(e) Smoke dampers shall be controlled to close automatically to prevent flow of smoke-laden air in either direction. A. (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. Once the complaint is received at the Board office, an (2)Orders shall include modalities to be used, frequency, and anticipated goals[,]and shall be made a part of the[patient]residentcare plan. Except for a designated anonymous HIV test site, a facility or office that orders a test for HIV and receives a test result that documents the presence of HIV as defined by the CDC laboratory criteria shall, upon the Secretary's request, make available to the Secretary, or an agent of the Secretary, the information necessary to compile an HIV/AIDS case report. with rehabilitation areas shall provide a, There shall be an allowance of at least 12 square feet per, C. Dayroom Area. [Appropriate action shall be taken.]. responsive, accurate and consistent, [There]The nursing homeshall[be provided]provideone or more attractively furnished areas of adequate size for resident dining, occupational therapy, and social activities. A handsink with hot and cold running water shall be convenient to the nurses station. B. Filing a Complaint. A. The attending physician shall: (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents;[and], (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures; and. You will need to complete an English Proficiency Exam, Take either the TOEFL IBT or the IELTS o Have scores sent to the Maryland Board of Nursing, A score of 26 is passing on the TOEFL IBT, The Board accepts the IELTS if administered on October 01,2005, or later, A score of 7 on speaking, 6 on all other modules, and 6.5 overall is passing on the IELTS, Direct Entry Midwifery Advisory Committee, Certified Registered Nurse Anesthetist (CRNA), https://www.dpscs.state.md.us/publicservs/fingerprint.shtml. In new construction,]Administrative AreasNew Construction. Mandated reporting is required when: Title 24 M.R.S. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. (b) The renewal application shall be submitted on, If the sale, transfer, assignment, or lease of a, The transfer of any stock which results in a change of the person or persons who control the, For purposes of Life Safety Code enforcement, the. (a) Identify an emergency and disaster planning liaison for the nursing home; and. Any person who has knowledge of conduct by a licensed nurse that may violate a nursing law or rule or related state or federal law may report the alleged violation to the board of nursing where the . The nursing[facility]nursing homeshall: (1) Designate a medical director who has at least the following qualifications: (b) At least 2 years of experience or specialized training in the medical care of geriatric or chronically ill and impaired residents;and. [E.]D.The[facilitys]nursing homescommunication mechanism shall ensure that theadministrator, director of nursing, and the medical director receive and address reports of infectionprevention andcontrol findings and recommendations in a timely manner. (c) All tobacco products shall be extinguished and disposed of in noncombustible containers with self-closing lids in accordance with the provisions of NFPA 101 Life Safety Code. (1)Residents shall be given the opportunity to participate in planning menus. A nursing home shall develop written policies consistent with Regulation .11 of this chapter pertaining to: [(3)](2)[Patients]Residentsrights[. [E.]D.Drinking Fountains. Disciplines shall record all assessments on a form approved by the Department. Notification of Responsible Persons When[Patient]ResidentMoves. Search a specific Title (will search only that title for word or codification number). Information reported to the (2) Document the verification in the residents medical record. resources. 3. Goal[outcome]outcomesshall be measurable in time or degree, or both. [.07-1].10Employee Training on Cognitive Impairment and Mental Illness. A. fraud hotline to receive allegations of Construction inan Existing Structure. The nurse who is being treated for chronic . (68) Restraint means any physical or chemical restraint as defined in thischapter. F. Retention and Preservation of Records. (2) The[facility]nursing homeshall provide information concerning the[communicable]infectiousdisease status of any resident being transferred or discharged to any other[facility]nursing home, including a funeral home. (2) A dumbwaiter, elevator, or ramp shall be provided in a[facility]nursing homeof more than one story where more than eight[patients]residentsabove or below the kitchen level[,]receive bedside tray service[;]. After meeting requirements of the Board of Nursing (Maryland application, Criminal History Record Check, Declaration of State Primary Residence Form, TOEFL iBT or IELTS CES report), complete registration with NCLEX. Interior walls and floors shall be of a, maintained free of insects and rodents by operation of an active pest-control program, either by use of maintenance personnel or by contract with, Care shall be exercised in the usage and storage of toxic. (b) Has a minimum of 3 years experience in social work programs in a long-term care setting within the last 5 years. There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding. Definition. D. Preventative Maintenance Program. In, Initiation of services to meet the rehabilitative needs of the. [(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]. (33) Licensed or certified professional health care practitioner means a nurse practitioner, physician assistant, or other practitioner licensed or certified under the Health Occupations Article, Annotated Code of Maryland. In this chapter, the following documents are incorporated by reference. D. Consultation. The[facility]nursing homeshall submit to the Department and obtain approval of the following: (1) All documents required