Nursing Home and Elderly Care Centers Regulation

Asude Huzurevi

Nursing Home and Elderly Care Centers Regulation

The nursing home regulation was published in the official gazette on 07.08.2008.

Official Gazette Date: 07.08.2008

Number Of Official Newspapers: 26960

Nursing Home Regulation Part One

Purpose, scope, basis and definitions

Article 1 – (1) the objective of this regulation nursing homes to be opened by natural persons and legal persons of private law nursing, aged care centres opening procedures, service standards, personnel, operating conditions, costs, control, transfer, and termination to determine the procedures and principles for.


Article 2 – (1) this nursing home regulation covers nursing homes and nursing home aged care centers opened by individuals or private legal entities.


Article 3 – (1) this nursing home regulation has been prepared on the basis of articles 34 and 35 of the first paragraph (g) of Article 9 of the law on social services and Child Protection dated 24/5/1983 and numbered 2828.


Article 4 – (1) contained in this regulation:

a) General Directorate: General Directorate of Social Services and Child Protection Agency,

b) nursing home: elderly and look to maintain a peaceful environment for healthy social, physical and moral needs, in order to meet a real person or private law legal persons founded by a twenty-four hour service with a capacity of at least twenty boarding social service organization,

c) nursing home and Aged Care Center: a social service organization with a capacity of at least twenty, which provides twenty-four hours of boarding services to healthy elderly and special care elderly in different parts of the same building,

d) Provincial Directorate: Provincial Directorate of Social Services,

d) district directorate: District Social Services Directorate,

E) establishment: nursing home and / or elderly care center,

f) professional employee: social worker, psychologist, working in organizations (changed address: RG-26/9/2008-27009) physician, physiotherapist, dietitian and nurse,

d) legal entities of private law: associations, foundations and companies established in accordance with the provisions of private law,

d) social work: the Department of the organization consisting of professional employees in order to conduct professional work and programs that will be implemented in a coordinated and effective way,

H) elderly: a person of at least fifty-five years of age who needs social, physical and moral support, is in mental and mental health and needs organizational care;

1) special care of the elderly: nursing home and aged care mental health even though mental health is not good or the provision of services in other service area health care organizations psychiatric clinics against the elderly to be taken from any negative situation that you create remain in the nursing home or aged care center if it is not okay that (amended phrase:RG-26/9/2008-27009), and infectious or medical report is not identified with a disease that requires ongoing medical care, if you have a contagious disease to be obtained from the relevant departments of a health care provider that is not the problem in public life that are cared for (amended phrase:RG-26/9/2008-27009) identified with the medical report of age-related dementia, like Alzheimer’s, heavy paralyzed, bedridden, or require special care in other cases, old men who need the support of someone else.

2) healthy elderly: an elderly person with mental and mental health, who can independently perform his own self-care, without infectious disease, alcohol and drug addiction.

I) (amended:RG-2/6/2010-27599) aged care staff: Health vocational high schools and vocational high schools and higher education institutions related to the aging of partitions and modular training according to the program, sick and elderly services in the field of document dated 21/5/2010 fourth level or equivalent or have at least 27587 published in the official gazette, the Ministry of education non-formal education institutions according to the regulations of old, and patient services in the field of short-term and the guy who finished a training program equivalent courses with progressive,

i) elderly care center: the care and protection of the elderly within nursing homes special care in order to ensure for this purpose or directly was opened and a twenty-four hour service with a capacity of at least twenty boarding social service organization,

j) aged care plan: for each elderly person in Aged Care Centers, a written plan prepared separately taking into account the characteristics and needs of the elderly and approved by the responsible director, detailing the content and frequency of services to be provided to the elderly,

k) (Mülga:RG-2/6/2010-27599)


Nursing home regulation Part Two: establishment and operations
To open the organization application

Article 5 – (1) individuals or legal entities of private law who want to open an organization apply to the Provincial/District Office with a petition.

(2) in the petition; the name and address of the organization, as well as the identity and open address of the founder are indicated.

Conditions to look for in the founder

Article 6 – (1) people who will open an organization or take over an open organization;

a) be at least a primary or primary school graduate,

b) become a citizen of the Republic of Turkey,

c) have a driver’s license to exercise civil rights,

C) a short term imprisonment for crimes of negligence, with the option to translated or sanctions that have been suspended except for the provisions mentioned below, except for crimes, a prison sentence of one year or more crimes against the security of the state or forgiveness even if it was simple or qualified embezzlement, extortion, bribery, theft, fraud, forgery, abuse of faith, honor and dignity, such as bankruptcy or crime or disgraceful dolanli crusher trafficking, the official auction trades and rigging, not have been convicted of crimes related to the disclosure of state secrets,

d) when he is the founder of any of the social service organizations, the conditions for his organization to not be closed due to his activities contrary to the relevant regulations are sought.

(2) private legal entities may show a representative for opening or transfer operations.

(3) the representative shall seek the conditions necessary for natural persons.

