Show me the staffing for each shift this week. Were two staff on duty at all times, and was a registered nurse giving direct care on every inpatient shift?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (Ga. Comp. R. & Regs. 111-8-37-.24)","5. Before Opening or Changing a Facility","6. Admissions","7. Building, Rooms and Environment","8. Facility Policies","9. Staffing and Nursing","10. Meals and Dietary Services","11. Pharmacy, Restraint and Death Reporting","12. Disaster Preparedness for the Facility","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"ga-hospice","state":"Georgia","service":"Hospice","guides":[{"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"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}