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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. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. (2) FurnishingsNew Construction. C. Assistance by Nursing Personnel. . [(6) Return of License or Renewal Certificate to the Secretary of Health and Mental Hygiene. 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 . certain fraudulent activities and protect 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. (3)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. (6) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. (b) The nursing homeshall be readily accessible tothe[rehabilitation patients]residents receiving rehabilitative services. (2) In compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and other applicable codes, and all federal, State, and local codes. (18) Discipline means the medical, rehabilitative, nursing, dietetic, activities and social service components affiliated with the operation of a nursing home. F. Delegation of Responsibilities. (2)Orders shall include modalities to be used, frequency, and anticipated goals[,]and shall be made a part of the[patient]residentcare plan. The nursing home shall develop written policies, consistent with this chapter and COMAR 10.07.09, to govern the nursing care, related medical, and other services that the nursing home provides regarding: (1) Admissions, transfers, and discharges; (3) Medical Assistance program information. 410.764.4777 | Toll Free 800.492.6836 (b) The following shall be considered a minimumallowance of floor space: (i)100 square feet, single-bed room; and. (6) The bottoms of ventilation openings may not be not less than 3 inches above the floor of any room. (11) The committee shall make recommendations for improvements to pharmaceutical services. (d) Theminimum horizontaldimensions of a bedroom areto be 10 feet to: (i) Facilitate the placement of beds as required inRegulation .44of thischapter;and. A respiratory care unit shall meet the: (1) General requirements established for all special care units as outlined in Regulation[.14-1].23of this chapter; and. (3)When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. JavaScript is required to use content on this page. (3)The[patient]residentmay not be accepted for admission if at least one service[could not]to meet the rehabilitative needs of the resident cannotbe initiated within the 48-hour period[(],excluding Saturday, Sunday,and State and federal holidays[)]. [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. This Search feature provides a chart of the 36 COMAR Titles, and allows a focused search of a specific Title. (c) Within 24 hours of admission, notify and direct residents to the nursing homes emergency plans and maps, including evacuation procedures. C. Secured units shall meet the established standards applicable to nursing home set forth in NFPA 99 Health Care Facilities Code and NFPA 101 Life Safety Code. (43) Nurse practitioner has the meaning stated in Health Occupations Article, 8-101(k), Annotated Code of Maryland. (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]. Activities spaceshall beof adequate size to meet the needs of the residentsandshall be located on each floor occupied by residents. Patients may not be kept behind locked doors, that is, doors which patients cannot open. ]; [(16)](15)Tuberculosis[Surveillance. Exceptions may be made in part at the discretion of the Department for an individual facility only when the facility can demonstrate compliance with the intent of this section by showing an effective patient call system to provide quality patient care. hotline in the past has helped to eliminate Thus 172 times $11,000 equals an annual cost increase of $1,892,000 to the regulated industry. This meal represents, To the extent medical orders permit, bedtime nourishments shall be offered routinely to all. This meal represents[no less than]at least20 percent of the days total nutritional requirements. (66) Resident Assessment Instrument (RAI). (c) Air ducts that pass through a required smoke barrier shall be provided with a smoke damper at the barrier. (6)Food and fluid intake ofresidentsis observed, and deviations from normal are recorded and reported to the: (a) Provide acontinuingin-serviceeducationprogram for all nursing service personnel; (b) Provide a thorough job orientation for new personnel; and. Please turn on JavaScript and try again. fraud and/or abuse of State government When a resident has signs and symptoms of tuberculosis, a physician shall[within 48 hours]be notified to: (a) Evaluate the resident forpossibletuberculosis in a communicable form; (c) Coordinate management of the resident and the residents contacts with thelocalhealth officer. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Employer Notification of Board Order Form, Worksite Verification Monitoring Program Form, Direct Entry Midwifery Advisory Committee, Applicants denied licensure and certification. (1) A nursing home shall possess a functioning automated external defibrillator (AED). certain fraudulent activities and protect . (ii) The nursing home shall make its residents personal furnishing policies available for review by residents and the residents representative. The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. (2) Staff and nursing home-approved practitioners shall be trained in the use of electronic health records. Total number of individuals tested for HIV; Total number confirmed positive HIV tests not due to administration of a vaccine; Total number of individuals tested for CD4+ lymphocyte count; Total number of individuals with CD4+ lymphocyte count less than 200 per cubic millimeter, For those with positive HIV+ or CD4+ lymphocyte counts less than 200, the race, gender, age, county of residence, and risk behavior of the individuals, if the project collects this information. There shall be provision for the laundering of patients clothing. The quality assurance plan shall include: (3) Procedures to take action when there is a change in the residents condition,including: (a) Communicating changes to the director of nursing or the residents attending physician; and, (b) Changing the residents plan of care as necessary; and. The facilitys infection control program shall include monitoring of the health status of all residents to determine if the residents are free