(4) (amended:RG-4/4/2012-28254) of the publication of the advertisement for a trading company in the form of structured entities that the organization is within the scope of acilisfaaliyet shows, trade name, registered trade name and Trade Register of the registry office a statement of the number of (organizational administration of the company trade registry Gazette published before the date 1/10/2003 status and the last shows, if the trade registry Gazette or original certified by the institution), the relevant tax office name and tax identification number statement of, a sample of documents and decisions approved by the provincial directorate is requested, which indicates that the original or institution-approved certificate of notarized signature circulars and the company representative are among the shareholders.

(5) (changed:RG-31/7/2009-27305) legal entities structured in the form of a foundation, Association, trade union or room, a representative to be shown by legal entities indicates that he is a member of the board of directors a sample of documents and decisions approved by the Provincial Directorate, a document indicating that the opening of the organization is included in the bill of the foundation or the Charter of the association.

Documents required for opening permit

Article 7- (changed: RG-31/7/2009-27305)

(1) The Founder must prepare the file containing the documents written below and give it to the Provincial Directorate in two copies. If the application is to be made to the district directorate, the documents are prepared in three copies.

a) for the founder and responsible director;

1) T.C. Identification number statement,

2) shows the education status of the original document or a sample approved by the administration,

3) a written statement that there is no judicial record,

4) a written statement that there is no obstacle to performing its duty continuously,

5) an employment contract is requested between the responsible manager and the founder.

b) for the establishment building;

1) Building use permit or static report to be obtained from the relevant departments of universities,

2) example of title deed or lease agreement of the building,

3) report to be taken from the fire department in terms of fire safety,

4) if the organization has a special care department or the organization serves directly as a hospice, an eligibility report to be obtained from the provincial health department is requested.

Operations for opening permission

Article 8 – (1) the following procedures are performed for opening permission.

a) by the provincial or District Directorate;

1) physical conditions of the organization,

2) details,

3) the capacity to be determined by taking into account the width of the bedrooms and the adequacy of other parts of the organization,

4) in general, the necessary operations related to the opening permit report are carried out by the professional staff working in the Provincial/District Directorate about its suitability for service.

b) (changed:RG-31/7/2009-27305) if the application has been made to the provincial directorate; if all the documents prepared are in accordance with the established principles, the opening of the organization to service occurs with the proposal of the provincial directorate and the approval of the governorship. All documents approved by the provincial directorate one of the files remains in the provincial directorate. The second is given to the founder in exchange for his signature after the opening permit has been issued. A sample of the opening approval is sent to the General Directorate for information.

c) if the application is made to the district administration, the same process is followed and a set of prepared files and a sample of the opening approval are sent to the district administration.

d) it is mandatory to conclude an employment contract between all employees working in organizations and the founder. An organization that holds an opening permit and completes its staff begins the service.

d) the opening permit must be hung in a place where the organization can be seen.

e) the name of the employer and workplace of each organization given an opening permit and the type of work it does are notified by the Provincial Directorate to the regional labour directorate to which this place is connected within one month.

Admission of elders to the establishment

Article 9 – (1) opening approval is obtained from the Governor’s office, the old acceptance is made to the organization where the opening permit is issued, and the organization goes into service.

(2) the opening approval of the governorship has not been obtained, the opening permit has not been issued, the nursing home and/or nursing home aged care center under the name of unauthorized service places are stopped and the provisions of Article 32 are applied.

Staff work permit

Article 10 – (1) personnel work permit is issued within the framework of the following principles.

(a) permit the opening of a landing permit issued to founder and managing director of organization at the latest within one month after the date of receipt in the organization of personnel to be employed for each of the first paragraph of Article 7 subparagraph (a) by editing two copies of the documents specified in Provincial/District is submitted to the director.

(b) (changed:RG-31/7/2009-27305) by the Provincial Directorate, these personnel documents are evaluated in accordance with the requirements specified in the third section of the nursing home regulation and certified within one month.

(c) if the hired personnel does not start their duties, the employer shall notify the Provincial Directorate and the regional labour directorate.

(d) the first copy of the personnel’s documents and work approval shall be kept in the Provincial/District Directorate and the second copy shall be kept in the establishment. Personnel who are not certified by provincial directorates cannot work. The same applies to new employees.

(d) personnel must carry a picture ID card approved by the Provincial/District Directorates during working hours in the organization.

(E) if the responsible director is placed on leave for various reasons, the most senior professional employee who is in the organization and has the characteristics specified in the second paragraph of Article 13 is left as a deputy for a period of no more than one month. Information is given to the Provincial Directorate about the authorized personnel and the identity of the deputy. In the responsible director change, the approval of the provincial director is required.

(f) in organizations, responsible Director, social worker, (changed address:RG-26/9/2008-27009) doctor, nurse, elderly care staff and cook must be employed.

(g) elderly care centers, mental health non-adoption in the case of the elderly, a psychiatrist by the service agreement (amended phrase:RG-26/9/2008-27009) coroner’s full or part-time must be run.

(d) (changed:RG-6/7/2011-27986) medical personnel who have obtained the title of physiotherapist, dietitian and technician can be employed full or part-time in nursing homes and/or elderly care centers. But their duties and responsibilities are limited by their professional legislation.

