[Facilities]A nursing homeshall maintain a permanent[patient]residentregistry in which the name of each[patient]residentis entered in chronological order with the date and number of entry. (4)For reference purposes, copies of the[patient]residentcare policies shall be readily available to all personnel responsible for[patient]residentcare. The signature of the programs teacher or trainer shall be required for authentication]. (b) Has completed a minimum of 15 contact hours of infection prevention and control training that is approved by the: (i) Departments Office of Infectious Disease Epidemiology and Outbreak Response; and. (ii) Ahand washing sink equipped with[4 inch wrist blades,]goose-neck spout,[and]separate soap dispensers,anddisposable papertowel dispensers. Assumptions. Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. (2) The nursing home shall provide pharmaceutical services in accordance with accepted professional standards and related federal, State, and local laws. (a) The Secretary shall require an applicant for licensure to submit to the Secretary the following information concerning the applicants: (ii) Ability to comply with[minimum]the applicablestandards of medical and nursing care and applicable State or federal laws and regulations by disclosing the identities of its medical director, director of nursing, and administrator, and by providing the[facilitys]nursing homesquality assurance plan, as required in Regulation[.46].66of this chapter; and. [F.]E.A[facility]nursing homelicensedas a[comprehensive or extended care facility]nursing homebut not certified for participation in the Medicare or Medicaid Program shall comply with the[State Operations Manual for Provider Certification]CMS Manual System, Pub. truthful and transparent services. The State of Maryland pledges (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. C. Body Holding RoomExisting Nursing Home. (b)When the[facility]nursing homewishes to request that the restriction be removed, the request shall include the specific effective date and a statement that personnel staffing is sufficient to meet the States requirements at the designated census[figure]level. ]; and. Alternative means to provide drinking water to residents, staff, and the general public may be used as approved by the Department. Consequently, OHCQ has observed inadequate discharge planning and lack of coordination of care transitions. The regulations deal only with what must be reported. (6) Ifthe licensed capacity of a[facility]nursing homeis increased, orifmeals are provided to anyone outside of the[facility]nursing homefrom the food service area of the[facility]nursing home, the[facility]nursing homeshall provideanadditional food service area in accordance with[F(1), (3), and (4) of this regulation]this chapter. (72) Speech-language pathologist means an individual licensed by the State Board of Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists. Contact the Discipline & Compliance Division. (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. [Appropriate action shall be taken.]. (62) Registered nurse means an individual licensed to practice as a registered nurse in this State. (1)The food and nutritional needs of[patients]residentsshall be met in accordance with physicians orders. (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. (c)The Department shall approve the increase in beds within 72 hours following receipt of the[facilitys]nursing homesdocumentation that the required additional staff is[]in[place]positionto serve the increased number of beds. There are currently 229 licensed nursing homes of which 75 percent or 172 nursing homes would need to hire or contract with a licensed social worker to comply with the regulations. (iii) Clean linen anda clean, comfortable pillowshall be provided. accessible and convenient, and Therapeutic diets shall be planned, prepared, and served as prescribed by the attending physician: (1) Therapeutic diets shall be planned by alicensedregistered dietitian[or other qualified person]; (2) Preparation and serving shall be supervised by a qualified dietetic supervisor;and. C. Duties of the Pharmaceutical Services Committee. (ii) Passed the national accreditation examination for accredited record technicians. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA). Public toilets for both sexes shall be located conveniently to this area. E.Water Supply. Registered Professional Nurse. Arrangements shall be made, when necessary, for the. maryland board of nursing reporting requirements The staff shall document[progression]progressof the condition or conditions weekly until the condition or conditions have healed. [Policies shall be reviewed at least annually by a]. (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. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. resources. with rehabilitation areas shall provide a, There shall be an allowance of at least 12 square feet per, C. Dayroom Area. This Search feature provides a chart of the 36 COMAR Titles, and allows a focused search of a specific Title. Maryland Department of Health Regulations Home Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. If the position of director of nursing remains vacant for a period exceeding 30 days, the nursing homes license may be revoked unless the administrator and the governing body are able to demonstrate that they have made every effort to obtain a replacement. (d) The nursing home shall provide a Department-approved written plan that: (i) Defines the specified area of refuge; (ii) Outlines paths of egress from the common areas of refuge; and. Construction inan Existing Structure. Please enable scripts and reload this page. (2) The[facility]nursing homeshall ensure that floor space allocated to each bed meets minimum requirements listed in Regulation[.28C].49ofthis chapter, andis sufficient to accommodate the special equipment necessary to meet the needs of residents. ]; [(8)](7)Laboratory and radiologic services[. (2)Soiled containersshall be thoroughly scoured and aired before using again. (2) The nursing home shall obtain written consent to administer the immunization from: (3) A resident is not required to receive the influenza and pneumococcal immunization if it is: (b) Against the residents religious beliefs; or. