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Rules and Regulations for Proxy Caregivers Used in Licensed Healthcare Facilities (Ga. Comp. R. & Regs. 111-8-100)

GeorgiaregulationGeorgia Department of Community Health — Healthcare Facility Regulation Division

What this rule requires your agency to do

  • 1Where the facility manages medications, it must maintain a daily Medication Assistance Record (MAR) for each person containing the required elements, updated immediately each time medication is offered or taken (111-8-100-.05(8)).(Rules and Regulations for Proxy Caregivers Used in Licensed Healthcare Facilities (Ga. Comp. R. & Regs. 111-8-100))
  • 2A licensed facility may not permit a proxy caregiver to perform health maintenance activities unless the individual with a disability (or legally authorized representative) has executed a written informed consent containing all elements specified in 111-8-100-.04(2).(Rules and Regulations for Proxy Caregivers Used in Licensed Healthcare Facilities (Ga. Comp. R. & Regs. 111-8-100))
  • 3A written plan of care must be developed by a licensed healthcare professional per the attending physician's/APRN's/PA's orders, specifying the health maintenance activities, the frequency of training and evaluation, and when additional training is required for new duties (111-8-100-.04(4)(d)).(Rules and Regulations for Proxy Caregivers Used in Licensed Healthcare Facilities (Ga. Comp. R. & Regs. 111-8-100))
  • 4For medication administration, proxy caregivers must be trained per the DCH-established medication administration curriculum by an appropriately licensed healthcare professional, and must achieve a minimum score of 75 on the Test of Functional Health Literacy for Adults (TOFHLA) (111-8-100-.05(3),(4),(6)).(Rules and Regulations for Proxy Caregivers Used in Licensed Healthcare Facilities (Ga. Comp. R. & Regs. 111-8-100))
  • 5The facility must maintain written evidence of satisfactory performance on initial and annual skills competency determinations, reevaluated at least annually (111-8-100-.04(4)(h) and .05(1)(g)).(Rules and Regulations for Proxy Caregivers Used in Licensed Healthcare Facilities (Ga. Comp. R. & Regs. 111-8-100))
  • 6Proxy caregivers are prohibited from mixing/compounding/calculating doses (with limited exceptions), preparing or administering IV medications, administering the first dose of any subcutaneous or intramuscular injection, and administering any medication without a written order signed by a licensed healthcare professional (111-8-100-.05(7)).(Rules and Regulations for Proxy Caregivers Used in Licensed Healthcare Facilities (Ga. Comp. R. & Regs. 111-8-100))
  • 7The facility must maintain documentation of training including a competency-based skills checklist completed by the licensed healthcare professional, with a separate skills checklist for each health maintenance activity the proxy caregiver provides (111-8-100-.04(4)(f)).(Rules and Regulations for Proxy Caregivers Used in Licensed Healthcare Facilities (Ga. Comp. R. & Regs. 111-8-100))

Applies to: cross-cutting

Georgia's administrative rule governing use of unlicensed proxy caregivers to perform health maintenance activities in licensed healthcare facilities, requiring written informed consent, a licensed-professional-developed plan of care, competency-based training and skills checklists, and defined medication-administration limits.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.