in Regulation[.14-1].23of this chapter; (2) Policies and procedures for all aspects of care as outlined in Regulation[.14-1C(6)].23of this chapter, and the following: (a) Qualifications, duties, and responsibilities of staff, including the staff who are permitted to perform the following procedures: (iv) Therapeuticchestpercussion and vibration; C. Physician Coordinator. (5) Consent forms when required,[(]such as[consent for administering]: (a) Administration ofinvestigational drugs[, for burial]; (b) Burialarrangements made in advance[, for release]; (c) Releaseof medical record information[, for handling]; and. (61) Quality Improvement and Evaluation System (QIES) Assessment Submission and Processing (ASAP) system means the standard nationwide system to which several types of health care providers submit CMS required resident information to the National Submissions Database. (2) In accordance with a nursing home-developed procedure, a licensed nurse shall prepare medications to be sent with a resident during a short-term leave of absence of 24 hours or less. ]; [(8)](7)Laboratory and radiologic services[. (45) Nursing home means a comprehensive care facility or extended care facility which offers nonacute inpatient care to patients: (a) Suffering from a disease, chronic illness, condition, disability of advanced age, or terminal disease requiring maximal nursing care without continuous hospital services; and. (1) General requirements established for all special care units as outlined in Regulation .24 of this chapter; and. (8) The nurses call system shall require resetting at the station where the call originates. JavaScript is required to use content on this page. 2506 mandates that any health care provider or health care entity or carrier report to the Board in writing within 60 days the following information: The name of any nurse employed by or privileged by the health care provider or health care entity when: The nurse's employment, including . This table refers to the pressure relationships and ventilation of certain areas of a nursing home other than chronic disease hospitals. Boiler rooms shall be provided with sufficient outdoor air to maintain combustion rates of equipment and to limit temperatures in working stations to 97F or 36C. An existingnursing homeshall meetall local codes and standards for safety and maintenance of institutional elevators. A. (b) Tuberculosis in a communicable form does not include: (i) When the individual who has presumptive or confirmed active disease, has had three negative AFB smears, collected 824 hours apart, shows clinical improvement, and has received chemotherapy to which the strain is susceptible for at least 14 days; or. State resources. Apply the definitions in the regulations. customers, and stakeholders with [(d)](e)WarmAny temperature between[30C and 40C (86 and 104F)]86F and 104F or 30C and 40C. COMAR is currently updated in print every two years, but the online version, maintained by the Maryland Division of State Documents, is updated as soon as an agency publishes or updates a regulation. (2) Minimum Space RequirementsNew Construction. [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. (4) A nursing home, whether or not operating a licensed pharmacy, shall maintain a signed record of a Schedule II count at each change of shift. Problem solving flowchart upon discovery of an incident/allegation Updated 10/18 1. (8) National Fire Protection Association, NFPA 101 Life Safety Code, which is incorporated by reference at COMAR 29.06.01.06. Toll Free: 1-800-207-4055 immediately give the required information to the institution head/designee. (3) Local Law or Ordinance, Where Applicable. (4) Medicine may not be returned to the container. Karen E. B. Evans. [Facility]Nursing HomeResponsibilities. An investigator who is a health practitioner, police officer, educator, or human service worker, acting in a professional capacity in this State, who has reason to believe that a child has been subject to abuse, shall notify the local department or appropriate law enforcement agency. (1)When the director of nursing is absent, the individual shall designate an experienced, qualified registered nurse to direct the nursing service. Determine if a report should be madeif yes you MUST report immediately to the State Agency (see below). (a) A facility shall file an application to renew its license every 2 years at least 60 days before expiration of the issued license. fraud and/or abuse of State government Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. (2) The certification of the . donald sterling height; world invention competition and exhibition 2021; impact indoor soccer omaha; [C. Lobby Area. If a resident-directed meal pattern is provided, the following is required: (1) Counseling regarding the risks and benefits of a resident-selected diet which is documented within the medical record; and. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. (2)Progress notesrelated to rehabilitative servicesshall be written at least every 2 weeks. [D.]C.The[facility]nursing homeshall have mechanisms for communicating the results of infection control activities to employees[,]andtothe individual or individuals who are responsible for improving the[facilitys]nursing homesperformance. (5) Existing Facility. (17) Discharge means the removal of a resident from a nursing home when the releasing nursing home is no longer responsible for the residents care. The care plan shall address all of the residents special care requirements necessary to improve or maintain the residents status. (3) A centralized system for reporting and monitoring repairs. Clean linen shall be stored separately from[non-clean]uncleanitems. (7) Culture Change Nursing Home. resources. D.Contract. (1) The nursing home shall store medications in a locked medication storage area that: (b) Is located where personnel preparing drugs for administration will not be interrupted; (c) Is spacious enough to allow separate storage of external and internal medications; (d) Is kept in a clean, orderly and uncluttered manner; and. Copyright Maryland.gov. No. [(2)](4)The Department shall consider the following factors when[considering]decidingwhether to approve an administrator to serve on a less than full-time basis: (a)[Geographical]Geographiclocation of the facilities; (1)In the absence of the administrator, the[facility]nursing homeat all times shall be under the direct and personal supervision of an experienced, trained, competent employee. 