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Phone: (410) 767-8150 The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. A. B. Continuing Education - New Mexico Board of Nursing 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. . A. (5) A food service floor panty shall include the following additional equipment: (b) Ice-making machine or ice-storage container; (d) Equipment to deliver completed trays; (e) Three-compartment sanitizing sink or dishwasher; (f) Cabinet for dry storage, supplies, and kitchenware; and. (14) Dentist means an individual licensed to practice dentistry in this State. (b) Certified graduates of a State-approved medicine aide course. 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. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. (2)Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. In this chapter, the following terms have the meanings indicated. The interdisciplinary team shall incorporate resident input into the care plan. For brevity's sake in these FAQs, the Board will use the term "hospital" to indicate the entity that is required to report. ; (vii) Blood borne pathogens, including hepatitis B and C and human immunodeficiency virus; (ix) Proper use and wearing of personal protective equipment, such as gloves, gowns, and eye protection; (f) Train and[monitor]perform compliance monitoring ofemployee application of infectionprevention andcontrol[and aseptic techniques; and]activities, such as hand hygiene and personal protective equipment used for isolation precautions; (g) Review the infectionprevention andcontrol programelementsat least annually and revise as necessary[. (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. Records for all[patients]residentsshall be maintained in accordance with accepted professional standards and practices. (9) Recommended Dietary Allowances, (10th Edition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). Use of[Hot Water Bottlesand, Ice Caps]Hot Packs, Ice Packs, and Other Therapeutic Medical Devices. Common Space. However, the nursing home would need to contract with a licensed social worker to provide oversight. D.Lobby AreaNewNursing Home. 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. Dayroom areas shall be provided. InfectionPrevention andControl Program. C. Laundries-New Facilities. E. The social work industry and trade groups would benefit due to the increase in hiring and contracting with licensed social workers. A utility sink shall be provided within reasonable distance from the food service department for its use, but it may be shared with other activities. (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. (3)When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. (b) The nursing home has an agreement with a qualified social work consultant that provides for sufficient hours of supervision to assure that the employees services meet the medically related physical, social, and behavioral health needs of the residents. (1) A sufficient number of food service personnel shall be employed to[carry out]performefficiently the functions of the[dietetic]food and nutritionservice and meet the dietary needs of the[patient]residents. If the designee is not a qualified[patient]residentactivities coordinator as defined in Regulation[.01Y,].01ofthis chapter, the Department may approve the designee based on the persons education, performance, and experience. The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. (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. [(7) Utility RoomsExistingFacility. Controlled room temperature is a temperature maintained thermostatically between[15C and 30C (59 and 86F)]59F and 86 F or 15C and 30C. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation.]. 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. (3) The individual who prepares medications shall give and record them. (ii)80 square feet, per bed, for multiple-bed rooms. [(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]. (3) Local Law or Ordinance, Where Applicable. (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]. (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. (b) The filter bed shall be located upstream of the air conditioning equipment, unless a prefilter is employe. Disclaimer: This information has been gathered from a variety of sources. (i) A nursing home shall develop policies and procedures to give residents the opportunity to use the residents own furnishings as detailed in this chapter. ]; [(6)](5)Specialized rehabilitative services[]includingoccupational therapy[services], physical therapy[services], speech pathology and audiology services[. A nursing home shall provide a lobby area that shall have: (1) Public toilets for both sexes, either separate or unisex, located conveniently to this area; (3) Drinking fountains or other drinking water dispensers that meet Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. (Identified by Impact Letter and Number from Section II. You may be asked to demonstrate that your license is active, for which you must meet all the necessary continuing education requirements. (3) If a controlled dangerous substance is destroyed on the nursing home premises in accordance withF(2) of this regulation: (a) A record of the disposal, in addition to any other required records, shall be maintained in the nursing home; and. B. Code Ann., Health Occupations Article, 8-302 (b) and (c).. Notification of Responsible Persons When[Patient]ResidentMoves. (2) The course content shall adhere to the[Geriatric Nursing Assistant Program]geriatric nursing assistant training programcurriculumapproved by the Maryland Board of Nursing[in Regulation .40 of this chapter]. (44) Nursing care has the meaning stated in Health-General Article, 19-301(k), Annotated Code of Maryland. The director of a medical laboratory defined at Health-Gen 17-201(b)(1) as any facility, entity, or site that offers or performs tests or examinations in connection with the diagnosis and control of human diseases or the assessment of human health, nutritional, or medical conditions . (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. A. The[facility]nursing homeshall[request]requirethat all new employees receive immunization for Hepatitis B[. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. (1) A signed copy of the agreement between thenursing homeand the director of nursing, showing the license numberof the nurse, shall be filed with the Department upon: (a) Application for an initial nursing home license; and. (iii) Prevents a resident from a precipitating potential physical problem. (1) General requirements established for all special care units as outlined in Regulation .24 of this chapter; and. However, once a facility elects to use these procedures or systems and a modification is granted, the systems may not be changed without prior approval of the Department. (1) The size and location of the food service area shall comply with COMAR 10.15.03. Abuse of Developmentally-Delayed Individual, Any person who believes that an individual with a developmental disability has been abused shall report the abuse promptly to the executive officer or administrative head of the licensed service provider, who shall in turn make a report to law enforcement authorities. (1)The water supply shall be adequate in quantity and delivered under sufficient pressure to satisfactorily serveequipmentin the nursing home. Standardized recipes are those recipes which have been tested by the[facility]nursing homeor another source[which assureconsistency in]and that ensureconsistentquality and quantity. In COMAR 10.32.22.03C, there is a list of common occurrences that do not have to be reported. (b) Medicine storage cabinet with locks. (1)Foods shall be prepared by methods that conserve nutritive value, flavor, and appearance, and shall be served at proper temperatures, in a form to meet individual needs. 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. This program shall consist of: (a) An explanation of organizational structure, policies, and procedures; (b) Discussion of the philosophy of care; (c) Description of the resident population; and. 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. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. They should not be read to imply that any other reporting is prohibited. All rights reserved. (d) Any other relevant parameters affecting or reflecting the residents physical and mental status. (1) Social services responsibilities in the nursing home shall be assigned to a: (d) Licensed certified social workerclinical. (b) The renewal application shall be submitted onwritten or electronicforms provided by the Secretary.]. [.11-2].17[Facilitys ]Nursing HomesResponsibilities in Relation to the [Facilitys]Nursing HomesMedical Director. (67) Residents representative means a person with the authority to act on the residents behalf regarding the matter at issue. Applies to anyone: Any individual having knowledge of an animal bite shall report the bite to the health officer., Maryland Reporting Obligations that May Apply to Investigators or Other Members of the Research Team, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Office of Human Subjects Research - Institutional Review Board. (vii) A bedsidelamp, over-bed lamp,or other directional light source forresidentreadingandbedside care. A. Please fill out the form. (9) An orientation program shall be provided to trainees for a nursing facility in which training is to occur. Research Exception: The requirements for reporting HIV+ test results do not apply when the test is conducted as part of research conducted by an institution within Maryland under the following conditions: (a) All personal identifiers are removed from the specimen before testing; (b) The specimen cannot be linked to the individual from whom it was taken; (c)The test result cannot be linked to the individual from whom the specimen was taken; and (d)The research protocol has been approved by an institutional review board. For questions or . (7) Each trainee shall be clearly identified as a trainee during all skills training portions of the training. [I.] (c) Maintains the continuing education requirements of registration. (b) Provide a service to nursing home residents or their families. A. Although NCSBN has made every effort to provide complete, accurate and up-to-date information, NCSBN makes no warranties, express or implied, or representations as to the accuracy or reliability of this information. No. To Search COMAR online, go to the MD Division of State Documents website. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. [.29].52Equipment and Supplies for Bedside Careand Therapy. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. New York State Licensed Professions. Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials. Please enable JavaScript in your browser. Unless otherwiseindicated, all generalrequirementsapply to both new construction and anexisting nursing home unless a waiver has been granted by the Office of Health Care Qualityin accordance with Regulation .03G of this chapter. Summary of Economic Impact. 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 . (65)Resident activities coordinator means an individual who: (i) Certifiedtherapeutic recreation specialist; (iii)Licensed occupational therapy assistant; or. 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. Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility. (f) Smoke dampers shall be equipped with automatic remote control reset devices, except that manual reopening will be permitted if smoke dampers are accessible. Approaches shall[communicate]indicatethe work to be done,[by whom it is to be done]who is to do it, and how frequently it is to be[performed]done. In this chapter, the following documents are incorporated by reference. F. Staffing. K. GarbageStorage Space. (b) Effective implementation of the policies and procedures that are outlined in[F(1)]E(1)of this regulation. Licensed, (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is. Anursing home may not burn or incinerate garbage at the nursing home. (3) The use of hot and cold medical devices shall be: (a) Consistent with manufacturer guidelines and nursing home policies; and. (37)MDS Care Area Assessmentmeansthe investigation of triggered care areas, to determine if the care area or areas require interventions and care planning. [Heating pads may not be used instead of hot water bottles.]. friendly and courteous, timely and (1) A new nursing home shall be constructed, equipped, and maintained to protect the health and safety ofresidents,personnel, and the public. A nursing home shall maintain a minimum design temperature of 75F or 24C for all occupied areas. 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. A public hearing has not been scheduled. Definition. C. Body Holding RoomExisting Nursing Home. public is protected from incompetent or impaired nurses. C. Measles, Mumps, Rubella, and Chickenpox. The[goal]goalsshall be realistic, practical, and tailored to the residents needs. The attending physician shall: (5) For a resident who is to be transferred to the care of another[health care practitioner]attending physician, continue to provide all necessarymedical care and services pending transfer until anotherattendingphysicianhas accepted responsibility for the resident. (4) In new construction or renovation, the nursing home shall comply with the regulations and building codes effective at the date of construction or renovation. B. (4)In new facilities,the director of nursing and supervisors of[the various services,]dietaryservices, housekeeping, rehabilitationservices, and social services[,]shall be responsible for orienting the new[supportive]supportpersonnel to the[facilitys]nursing homepolicies and procedures and to the physical plant. The regulations deal only with what must be reported. (iii) Inform the appropriate law enforcement agency and, if feasible, the specified victim or victims of: 1. An interdisciplinary team shall completeor revise as necessarya[resident specific]resident-specificcare plan for each resident within 7 calendar days following completion of[all]assessments,including: (4) Significant change in the residents condition. A written application shall be on file for each employee and shall containat least the: (1) Employees[social security]Social Securitynumber[. Apply the definitions in the regulations. (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. (1)[New Construction. (2)The record and progress notes concerning the[patient]residentshall reflect at all times the most recent and current status of the[patient]resident, including current short-term and long-term goals. to provide constituents, businesses, Updated (1)If a[facilitys]nursing homesadmission policies include the admission of[patients]residentsrequiring rehabilitative services, the[facility]nursing homeshall provide, or arrange for under written agreement, specialized rehabilitative services by qualified personnel[(],such asaphysical therapist, speech-languagepathologist and audiologist, and occupational therapist[)]. The[facility]nursing homeshall give appropriate health care information to such volunteers to provide maximum protection to residents. A. The activities shall be designed to promote the general health[,]andphysical, social, and mentalwell-being of the[patients]residents. National Human Trafficking Hotline - 24/7 Confidential. YouwillneedAdobe Acrobat Readeror equivalent software. The director of nursing shall assume responsibility for maintaining professional competence of staff through their participation in education programs. (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. [(d)](e)WarmAny temperature between[30C and 40C (86 and 104F)]86F and 104F or 30C and 40C. Schedule II drugs shall be kept in separately locked, securely fixed boxes or drawers in a cabinet, under two locks, keyed differently; medicine storage and preparation area with illumination of 100 footcandles at the work counter; preparation area shall include a small sink set into the counter or with drain boards; biological refrigerator. (9) Chemical restraint means the administration of any drug that is used for discipline or convenience and not required to treat medical symptoms. A. Current license from Maryland Board of Nursing or Compact State as Registered Nurse (RN). (d) A filter or filter efficiency shall comply with the standards ofthe Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. [The written social history]Within 7 days after admission, thesocial workershall[be initiated within 7 days after admission. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. 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. (72) Speech-language pathologist means an individual licensed by the State Board of Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists. F.Space Heaters. As you may recall . C. A[facility]nursing homethat uses a paid feeding assistant shall ensure that the paid feeding assistant feeds only residents who do not have complicated feeding conditions including, but not limited to: (3) Recurrent lung[aspirations]aspiration; or. JavaScript is required to use content on this page. 