Operations for transfer and transfer

Article 11 – (1) the following procedures are performed for transfer and transfer.

a) (changed:RG-2/6/2010-27599) in the transfer of the organization, the parties apply to the Provincial/District Office within thirty days from the date of transfer with a certificate of transfer that they will receive from a notary. In addition to the transfer bill, the persons who will transfer the organization are asked to arrange the documents contained in sub-paragraph (2) of Paragraph (A) and Paragraph (B) of the first paragraph of Article 7 in three copies.

b) if the organization is transferred to another address, the founder applies to the Provincial/District Office with a petition that includes the address of the new building. As a result of the on-site inspection by the Provincial/District Directorate, a status report and temporary permit document are prepared about the building. If the building is also suitable for the provincial directorate when the temporary permit is issued by the district directorate, the founder is asked to arrange the documents specified in Paragraph (b) of the first paragraph of Article 7 in three copies. An organization that does not receive an opening permit within three months will cancel the transfer process. Documents with photos showing the details of the organization are submitted to the Provincial Directorate in three copies within one month after the transfer.

c) documents organized in three files for transfer and transfer are submitted to the Provincial Directorate for approval by the governor. After approval, the opening permit is issued. One of the files and a sample of the approval are sent to the General Directorate.

d) (changed:RG-2/6/2010-27599) existing permits of real and private legal entities that transfer, transfer, transfer, transfer without notice to the Provincial Directorate are canceled.

(2) in relation to the opening of the organization, transfer, transfer and employment of personnel, the operation is carried out in accordance with the general provisions on matters not specified by this nursing home regulation.

Branch opening operations

Article 12 – (1) for the permission to open a branch, the process is performed as at the opening of a new organization. A separate responsible manager and staff are employed for each branch.

Nursing Home Regulation Section Three
Qualifications, duties, powers and responsibilities of personnel

Responsible manager

Article 13 – (1) the responsible director is primarily responsible for carrying out all administrative, financial and technical work of the organization in accordance with its purpose, providing the best care and protection of the elderly, as well as meeting their physical, social and moral needs.

(2) (changed:RG-31/7/2009-27305) those who will be the responsible director must be a graduate of higher education for at least 4 years. Founders of this nature can also be the responsible director of the organization.

(3) a person cannot be a responsible director of more than one organization and cannot work in another job during working hours.

(4) the responsible director is responsible for carrying out the administrative, financial and technical affairs of the organization in accordance with the relevant legislation, and his duties and powers are stated below.

a) to take care and protection of the elderly and to take measures to provide all kinds of needs, to make and control the division of work among the officers,

b) ensure that the standard forms sent by the General Directorate are filled out, follow-up, ensure that numerical information is sent to the relevant authorities, conduct all types of correspondence related to the elderly in accordance with the internal service directive of the organization,

C) keeping personnel’s personal files, ensuring that all kinds of transactions and correspondence are carried out within the framework of the relevant legislation in accordance with the internal service directive of the organization,

d) organize, approve and ensure the implementation of the Center’s work schedules and hours,

d) ensure that the communication between the Provincial/District Directorate and the organization is carried out.

Social worker

Article 14 – (1) a social worker is a staff member who has been trained for at least four years in the Departments of universities providing education in the field of social work.

(2) the duties and powers of the social worker are stated below.

a) the organization applying for admission to old, with the relatives of the elderly to provide information about the organization, and to ensure duzenletilm of the documents required for the application, by performing the social investigation report Social Studies edit, to put it in the order of the references, filing, correspondence, conduct and follow up internal and external in areas of occupation,

b) ensure the compliance of the elderly admitted to the organization, identify and take part in the work to solve the problems of the elderly who experience compliance problems,

C) monitoring the psychosocial status of the elderly, helping to solve their problems using personal, group and community work methods, organizing the necessary reports,

D) to organize the social relations of the elderly with their close environment, to help develop them, to do professional work with their relatives when necessary,

d) organize social and cultural events and ensure the participation of older people in these events,

e) to work together with other professional elements in the promotion of the organization to the environment and society,

f) ensure that the standard forms requested by the Provincial Directorate are submitted to the provincial directorate within the duration and in full,

D) to take part in in-service training programs to be prepared by the organization on issues that fall within the field of profession, to prepare in-service training programs if necessary on issues related to the profession and to provide information to the Provincial Directorate.

(3) the social worker performs the above-mentioned tasks within the social service that will be created in the organization in case of teamwork by collaborating with other professional elements in the organization.

(4) a social worker up to fifty in nursing homes and thirty in aged care centers is employed full or part-time. If the responsible director is a social worker, the social worker may not be employed. If the capacity is fifty in nursing homes and thirty or more in aged care centers, it is mandatory for every fifty and/or thirty elderly people to work full or part-time as a social worker. A social worker can work part-time in another nursing home and/or elderly care center so that their days and hours do not coincide with each other.


Article 15 – (1) a psychologist is a staff member who has been trained for at least four years in the Departments of universities providing education in the field of psychology.