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. The Maryland General Assemblys Office (4) The pharmacy shall have access to a copy of the written pharmaceutical care policies. (1) The nursing home shall provide emergency electrical power. A physician or physician assistant may find the registration requirements outlined in COMAR 10.62.03.01, . No. There shall be an advisory dentist[, licensed to practice in the State,]who shall: (1) Recommend oral hygiene policies and practices for the care of the[patients]residentsand for arrangements for emergency treatment; (3) Provide direction for in-service training to give the nursing staffanunderstanding of[patients]residentsdental problems. 272, April 1995 and Transmittal No. When the resident is transferred from the nursing home for any reason or at time of death, the administrator or the administrators designee shall notify the attending physician and the: (3) Responsible party designated by the resident. As of November 1, 2016, there were 229 licensed nursing homes, with an estimated 172 nursing homes that would be out of compliance after January 1, 2021. No. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (5) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. [B.] The Office of Health Care Quality surveyed multiple facilities and determined that 25 percent of nursing homes employed or contracted with a licensed social worker. (1) A nursing home shall providea separate room or rooms[shall be provided]for the administrator andadministrative supportstaff. Virginia Board of Nursing - Registered Nurse A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. (2) The storeroom shall be cool and well-ventilated[;]. (3)[Thenotification shall include]Includean invitation for the family member or residents representative to attend the conference. 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. (iii) Adequate storage and work counter space for storage and assembly of supplies for nursing procedures; (ii) A separate wall-hung hand sink for handwashing, equipped with wrist blades and soap and towel dispensers; (7) Utility RoomsExistingFacility. (iii) Describes provisions for light, heat, food service, washing, and toileting residents. (1) A nursing home shall possess a functioning automated external defibrillator (AED). (b) A roomthatopens into the kitchen may not be used as aresidentbedroom. (6) Medical and social history ofthe[patient]resident; (13)[Discipline assessment]Assessments done by various disciplines; and. (b) The maximum height from the floor to the top of a window sill shall be 44 inches above the finished floor. (4) Ensure that the immunization is given in the form of Tdap (tetanus, diphtheria, acellular pertussis) vaccine, in accordance with the guidelines prescribed in Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Health Care Infection Control Practices Advisory Committee (HICPAC). M. Except where inappropriate for safety reasons, an employee and any other individual who provides a health care service within or on the premises of the nursing home shall wear a personal identification tag that: (2) States the profession or other title of the individual; and. A. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference.]. F. Charge Nurses Daily Rounds. Thus 172 times $11,000 equals an annual cost increase of $1,892,000 to the regulated industry. The Maryland State Board of Nursing licenses registered nurses and practical nurses. responsible for the control of the operation on a 24-hour basis, (b) With the exception of B(3) of this regulation, serve. (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. Elevatorsshall meet the requirements for elevators in a long-term care nursing home as set forth in theGuidelines for Design and Construction of Health Care Facilities. Masks are required inside all of our care facilities. The heating system shall be: (1) Capable of maintaining 75F or 24C throughout the residents section of the building with the outside temperature as prescribed in the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities; and. Maryland Reporting Obligations that May Apply to Investigators or Other Maryland Department of Health 10.07.02 Nursing Homes (Office of Health It is not necessary to determine anyones subjective intent. Please turn on JavaScript and try again. These requirements are no longer in effect. (2) The janitors closet or service alcove. [(1)](a)[There]A nursing homeshall[be]provideadequate space[for the reception, examination, and treatment ofpatients;storage of]to: (i) Receive, examine, and treat residents; (ii) Storesupplies and equipment,including wheelchairs and stretchers; and[office]. (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. The[facility]nursing homeshall urge that volunteers, defined as individuals who spend an average of 8 hours per week or more in the institution[patient]residentcare areas and who receive no pay or benefits,[accept]receiveannual influenza vaccination and tuberculinskintesting as considered necessary by the[facility]nursing home.
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