(a) Details of the proposed nursing home changes; and. (3) Menus shall include alternatives of similar nutritive value that give residents the opportunity to choose meals that they prefer. Specialized rehabilitative services shall be provided only, Orders shall include modalities to be used, frequency, and anticipated goals, The physician and the rehabilitation team members shall reevaluate the, The physician may document on the record that, The physicians orders, the initial evaluations, the plan of rehabilitative care, goals, services rendered, evaluations of progress, and other pertinent information shall be, The record and progress notes concerning the, (2) Departments Office of Capital Planning, Budgeting and Engineering Services, (2) An organization chartofthe special care unitandits, (1) A special care unit shall meet the general construction requirements of Regulations, (1) General requirements established for all special care units as outlined in Regulation, (2) Policies and procedures for all aspects of care as outlined in Regulation. (c) Coordinate management of the resident and the residents contacts with the. (2) FurnishingsNew Construction. 410-585-1900 [(6)]D. Hepatitis B. (3) Approaches to accomplishing each goal shall be established. (iv) Personal furnishings that are allowed shall be appropriate for the residents use. (a) Receives treatments, medications, and diet as prescribed; (b) Receives rehabilitative nursing care as needed; (c) Receives proper care to prevent pressure ulcers and deformities; (d) Is kept comfortable, clean, and well-groomed; (e) Is protected from accident, injury, and infection; (f) Is encouraged, assisted, and trained in self-care and group activities; and. hotline in the past has helped to eliminate friendly and courteous, timely and Thereshall be sufficient space to accommodate all activities without[interference]interferingwith each other. Telephone service and drinking fountains which meet ANSI standards also shall be provided. A. JavaScript is required to use content on this page. We're available on the following channels. (3) At least one nourishment pantry convenient to the nursing station shall be provided on each floor in facilities using a centralized food service system. (28) Infection preventionist means a licensed healthcare worker who: (a) Manages the infection prevention and control program in the nursing home; and. (b) Isresponsible for the overall care of a resident. Text Size:general jonathan krantz hoi4 remove general traits. (3) A nursing home that uses electronic health records shall: (a) Ensure access to residents as specified in COMAR 10.07.09.08C(13) and (14); and. (13) The licensee shall prepare an executive summary of the nursing homes evacuation procedures to provide to a resident, family member, or residents representative upon request. (7) The audible signal may not be turned off at the nursing station. Results will be mailed to you within five days of exam date. The Maryland State Board of Nursing licenses registered nurses and practical nurses. New construction providing a conventional type food service program shall have the following minimal space requirements (excluding bulk food-storage areas, dining areas, and separate floor pantries). (1)The[facility]nursing homeshall[inquire about a history of varicella for each new employee. Current license with the Maryland Board of Nursing as Certified Nurse Assistant. (1) A special care unit shall meet the general construction requirements of Regulations[.06,and .26].08, .42, and .41of this chapter, and the requirements in this regulation. National Human Trafficking Hotline - 24/7 Confidential. (iii) Describes provisions for light, heat, food service, washing, and toileting residents. The relief director of nursing shall be freed from other responsibilities. Yes. the satisfactory completion of the program in each employees personnel record, (2) The course content shall adhere to the. (c) All laundry shall be processed and handled in a manner that prevents the spread of infections. the Maryland Board of Nursing respectfully submits . 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. (2)A catered or satellite system shall be covered by a contractapproved by the Department. responsive, accurate and consistent, The safety and comfort of the[patients]residentsshall be the[first]primaryconsideration. It is not necessary to determine anyones subjective intent. If you have the exact number, subtitle, and chapter, type it in. Patients may not be kept behind locked doors, that is, doors which patients cannot open. (c) The nursing home shall provide heated toilet rooms adjacent to the common areas of refuge. D. Call SystemExisting Facilities. (b) Provide a service to nursing home residents or their families. These events are listed in the regulations in COMAR 10.32.22.02B(19). require that all employees receive annual immunization for influenza, unless: (b) Against the employees religious beliefs; or. (ii) The nursing home shall make its residents personal furnishing policies available for review by residents and the residents representative. 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. C. Measles, Mumps, Rubella, and Chickenpox. 