Mandated Reporters. (iii)Destructivealteration of the dosage form[, the container label bears an appropriate instruction to protect the product from freezing]. B. (8) National Fire Protection Association, NFPA 101 Life Safety Code, which is incorporated by reference at COMAR 29.06.01.06. of Legislative Audits operates a toll-free to provide constituents, businesses, (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. (4) The[facility]nursing homeshall require employees to perform hand hygienebefore andafter each direct resident contact for which hand hygiene is indicated by accepted professional practice. (1) A nursing home shall providea separate room or rooms[shall be provided]for the administrator andadministrative supportstaff. A person maintaining or operating a nursing[facility]homewithout a license is guilty of a misdemeanor, and, on conviction, is liable for a fine of not more than $1,000 for the first offense and not more than $10,000 for each subsequent convictionin accordance with Health-General Article, 19-358, Annotated Code of Maryland. C. Staffing. (5)There shall be a complete orientation for all the employees in life safety and disaster preparedness. E.Water Supply. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. (g) Storage for trays, tableware, flatware, and utensils. As described in the chart below, health care providers must make these reports in specific oral and written forms, however, any person, is also required to make either an oral or written report of suspected child abuse. These requirements are no longer in effect. A facility which holds full licensure as of the adoption of these regulations shall be considered as having an adequate size dietetic service department.]. Assumptions. (2) The charge nurse or nurses shall have the ability to recognize significant changes in the condition of residents and to take necessary action. Simple background check maryland board of nursing. (b) Food Preparation Areas and Laundries. Thisallowance shall be substantially increased proportionate tothe number of residents who depend on using awheelchair[cases]. If the comprehensive care facility or the extended care facility is sold, leased, discontinued, the operation moved to a new location, the license revoked, or its renewal denied, the current license immediately shall become void and shall be returned to the Secretary. (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. 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. (a) A nursing home shall register with the Maryland Health Alert Network. Menus shall be written at least 1 week in advance. (a) Beresponsible for the control of the operation on a 24-hour basis;and[shall serve]. 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. (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. (h) Obtain annual approval of infection prevention and control program activities by the infection prevention and control oversight committee. Records for all[patients]residentsshall be maintained in accordance with accepted professional standards and practices. (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. There shall be provision for the laundering of patients clothing. [.39] .62Geriatric Nursing AssistantTrainingProgram. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. Rollaway type beds, cots, or folding beds may not be used. A sticker bearing the date of the most current inspection shall be affixed on each piece of equipment. [Service Areas Required in New Construction or for New Facilities.] D. Reports of Findings. Sufficient areas shall be provided to accommodate all necessary office furniture, files, and other equipment[, including provision for]and enablethe safe storage of[patients]residentsvaluables. Unless otherwise indicated, all general requirements apply to both new constructionand anexisting nursing home. responsive, accurate and consistent, The identity of the patient making the threat; and 3. B. B. InfectionPrevention andControl Program. (2)Soiled containersshall be thoroughly scoured and aired before using again. (2)There shall beat leastone night light in each bedroom forresidents. All rights reserved. (1)Specialized rehabilitative services shall be provided only[upon]onwritten orders of the attending physician. Patients may not be kept behind locked doors, that is, doors which patients cannot open. Records for all[Patients]Residents. We're available on the following channels. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation.]. A physician in attendance upon a pregnant woman diagnosed with syphilis shall report the case to a health officer immediately. Janet.McIntyre@maryland.gov, Safe Practice Monitor: Third, determine if any of the specific exceptions to those reasons apply. (38)Medical director means an individual licensed to practice medicine in this State who, pursuant to a written agreement, is responsible for the overall coordination of the medical care in the nursing home to ensure the adequacy and appropriateness of the medical services provided to residents and to maintain surveillance of the health status of employees. Standardized recipes are those recipes which have been tested by the, A. Rehabilitative ServicesAdmission Policies. We're available on the following channels. If a question or section does not apply to this complaint, fraud hotline to receive allegations of (b) Resident Assessment Instrument (RAI)includes: (ii) MDS Care Area Assessment Process; and. We are vaccinating all eligible patients. donald sterling height; world invention competition and exhibition 2021; impact indoor soccer omaha; To ensure that the [(7) The facility shall request that each employee receive immunization from influenza virus in accordance with Health-General Article, 18-404, Annotated Code of Maryland. (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]. Certification. (2) CMS Manual System, Pub. (1) New Construction. We're available on the following channels. (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee, Credentials Evaluation Service Application (CGFNS), CREDENTIALS EVALUATION SERVICE APPLICATION, Complete on-line application and fee to CGFNS. 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. 272, April 1995 and Transmittal No. (2) The janitors closet or service alcove. American Song Book Lincoln Center, New York, NY Saturday, Feb 6, 2016 8:30 PM A Room of My Own June Havoc Theatre, New York, NY Friday, Feb 13-March 13, 2016. . A. Exceptions may be made in part at the discretion of the Department for an individual facility only when the facility can demonstrate compliance with the intent of this section by showing an effective patient call system to provide quality patient care.]