Compilation of Rules and Regulations of the State of Georgia
Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH
Chapter 111-8 - HEALTHCARE FACILITY REGULATION
Subject 111-8-71 - TRAUMATIC BRAIN INJURY FACILITIES
Rule 111-8-71-.11 - Treatment and Rehabilitative Care
Universal Citation: GA Rules and Regs r 111-8-71-.11
Current through Rules and Regulations filed through September 23, 2024
A facility shall provide one or two levels of treatment and rehabilitative care. These are:
(a) Transitional Living. Such treatment and rehabilitative care shall be delivered to clients that require education and training for independent living with a focus on compensating for skills that cannot be restored. Such care prepares clients for maximum independence, teaches necessary skills for community interaction, works with clients on pre-vocational and vocational training, and stresses cognitive, speech, and behavioral therapies structured to the individual needs of clients.
1. Management of clients shall be provided by a program manager who shall be a rehabilitation professional with two years experience in the care or treatment of traumatic brain injured persons. The program manager shall be a full-time staff member with specialized education, training, and skill in rehabilitation.
2. Individual case management shall be provided by the program manager or other professional staff member such as occupational therapist, physical therapist, rehabilitation nurse, or social worker.
3. The following specialized services shall be provided, or arranged for by written agreements or contracts. Such services shall be delivered by professionals licensed by applicable existing Examining Boards of the Joint Secretary for Examining Boards of the Georgia Secretary of State.
(i) Occupational Therapy;
(ii) Psychology;
(iii) Physical Therapy; and
(iv) Speech-Language Therapy.
4. Based on the needs of the client's and the facility's stated continuum of treatment and rehabilitative care, the facility shall provide, arrange for, or assist clients to obtain the following services:
(i) Audiology;
(ii) Chaplaincy;
(iii) Cognitive Rehabilitative Therapy;
(iv) Dentistry;
(v) Dietetics/Nutrition;
(vi) Driver Education;
(vii) Family Therapy;
(viii) Neuropsychology;
(ix) Nursing, including administration of medications if necessary;
(x) Orthotics;
(xi) Pharmaceuticals, including monitoring and safe storage of medications;
(xii) Physician;
(xiii) Prosthetics;
(xiv) Rehabilitation Engineer;
(xv) Respiratory Therapy;
(xvi) Social Work;
(xvii) Therapeutic Recreation; and
(xviii) Vocational Rehabilitation.
5. Coordinated services listed in subparagraph 3. and 4. above shall be provided to a client for at least five hours per weekday. Provision of such services shall be in accordance with the client's plan of care and cognitive and/or physical condition.
6. Twenty-four hour per day supervision for clients in the facility shall be provided by the program manager, professional rehabilitation staff, or other direct care rehabilitation staff at a ratio of 1 staff: 8 clients. Staff shall be available to respond to the needs of clients placed in an independent living arrangement, or outside the facility for employment or unsupervised activities.
(b) Lifelong Living. Such treatment and rehabilitative care shall be delivered to clients that have been discharged from rehabilitation, cannot live at home independently, and require ongoing lifetime support.
1. Management of clients shall be provided by a program manager who shall be a rehabilitation professional with two years of experience in the care or treatment of traumatic brain injured persons. The program manager shall be a full-time staff member with specialized education, training, and skill in rehabilitation. Individual case management may be provided by the program manager.
2. Twenty-four hour per day supervision for clients in the facility shall be provided by the program manager or other direct care staff at a ratio of 1 staff: 10 clients. Staff shall be available to respond to the needs of clients outside the facility for employment or unsupervised activities.
3. Based on needs identified in client assessments and individual program plans, personal care shall be provided. Such care shall include bathing, bowel and bladder management, care of adaptive personal care devices, hair care, nail care, oral hygiene, personal hygiene, positioning, shaving, and skin care.
4. Based on needs identified in client assessments and individual program plans, individual health care needs shall be provided or arranged. These include dental services; nursing services, including administration of medications if necessary; pharmaceutical services, including monitoring medications and safe storage of medications; physician services; preventative, restorative, and rehabilitation services; and psychological services.
5. Support or training for basic living skills shall be available to residents as needed. Such support or training includes basic self-care skills (eating, bathing, toileting, dressing, etc.); communication skills; health maintenance skills (diet, exercise, hygiene, medications, use of medical services, etc.); financial management skills; housekeeping skills; mobility and transportation skills, including how to access public transportation; safety practices; and use of community services and resources.
6. Group or individual activities shall be scheduled for residents based on service needs and personal choices. A minimum of thirty hours per week of activities shall be made available in accordance with the client's plan of care and cognitive and/or physical condition. This may include scheduled employment activities.
O.C.G.A. § 31-7-2.1.
Disclaimer: These regulations may not be the most recent version. Georgia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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