(2) the duties and powers of the psychologist are stated below.

a) the elderly in need of psychological studies to be accepted to the center, make its close surroundings to identify problems and try to resolve these problems by establishing a professional relationship with old and relevant professional edit reports when necessary, hospitals, psychiatric clinics and similar institutions interacted with, to follow up the case,

b) conduct a psychological examination of the elderly admitted to the organization, monitor them at the stage of adaptation to the organization, help them solve their problems by establishing relationships with their relatives when necessary,

c) ensure that the elderly are engaged in various tasks according to their ability and interest, contribute to activities that evaluate their leisure time, and ensure their participation in social and cultural events,

d) preparing the elderly who will leave the organization at the request of their own or relatives for their new life,

d) to participate in the cooperation with official and voluntary organizations and in the plans and programs of voluntary work in order to ensure the promotion of the organization to the environment and society,

e) to take part in in-service training programs to be prepared within the organization on issues related to the service area.

(3) The Psychologist performs the above-mentioned tasks within the social service in cooperation with other professional elements.

(4) a psychologist can be employed full-time or part-time in organizations with a capacity of up to fifty. If the responsible director is a psychologist, a psychologist may not be employed in organizations up to fifty capacity. A psychologist can work part-time in another nursing home and/or elderly care center so that the hours of the day do not coincide with each other.

(Changed address: RG-26/9/2008-27009) medical

Article 16-(1) (amended statement:RG-26/9/2008-27009) the duties and powers of the doctor are stated below.

a) to make a medical assessment of the elderly cared for in the organization, to make follow-up in accordance with the recommendations by contacting the doctor of the elderly (different ibare:RG-26/9/2008-27009) who has been diagnosed and planned for treatment by medical institutions/organizations,

b) conducting health checks of the elderly at regular intervals, ensuring that the health file is organized for each elderly person,

c) to notify the relevant institutions in case of infectious disease, to ensure that preventive, preventive and therapeutic measures are taken,

d) ensure compliance with the hygiene rules of the organization and employees of the organization and follow-up,

d) to make an offer to the establishment administration for the provision of medicines and medical supplies and other tools and accessories that will be needed during the service, to keep existing ones ready for service at any time, to arrange and follow up the necessary medical records,

E) in the absence of a dietitian in the organization, to direct studies on the diet programs and nutrition of the elderly,

f) to prepare and carry out in-service training programs for the personnel of the organization on medical issues.

(2) (amended statement:RG-26/9/2008-27009) the doctor works in cooperation with the responsible director and other medical personnel in the realization of medical services.

(3) (amended paragraph:RG-6/7/2011-27986) a full or part-time physician must be employed in each organization. If the responsible director is a medical doctor, the doctor may not be employed in organizations with a capacity of up to fifty. If the capacity of the organization exceeds fifty, a doctor is employed on certain days and times of the week for every fifty elderly people. The working hours of this doctor can not be less than two hours a day and ten hours a week. Aged Care Centers also employ a psychiatric specialist doctor full or part-time.

Nurse / health officer (changed title: RG-6/7/2011-27986)

Article 17 – (1) the duties and powers of the nurse are stated below.

a) prepare the elderly for examination, apply their treatment, follow-up of fever, pulse, respiratory and blood pressure, ensure that necessary measures are taken to ensure the daily life activities of the elderly and conduct their control,

b) inform the doctor by making the first aid required by his profession in case of emergency (changed address: RG-26/9/2008-27009) ,

c) take the necessary measures in cases of Infectious Diseases and ensure that they are taken,

D) to have the drug follow-up book to be created for the elderly (changed statement:RG-26/9/2008-27009) ready for inspections by organizing it together with the doctor,

d) to accompany the elderly referred to medical institutions when necessary, to do the necessary in case of discharge,

e) to carry out the work in accordance with the general hygiene conditions of the organization, to carry out the work related to the infirmary and isolation room,

f) be responsible for the order of the elderly with bed, laundry and body cleaning,

D) in the department where he is responsible, to distribute food and take care of the elderly eating, to help the elderly who have difficulty eating,

d) implementation of nutrition and diet programs deemed appropriate by the medical doctor or dietitian (different ibare:RG-26/9/2008-27009), compliance with the hygiene conditions of the kitchen and food service department, monitoring the compliance of kitchen officials with the necessary cleaning rules, taking part in the annual Porter examinations of the elderly and staff.

(2) The Nurse Works in cooperation with other service employees within the health unit.

(3) (amended paragraph:RG-6/7/2011-27986) it is essential that at least one nurse/health officer be employed full-time in each nursing home/aged care center. A nurse/medical officer in every thirty or more capacity or a medical staff who has received the title of technician full-time under the responsibility of these personnel is employed.

Aged care worker

Article 18 – (1) the duties and powers of elderly care personnel are stated below.

a) to do all kinds of services related to the physical care of the elderly, to help them feed if necessary,

b) help organize and maintain the Order of the elderly’s room/section and spouse,

c) help meet the social and physical needs of the elderly,

D) to inform / inform the unit manager of important events they encounter during their time with the elderly and the elderly who are sick,

d) perform other tasks and services in accordance with plans and programs prepared for the elderly within the organization.

(2) elderly care personnel are responsible to the responsible Director, Social Service and health unit.