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. (1) The infectionprevention andcontrol program shall establish written policies and procedures toidentify,investigate, control, and prevent infections in the[facility]nursing home,including policies and procedures to: (a) Identify[facility]health care-associated infections and communicable diseases in accordance with COMAR 10.06.01; (b) Report occurrences of certain[communicable]infectiousdiseases and outbreaks of[communicable]infectiousdiseases to the local health department ina timely manner inaccordance with COMAR 10.06.01 and Health-General Article, 18-202, Annotated Code of Maryland; (c) Institute appropriate[infectioncontrol steps]control measureswhen an infectionor outbreak of infectionsis suspected or identified in order to control infection and prevent spread to other residents; (d) Perform surveillancefor health care-associated and community-associated infectionsof residents and employees[atappropriate intervals]using definitions and methods approved by the infection prevention and control oversight committeeto monitor and investigate causes of infection,[facility-associated and community acquired,]andthe manner in which[it was]the infection isspread; (e) Train employees about infectionprevention andcontrol,[and hygiene]including: (i)[Hand]Standard precautions andhand hygiene; (ii) Respiratory[protection]hygiene and cough etiquette; (iv) Safe handling of needles and sharpsand safe injection techniques; (v) Special medical waste handling and disposal;[and]. (1) The Secretary may issue a license to a[comprehensive care facility]nursing homeor an extended care facility for less than a 24-month period under any of the following conditions: (d) If new construction is completed to the point of being able to provide all necessary services to its residents but certain substantial items of equipment[of]foroptional servicesare temporarily lacking, which in the opinion of the Department will have no immediate adverse effect on the safety or health of its residents[, are lacking temporarily]; or. Janet.McIntyre@maryland.gov, Safe Practice Monitor: (c) Successful completion of a curriculum in physician management or administration from[the American Medical Directors Association or another curriculum approved by the Department or its designee; and]: (i) AMDA: The Society for Post-Acute and Long-Term Care Medicine; or. You may be trying to access this site from a secured browser on the server. 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.]. Provision for Dental Care. (1) Plumbingshall be installed in conformance withallapplicable federal, State, and local codes and ordinances. (2)The physician may document on the record that[his]thereevaluation may be less frequent but in no case may[his]thereevaluation exceed 60 days. (3)The nursing home shall obtain prior approval from the Department for any part of the premises to be used for tenant occupancy or for unrelated business purposes. The agreement shall provide for sufficient hours of consultation to assure that the staffs services meet the medically related social and emotional needs of the residents. As an example, click only Title 20, then in the search box, type submeters. The search would take you directly to Title 20, Subtitle 25. This meal represents, To the extent medical orders permit, bedtime nourishments shall be offered routinely to all. The assessment shall: (2) Use a data dictionary as identified by the automated data processing requirements; and. A licensee[aggrieved by]that disagrees withthe imposition of a sanction under A(2) of this regulation may appeal the Secretarys action in accordance with Health-General Article, 19-364 and 19-367, Annotated Code of Maryland. (h) The cost of care and any additional fees. [(6)](5)Safeandtimely transportation and care of the[patient]residentduring transfer; [(7)](6)Security and accountability for the[patients]residentspersonal effects; [(8)](7)Prompt readmission to the[comprehensive care facility or the extended care facility]nursing homeat the end of the hospital stay[(when program fiscal controls permit)]; [(9)](8)Annual review of[execution of]transfer arrangements[(]byautilization review committee or other designated group[)]to assure that each party is fulfilling the needs of[both]the[patients and]residents,the providers[(],the hospital,and the[comprehensive care facility or the extended care facility)]nursing home; [(10)](9)If needs are not being met,[it is the responsibility of]the administrator of the[comprehensive care facility or the extended care facility to]nursing home shallact on recommendations of the reviewing group[and]to effect compliance; [C. Exception for Comprehensive Care Facility. If a comprehensive care facility is unable to effect a transfer agreement with a hospital in the community and can document its attempts to secure an agreement, the facility shall be considered to have such an agreement in effect. (2) A nursing home shall develop and implement a method forbody holdingthat minimizes the psychological effects on other residents. