B. When an owner plans to convert an existing structurethat has not been licensed as a nursing or care home to a nursing home, the owner shall be required to meet all conditions set forth in this chapter. (b) Effective implementation of the policies and procedures that are outlined in[F(1)]E(1)of this regulation. Contents of Record. The State of Maryland pledges (1)The water supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serveequipmentin the nursing home. (2)Initiation of services to meet the rehabilitative needs of the[patient]residentshall occur within 48 hours[(],excluding Saturday[and],Sunday[)],andState and federal holidays,of the physicians order for the specialized service. input into the contents of the orientation program; the number of hours of orientation required for the various levels of. 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. With respect to naturopathic doctors, different parties are required to make reports in different circumstances and within different time frames. A. If any covered person has reason to believe that a child has been subject to neglect, the person must notify the local department and, if acting as a staff member of a hospital, notify the head of the institution or the institutions designee. (2) The nursing home shall provide pharmaceutical services in accordance with accepted professional standards and related federal, State, and local laws. (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. (3) The plumbing fixture for the utility sink within a janitors closet shall be provided with an approved back-flow prevention device. (3) A[nurse aide]geriatricnursing assistantis deemed to satisfy the requirements of this chapter if that individual has successfully completed a training program approved by the State before July 1, 1990, or has been grandfathered under previous regulations. (iv) Personal furnishings that are allowed shall be appropriate for the residents use. NOTE 3: COMAR 10.06.01.02 defines physician to include physicians designee working under the supervision of the physician.. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit. Acall system shall be installed and maintained in operating order in all nursing units. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. The relief director of nursing shall be freed from other responsibilities. [.11].15Medical Director Qualifications. A[facility]nursing homeshall use the following forms and procedures for resident assessment as described in the[State Operations Manual for Provider Certification]CMS Manual System, Pub. The provider industry is in agreement with the proposed changes in this requirement. If a deficiency exists, the Department, in addition to the sanctions set forth in this regulation and Regulations[.5058].69.77of this chapter, may: (1) The duties of the State monitor shall be specified in a written agreement between the Department and the State monitor and shall include but are not limited to: (c) Issuing written reports to the Department and the nursing[facility]nursing home,detailing the findings of the on-site inspections and the status of[recommended actions that]requirements andrecommendations forthe[facility shall complete]nursing hometo achieve compliance. The[facility]nursing homeshall[be]: (a) Bemaintained free of insects and rodents by operation of an active pest-control program, either by use of maintenance personnel or by contract withapest-control company[. (2) Policies and procedures shall address, at a minimum the following: (a) Identify how many staff members will assist with serving food items, pushing the mobile cart, and delivering meals to the residents; (b) Ensure proper food protection on three sides to protect the food; (c) Maintain proper temperature control, hot food at a minimum of 135F and cold food maintained at a maximum of 41F; (d) Record of temperatures before serving meals on each individual unit; (3) The hand washing policy and procedures referenced in L(2)(f) of this regulation shall include the following: (a) Use of a hand sanitizer in lieu of proper hand washing is not permitted; (b) Bare hands may not have direct contact with ready-to-eat food; (c) Hand washing shall be done before starting meal service on each individual unit; (d) When and at what location hand washing will be done; (e) Hand washing may not be done in resident rooms; (f) Access to a hand washing sink may not require the opening of a door; (g) The hand washing sink shall be in a central, unobstructed location; (h) Mobile hand sinks are acceptable as long as a written procedure to meet sanitation requirements is developed; (i) The hand sink shall be supplied with hot and cold water under pressure; (j) The unit shall be supplied with adequate waste containers to hold dirty water until dumping is done; and. The kitchen may not be used for any purpose other than the preparation of food. A. (d) "Board" means the State Board of Nursing. A list of these depositories was published in 46:1 Md. Before or at admission, a contract shall be executed by the administrator and[patient]resident,guardian, or responsible agency which is consistent with the requirements of Health-General Article, 19-344, Annotated Code of Maryland, Rights of Individuals. [.05].07Inspection by Secretary [of Health and Mental Hygiene]. 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. (2) Private water systems shall comply with all federal, State, and local requirements. The baccalaureate degree program in nursing, master's degree program in nursing, Doctor of Nursing Practice program and post-graduate APRN certificate programs at University of Maryland School of Nursing are accredited by the Commission on Collegiate Nursing Education. Nursing personnel shall assist the[patient]residentin carrying out routine dental hygiene. (4) Each month, the nursing home shall perform a drug regimen review on each residents records at the nursing home and document the findings in the residents medical record. Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. (ii)Those disciplineswho provided the service. 4. SS-7, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (6) National Fire Protections Association, NFPA 99 Health Care Facilities Code (2015 Edition); and. Open at all Times for Inspection. A person maintaining or operating a nursing. (2) The[facility]nursing homeshall ensure that[all]employees[who]maynotprovide services that require direct access to residents[may not provide such services]without documented evidence that the employee is free fromcommunicabletuberculosis[in a communicable form]. In existing structures, the Departmentshallentertain requests for waivers on itemsthat: (1) Willnot endanger the health and safety ofresidents, visitors, employees, and other individualsusing the nursing home; and. 