(3) (amended paragraph:RG-6/7/2011-27986) a maintenance worker must be employed in eight-hour shifts in organizations. If the capacity in nursing homes exceeds forty, one care element for every fifteen elderly to be assigned during day shifts, one aged care element for every ten elderly is employed if the capacity in special care units and Aged Care Centers exceeds twenty. The operating system of maintenance elements is detailed in the organization’s internal service directive.

(4) organizations offering services related to this nursing home regulation may employ elderly care personnel with the purchase of special services if they deem it necessary and their qualifications are appropriate.

(5) elderly care personnel cannot be employed in cleaning and other work of the organization.


Article 19 – (1) The Cook is responsible for cooking and serving dishes in accordance with health conditions.

(2) at least one Cook is employed in each organization with a capacity of up to fifty, and an assistant Cook is employed in each organization with a capacity of more than fifty.

(3) The Cook must be a testimonial holder or certified. If the organization buys food, the staff associated with the service is assigned.

Other personnel

Article 20 – (1) a sufficient number of employees must be employed for cleaning services.

(2) according to the needs of the organization, personnel such as office staff, technician, driver, Guard, security personnel can be operated.

(3) the working conditions and principles of these personnel, who perform all kinds of work related to their fields and are responsible, are determined by the responsible director of the organization.

Nursing Home Regulation Section Four
Physical characteristics and organizational sections

Location of the building

Article 21-(1) (amended paragraph:RG-6/7/2011-27986) the organization is opened in a building that is independent of its entry and exit and operation. It is mandatory to provide services for the elderly only in the entire building. Care is taken to have a garden in the city center or close to the city center with enough space for elderly people to walk and relax.

(2) the place where the building is located must be convenient and safe in terms of traffic when the elderly return.

(3) (changed:RG-2/6/2010-27599) in nursing homes, there is an elevator on the ground +2nd floor, in nursing homes special care department and elderly care centers, on the ground +1st floor and above. In nursing homes with a floor +1 floor, if the special care section is located on the ground floor of the building, the elevator requirement is not required.

(4) (additional paragraph:RG-6/7/2011-27986) the establishment may not be opened in buildings adjacent to which flammable or explosive materials are sold or manufactured.

Fire Protection and heating

Article 22 – (1) the organization has a sufficient number of fire fighting tools, tools, and necessary measures are taken for the fire.

(2) it is mandatory to create a civil defense plan in the organization.

(3) within two months after the issuance of the opening permit, the civil defense plan to be applied in the fire, sabotage and earthquake of the center is prepared and delivered to the Provincial Directorate.

(4) heating of the building with a safe central system is ensured.

Organization sections and features

Article 23 – (1) every organization in the physical conditions of the building and arranged in accordance with the possibilities of Administration, Social Services, Department of physical therapy, Infirmary, bedrooms, living Hall and corners, dining room, kitchen, bathroom, toilet, laundry and other needed parts are included. These sections must be large enough to meet the specified capacity. The entrance has a desk, telephone booth and alarm board, and the multi-storey buildings have an elevator.

a) a room is arranged for the responsible director, furnished with appropriate furnishing materials, with a width suitable for the collection of at least ten people and with special cabinets where administrative documents will be stored.

b) Social Work;

1) in each organization, a suitable place is divided into social services in the administrative department, where social workers can perform professional work, easily accessible to the elderly and their relatives.

2) Social Service is organized appropriately due to the fact that it is a department where professional work is carried out and private information belonging to the elderly is stored.

C) bedrooms;

1) can be arranged as single, two, three or four persons. Except for bathroom and toilet, one-bed room 9-12 m2, two-bed room 16-18 m2, three-bed room 20-24 m2, four-bed room 30-34 m2 and the floor-to-ceiling height must be at least 2.60 cm.

2) rooms are laid out in front of the windows so that the elderly can watch outside. Cots are adjacent to each other, and items cannot be placed in such a way that the elderly cannot move comfortably in the room. Each room has a staff call ring assembly.

3) each elderly person is provided with a cot, an etajer, a wardrobe, a chair and chair, and each room has a table or coffee table.

4) (changed sentence:RG-2/6/2010-27599) except for the centers that were opened before the entry into force of this nursing home regulation, it is mandatory to have a sink, shower and toilet in single bedrooms. In two or more bedrooms, care is taken to arrange shower, sink and toilet sections if physical conditions are sufficient. A shower, a sink and a toilet section are arranged on the floors where there are rooms that do not have a shower, sink and toilet.

5) the capacity of Nursing Homes is determined based on the width of the bedrooms. But attention is paid to ensuring compliance between bedrooms and other departments in terms of capacity, and that the departments are also large enough to respond to the detected capacity.

D) living rooms and corners;

1) living rooms are arranged in such a way that older people can chat, watch television, play games appropriate to their age. A separate living room is created for the elderly who smoke.

2) if the physical conditions of the building are appropriate, sitting corners open to the view are arranged in the corridors.

d) dining hall;

1) The Dining Room has an easy-to-clean table and chairs. Adequate ventilation is provided.

2) as there can be a single dining hall in the organization, separate halls can be arranged on the floors.

e) kitchen;

1) The Kitchen is located in a bright place that can be kept constantly clean and tidy.