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. Mandated Reporting Requirements FAQs. (2) The[facility]nursing homeshall take appropriate infectionprevention andcontrol[steps]measuresto prevent the transmission of[a communicable]an infectiousdisease to residents, employees, and visitors as outlined in the following guidelines: (a)2007Guideline for Isolation Precautions:Preventing Transmission of Infectious Agentsin[Hospitals]HealthcareSettings; and. (2)[All residents]A new residentshall receive atwo-steptuberculin skin test within 10 days of[initial]admissionto the nursing homeunless the resident has had[a]: (a) Adocumented negativetuberculinskin testwithin the previous[month, a]12 months; (b) Aprevious positivetuberculin skintest[,]; (c) Ahistory of preventive therapy[, or]treatment; (e) Thetreatment ofactivetuberculosis. , then PI must report to the health officer when a specimen evidences the diseases/conditions listed in the statute. 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. (44) Nursing care has the meaning stated in Health-General Article, 19-301(k), Annotated Code of Maryland. Contact the Discipline & Compliance Division, For general inquiries (Discipline): (2) The team shall establish goals for each problem or need identified, or a combination thereof. [(5)](4)Transfer or Assignment of License. [New Construction. Maryland Department of Health 10.32.22 Mandated Reporting to the Board Getting started with CalCentral. Problem solving flowchart upon discovery of an incident/allegation Updated 10/18 1. to provide constituents, businesses, (2)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. In a culture change nursing home, service areas shall be provided for resident care needs as approved bythe Department. FAQs | Medical Cannabis Certifying Provider FAQs for PAs & Physicians E. Auxiliary Heat. Nursing | Montgomery College, Maryland (57) Principal physician means an individual licensed to practice medicine in this State who agrees to perform certain medical services under contract with a nursing home, consistent with the policies of the nursing home. A. Information reported to the C. Locked Doors Prohibited. D. Laundries-Existing Facilities. ]; [Agency Note:Refer to Regulation.26 Sof this chapter for window screening requirements.]. [C. Lobby Area. A convenient outside service entrance shall[be planned]existto facilitate receiving food supplies and the disposal of waste. 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 . Transcripts must be evaluated by the Commission on Foreign Nursing Schools (CGFNS). (2)Existing Facilities. (g) Advance directives, living will, or a copy of the residents Marylands Medical Orders for Life-Sustaining Treatment (MOLST) form. (6) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. There shall be sufficient equipment to meet the needs of the. The current license shall immediately become void and shall be returned to the Secretary if the: (a) Nursing home is sold, leased, or discontinued; C. Request for Departmental Permission to Exceed Capacity. (2) If the social worker is not a licensed certified social worker (LCSW) or a licensed certified social worker-clinical (LCSW-C), the nursing home shall arrange for an LCSW or LCSW-C to provide sufficient hours of supervision. (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. (1) A nursing home shall develop policies and procedures to ensure that a resident or, if the resident lacks the capacity, the residents family or other individual accompanying the resident is informed, both orally and in writing, on how the resident shall safely and correctly take the residents medications during a short-term leave of absence of 24 hours or less. (c) Thefollowing floor areas may not be included in the calculation of floor space: (iii) The floor area occupied by wardrobes, bureaus, or lockers, when permanently installed as part of walls or ceilings and as a permanent component of a bedroom; (iv)HVAC equipment, including any steam, water, or electrical supply or return linesthatmay run parallel to the floor or interrupt the floor surface; (v) Supportcolumns, pipe chases, or otherstructures, whether free-standing or as an integral part of a wall; and. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. (12) The committee shall document its actions and recommendations. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. You may be trying to access this site from a secured browser on the server. The research must be IRB-approved and must either be to test the safety or efficacy of an HIV vaccine, or must not be primarily intended to provide medical treatment to participants. A bedroomshall be provided with ahand washing sinkwith both hot and cold running water unlessatoilet or bathroom facilitywith a sinkis connected to the bedroom. (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. 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. Please enable scripts and reload this page. Unless otherwise indicated, all general requirements apply to both new constructionand anexisting nursing home. In existing facilities where a physical separation is not possible, exceptions as to approved laundry facilities may be made at the discretion of the Department. (17) Discharge means the removal of a resident from a nursing home when the releasing nursing home is no longer responsible for the residents care. Toll Free: 1-800-207-4055 D. Reports of Findings. [F.]E.A[facility]nursing homelicensedas a[comprehensive or extended care facility]nursing homebut not certified for participation in the Medicare or Medicaid Program shall comply with the[State Operations Manual for Provider Certification]CMS Manual System, Pub. B. 