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. (4) If the resident refuses to be immunized, the nursing home shall document the refusal and the reason for the refusal. [Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first.]. 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) Although daily rounds are primarily the responsibility of the charge nurse or nurses, the director or assistant director of nursing shall periodically make clinical rounds to nursing units, randomly reviewing clinical records, medication orders, resident care plans, and staff assignments and visiting residents. 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. (iii) Describes provisions for light, heat, food service, washing, and toileting residents. (1) Social services responsibilities in the nursing home shall be assigned to a: (d) Licensed certified social workerclinical. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. (4)A nursing home shall be constructed in accordance with the provisions of the NFPA 101Life Safety Code. Because specific temperatures are often required for the safe storage of drugs, the. The physician shall, E. Objective. Department of Health Professions Perimeter Center 9960 Mayland Drive, Suite 300 Henrico, Virginia 23233-1463. (2) A call system shall be maintained in a manner that will provide visible and audible signal communication between nursing service personnel and residents. Information reported to the (b)The janitors closet shall be equipped for[handwashing]hand washing. (a) Relocation means the movement of a resident from one room to another within: (i) The same Medicare-certified nursing home; (ii) A Medicaid-only certified nursing home; or. No. Federal regulations require that certain services be provided by a qualified social worker, the employee would have to represent themselves as a qualified social worker and thus under Maryland law, the employee would have to obtain a license to practice social work. State resources. (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. (b) Isresponsible for the overall care of a resident. Provision for Dental Care. Common Space. Featured Programs: Sponsored School(s) Sponsored School(s) All school search, finder, or match results, as well as colleges and universities displayed as . The following table lists the minimum lighting requirements in the followinggiven areas: (7) Medicine storage and preparation area. B. 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) In a nursing home in which the director of nursing serves as relief for the administrator, the director of nursing shall designate a specific registered nurse who shall be in charge of the nursing service while the director of nursing covers for the administrator. (1) CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual, (Version 1.14, October 2016). 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 witnesses shall document the disposal in the residents chart. (2) Bedside hours include the care provided by: (3) Only those hours which the director of nursing spends in bedside care may be counted in the 3-hour minimum requirement. This duty may be discharged by reasonable and timely efforts to inform law enforcement and the identified victims. B. The director may not disclose, directly or indirectly, the identity of any individual tested. 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. There shall be a separate entrance into each room]. Persons other than licensed health care providers may report suspected abuse or neglect of a vulnerable adult. (1)[New Construction. truthful and transparent services. [(f)](g)Protection from Freezing. [(2) Each facility shall submit a written proposal to the Department for satisfying the developmental training program requirement.]. Report of State Board of Nursing to Senate Education, Health & Environmental Affairs Committee & House Health & Government Operations Committee on online program for processing medication technician applications, measures implemented to increase online applications, & analysis of current & projected staffing needs due Dec. 31, 2011 (Chapter 123 . Use of[Hot Water Bottlesand, Ice Caps]Hot Packs, Ice Packs, and Other Therapeutic Medical Devices. The charge nurse or nurses shall make daily roundsonall nursing units for which they are responsible, performing such functions as: (2)Reviewing clinical records, medication orders, resident care plans, and staff assignments; and. C. The nursing[facility]nursing homeshall establish a quality assurance committee that includes at least: (1)[A]The nursing homedirector of nursing; (4)[A]The nursing homemedical director; (5) A[dietitian]dietitian-nutritionist; and. (30) Licensed certified social worker (LCSW) means an individual authorized to practice certified social work under Health Occupations Article, Title 19, Annotated Code of Maryland. C. Lobby Area. (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents; (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures, (9) Properly refer residents to specialty services and providers when the care needs of the resident exceed the scope of the attendingphysicians knowledge and skill, A. (b) Connected to mechanically operated exhaust ventilation. (59) Qualified medical record practitioner means an individual who: (i) Received a baccalaureate degree from an accredited college or university including or supplemented by a successful completion of a course in health record administration approved by the Council on Medical Education of the American Medical Association; and, (ii) Passed the national registration examination for registered record administrators; or, (i) Received an associate of arts degree in health record technology from a college or university approved by the American Medical Association Council on Medical Education or an equivalent approved health record technology correspondence course of the American Medical Record Association; and. D. Laundries-Existing Facilities. Yes. (2)Nurses andsupportpersonnel shall be chosen for their training, experience,and ability. Call us at (425) 485-6059. If you prefer to send it by U.S. Mail, our address is: Maryland Board of NursingAttn: Director of Complaints & Investigations4140 Patterson Avenue, Baltimore, MD 21215-2254, National Human Trafficking Hotline - 24/7 Confidential. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. (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. (1)When the director of nursing is absent, the individual shall designate an experienced, qualified registered nurse to direct the nursing service. a genuine interest in the well-being and welfare of, (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to, The Department shall approve the increase in beds within 72 hours following receipt of the. friendly and courteous, timely and or Advanced Practice Registered Nurse (APRN). The State of Maryland pledges H. Closed or Inactive Records. As of July 1, 2020, the U.S. Department of Education implemented new regulations that professional nursing programs (PN, RN and APRN) must adhere to if they participate in Title IV HEA funding, and if the program is: designed to meet educational requirements for a specific professional . Standard Precautions. We're available on the following channels. 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. Pursuant to State Government Article, 7-207, Annotated Code of Maryland, the following have been declared documents generally available to the public and appropriate for incorporation by reference: (1) CMS Long-Term Care Facility Resident Assessment Instrument 3.0 Users Manual (Version 1.14, October 2016); (2) CMS Manual System, Pub. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. G. Reevaluation of[Patients]ResidentsProgress. L. Burning. [.29].52Equipment and Supplies for Bedside Careand Therapy. (2) CMS Manual System, Pub. General Requirements. A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. Thereshall be sufficient space to accommodate all activities without[interference]interferingwith each other. Yes. (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. (d) The plumbing fixture for the utility or service sink within a janitors closet must be provided with a back-flow prevention device. (a) Comply with Health-General Article, 18-404, Annotated Code of Maryland, regarding immunizations of employees; (b) Inform all new and current employees of the health risks of not being immunized; (d) Require that any employee who is not vaccinated with the current influenza vaccine wear a mask when: (ii) During the influenza season as specified by the States Prevention and Health Promotion Administration, based on influenza activity in Maryland. (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. 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. fraud hotline to receive allegations of G. Program of Restorative Nursing Care. ]; [(5)](6)[The]Verifiedlicensure of personnel employed[as registered or licensed practical nurses shall be verified by the facility. (1) Emergency Power. [D.]F.Admission Record. (73) Support personnel means an aide who: (a) Isassigned to a particular service such as: (b) Has been approved by the managerof the services as having sufficient training and experience to perform the assigned duties. (3) Is in a readily visible type font and size. A. Waiting for proof may involve grave risk to the child and . All rights reserved. In new construction, facilityshall provide a lobby area. Search a specific Title (will search only that title for word or codification number). Copyright Maryland.gov. When the Commission on Graduates of Foreign Nursing Schools receive all three required applications, they will complete the report and mail it to the Maryland Board of Nursing. A. B. There shall be provision for the laundering of patients clothing. It looks like your browser does not have JavaScript enabled. [.35] .58Resident Care Management System. (2)Attending physician means an individual licensed to practice medicine in the State who: (a) Admits residents to the nursing home; and. (d) A filter or filter efficiency shall comply with the standards ofthe Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. fraud and/or abuse of State government (22) Fire authorities means the official fire safety agency including the State Fire Marshal or local fire marshals or fire departments as appropriate. 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. (1) A new nursing home shall satisfy the review of the Maryland Health Care Commission for the: (a) Establishment of a new nursing home; and. (3)In-service training shall include at least: [(2)](b)Fire prevention programs and[patient]residentrelated safety procedures in emergency situations or conditions; [(4)](d)Confidentiality of[patient]residentinformation; [(5)](e)Preservation of[patient]residentdignity, including protection of the[patients]residentsprivacy and personal and property rights; [(6)](f)[Psychophysical]Physical,functional,and psychosocial needs of the aged ill; H. Employment Records. C. Call SystemNew Construction. 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) Administrator means the individual licensed by the Board of Examiners of Nursing Home Administrators who is responsible for the operation of the nursing home. (3) Information regarding the residents and familys plans regarding discharge. The nursing home shall provide a living room for residents use with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. L. Resident Directed Meal Pattern. (iii) Is a Certified Food Protection Professional (CFPP). A. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment,the nursing home shall providethat treatment, assistive device, or equipment[shall be provided by the facility]unless the[facility]nursing homedocuments in the quality assurance committee minutes the reason or reasons why the treatment, assistive device, or equipment should not be provided. These areas may be reduced to 35 percent for all-outdoor air systems. (2)The nursing home shall require that employees who are not immune to measles, mumps, rubella, and varicella receive immunization for measles, mumps, rubella, or varicella, unlessmedically contraindicated or against the employees religious beliefs. [(3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (a) Be a registered nurse licensed in Maryland; (b) Have at least 2 years of nursing experience, at least 1 year of which shall have been in caring for the elderly or chronically ill in the past 5 years; and. Menus shall be written at least 1 week in advance. (16) Dietitian-nutritionist means an individual who: (a) Is licensed by the Maryland Board of Dietetic Practice to practice dietetics; (b) Has met the certifying requirements for registration as a dietitian as administered by the Commission on Dietetic Registration; and.
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