(i) Each bed providedshall bein good repair, witha cleanandcomfortable standard sizemattress and foundation. responsive, accurate and consistent, If the[facilitys]nursing homesmedical director does not have special training and experience in diagnosing, treating, and assessing respiratory problems, the[facility]nursing homeshall[hire]employ or contract witha[physician]Board-certified pulmonologistwho has the special knowledge and experience to provide: D. Staffing. An occurrence of a confirmed or suspected infection shall be reported and acted on in accordance with COMAR 10.06.01 and COMAR 10.15.03. (a)If the sale, transfer, assignment, or lease of a[facility]nursing homecauses a change in the person or persons who control or operate the[facility]nursing home, the[facility]nursing homeshall be considered a new[facility]nursing home and the licensee shall conform to all regulations applicable at the time of transfer of operations. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility. B. E. Objective. (c) A room may not be used as aresidentbedroomif it can only be reached bypassing through a kitchen. If you are unable to find the exact regulation, contact the Division of State Documents at: To report Waste, Fraud or Abuse to the Office of Legislative Audits. The Office of Health Care Quality surveyed multiple facilities and determined that 75 percent or approximately 172 nursing homes did not employ a licensed social worker. A. In COMAR 10.32.22.03C, there is a list of common occurrences that do not have to be reported. 410.764.4777 | Toll Free 800.492.6836. (e) Contains a refrigerator to be used for medication storage only. (c)For purposes of Life Safety Code enforcement, the[facility]nursing homeis considered[as]to bean existing[facility]nursing homeif it has been in continuous use as a nursing home. The responsibilities of the director of nursing shall include: (1) Assisting in the development and updating of statements of nursing philosophy and objectives to define the type of nursing care the nursing home shall provide; (2) Preparation of written job descriptions for nursing service personnel; (3) Planning to meet the total nursing needs of residents to be met and recommending the assignment of a sufficient number of supervisory and support personnel for each tour of duty; (4) Development and maintenance of nursing service policies and procedures to implement the program of care; (5) Participation in the coordination of resident services through appropriate staff committee meetings on issues relating to: (6) Cooperation with administration in planning the orientation program and the staff development program to upgrade the competency of personnel; (7) Assurance that nursing personnel understand the philosophy and meet the objectives; (8) Participation in planning and budgeting for nursing services; (9) Establishment of a procedure to ensure that nursing service personnel, including private duty nurses, have valid and current Maryland licenses; (10) Execution of resident care policies unless delegated to the principal physician or medical director; (11) Participation in the selection of prospective admissions to ensure thatthenursing homes staff is capable of meeting the needs of all residents admitted; (12) Coordination of the interdisciplinary resident care management efforts; and. 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 . We're available on the following channels. Licensed, (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is. (b) The renewal application shall be submitted onwritten or electronicforms provided by the Secretary.]. A. To ensure that the These actions are involuntary if they occur after any of four specified events. 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. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. accessible and convenient, and (69) Secretary means the Secretary of Health. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. As of July 1, 2020, the U.S. Department of Educationimplemented 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: This new regulation applies to programs using all modalities, including online, in-person, or a combination of both. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. (2)The Department shall be notified of the name of the assistant director of nursing. When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. Please turn on JavaScript and try again. (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. (74) Tuberculin skin test means a test to diagnose tuberculosis infection using purified protein derivative (PPD) that is injected intradermally and read within 4872 hours with results recorded in millimeters of induration. Incidents are to be reported as soon as they are suspected. This meal represents[no less than]at least20 percent of the days total nutritional requirements. [(b)](c)CoolAny temperature between[8C and 15C (46 and 59F)]46F and 59F or 8C and 15. [E.]F.JanitorsCloset or Service Area. (5) Timely admission to the hospital when the attending physician determines acute hospital care is medically appropriate; C. Exception for Comprehensive Care Facility. (k) The written procedure shall include the disposal