(b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. (5) A nursing home that administers Schedule II drugs shall maintain a drug record that documents: (b) The date, time, kind, dosage, and method of administration of all Schedule II drugs; and. 6 St. Paul Street, Suite 2102 The Maryland General Assemblys Office The Mandated 10-Day Report Form is required. A. (c)It is recommended that 2 square feetper[patient]residentbe provided and that thedry food storagearea be located within easy access to the receiving area and the kitchen. (Identified by Impact Letter and Number from Section II. 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. In new construction, facilityshall provide a lobby area. A public hearing has not been scheduled. Yes. Unless otherwise indicated, all general requirements apply to both new constructionand anexisting nursing home. (a)A distance of at least 3 feet shall be maintained between each bed. Staffing. Written Agreement. (3) Is in a readily visible type font and size. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. (14) Dentist means an individual licensed to practice dentistry in this State. (24) Geriatric nursing assistant means a CNA who has successfully completed the requirements for a GNA set forth in 42 CFR 483.151483.156 and COMAR 10.39.01. [H.]I. As you may recall . (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. A copy of the clinical record, identification, and summary sheet described in Regulation[.20B].32shall be used as an admission record. The Department in these cases may require additional space to be provided.]. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. (42) Nurse means a licensed practical nurse or registered nurse licensed in the State as defined in Health Occupations Article, 8-101, Annotated Code of Maryland. [.05].07Inspection by Secretary [of Health and Mental Hygiene]. (1) The nursing home shall return all prescribed medications, for residents who have been discharged or otherwise departed, to the pharmacy in accordance with the nursing homes policy. Medical Director Qualifications. A. 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. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. Residents shall be given the opportunity to participate in planning menus. Dayroom areas shall be provided[, adequate]that are: (1) Adequatefor the[patients capable of using them]residentslocated on each nursing care unit;and. Information reported to the (ii) Maintain a minimum clearance of 3 feet at the foot of the bed. One of these is the Department of Electrical Engineering and Computer Science, which offers software engineering degree programs at the bachelors, masters, and Ph.D. levels. The State of Maryland pledges Resident Dining, Occupational Therapy, and Activities Program. fraud and/or abuse of State government The Code of Maryland Regulations, often referred to as COMAR, is the official compilation of all administrative regulations issued by agencies of the state of Maryland and authorized by the General Assembly. (2) Medications shall be administered by: (a) Appropriately licensed personnel in accordance with laws and regulations governing these acts; or. 3. The Secretary of Health proposes to repeal the Preface and Regulations.01,.01-1,.06,.12,.15,.25,.26,.28,.40, and.42.44, adopt new Regulations.01,.02,.08,.18.20,.25.27,.41.46,.4851, amend and recodify existing Regulations.02,.03,.03-1,.05,.07,.07-1,.08,.08-1,.09.11,.11-1, .11-2,.13,.14,.14-1,.14-2,.16.21-4,.22.24,.27,.29.39,.41,.45,.46,.48,.49, and.56to be Regulations.03,.04,.05,.07,.09.17,.21.24,.28.40,.47,.52.68, and.75, and recodify existing Regulations.04,.47,.50.55, and.57.61to be Regulations.06,.66,.69.74, and.76.80underCOMAR 10.07.02 Nursing Homes. A. input into the contents of the orientation program; the number of hours of orientation required for the various levels of. Comments will be accepted through September 6, 2016. Director of Nursing. A physician in attendance upon a pregnant woman diagnosed with syphilis shall report the case to a health officer immediately. (1) The nursing home shall provide emergency electrical power. A bodyholdingroom shall be located to facilitate quiet and unobtrusive ingress and egress of bodies, convenient to the elevator and with an isolated exit. (4) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HIPAC), 2007). (2)Locatedconvenient to[patients]the residentsbedrooms. ; (16) Require that unless the supervisor is a licensed registered dietitian, they shall receive regularly scheduled consultation from a licensed dietician; (17) Specifying that during admission, a resident may not be accepted unless at least one service to meet the rehabilitative needs of the resident can be initiated within the 48-hour period; (18) Allowing for the provision of a waiver of general requirements for bedrooms in long term care facilitiesboth for newly constructed bedrooms and already-existing bedrooms; and. Complete the form below for state-specific nurse licensure . It you scrolled down to Title 20 (Public Service Commission), and click on the Title, you are presented with a list of Subtitles. 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. (2) Existing Facility. (f) The system provided in laundries may not allow the spread of airborne contaminants to other parts of the nursing home that are occupied by residents, staff not working in the laundry, and the general public. (f) Except for trays that are assembled in the main kitchen and then distributed to the nursing care units, equipment to hold hot food if bulk foods are plated and served to the residents on the nursing care unit. Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. E. Auxiliary Heat. The current weeks basic menu shall be posted in one or more easily accessible places in the. maryland board of nursing reporting requirements maryland board of nursing reporting requirements. Yes. (3) Approaches to accomplishing each goal shall be established. The administrator of the facility shall be responsible for seeing that appropriate procedures and reporting are carried out. General Requirements. A handsink with hot and cold running water shall be convenient to the nurses station. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. In instances when an aide is to be assigned to a particular service such as dietary, physical therapy, or occupational therapy, the person in charge of the service shall be responsible for the evaluation and approval of the qualifications. (a) A nursing care unit, regardless of size, including special care units, shall be equipped as described in this regulation. A written application shall be on file for each employee and shall containat least the: (1) Employees[social security]Social Securitynumber[. A care plan under this regulation shall be based upon assessments conducted at the following times: family member or residents representative 7 calendar days advance notice, in writing, of the location, date, and time of, (2) The team shall establish goals for each problem or need identified, (3) Approaches to accomplishing each goal shall be established. (11) A training program shall provide at least 16 hours of training prior to a trainees direct assignment to resident care. indicate "N/A". Open at all Times for Inspection. a list of all states/jurisdictions where the institution has not made a determination of whether the curriculum meets educational requirements. Abuse of Developmentally-Delayed Individuals. (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. The medical director shall actively participate in the, (1) Advising on the development and execution of an employee health program, which shall include provisions for determining that employees are free of communicable diseases according to current. The signature of the programs teacher or trainer shall be required for authentication]. (4) Justification for the need for more restrictive standards: This requirement ensures that a licensed social worker is providing medically related social and emotional services to residents of the facility, and requires that residents receive adequate planning and care coordination during discharge and care transitions. State resources. [E.]D.Drinking Fountains. Within ten days after the change is made, it must be reported. The relief director of nursing shall be freed from other responsibilities. 22, December 2000, U.S. Department of Health and Human Services, Center for Medicare and Medicaid Services, is incorporated by reference.]. The facility may use an outside program if it has been reviewed and approved by the Department.] [I.] 316 or Subtitle 6A of this title, the nursing administrator, registered nurse, licensed practical nurse, or certified nursing assistant shall report . D. A record of the posting shall be retained for 1 year. [(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. Existing facilities (those facilities licensed at the time this regulation becomes effective) shall provide some method/means of a patient summoning aid that shall include as minimum a combined visual and audible signal that is audible at the nurses station and simultaneously activates a light located in the hall, outside of and adjacent to the patients room. 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. To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. (5) The nursing home shall make its resident care policies available for review by residents and the residents representative. (1) For every four licensed beds, there shall be at least one hand washing sink. Citation numbers for the Annotated Code begin with a (section sign), for example 1-101. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply.]. Second, determine if the change was made, in whole or in part, for any of the reasons set out in the regulations. [(3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. (60) Qualified social work consultant means an individual who: (a) Is a licensed certifiedsocial worker; and. A staff memberwho isqualified by experience or training shall be appointed to be responsible for the activities program. (7)The kitchen space requirement[in F(6) of this regulation]as described inthisregulationdoes not apply to occasional special functions such as picnics or dinners for residents, volunteers, families,or community groups[provided]as long asthe[facility]nursing homecertifies to the Department that[the provision of]providingmeals for[the particular]aspecial function will not adversely affect or detract from the timely provision of meals to thenursing homesresidents[of the facility]. (b) Licensedby the Board of Examiners of Nursing Home Administrators for the State. accessible and convenient, and License Status Options Active. (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. Participation shall include: (1) Regularreports andattendance at[, and reporting to,]the[facilitys]nursing homesquality improvement committee meetings; and. (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. Agency Note: 10 foot ceiling height is recommended. (b) Who require medical services and nursing services rendered by or under the supervision of a licensed nurse together with convalescent, restorative, or rehabilitative services. Dry Food Storage. Summary of Economic Impact. At least one month before the license expires, the Board sends notices to the licensee, by first-class mail to the last known address of the licensee. 3. Director of Discipline & Compliance. This map shows you which states are currently in the NLC. Under 5-705, any person other than the persons listed above who has reason to believe that a child has been subject to abuse or neglect shall make either an oral or written report that meets specified requirements to the extent possible [with exceptions for certain confidential and privileged communications]. (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to[give adequate patient care and to do feeding,]: (a) Providemaintenance, cleaning, and housekeeping; (a)A[facility]nursing homemay request a[]voluntary admissions ceiling[]by submitting a written request to the Department to authorize a temporary restriction on[patient]residentadmissions based upon anticipated bed usage. (3) In an existing structure, the nursing home shall comply with the regulations and building codes effective at the date of construction. If you have the exact number, subtitle, and chapter, type it in. (a) Results of tuberculin skin tests, recorded in millimeters of induration with dates of administration, dates of reading, results of test, and the manufacturer and lot number of the purified protein derivative (PPD) solution used; (b) Results of chest x-rays required in this regulation; and. As of July 1, 2021, OHCQ oversees 19,032 providers in 45 industries . Spaces housing medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff.]. [(4)](3)The[facility]nursing homeshall continue to monitor residents for signs and symptoms of tuberculosis by performing a yearly symptom review. [D.]F.Admission Record. C. Conversion of an Existing Structure. A health practitioner, police officer, or human service worker who contacts, examines, attends, or treats an alleged vulnerable adult, and who has reason to believe that the adult has been subject to abuse, neglect, self-neglect, or exploitation shall notify the local department, and if acting as a staff member of a hospital . B. hotline in the past has helped to eliminate D.Contract. The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. The facility shall make information available to all employees concerning other conditions in which pneumococcal vaccine may be of benefit for certain other underlying medical conditions. (2)All clinical information pertaining to a[patients]residentsstay shall be centralized in the[patients]residentsmedical record. New York State Licensed Professions. (a)Adequate space shall be provided[for the storage of]to storefood supplies[;]. (71) Special care unit means a nursing home unit that provides intensive specialized care, such as respiratory, rehabilitative, dementia, or dialysis care, continuously on a 24-hour basis. 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.