2) kitchen walls and floors are covered with easy-to-clean material. The tools and equipment used in cooking and serving must be steel, and there must be shelves and cabinets where they can be protected. Separate sinks are available for vegetable washing and dish washing and adequate ventilation is provided.

3) in addition, small kitchens can be arranged where the elderly can cook tea, coffee and food at any time, wash dishes.

f) laundry;

1) it is organized as a section where laundry is washed, dried, ironed.

2) in addition, places with laundry facilities can be arranged where the elderly can wash their laundry when they want, where there is a sink and a household washing machine.

g) bathrooms and showers;

1) apart from the showers in the bedrooms, there are enough showers and bathrooms in the establishment.

2) in the bathrooms, measures are taken to prevent the elderly from sliding, horizontal and vertical handles to help the elderly sit and get up are fixed in appropriate places, there is a call bell.

d) toilets and sinks;

1) the establishment has a sufficient number of alaturka and alafranga toilets for the elderly men and women. Measures should be taken to prevent elderly people from sliding in toilets, horizontal and vertical handles are fixed in appropriate places.

2) The Lock of toilet doors must have the ability to open from the inside and from the outside.

3) toilets have a sufficient number and normal height sinks and mirrors.

4) suitable sink is provided for the elderly to wash their feet.

5) siphons must be at a height that the elder can reach.

h) other departments;

1) in the Organization, a special section is organized in which all health-related services are seen, tools and accessories. In this section, the necessary medicines and first aid and treatment materials are kept.

2) in addition, a department where elderly people can fulfill their religious obligations and a library where they can evaluate their free time, workshops and sports are organized.

3) the entrance, corridor and stairs of the establishment are sufficiently illuminated, the stairs have horizontal handles along the wall outside the handrail. Elevator cabin must have handle and seating.

4) all sections of the organization are medicated against pests at regular intervals so as not to harm the elderly and food.

5) nursing homes have a garden where the elderly can go out and walk, sit and get air, spend their free time, each elderly person will have at least three square meters of space.

Special care division

Article 24 – (1) the special care section is the place where the care and protection of the elderly with the characteristics specified in sub-paragraph (1) of paragraph (h) of the first paragraph of Article 4 is provided.

(2) elderly people who will benefit from nursing home/aged care center services, although mental and mental health is not in place, must be cared for in different parts of the organization or in separate buildings. If care services are provided to elderly people with different qualifications within the same center, separate departments are created in accordance with these qualifications, and measures are taken to prevent uncontrolled passage from these departments to each other. All kinds of safety measures are taken to ensure that older individuals do not harm each other and themselves due to their apologies or health problems.

(3) the organization can directly serve as an aged care center for special care seniors, as well as a nursing home and Aged Care Center for nursing home seniors and special care seniors in separate units in the same building.

(4) Special maintenance department;

a) the doors of the room must be at least 80 cm wide, which can pass through a wheelchair and Walker,

b) arrangement of rooms so that wheelchairs and walkers can move,

c) lay alez (bed protector) between the bed and the bed,

D) installation of a ring device for calling personnel at each bed bedside,

d) continuous hot water in the central system of the organization,

e) laying the floor of the room with material suitable for frequent and easy cleaning, using material with erasable properties on the walls,

f) taking the necessary measures for ventilation, making an anti-fly wire Assembly for Windows,

d) elderly beds have the ability to prevent bed sores


Services to be provided in the special care department

Article 25 – (1) this section of the elderly to eat the food, the bathroom, to teach the body of cleaning to be done daily and the instant, eliminating the need for the toilet to assist in cleaning and bezlenme six connected every day and changing your clothes and bed sheets when needed, mattress cleaning, to be taken and brought to other departments in the organization, exercises assist constructed of dressing to be made, the regular giving of drugs, blood pressure, and the injection follow ups, accompanying personnel should be provided to those who are referred to medical institutions and hospitalized.

(2) diets are prepared by the dietitian in accordance with the recommendation of the doctor.

(3) mental health, dementia is not a disease that requires ongoing medical care, such as Alzheimer’s heavy, paralyzed, disabled, bedridden, or require special care the protection and care of the elderly in the other state for the purposes of In-House special care or nursing homes can be installed just for this purpose can serve the organization in the sections.

Nursing Home Regulation Section Five
Service and operation

A walkthrough in the admission of the elderly to the organization

Article 26-(1) (Changed:RG-31/7/2009-27305) elderly people who will be admitted to the organization must be aged fifty-five years and older. However, admission of persons under the age of fifty-five to the organization in mandatory cases is made with the proposal of the responsible director and the approval of the provincial directorate according to the results of the social Review report to be prepared.

(2) admission of the elderly to the establishment;

a) petition,

b) (changed:RG-31/7/2009-27305) t.C. Identification number statement

c) if it was found of infectious disease infectious disease of the elderly, this disease clinical microbiology and Infectious Diseases the mania of experts in public life to remain in the place of the report that mental health is not a contagious disease or of Article 4, paragraph (H) paragraph (1) sub-paragraph in specified characteristics that have, a report showing the health status to be obtained only from the relevant departments of private or official health organizations that prove that they are not addicted to drugs and alcohol and indicate that it would be appropriate for the elderly to benefit from nursing home services or aged care center services is requested. If the elderly have a chronic disease that requires medical follow-up other than these, it will be taken from the specialist of the department or from the relevant clinics (different ibare:RG-26/9/2008-27009), it is also indicated in the medical report.