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the requirement to have a licensed social worker employed. The Secretary of Health and Mental Hygiene proposes to amend Regulations .01.04 under COMAR 10.27.22 Multistate Licensure Compact Regulations. B. Yes, if the hospital made any "change" in the health care providers employment, that change is reportable, irrespective of any root cause analysis. This table below refers to the filter efficiencies for central ventilation and air conditioning systems in a nursing home other than chronic disease hospitals. 10.07.02 [Comprehensive Care Facilities and Extended Care Facilities]Nursing Homes, Authority: Health-General Article, 19-308, 19-308.1, 19-323, and 19-1401 et seq. New York State Licensed Professions. (i) Each bed providedshall bein good repair, witha cleanandcomfortable standard sizemattress and foundation. (2) The nursing home shall provide a sufficient number of lockers that can be locked securely for all employees working at any one time, and provision shall be made for the employees to use the toilet facility at a convenient location. 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. JavaScript is required to use content on this page. schedule, patient assignment, incident reports, termination notice, names and A]; and. of Legislative Audits operates a toll-free (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. (a) Beresponsible for the control of the operation on a 24-hour basis;and[shall serve]. (3)The Department may requirethat the nursing home havespecific types of equipment based on the needs of the[patients]residents. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation. (3) If warranted, the director of nursing shallreportthe matter to themedical director orprincipal physician. following applies: If a nursing home administrator, registered nurse, licensed (2)Locatedconvenient to[patients]the residentsbedrooms. (4)Spacefor Storage of Linen[New Construction and Existing Facilities]. All rights reserved. (18) Discipline means the medical, rehabilitative, nursing, dietetic, activities and social service components affiliated with the operation of a nursing home. There shall be provision for the laundering of patients clothing. The nursing home shall make its admission and discharge policies available for review by residents and the residents representative. The National Council of State Boards of Nursing (NCSBN) is a not-for-profit organization whose purpose is to provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing. C. A new nursing home shall adhere to the requirements of this chapter. The Office of Health Care Quality (OHCQ) is the agency within the Maryland Department of Health charged with monitoring the quality of care in Maryland's health care facilities and community-based programs. The relief director of nursing shall be freed from other responsibilities. Professional specialty certifications may be required, in accordance with departmental standards or role . (2) The compartment shall be large enough to accommodate: (c) A wheelchair, shower chair, or shower bed. L. Burning. Each hospital, freestanding laboratory or ambulatory care center, or physician must submit a cancer report for all patients initially diagnosed , treated, or admitted, Circumstances Under Which Report Required, Infectious or contagious diseases specified by MD DHMH or regulation, Health-General 18-201 (diseases specified in COMAR 10.06.01), Health-Gen 18-205 (laboratory directors), A physician with reason to suspect that a patient under the physicians care has an infectious or contagious disease [except HIV/AIDs] that endangers public health.. The Maryland General Assemblys Office Copies of these documents are filed in special public depositories located throughout the State. (b) A roomthatopens into the kitchen may not be used as aresidentbedroom. (2) The team shall establish goals for each problem or need identified, or a combination thereof. (1)The water supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serveequipmentin the nursing home. Acall system shall be installed and maintained in operating order in all nursing units. Modification of the following minimum space will be made in the event that the facility can demonstrate that the use of convenience food, disposables, or equipment, require less space for operation. Contents of Record. [There shall be at least 12 square feet perbed for 50 percent of the total licensed beds.]. The Maryland General Assemblys Office D.Lobby AreaNewNursing Home. (c) Document the content of the continuing in-service education program and include the names and titles of participants. C. Lobby Area. This Search feature provides a chart of the 36 COMAR Titles, and allows a focused search of a specific Title. (29) Licensed bachelor social worker (LBSW) means an individual authorized to practice bachelor social work under Health Occupations Article, Title 19, Annotated Code of Maryland. (v) Equipment for the disposal of liquid and semi-solid wastes and bodily fluids via the nursing homes sanitary sewer connection or on-site sewage disposal system. B. [A. (b) 42 CFR 494.130494.180, as amended. (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. Agency Note: Utilization Review. In laundries in new facilities there shall be a physical separation between the clean and soil areas. ]; (b)[Care shall be exercised in the usage and storage of toxic]Use and storetoxicand flammable insecticides and rodenticideswith care[. (f) Smoke dampers shall be equipped with automatic remote control reset devices, except that manual reopening will be permitted if smoke dampers are accessible. A. The Board concluded that reliance on any one institutions terminology would result in uneven reporting. If the employee refuses to be immunized, the[facility]nursing homeshall document the refusal and the reason for the refusal. (2)Attending physician means an individual licensed to practice medicine in the State who: (a) Admits residents to the nursing home; and.
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