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. (5) Before invoking stop order policies, the residents attending physician shall be contacted for instructions so that continuity of the residents therapeutic regimen is not interrupted. The director of a medical laboratory must submit a report of a positive HIV test or of a CD4+ lymphocyte count less than 200 per cubic millimeter, within 48 hours to the health officer. National Human Trafficking Hotline - 24/7 Confidential. (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is[qualified]: (a) Qualifiedby training and experience[,];and[is licensed]. (b)The transfer of any stock which results in a change of the person or persons who control the[facility]nursing home, or a 25 percent or greater change in any form of ownership interest, constitutes a sale. (1) Medications, legend and non-legend, administered to residents shall be ordered in writing by the residents physician. (g) All devices shall be interlocked with the fire alarm system. You may be trying to access this site from a secured browser on the server. (b) Receives nursing services rendered by or under the supervision of a registered nurse. To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. (2) The administrator of the nursing home shall be responsible for ensuring that appropriate procedures and reporting are carried out for all reportable infections. A nursing home shall provide cubicle curtains and tracks in multiple occupancy bedrooms between beds to insure privacy of residents. (a)A distance of at least 3 feet shall be maintained between each bed. (2) Minimum Space RequirementsNew Construction. (c) Maintains the continuing education requirements of registration. The physician shall[note on]document inthe[patients]residentschart any restrictions applicable to the[patients]residentsparticipation in the activities program. certain fraudulent activities and protect Standard Precautions. (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. Thenursing home shall notify theattending physician[shall be notified]promptly of the findings. 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. You may be trying to access this site from a secured browser on the server. B. 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 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. 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. The Maryland General Assemblys Office truthful and transparent services. (4)A nursing home shall be constructed in accordance with the provisions of the NFPA 101Life Safety Code. The Maryland Board of Nursing requires written, verified evidence of completion of the appropriate education requirements in accordance with Md. A medical committee, or any other entity within a hospital that makes such decisions, is considered part of the hospital. Contents of record shall, (1) Identification and summary sheet or sheets including, (2) Names, addresses, and telephone numbers of referral agencies, D. Consultation. In new construction,]Administrative AreasNew Construction. (3) The nursing home shall make its administrative and resident care policies available for review by residents and the residents representative. (a) Resident Care, Treatment, Diagnostic. No. responsive, accurate and consistent, [(5)](4)The[facility]nursing homeshall assess and manage a resident with a history ofaprevious positive tuberculin skin test,a history of latent infection, or aprevious history of active tuberculosis,[or positive skin test conversion]in accordance with Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities]Settings. [.21].33InfectionPreventionandControl Program. reporting and/or correcting unsafe working conditions, equipment repair and maintenance needs. [(c)](d)Room TemperatureThe temperature prevailing in a working area. It looks like your browser does not have JavaScript enabled. (2) In[facilities]a nursing homewith[26 50]50or fewerbeds, exceptions may be made by the Department to allow the supervisor to share cooking responsibilities with the full-time cook. You are a mandated reporter if you are one of the following: Health Practitioner. (1)[Problems]Residents problemsand needs shall be identified, based upon the interdisciplinary assessment. We're available on the following channels. 2. [(7) Utility RoomsExistingFacility. You may be trying to access this site from a secured browser on the server. OHCQ estimates that 172 nursing homes would need to hire or contract with a licensed social worker. (5) A call system shall provide visual lights at corridor intersections, in multi-corridor nursing units. (1) Nursing homes shall provide at least the following supervisory personnel: (2) The director of nursings time is included in A(1) of this regulation. [Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first.]. fraud hotline to receive allegations of (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. A nursing homeshall be served by water from a safe public water supply, if available, as determined by the Department. (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. D. Preventative Maintenance Program. 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.

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