(b) Relocation does not mean the movement of a resident if the effect of the movement is to move the resident from: (i) The distinct part of the nursing home that is a skilled nursing facility to a distinct part of the nursing home that is not a skilled nursing facility; or. C. Locked Doors Prohibited. [(f)](g)[Sufficient]A nursing care unit shall have sufficientspace and equipment for medical records[which enables]so thatpersonnel[to]canfunction[in an effective manner]effectivelyand[to]maintaineasily accessiblerecords on all[patientsso they are easily accessible]residents. Restrictions on Admission and Retention of[Patients]Residents. schedule, patient assignment, incident reports, termination notice, names and (c)For purposes of Life Safety Code enforcement, the[facility]nursing homeis considered[as]to bean existing[facility]nursing homeif it has been in continuous use as a nursing home. (d) Privileges at a hospital in this state, participant in an HMO network, or credentialed by a credentialing organization approved by the Department. [(2)](3)Respiratory care personnel provide respiratory care services commensurate with their documented training, experience, and competence[; and]. In certain Maryland counties (although not Baltimore County or City), physicians, pharmacists, dentists or nurses who treat individuals with injuries that appear to have been caused by auto accidents or lethal weapons must report this information to local or state police as soon as possible. (2) Each facility shall submit a written proposal to the Department for satisfying the developmental training program requirement. [H.]I. Immediately treat ill effects to resident. (b) Demonstration of proper feeding skills performed on a resident, (4) Submit the quality assurance plan to the Departments Office of Health Care Quality at the time of, (3) Procedures to take action when there is a change in the residents condition, (b) Changing the residents plan of care as necessary, (1) A description of a complaint process that effectively addresses resident, (a) The designated person or persons and their phone numbers to receive complaints, (c) The time frames for investigating complaints, (b) Interview of the resident, staff, and, (5) A description of the process for notifying, (6) A description of a process for the ongoing evaluation of, (1) Names of the staff members on duty and the room numbers of the residents, A. The search provides a list of Subtitle Chapters. [Agency Note:]. [(g)](h)Storage under Non-specific Conditions. In compliance with Executive Order 01.01.1996.03, this proposed regulation is more restrictive or stringent than corresponding federal standards as follows: (1) Regulation citation and manner in which it is more restrictive than the applicable federal standard: (1) The facility must provide medically-related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Hospitals have to report only if they made a "change" and if that change was based in whole or in part of any of the 14 specific reasons listed in. (b) The maximum height from the floor to the top of a window sill shall be 44 inches above the finished floor. A. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. A nursing home shall be equipped with a properly maintained and operational central heating system. accessible and convenient, and C.The[facility]nursing homeshall maintain documentation of the discussion between the[facility]nursing homeand the volunteer concerning influenza vaccine and tuberculinskintesting. If the[facility does not provide its own facilities but does provide]nursing home onlyprovidestransfusion services[alone], it shall meet at least the requirements[in Regulation.09FH]establishedunder COMAR 10.10.02. (6) The pharmaceutical services committee may not develop policies and procedures that prohibit or restrict a resident from receiving medications from the pharmacy of the residents choice. (i) Each bed providedshall bein good repair, witha cleanandcomfortable standard sizemattress and foundation. [The following requirements shall be met:]. In new construction, facilityshall provide a lobby area. The medical director shall actively participate in the, (1) Advising on the development and execution of an employee health program, which shall include provisions for determining that employees are free of communicable diseases according to current. G.Emergency Procedures. No. B. (3) The[facility]nursing homeshall prohibit employees with[a communicable]an infectiousdisease or with infected skin lesions fromhavingdirect contact with residents or their food if direct contact could transmit the disease. Activities Program. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (2) Minimum Space RequirementsNew Construction. C. A nursing home shall be constructed to comply with the provisions of the NFPA 101 Life Safety Code, as promulgated by the State Fire Prevention Commission, that are applicable to nursing homes. fraud hotline to receive allegations of (2)Activitiesdesignedand monitored appropriately to meet the day-to-day needs and interests of each[patient, to]resident andencourage[self-care,resumption of normal activities, and maintenance]: (b) Engagement inresident-selected activities;and. (g) All devices shall be interlocked with the fire alarm system. Advisory Dentist. Please enable scripts and reload this page. (2) Benefit to the public health, safety or welfare, or the environment: This requirement ensures that a licensed social worker is providing services to residents of the facility and ensures that residents receive adequate discharge planning and care coordination. (2) Existing Facility. (1)Covers shall be placed on hot[water bottlesand,ice caps]packs, ice packs and other temperature-related therapeutic medical devicesbefore they are placed in a bed or on a[patient]resident. (1) Adequate equipment for preparation, serving, and distribution of food shall be provided, (2) A dumbwaiter, elevator, or ramp shall be provided in a, (3) Equipment to protect food from dust or contamination and to maintain food at proper temperature shall be provided, (2) The storeroom shall be cool and well-ventilated. JavaScript is required to use content on this page. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. immediately give the required information to the institution head/designee. (2) The director of nursing shall obtain approval from the Department. (2) The ventilation rates shown in Table 1 under D(10)of this regulation shall be considered the minimum acceptable rates and may not be construed as precluding the use of higher ventilation rates. [.21-4].37Infection Control Standard Precautions. