State assisted-living licensing record · Georgia HFRD · record as pulled September 21, 2026· Not the federal nursing home survey
111-8-100-0438 · Rule 111-8-100-.04 Services Through Proxy Caregivers
Services Through Proxy Caregivers
An assisted living survey tag from HFRD, cited on Georgia licensure inspections and complaint investigations. TagProof groups it under Resident care. Each citation carries a scope and severity set by HFRD.
33% of the facilities cited on 111-8-100-0438 have been cited on it again at a later visit. A finding that recurs is usually a gap in the routine that produces the record — the same check missed, or done and not documented in a form the surveyor accepts — rather than a new fault.
How HFRD classifies it
HFRD prints a scope-and-severity letter beside each citation, on the grid the federal nursing home survey uses: A to C is a deficiency with no actual harm and the potential for minimal harm, D to F no actual harm with the potential for more than minimal harm, G to I actual harm that is not immediate jeopardy, and J to L immediate jeopardy; within each band the letter rises from isolated to pattern to widespread. D is by far the most common.
| Scope and severity | Citations |
|---|---|
| D | 3 |
| E | 1 |
Where it is cited
| County | Facilities cited |
|---|---|
| Cobb County | 1 |
| Dooly County | 1 |
| Gwinnett County | 1 |
What the requirement says
HFRD’s requirement text as it appears on the inspection report, verbatim.
111-8-100-.04(4)(f) Where the licensed facility employs, contracts or refers proxy caregivers to deliver health maintenance activities to individuals with disabilities receiving services through the licensed facility, the licensed facility must do the following: ... (f) Maintain documentation of the specific training that was provided on the health maintenance activities that the proxy caregiver performs. The documentation must include a competency- based skills checklist completed by the licensed healthcare professional. The checklist must reflect that the proxy caregiver has personally demonstrated to the satisfaction of the licensed healthcare professional the necessary knowledge and skills to perform safely the specific health maintenance activities. There must be a separate skills checklist for each health maintenance activity that the proxy caregiver provides. For the medication administration training, the facility must use the curriculum established by DCH and any associated checklist. ...
Tag code, title and classification as published by the Georgia Department of Community Health, Healthcare Facility Regulation Division. Counts are over Georgia licensed assisted living facilities only; there is no national figure for a state survey tag.