(3) no distinction is made in terms of race, color, sex, language, nature, religion, political thought, philosophical belief and education in the elderly to be admitted to the organization, and their past convictions are not taken into account.

(4) seniors whose documents have been completed and organized, evaluated according to the social Review Report, are accepted, queued or rejected to the organization.

Fee determination

Article 27 – (1) the governor or a deputy governor appointed by the monthly maintenance fee of the organization under the chairmanship of the provincial director, the Metropolitan Municipality/Municipal, Inland Revenue, the Provincial Directorate of industry and trade within the county and some of the founders of the organization of their choice shall be determined by a commission composed of a representative from among themselves. Fees cannot be charged on top of the set fees.

(2) The Commission meets in the first week of December each year and determines the monthly maintenance fees for the next year.

(3) wages are determined as a result of the addition of the profit ratio, taking into account socio-economic conditions, personnel, nutrition, rent, heating, repair, other current expenses and depreciation, including the increase rates in the livelihood index and wholesale price indices.

(4) The Commission determines the monthly maintenance fees as the base and ceiling within the province.

(5) the determined fee is submitted for approval by the governorship. After approval, it takes effect as of January. A sample of the fee confirmation is sent to the General Directorate.

(6) the monthly maintenance fee includes housing, nutrition, drug monitoring, injection, dressing, blood pressure measurement, simple medical interventions, diapers and cleaning services. For these services, the elderly or their relatives cannot be charged separately.

(7) each organization is obliged to provide free aged care at least 5% of its capacity. Elderly people who will be cared for FREE are determined by the Provincial Directorate.

Fee collection

Article 28 – (1) a deposit of one month’s maintenance fee is received at the time of admission of the elderly to the organization. A monthly maintenance fee is charged after the service is provided, and a receipt is given in return. Receipts must be submitted during the audit.

(2) if the elder leaves the organization at his own request, the deposit fee received will not be refunded. The deposit fee is deducted from the monthly maintenance fee.

(3) in case of death of the elderly, care fees and debt, if any, are deducted until the day of care and the rest is refunded.

(4) if the deposit fee remains lower than the nursing home fee over time, the elderly or their relatives may not be charged additional fees.

(5) an additional fee may not be requested for the monthly maintenance fee for elderly people who are not in mental and mental health in elderly care centers.

(6) (Annex:RG-31/7/2009-27305) older people admitted to the organization do not require a commitment to their stay, no contract is made.

Temporary and day care

Article 29 – (1) in organizations within their capacity specified in the opening approval, the elderly may be accepted for boarding or day care for a temporary period with the approval of the Provincial/District Administration, as well as the number of beds that are empty. Regarding this care;

a) arrange documents on the conditions of admission of elderly people to nursing homes and centers,

b) comply with the existing rules of the organization during their stay,

c) benefit from the daily services provided to the elderly of the organization, allocation of beds within the capacity of each elderly person taken into day care,

d) boarders with a temporary period pay the fee for the room in which they stay, and those who are given day care pay 50% of the monthly maintenance base fee determined on the provincial basis each year with the day account,

d) transportation of those who provide Day Care Services is provided by the elderly or their relatives if there is no service vehicle belonging to the organization


Nutrition considerations

Article 30 – (1) elderly people are given breakfast and lunch and dinner in accordance with the food ration that will be prepared or purchased by a dietitian according to their age and health status.

(2) in addition, decoctions are given 2 times a day, morning and evening.

(3) (different ibare:RG-26/9/2008-27009) diet food is prepared for the elderly who will be given a special diet on the recommendation of the doctor.


Article 31 – (1) The Establishment shall be inspected at least twice a year by the professional personnel authorized to carry out the opening operations of the establishment by the Provincial/District Directorate. If necessary, it is also controlled by the supervisory staff of the headquarters.

(2) during the audit, the organization’s officials are obliged to present all kinds of documents and show the necessary ease.

(3) a sample of the audit report is stored in the Provincial Directorate, and a sample is sent to the General Directorate.

(4) failures detected during the audit are recorded in the audit book and given a period of one month to correct them. If it is not resolved during this period, the organization is notified in writing and given an additional period deemed appropriate. During the given period, the organization must correct the specified failures.

(5) in case of detection or notification of elderly care in places that do not meet the definition and characteristics of the organization used by this nursing home regulation, the professional staff of the General Directorate and the Provincial/District Directorate are authorized to examine the deficiencies identified in these organizations on the spot and take the necessary measures.

Closure of the organization

Article 32 – (1) establishment;

a) admission of the elderly to the organization in violation of Article 9,

b) failure to resolve the failures detected in the inspections within the given periods,

(c) neglect and abuse and violence of the elderly in terms of Health and cleanliness, from an economic, social and psychological point of view,

d) acting contrary to the general code of ethics,

d) insist on being charged more than the specified fee and requesting to be charged more,

e) care for the elderly above the specified capacity and insist on it,

f) engaging in non-purposeful activities,

d) notification or detection of activity without an opening permit

after the proposal of the Provincial Directorate and the approval of the governorship (Mülga ibare:RG-21/8/2010-27679) (…) the decision to close the organization is taken.

