Georgia nursing home responsiveness requirements

Federal law sets the floor for every nursing home in the country. Georgia layers its own licensure rules on top. Below is how the two line up on the duties that depend on somebody answering a phone — each one checked against the official source.

Who regulates nursing homes in Georgia

Licensure chapter
Ga. Comp. R. & Regs. ch. 111-8-56 (Dep't of Community Health, Healthcare Facility Regulation) — Nursing Homes
Survey agency
Healthcare Facility Regulation Division (HFRD), Georgia Department of Community HealthComplaints: Toll free (800) 878-6442
Long-term care ombudsman
1-866-552-4464

Federal duties and the Georgia equivalent

Abuse and neglect reporting

Who must be told when something happens, and how fast.

O.C.G.A. § 31-8-82(a)-(b) (Long-term Care Facility Resident Abuse Reporting Act, O.C.G.A. § 31-8-80 et seq.)

Facility administrators, managers and employees, plus a list of other named professionals, who have reasonable cause to believe a current or former resident was abused or exploited in a long-term care facility must report immediately by telephone or in person to the Department of Community Health and also to law enforcement or the prosecuting attorney, and must file a written report with the Department within 24 hours of that initial report.

Any of the following people who have reasonable cause to believe that any resident or former resident has been abused or exploited while residing in a long-term care facility shall immediately make a report as described in subsection (d) of this Code section by telephone or in person to the department and shall make the report to the appropriate law enforcement agency or prosecuting attorney
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Physician availability

Whether a physician has to be reachable around the clock, and who covers when the attending is not available.

Federal 42 CFR § 483.30 F713 F710
Ga. Comp. R. & Regs. r. 111-8-56-.10(3)

Every nursing home must have an adequate arrangement in place for medical and dental emergencies.

Each home shall have an adequate arrangement for medical and dental emergencies.
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Ga. Comp. R. & Regs. r. 111-8-56-.01(a)

To qualify as a licensed nursing home at all, a facility must have a standing agreement with a physician and a dentist who will be available for any medical or dental emergency and who are responsible for general medical and dental supervision of the home.

has a satisfactory agreement with a physician and dentist who will be available for any medical and/or dental emergency and who will be responsible for the general medical and dental supervision of the home
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Ga. Comp. R. & Regs. r. 111-8-56-.05(3)

Each patient must remain under the continuing care of a physician who visits at least every 30 days after admission and reviews the total program of care at each visit for the first 90 days; an alternate visit schedule is allowed after day 90 only if the attending physician documents the justification in the medical record.

Each patient shall be under the continuing care of a physician who sees the patient at least once every thirty (30) days following admission.
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Licensed nurse coverage

Nurse staffing rules, and any duty to respond to telephone calls from the facility.

Federal 42 CFR § 483.35(e) F731
Ga. Comp. R. & Regs. r. 111-8-56-.04(4)

At least one nurse - registered, licensed undergraduate, or licensed practical - must be on duty and in charge of all nursing activities during every eight-hour shift.

There shall be at least one nurse, registered, licensed undergraduate, licensed on duty and in charge of all nursing activities during each eight-hour shift.
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Ga. Comp. R. & Regs. r. 111-8-56-.04(1)

A registered nurse must be employed full time as director of nursing services and may not also serve as the administrator.

A registered nurse shall be employed full time as director of nursing services. She shall not also be the administrator.
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Ga. Comp. R. & Regs. r. 111-8-56-.04(6)

Georgia imposes its own staffing floor of 2.0 hours of direct nursing care per patient per 24-hour period, with not less than one RN or LPN for every seven total nursing personnel required; dining assistants may not be counted toward that minimum.

A minimum of 2.0 hours of direct nursing care per patient in a 24-hour period must be provided. For every seven (7) total nursing personnel required, there shall be not less than one registered nurse or licensed practical nurse employed.
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Resident telephone access

The resident's right to reach the outside world by phone, privately.

Ga. Comp. R. & Regs. r. 111-8-56-.03(7)

On reasonable request by a patient or a visitor, the nursing home must provide privacy for conversation and consultation.

In response to a reasonable request by a patient or visitor, privacy shall be afforded for conversation and/or consultations.
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Ga. Comp. R. & Regs. r. 111-8-56-.18(22)

A public telephone must be located near the lobby, and at least one telephone must be arranged so a wheelchair user can reach it.

A public telephone shall be located near the lobby. At least one telephone shall be arranged to be convenient for a wheelchair user.
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Emergency communication plan

Keeping emergency contact lists current and reachable.

Federal 42 CFR § 483.73(c) E-0029 E-0030 E-0031
Ga. Comp. R. & Regs. r. 111-8-16-.05(1)

A long-term care facility must notify residents and their representatives or legal surrogates by 5:00 P.M. the next calendar day after a single confirmed COVID-19 or other designated airborne infection, or after three or more residents or staff develop new-onset respiratory symptoms within hours of each other, with cumulative updates at least weekly and no personally identifiable information.

Inform its residents and their representatives or legal surrogates by 5:00 P.M. the next calendar day following the occurrence of either a single confirmed infection of COVID-19 or another airborne infectious disease
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Ga. Comp. R. & Regs. r. 111-8-56-.11(1)(a)

Each patient's medical record, which must be kept at the nurses' station while active, has to carry the name, address and telephone number of the patient's physician and of the responsible party to contact in an emergency.

the name, address and telephone number of physician; the name, address and telephone number of the responsible party to contact in emergency
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Resident call system

How a resident summons staff, and where that signal lands.

Federal 42 CFR § 483.90(g) F919
Ga. Comp. R. & Regs. r. 111-8-56-.12(4)

Every patient must be furnished a suitable signaling device as part of the required individual room equipment.

Each patient shall have a suitable signaling device.
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Ga. Comp. R. & Regs. r. 111-8-56-.18(11)

Each nursing unit must have a nurses' station containing a nurses' call system, and that station may be no more than 120 feet from the entrance of the most remote room it serves.

A nurses' station shall be provided in each nursing unit. It shall contain a nurses' call system, charting desk and supplies, medicine storage, lavatory with soap, towels and towel dispenser, preparation area and a refrigerator.
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Quality assurance

The program that is supposed to catch all of the above.

Federal 42 CFR § 483.75 F865 F867 F868
Ga. Comp. R. & Regs. r. 111-8-56-.05(1)

Georgia has no QAPI rule; the nearest state analog requires each home to maintain an organized professional staff (at least one physician as chief of staff, one dentist and one registered nurse) that operates under bylaws, meets at least semiannually, develops and reviews patient care policies, advises administration on patient care, and keeps minutes available for Department inspection.

There shall be an organized professional staff, with one physician designated as chief of staff. The professional staff shall consist of at least one physician, one dentist and one registered nurse.
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Proving it, rather than assuming it

Every duty above depends on a phone being answered. ResponseProof places scheduled, recorded, AI-scored test calls to the lines that matter in your Georgia facility and hands you a timestamped record you can put in front of a surveyor.

Start a pilot → See the contact roster program

Citations were verified against the official source and then re-checked by an independent review. Regulations change; confirm the current text before relying on it. This page is orientation, not legal advice.