of the dirty water. OHCQ through this proposal intends to require that after January 1, 2021 all social work services be provided by a licensed certified social worker. (b) On request, provide the resident with copies of the residents medical records at a reasonable cost and in the residents preferred format. (b)[Be]Make the requestfor a term not to exceed 30 days. 100-07 State Operations Provider Certification (Transmittal 126, November 26, 2014, U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services); (3) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents Healthcare Settings (Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HIPAC), 2007); (4) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 (MMWR2005; 54, No. People often confuse the Code of Maryland Regulations (COMAR) with the Annotated Code of Maryland. non-renewed or expired. There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding. Mandated Reporting Requirements FAQs. Licensed[comprehensive care facilities and extended care facilities]nursing homesand any premises[proposed]that an applicant for a license proposes to[be operated by an applicant for a license]operate shall be open at all times to inspection by the Secretary and by any agency designated by the Secretary. The[facility]nursing homeshall ensure that: (1)The nurse manager or the director of nursing of vent units has a background in ventilator care or is qualified in ventilator management; [(1)](2)Respiratory care services are provided by a sufficient number of qualified personnel;and. A convenient outside service entrance shall[be planned]existto facilitate receiving food supplies and the disposal of waste. The search provides a list of Subtitle Chapters. (c) A nursing care units medicine shall be stored in accordance with the following procedures: (i) Shall be stored in a cabinet with locks; (ii) Schedule II drugs shall be kept in a separately locked, securely fixed box or drawer in the medicine storage cabinet under two locks, keyed differently; (iii) The medicine storage and preparation area shall be illuminated with at least 100 foot-candles at the work counter; (iv) The preparation area shall include a small sink set into the counter or with drain boards and a biological refrigerator; and. The[facility]nursing homeshall select[a resident]eligibleresidents based on the: E. State-Approved Training. However, the nursing home would need to contract with a licensed social worker to provide oversight. The training on cognitive impairment and mental illness shall be designed to meet the specific needs of the[facilitys]nursing homespopulation as determined by the staff trainer, including the following as appropriate: (3) Behavioral[intervention]interventionsincluding: A. C. When the attending physician and medical director agree that a particular[facility-developed]nursing home developedprotocol is required to ensure that quality medical care is delivered to the[facilitys]nursing homesresidents, that protocol shall be implemented unless the[facility]nursing homedocuments in the[facilitys patient]nursing homes residentcare committee minutes the reason or reasons why the protocol should not be implemented. truthful and transparent services. A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. ]; [(11)](10)[Patient]Residentactivities[. (b) Has 2 years of experience in a social or recreational program in a licensed health care setting within the last 5 years, 1 year of which was full time in a resident activities program with guidance froman individual identified in B(73)(a) of this regulation. (7) Certified social worker means an individual licensed to practice as a certified social worker in this State. (2) The storeroom shall be cool and well-ventilated[;]. (7)Before the opening of the[facility all supportive]nursing home, supportpersonnel shall have a minimum of 2 days of orientation training. (1)[Problems]Residents problemsand needs shall be identified, based upon the interdisciplinary assessment. Getting started with CalCentral. Evidence-based Nursing Education Program Approval, Board of Nursing Professional Licensure Requirements, Prelicensure Distance Education Requirements, National Simulation Guidelines for Prelicensure Nursing Programs, Safe Student Reports (SSR) Research Study, State Authorization and Crossing State Borders, Part 2: Additional Approvals and Professional (47) Occupational therapist means an individual who is currentlylicensed by theStateBoard of Occupational TherapyPracticeas a registered occupational therapist. (7) Recommended Dietary Allowances (10thEdition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. (i) In the event of failure of the normal electrical service, be activated immediately; (ii) Come to full speed and load acceptance within 10 seconds; (iii) Have a capacity of 48 hours of operation from fuel stored on-site; and. A. (2) Benefit to the public health, safety or welfare, or the environment: This requirement ensures that a licensed social worker is providing services to residents of the facility and ensures that residents receive adequate discharge planning and care coordination.
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