(2) Action shall be taken in accordance with Article 27 of the law on social services and Child Protection of 24/5/1983 and No. 2828 and the provisions of the relevant legislation on the criminal acts of the founders and responsible persons of closed organizations.

Closure of the organization by the founder

Article 33 – (1) the founders must inform the Provincial Directorate, staff and seniors in writing of their desire to close the organization at least three months in advance.

(2) founders who close the organization without notifying the Provincial Directorate may not open a new organization and cannot be partners.

Operations to be performed during the closure of the organization

Article 34 – (1) the founder shall take the necessary measures to prevent the grievances of the elderly in the organization about which the closure process has been carried out.

(2) Provincial / District directorates are responsible for informing the elderly or elderly relatives of private or other organizations present in that, province or district.

(3) from the date of closure of the organization, the deposit received in advance from the elderly is collected if the elderly have a debt, the remaining amount is repaid.

(4) The Founder must submit all documents related to the organization to the provincial directorate within fifteen days.

(5) closed organizations are notified to the General Directorate immediately by the Provincial Directorate.

Nursing Home Regulation Section Six
Miscellaneous and final provisions

Documents to be sent to provincial directorates

Article 35 – (1) during the first week of each month a list of the organization staff, the organization who was in the old list, monthly payroll instance of the employment of staff with monthly insurance premium declaration, the declarations of four to pay for the monthly premiums regarding with a copy of the receipt was deposited, three months old, and a list of staff changes and personnel-related documents prepares two copies of. One copy remains in the organization, the other copy is sent to the Provincial/District Office for inspection. Organizations that do not send the requested documents despite warnings are processed in accordance with Article 32.

Names of organizations

Article 36 – (1) organizations may not use names and titles used by the state or other organizations, as well as names and titles that contradict the values of society, words and phrases in a foreign language. In the names of organizations; nursing home, elderly care center must be used.

Use of establishment buildings

Article 37 – (1) the founders and staff may not use the sections allocated to the elderly in organizations as abodes.

(2) The Establishment building cannot be used for any other purpose other than for the purpose of opening.

Books and files that should be kept in organizations

Article 38 – (1) it is mandatory to have the books and files mentioned below in organizations.

a) Incoming and outgoing post registry,

b) required accounting records,

c) personnel and health files,

D) old people’s log book,

d) audit book certified by the Provincial Directorate,

e) elderly files with general information about the elderly and health vouchers,

f) elderly drug follow-up book.

(2) letterhead or stamp must be used in the correspondence of the organization.

Health checks of staff and seniors

Article 39 – (1) organizations of the elderly and control of personnel and the required medical examination be conducted periodically, staff and the withdrawal of access varies across the country getting the inspections done at least once a year chest radiography, mental, and mental health of non-elderly people in the psychiatric hospital or by a psychiatrist at least once a month service contract follow-up, medical check and, if necessary, treatment to be made, the regulation of drugs, medical check results are stored in files that are owned by staff and must be present in the elderly and the controls.

Repealed nursing home regulation

Article 40 – (1) the regulation on private nursing homes and elderly nursing homes published in the official gazette dated 3/9/1997 and numbered 23099 has been repealed.

Sentry services

Annex Article 1- (Annex: RG-6/7/2011-27986)

(1) a medical staff is employed as a duty officer during working hours other than 08.00-18.00 hours on national holidays and general holidays. Professional personnel can be employed as a duty officer with the registration of not disrupting the services of the organization.

Transitional provisions

PROVISIONAL ARTICLE 1 – (1) prior to the entry into force of regulation the nursing home, landing permit from the General Directorate of social services and Child Protection Agency taking the organizations which carry out, within one year after the entry into force of this nursing home regulation, Article 23, paragraph (C) of Paragraph (1) sub-paragraph of Article 4 with the conditions specified in Paragraph (B), (C) and (i) in subparagraph limitation except for the minimum capacity, and this nursing home by performing the necessary adjustments specified in the regulations, and a report of the provincial directorate is obliged to inform the studies. For those who do not make these arrangements, the previously issued permits are cancelled.

(2) (additional paragraph:OG-2/6/2010-27599) aged care in nursing home organizations before the effective date of this regulation without prejudice to the acquired rights of staff employees as this paragraph of Article 4 of this law within 6 months from the enactment of paragraph (I) of the situation and be provided with a certificate under this clause are submitted to the provincial directorate.

(3) (additional paragraph:RG-2/6/2010-27599) this nursing home regulation is exempt from the provision of the third paragraph of Article 21, unless the organization operating before the date of entry into force is transferred to another building.


Article 41 – (1) this nursing home regulation, which has received the opinions of the Ministry of Finance and the Court of accounts, enters into force on the date of publication.


Article 42 – (1) the provisions of this regulation are executed by the Director General of the Social Services and Child Protection Agency.

The Regulation on Nursing Homes is published in the Official Gazette
The Official Gazette in which the Regulations that made Amendment to the Regulation were published