(1) If a nursequestionsthe care provided to anyresidentor believes that appropriate consultation is needed and has not been obtained, the nurse shallinformthe supervisor. The dietary preferences of a resident shall be ascertained, including preferences arising from a residents religious, cultural, and ethnic heritage, and efforts shall be made to meet those preferences. (v) Special medical waste handling and disposal; (vi) Appropriate use of antiseptics and disinfectants, (1) The infection control program shall include a risk assessment program, including monitoring for tuberculosis infection for employees that is in accordance with the. (2) Minimum Space RequirementsNew Construction. (b) The witnesses shall document the disposal in the residents chart. Search on a word or phrase, or enter the codification number (search is word-specific unless you add an asterisk *). G. Appropriate Care of Residents. (4) A nursing home shall provide full access to electronic health records in accordance with all applicable laws and regulations to: (a) Representatives of the Department as set forth in COMAR 10.07.02.07; (b) An ombudsman as set forth in Human Services Article, 10-905, Annotated Code of Maryland; and. (c) The nursing home shall provide heated toilet rooms adjacent to the common areas of refuge. (57) Principal physician means an individual licensed to practice medicine in this State who agrees to perform certain medical services under contract with a nursing home, consistent with the policies of the nursing home. (3)Policies and procedures shall be adopted and made available to all nursingservicepersonnel. (b) Give the employee acertificate[evidencing]signed by the programs teacher or trainer asevidence ofcompletion of the program[shall be issued to the employee. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. (5) Existing Facility. (5) Before invoking stop order policies, the residents attending physician shall be contacted for instructions so that continuity of the residents therapeutic regimen is not interrupted. Menus shall be written at least 1 week in advance. (a) A nursing care unit, regardless of size, including special care units, shall be equipped as described in this regulation. A digital passport style photograph in PNG or JPG file format, The 12 digit tracking number from under the barcode on the fingerprint card or 12 digit tracking number on the Live Scan receipt, A Visa or Masters card credit or debit card, This section applies only to nurses whose basic nursing education was completed in another country. Please enable JavaScript in your browser. The new regulations explicitly define changes that must be reported to the Board within ten days of their occurrence and provide penalties for failing to do so. registered nurse requirements for the Executive Director; (3) hiring and paying for an external . [(g)](h)Storage under Non-specific Conditions. 410-402-8015 Toll Free 877-402-8218 TTY 800-735-2258 . nursing assistant. Storage and Handling Requirements for . (2)Providefor thestaffuse of toilet facilities at a convenient location. (c) Toilets and bathing rooms within arehabilitationarea shall be equipped with a nurse call system. ; Public Safety Article, 14-110.1; Annotated Code of Maryland. (2) Existing Facility. (2)[The total areas]The nursing home shallset asideareasfor[patients]residentsdining and recreation[areas shall be no less than]that totalat least30 square feet perlicensedbed for the first 100 beds[and], plus27 square feet perlicensedbed for all beds in excess of 100. Patients may not be kept behind locked doors, that is, doors which patients cannot open. OHCQ estimates that 172 nursing homes would need to hire or contract with a licensed social worker. Information reported to the B. The current weeks basic menu shall be posted in one or more easily accessible places in the. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. The facilitys admission policy shall include a statement as to whether or not medical assistance patients will be admitted and if admitted, under what circumstances.]. Licensed, (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is. prefilter is employed, the prefilter shall be upstream of the equipment and the main filter bed may be located further downstream. (4) If a facility can demonstrate that because of the experience and training of its personnel and the physical layout and equipment, less supervisory personnel is required, the Department may modify the above requirements for supervision.]. A physician in attendance upon a patient having syphilis shall request the health officer to conduct a contact investigation or report to the health officer any untreated individual identified as having had potentially infectious contact with an individual having syphilis. D. On regulated industries or trade groups: Nursing homes who hire or contract LCSW or LCSW-C. F. Direct and indirect effects on public: III. (ii) A curriculum approved by the Department or its designee; [(d) Privileges at a hospital in this state, participant in an HMO network, or credentialed by a credentialing organization approved by the Department.]. (iv) Personal furnishings that are allowed shall be appropriate for the residents use. bio; live! (5) Return of License or Renewal Certificate to the Secretary of Health. (58) Protective device means any device or equipment: (b) That limits, but does not eliminate the movement of the residents head, body, or limbs; and, (ii) Prevents a resident from aggravating an existing physical problem; or. (2) The nursing home shall maintain and dispose of a clients medical records in accordance with Health-General Article, Title 4, Subtitles 3 and 4, Annotated Code of Maryland. (b)The transfer of any stock which results in a change of the person or persons who control the[facility]nursing home, or a 25 percent or greater change in any form of ownership interest, constitutes a sale. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. (5) Existing Facility. (1) Amend, repeal, recodify, and adopt new language in order to make this chapter more cohesive, comprehensive, and clear; (2) Enable the Department to accept electronic submissions of both initial applications and renewal applications and thereby improve efficiency and decrease the administrative burden on providers and the Department; (6) Incorporate by reference additional documents; (7) Require that new facilities shall satisfy the review of the Maryland Health Care Commission for the establishment of new facilities and the increase or decrease in capacity of existing facilities; (8) Require that an existing facility that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing; (9) Require that a nursing home shall employ supervisory personnel and a sufficient number of support personnel, to provide a minimum of 3 hours of bedside care per occupied bed per day, 7 days per week; (10) Require that the ratio of nursing service personnel on duty providing bedside care to resident may not at any time be less than one to 15; (11) Require that the nurse manager or the Director of Nursing of vent units shall possess a background in ventilator care or be qualified in ventilator management; (12) Require that after January 1, 2021 social services responsibilities in the