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. (1) The size and location of the food service area shall comply with COMAR 10.15.03. B. In[those facilities]a nursing homewhich[do]doesnot accept[patients]residentsin need of specialized rehabilitative services, the minimal acceptable restorative service shall be the restorative nursing care plan designed to maintain function or improve the[patients]residentsability to carry out[the]activities of daily living as set forth in Regulation[.12S].18G, of this chapter[, Program of Restorative Nursing Care]. responsive, accurate and consistent, (4) A computer system with a monitor or other electronic display device may be installed to replace the call system enunciator, as long as it reveals the location where the signal originated and sounds an audible alert tone. 100-07 State Operations Provider Certification,and with RAI instructions in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual,except that data may not be[electronically]submittedelectronicallyto the Department. (iii)Following the period of orientation,[the person responsible for the orientation program and the person in charge of the service shall]indicatethesatisfactory completion of the orientation program of the employee. A physician in attendance upon a pregnant woman diagnosed with syphilis shall report the case to a health officer immediately. (1) Plumbingshall be installed in conformance withallapplicable federal, State, and local codes and ordinances. Annotated Code of Maryland is a compilation of the statutes enacted by the Maryland Legislature, generally organized by subject (e.g., Public Utility Articles). (3) The facility shall monitor the purified protein derivative (PPD) status of employees at any time that symptoms suggestive of tuberculosis develop, and periodically, consistent with the tuberculosis control plan. (1)[New Construction. 10.34.14 Opening and Closing of Pharmacies, Effective July 8, 2013. This Search feature provides a chart of the 36 COMAR Titles, and allows a focused search of a specific Title. (5) The pharmacy shall be responsible for delivering medications to the nursing home. (3) Qualifications of social worker. National Human Trafficking Hotline - 24/7 Confidential. (4)Spacefor Storage of Linen[New Construction and Existing Facilities]. G. Program of Restorative Nursing Care. (44) Nursing care has the meaning stated in Health-General Article, 19-301(k), Annotated Code of Maryland. The federal regulations only require the employ of a qualified social worker (a bachelors degree in social work or a bachelors degree in a human services field) if the facility has more than 120 beds. (2) The air conditioning system shall be in compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and all federal, State, and local codes. (31) Licensed certified social workerclinical (LCSW-C) means an individual authorized to practice clinical social work under Health Occupations Article, Title 19, Annotated Code of Maryland. (1)Specialized rehabilitative services shall be provided only[upon]onwritten orders of the attending physician. (a) There shall be separate clean and soiled utility rooms in each nursing unit: (i)[, accessible]Accessibleto the[patient]residentarea[, no]; (iii) Nomore than 120 feet to the most remote[patient]residentbedroom[. 10.34.23 Pharmaceutical Services to Patients in Comprehensive Care Facilities, Effective September 16, 2013. The[facility]nursing home, in consultation with the medical director and other physicians, if necessary, shall establish and maintain surveillance of the health status of employees, including: (1) Advising on the development and execution of an employee health program, which shall include provisions for determining that employees are free of communicable diseases according to current[acceptable]acceptedstandards of practice; and. Approved employees shall read the skin test and manage the results of the skin test in accordance with Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities. (2) All walls, floors, ceilings, windows, and fixtures shall be kept clean. The Maryland General Assemblys Office All rights reserved. Food Service Department. (1)The[facility]nursing homeshall[inquire about a history of varicella for each new employee. Copyright Maryland.gov. You may be trying to access this site from a secured browser on the server. Maryland Nursing License Requirements The Maryland Board of Nursing regulates the state's Licensed Practical Nurses and Registered Nurses. [Agency Note: The following equipment is recommended: (a) Equipment to maintain food at correct temperature; (e) Ice-making machine or ice-storage container; (g) Equipment for delivery of completed trays; (h) Three-compartment sink or dishwasher; (i) Cabinet for dry storage and supplies; (j) Storage for trays, tableware, flatware, and utensils; (k) Hand washing sink with soap and towel dispenser or approved drying device. [Comprehensive care facilities or extended care facilities]A nursing homelicensed under this regulation may not usethe word hospitalin[their]itstitle[the word Hospital]. 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. A written application shall be on file for each employee and shall contain. Any member of the research team is covered by the requirement that any person report to the health officer any knowledge of an animal bite. 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. (a) Be issued to all assigned direct care staff; and. The Department in these cases may require additional space to be provided.]. Dayroom areas shall be provided. (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. 4140 Patterson Avenue. The nursing home shall be serviced by a public sewage disposal system if available. 272, April 1995 and Transmittal No. (ii) Ahand washing sink equipped with[4 inch wrist blades,]goose-neck spout,[and]separate soap dispensers,anddisposable papertowel dispensers. (7) Corridors may not be used to supply air to or exhaust air from any room, except that air from corridors may be used to ventilate bathrooms, toilet rooms, janitors closets, and small electrical or telephone closets opening directly on corridors. You may be trying to access this site from a secured browser on the server. [E.]F.JanitorsCloset or Service Area. You may be asked to demonstrate that your license is active, for which you must meet all the necessary continuing education requirements. 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. E. Quality Assurance. Provides a drop-down list of COMAR Titles, by number and Agency. (i) In the event of failure of the normal electrical service, be activated immediately; (ii) Come to full speed and load acceptance within 10 seconds; (iii) Have a capacity of 48 hours of operation from fuel stored on-site; and. The administrator shall[be]: (2) Bein good physical and mental health[,];and[shall demonstrate]. (4) A call system shall have a visible signal above the door of each residents bedroom that shall be visible from all parts of the corridor. B. (d) A filter or filter efficiency shall comply with the standards ofthe Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Copyright Maryland.gov. (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. (2)Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. C. Body Holding RoomExisting Nursing Home. Thisallowance shall be substantially increased proportionate tothe number of residents who depend on using awheelchair[cases]. (1)Adequate refrigerated storage, refrigerators,and frozen food storage cabinets[,]shall be provided[which are]andregulated to maintain temperatures prescribed in COMAR 10.15.03[Food Service Facilities]. (b) 42 CFR 494.130494.180, as amended. (5) The nursing home shall notify each prospective resident of the immunization requirements and request that the resident agree to be immunized.
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