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. 3. Maryland | NCSBN (3) A nursing home shall equip all screened doors with self-closing devices, to provide for the normal flow of ingress and egress of traffic. responsive, accurate and consistent, A. truthful and transparent services. The nursing home shall make its admission and discharge policies available for review by residents and the residents representative. Any practicing nurse needs to consider what the Nurse Practice Act and COMAR states when consuming alcohol, taking medications or substances that could be considered controlled dangerous substances, using illicit or any substance that affects mood, attention, alertness, judgment, decision-making etc. The[facility]nursing homeshall select[a resident]eligibleresidents based on the: E. State-Approved Training. (1)New[supportive]supportpersonnel shall be credited for 50 percent of their working time until the employees orientation program, as approved by the Department, is completed. Masks are required inside all of our care facilities. 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. surveillance; [(18)](17)Housekeeping services, pest control, and laundry[. E. Transportation. D. Unusual Occurrences. [B. Code of Maryland Regulations: Commission on Kidney Disease Please see the Nurse Practice Act 8-505.Report of certain The State of Maryland pledges B. A nursing homeshall be served by water from a safe public water supply, if available, as determined by the Department. 410.764.4777 | Toll Free 800.492.6836 (4) Medicine may not be returned to the container. [A.] (1) If a nursequestionsthe care provided to anyresidentor believes that appropriate consultation is needed and has not been obtained, the nurse shallinformthe supervisor. Office Hours: Monday - Friday 8:15AM - 5:00PM (except Holidays) Please enable JavaScript in your browser. The director may not disclose, directly or indirectly, the identity of any individual tested. (2) The certification of the . (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. I. Provide a detailed description of the incident:dates, Oklahoma Board of Nursing (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. General Requirements. C. NursingCare 24 Hours a Day. (5) A[patient]residentwho is in a protective device or devices may not be left in the same postural position for more than 2 consecutive hours. [.16].28Laboratory and Radiologic Services. [(6)](f)[Due care]Adequate exhaust ventilationshall be[taken in]provided whenusing vaporous materials or pollutants. (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[. (h) Obtain annual approval of infection prevention and control program activities by the infection prevention and control oversight committee. The assessment shall: (2) Use a data dictionary as identified by the automated data processing requirements; and. (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)A nursing home shall be equipped with a properly maintained air conditioning system. (2) Staff and nursing home-approved practitioners shall be trained in the use of electronic health records. (d)Management of the[facility]nursing homemay not permit the[patient]residentcensus to exceed the admissions ceiling without prior approval from the Department. 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 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. (3) Is in a readily visible type font and size. Shauna Wastradowski - Manager Senior Financial Operations - LinkedIn (3) Information regarding the residents and familys plans regarding discharge. (3)[Thenotification shall include]Includean invitation for the family member or residents representative to attend the conference. It you scrolled down to Title 20 (Public Service Commission), and click on the Title, you are presented with a list of Subtitles. D. Excessive Absenteeism of Administrator. (4)Spacefor Storage of Linen[New Construction and Existing Facilities]. (7) Recommended Dietary Allowances (10thEdition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). Determine if a report should be madeif yes you MUST report immediately to the State Agency (see below). (1)[In a decentralized]There shall be at least onefood service[,the area or areas for]floor[pantries shall be approved by the Department]pantry per nursing care unit. ]; [Agency Note:Refer to Regulation.26 Sof this chapter for window screening requirements.]. (3) Equipment to protect food from dust or contamination and to maintain food at proper temperature shall be provided[for transportation of]totransportfood to the[patients]residents. (3) Guidelines for Design and Construction of Residential Health, Care, and Support Facilities. 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.]. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. Under the Nurse Licensure Compact (NLC), qualified nurses can apply for a multistate license, which allows for practice in other compact states without having to obtain additional licenses. Contents of Record. (1)If the[administrator is absent from the facility an excessive amount of time and the Department determines that the]director of nursings absence[from nursing service]while covering for the administratoris having an adverse effect on[patient]residentcare,the Department may require the designation of a specific registered nurse who shall be named the[]assistant director of nursing[]. (1) The disclosure shall be made to the Department and to any person seeking placement or receiving care in a Dementia special care unit or program of a nursing home.