facility will be assigned to a Licensed Bachelor Social Worker, Licensed Graduate Social Worker, Licensed Certified Social Worker, or Licensed Certified Social WorkerClinical; (13) Require that the facility shall assign at least one infection preventionist staffed at a ratio of1.0 Full Time Equivalentsfor every 200 beds; (14) Require that facilities shall possess a functioning automated external defibrillator (AED) as of July 1, 2020; (15) Allow Certified Dietary Managers to share cooking responsibilities with the full-time cook in facilities with fifty or fewer beds. A refrigerator is a cold place in which the temperature is maintained thermostatically between[2C and 8C (46 and 59F)]46F and 59F or 8C and 15C. (10) The orientation may not be included in the required 75 hours of the training course. (1) A nursing home shall providea separate room or rooms[shall be provided]for the administrator andadministrative supportstaff. (1) New Construction. D.Humidity. (3) The nursing home shall make its administrative and resident care policies available for review by residents and the residents representative. (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. Licensed[comprehensive care facilities and extended care facilities]nursing homesand any premises[proposed]that an applicant for a license proposes to[be operated by an applicant for a license]operate shall be open at all times to inspection by the Secretary and by any agency designated by the Secretary. 100-07 State Operations Provider Certification and in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual: (1)TheMinimum Data Set (MDS) version as determined by the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, in Transmittal No. Reports under this COMAR provision must be made to the health officer within 48 hours, except for certain diseases for which reports must be made immediately by telephone. (2) The name and license number of the replacement director of nursing shall be supplied to the Department as soon as employment begins. Financial Help With My Gas and Electric Bill, How to Buy an Energy-Efficient Home Appliance, Search on a word or phrase, or enter the codification number, Access through Table of Contents Structure. . (1) Social services responsibilities in the nursing home shall be assigned to a: (d) Licensed certified social workerclinical. friendly and courteous, timely and (35) Licensed practical nurse means an individual authorized to practice licensed practical nursing under Health Occupations Article, Title 8, Annotated Code of Maryland. ]; [(16)](15)Tuberculosis[Surveillance. (v) The medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff. [Statutory exceptions for certain confidential and privileged communications]. C.Outside Service Entrance. (3) The plumbing fixture for the utility sink within a janitors closet shall be provided with an approved back-flow prevention device. When the investigator is a physician with a patient under care, the investigator must make immediate reports of infectious or contagious diseases, including AIDs, to the health officer in the county where the physician cares for the patient. Research Exception: The requirements for reporting HIV+ test . (2)There shall be an allowance of at least 12 square feet per[ambulatory patient]resident[;this]. [Agency Note: Recommended space: Storage10 percent of area designated for exercise and rehabilitation; Officeone therapist, 110 square feet; two or more, 85 square feet per therapist.]. (8) Charge nurse means the registered or licensed practical nurse who is responsible for day-to-day operations of a unit in the nursing home on which residents live. JavaScript is required to use content on this page. F. Employee Health Oversight. (2) The composition of the committee shall include at least: (c) The consultant dietitian-nutritionist; (3) The committee shall meet at least quarterly to establish policies and procedures. Public records report utah county real . Copyright Maryland.gov. (c) A[party aggrieved by a]person that disagrees with thedecision of the Secretaryto deny a license applicationunder this section[shall have the right to appeal as provided under the authority of Health-General Article, 2-207, Annotated Code of Maryland]may appeal the Secretarys action by filing a request for a hearing in accordance with Regulation .78 of this chapter. Please enable JavaScript in your browser. (2) Upon request, the director or assistant director of nursing may accompany physicians visiting residents. [It shall be the responsibility of the]. (3)When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. An interdisciplinary team shall completeor revise as necessarya[resident specific]resident-specificcare plan for each resident within 7 calendar days following completion of[all]assessments,including: (4) Significant change in the residents condition. to provide constituents, businesses, 3. (b) A roomthatopens into the kitchen may not be used as aresidentbedroom. The responsible departments approval shall be in writing, signed by the appropriate department head whose license number, if applicable, shall be recorded in the record. [B.] A nursing home shall be protected throughout the entire building by an automatic fire extinguishing system. Provide a detailed description of the incident:dates, [.05].07Inspection by Secretary [of Health and Mental Hygiene]. (62) Registered nurse means an individual licensed to practice as a registered nurse in this State. (1) The building and all its parts and facilities shall be kept in good repair, neat, (2) All walls, floors, ceilings, windows, and fixtures shall be kept clean. (1)Specialized rehabilitative services shall be provided only[upon]onwritten orders of the attending physician. (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. A. (7) Recommended Dietary Allowances (10thEdition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). (a) Air handling duct systems shall meet the requirements applicable to nursing homes cited in NFPA 99 Health Care Facilities Code. (b) Licensedby the Board of Examiners of Nursing Home Administrators for the State. (ii) Maintain a minimum clearance of 3 feet at the foot of the bed. (8) National Fire Protection Association, NFPA 101 Life Safety Code, which is incorporated by reference at COMAR 29.06.01.06. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit. (1) The disclosure shall be made to the Department and to any person seeking placement or receiving care in a Dementia special care unit or program of a nursing home. If a deficiency exists, the Department, in addition to the sanctions set forth in this regulation and Regulations, (c) Issuing written reports to the Department and the nursing, A. (1) CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual, (Version 1.14, October 2016). Definition. This meal represents, To the extent medical orders permit, bedtime nourishments shall be offered routinely to all. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. (1) In[facilities exceeding]a nursing home with more than50 beds, overall supervisory responsibilities for the[dietetic]foodservicedepartment and food productionshall be assigned to a full-time qualified dietetic service supervisor.
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