from tuberculosis in a communicable form. to provide constituents, businesses, I. Infectious/Communicable Diseases, HIV Testing, AIDs Diagnoses. (2) The charge nurse or nurses shall have the ability to recognize significant changes in the condition of residents and to take necessary action. Spaces housing medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff. Yes. Dayroom areas shall be provided[, adequate]that are: (1) Adequatefor the[patients capable of using them]residentslocated on each nursing care unit;and. Thereshall be sufficient space to accommodate all activities without[interference]interferingwith each other. COMAR regulations are Maryland State agency regulations, which are referenced by Title numbers (currently 1-36). C. NursingCare 24 Hours a Day. People often confuse the Code of Maryland Regulations (COMAR) with the Annotated Code of Maryland. Contents of record shall[be]include: (1) Identification and summary sheet or sheets including[patients name, social security number, armed forces status, citizenship, marital status, age, sex, home address, and religion]: (2) Names, addresses, and telephone numbers of referral agencies[(],including[hospital from which admitted), personal physician, dentist, parents names or next of kin, or authorized]: (3)[Documented evidence of assessment of the needs]Documentation of the: (a)Needsof the[patient]resident[, of establishment]; (b)Establishmentof an appropriate[plan of]initial and ongoing treatment[,of the care]plan; and. [(e)](f)Excessive HeatAny temperature above[40C (104F)]104F or 40C. [(1) New Construction. (2)Attending physician means an individual licensed to practice medicine in the State who: (a) Admits residents to the nursing home; 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.]. Please see the Nurse Practice Act 8-505.Report of certain (1)A nursing home shall be equipped with a properly maintained air conditioning system. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. 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. Although this reporting requirement might not appear at first glance to require reporting by investigators, Maryland regulations contemplate that research HIV testing is covered: COMAR, the compilation of State regulation, contains a research exception for truly anonymous HIV testing performed under an IRB-approved protocol, as well as a detailed procedure for seeking a research exemption to reporting from the Director of AIDs Administration. On October 28, 2016, the Department of Health and Mental Hygiene ("DHMH") published its final regulations regarding hospitals' and certain other health care facilities' obligations to report certain actions involving physicians, allied health providers and naturopathic doctors. responsive, accurate and consistent, F. The[facility]nursing homeshall provide pulmonary function testing[,]and blood gas or pulse analysis capability[onsite]on-siteor through contractual arrangements with providers who meet applicable State and federal laws and regulations. [(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. Although licensed providers are obligated to report suspected neglect or abuse of a vulnerable adult, non-provider investigators, who are permitted but not obligated to make such reports for adults, may be precluded from doing so if the reporting involves disclosure of protected health information (HIPAA may restrict disclosure of PHI to reports of adult abuse or neglect to those circumstances under which the report is required by law or the circumstances constitute an emergency. Each day that the nursing[facility]homecontinues to operate without a license after the first conviction is a subsequent offense and may subject the operator to further criminal prosecution. The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. The posting on each floor shall include: (1) Names of the staff members on duty and the room numbers of the residents[that]to whomeach is assigned; (2)Name of the charge nurse or personwho isin charge of the unit;[and], (3) If the person in charge is not a registered nurse, the name of the registered nurse responsible for the unit; and. (iv) All soiled areas within a laundry shall be connected to mechanically operated exhaust ventilation. 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. Provide a detailed description of the incident:dates, Notification of Responsible Persons When[Patient]ResidentMoves. (2)A nursing home desiring to provide services other than thosefor which it is alreadylicensed shall obtain prior approval from the Department. K. GarbageStorage Space. hotline in the past has helped to eliminate (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). This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the MarylandDepartment of Health (MDH). These studies have listed reoccurring . 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. A[facility]nursing homewhich holds a current and valid operating license may establish special care units with the approval of the: (1)Office of[Licensing and Certification Programs and the Departments Division of Engineering and Maintenance]Health Care Quality;and. 100-07 State Operations Provider Certification, (Transmittal 127, November 26, 2014, U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services). (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. non-renewed or expired. (2)Nurses andsupportpersonnel shall be chosen for their training, experience,and ability. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. (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. (ii) The individual who has inactive pulmonary scarring,calcification, or a normal chest X-ray. (b)The person in charge of the service to which the employee is assigned shall[have]: (i) Haveinput into the contents of the orientation program;[Policies for the orientation program shall include], (ii) Determinethe number of hours of orientation required for the various levels of[supportive]supportpersonnel;and. (2) Preparation and serving shall be supervised by a qualified dietetic supervisor; At least three meals or their equivalent shall be, A substantial evening meal is an offering of three or more menu items at one time, one of which includes a high quality protein such as meat, fish, eggs, or cheese. 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. of Legislative Audits operates a toll-free Maryland Nurse Practice Act. The regulations deal only with what must be reported. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (1) A nursing home shall be staffed with at least one registered nurse, 24 hours per day and 7 days per week. (3) The tuberculin skin test for new admissions may be a two-step skin test that is performed by the facility according to the established infection control policy of the facility. (b) Connected to mechanically operated exhaust ventilation. (b)The janitors closet shall be equipped for[handwashing]hand washing. (14) Dentist means an individual licensed to practice dentistry in this State. (3) BedroomExisting Construction. Controlled room temperature is a temperature maintained thermostatically between[15C and 30C (59 and 86F)]59F and 86 F or 15C and 30C. (a) The nursing home shall provide residentswith theirown bed. (1)Thearchitectorprofessional engineer of record shall submit stamped and sealedfinal constructiondrawings to the Department. Licensure, designed to meet educational requirements for a specific professional license or certification that is required for employment in an occupation; or, Is advertised as meeting such requirements. (2) Departments Office of Capital Planning, Budgeting and Engineering Services. (3) Qualifications of social worker. In, Initiation of services to meet the rehabilitative needs of the. Amber Havensamber.havens@maryland.gov, Compliance Coordinator: (3) In an existing structure, the nursing home shall comply with the regulations and building codes effective at the date of construction. A catered or satellite system shall be covered by a contractapproved by the Department. 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. If the serology for varicella is nonreactive, the facility shall request that the employee receive immunization for varicella. (3) Nursing, housekeeping, laundry, or other personnel may not be[utilized]usedas[dietetic]food servicestaff. maryland board of nursing reporting requirementsmiss kitty black ink crew net worth maryland board of nursing reporting requirements. resources. B. Pharmaceutical services shall be under the general supervision of a licensed pharmacist who shall: (a) With the advice of the pharmaceutical services committee, be responsible for developing, coordinating, and supervising pharmaceutical services and provide in-service training at least twice yearly; (b) Visit the nursing home frequently enough to assure that policies and procedures established by the pharmaceutical services committee are enforced; (c) Notify the attending physician of any potential drug problems found during the drug regimen review; and. (1)Written administrative and[patient]residentcare policies and procedures shall be developed for rehabilitative services by appropriate rehabilitation team members and representatives of the medical, administrative, and nursing staff. (b) At least 2 years of experience or specialized training in the medical care of geriatric or chronically ill and impaired residents; (c) Successful completion of a curriculum in physician management or administration from. The sounding of the audible signal shall be continuous or intermittent until answered. The[facility]nursing homeshall ensure that each unit is sufficiently staffed with qualified personnel to provide appropriate treatmentand[special]meet thecare needs of the residents. [Appropriate action shall be taken.]. Designated Staff Responsibility. (6) The sounding of the audible signal shall be continuous or intermittent until answered. Maryland Board of Nursing Attn: Director of Complaints & Investigations 4140 Patterson Avenue, Baltimore, MD 21215-2254. . [C.](3)Toilet Facilities in Rehabilitation AreaNew Construction. B. (1) The duty to take the actions under paragraph (2) of this subsection arises only under the limited circumstances described under subsection (b) of this section. The kitchen may not be used for any purpose other than the preparation of food. ), Comments may be sent to Jake Whitaker, Acting Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. Comments may be sent to Michele Phinney, Director, Office of Regulation and Policy Coordination, Department of Health and Mental Hygiene, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to dhmh.regs@maryland.gov, or fax to 410-767-6483. [There]The nursing homeshall[be provided]provideone or more attractively furnished areas of adequate size for resident dining, occupational therapy, and social activities. [B. 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 . (34) Licensed pharmacist means an individual who is licensed by the Board to practice pharmacy as defined in Health Occupations Article, 12-101(l), Annotated Code of Maryland. Updated printed copies of the Nurse Practice Act and Regulations can be purchased at the Division of State Documents in person, by internet, or by telephone. [(5)](6)Pest Control. (ii) To avoid injury to the resident, the mattress and foundation shall fit the bed. [Statutory exceptions for certain confidential and privileged communications]. A. JavaScript is required to use content on this page. resources. A. The information is fluid and evolving. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. To ensure that the Issue/renew Prescriptive Authority Recognition to Advanced Practice Registered Nurses meeting approved standards. (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. For this reason, they will not be printed in the Maryland Register or the Code of Maryland Regulations (COMAR). According to the National Nursing Database, Maryland currently has 73,086 RNs and 13,538 LPNs. A. (b) Laundry service shall be provided to meet the residents needs. 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. A person maintaining or operating a nursing[facility]homewithout a license is guilty of a misdemeanor, and, on conviction, is liable for a fine of not more than $1,000 for the first offense and not more than $10,000 for each subsequent convictionin accordance with Health-General Article, 19-358, Annotated Code of Maryland. (3) When the nursing[facility]homerelocates residents, the[facility]nursing homeshall send a[brief]medical fact sheetand any medically related informationwith each resident that includes at a minimum the residents: (e) Special diets or dietary restrictions;[and], (f) Family or legal representative contact information; and.