. Dayroom areas shall be provided[, adequate]that are: (1) Adequatefor the[patients capable of using them]residentslocated on each nursing care unit;and. (5) The[facility]nursing homeshall[record]: (a) Recordthe satisfactory completion of the program in each employees personnel record[. To support placement in a specific position, there shall be sufficient documentation in the employees record reflecting his training and experience. (3) A call station shall provide readily accessible and detachable extension cords to each residents bed in the residents rooms at all times. (3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. The event must be reported within ten days of any change made by the hospital. A member of the facilitys staff shall be assigned responsibility for social services. Nursing personnel shall assist the[patient]residentin carrying out routine dental hygiene. The activities shall be designed to promote the general health, B. [E.]F.JanitorsCloset or Service Area. Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. 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. Yes. (b) As high as practical, as such the bottom of the outdoor air intake is: (i) At least 6 feet above ground level; or. If the resident refuses the drug or if a mistake occurs: (b) The occurrence shall be documented in the residents chart. Spaces housing medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff.]. (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. (4) The[facility]nursing homeshall maintain written documentation of the following: (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;and, [(b) Results of chest x-rays required in this regulation; and. (1)[New Construction. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. (c) The soiled utility room shall contain: [(ii) A separate wall-hung hand sink for handwashing, equipped with wrist blades and soap and towel dispensers;]. D. Preventative Maintenance Program. [A.] (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. Please enable JavaScript in your browser. Open at all Times for Inspection. (2) A minimum pressure of 15 psi during demand period is required at top floor equipment. (1) A pharmaceutical services committee, or its equivalent, shall develop written policies and procedures for safe and effective drug therapy, distribution, control, and use. A license or certificate exists even if it is inactive, (1) The nursing home shall store medications in a locked medication storage area that: (b) Is located where personnel preparing drugs for administration will not be interrupted; (c) Is spacious enough to allow separate storage of external and internal medications; (d) Is kept in a clean, orderly and uncluttered manner; and. (g) Receives prompt and appropriate responses to requests for assistance. NOTE 3: COMAR 10.06.01.02 defines physician to include physicians designee working under the supervision of the physician.. [(3)](c)All electrical equipment shall be[periodically]testedperiodicallyfor proper grounding, current leakage, and calibration where appropriate. Director of Discipline & Compliance. (2) FurnishingsNew Construction. Adequate storage space shall be provided forresidentspersonal possessions, including the storage of seasonal clothing. A. (1) A nurse call system shall be installed and maintained in operating order in all nursing units. (a) A nursing home that holds full licensure as of the adoption date of these regulations shall be considered to have an adequate size dietetic service department. To provide for this, a nursing home shall have at least one private bedroom with an attached private bathroom that includes a: [.22] .38Reports and Action Required in Unusual Circumstances. A bedroomshall be provided with ahand washing sinkwith both hot and cold running water unlessatoilet or bathroom facilitywith a sinkis connected to the bedroom. No. (a) The nursing home shall provide residentswith theirown bed. A physician in attendance upon an infant born to an untreated woman with a positive serological test for syphilis shall report test results for the mother and infant to the health officer immediately. 410.764.4777 | Toll Free 800.492.6836. (b) The filter bed shall be located upstream of the air conditioning equipment, unless a prefilter is employe. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. Editors Note on Incorporation by Reference. Updated 4. There are currently 229 licensed nursing homes of which 75 percent or 172 nursing homes would need to hire or contract with a licensed social worker to comply with the regulations. (2) Recommendations made by the social work consultant, if applicable]the information required in C of this regulation. (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[. In developing these regulations, the Board learned that different hospitals use vastly different terminology to describe similar actions. It is not necessary to determine anyones subjective intent. (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. (4) Procedure for[referral of]referringdata to the quality assurance committee, when appropriate. (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. (3) As of January 1, 2021, a license is required for an employee to provide social services except if: (a) On the effective date of these regulations, the employee was assigned responsibility for social services; and. The[facilitys]nursing homesinfectionprevention andcontrol program shall monitor the relevant health status of all employees, as it relates to infectionprevention andcontrol. State resources. Advisory Dentist. A janitors]Janitors ClosetNew Construction. [.14-1].23Special Care Units General. 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. National Council of State Boards of Nursing, Inc. All Rights Reserved. truthful and transparent services. (i) There shall be a physical separation between the clean and soiled areas. 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. Reports shall be in writing or by telephone, and must be made as soon as possible.. (2) Ifindicated,the supervisor shallrefer the matter to the director of nursing. A copy of the clinical record, identification, and summary sheet described in Regulation[.20B].32shall be used as an admission record. (3) Local Law or Ordinance, Where Applicable. A handsink with hot and cold running water shall be convenient to the nurses station.]. COMAR is currently updated in print every two years, but the online version, maintained by the Maryland Division of State Documents, is updated as soon as an agency publishes or updates a regulation. Complete transcripts from all Nursing Schools/Programs will need to be emailed to the Maryland Board of Nursing Endorsement Unit. The[facility]nursing homeshall give appropriate health care information to such volunteers to provide maximum protection to residents. The medical director is responsible for: (2) Monitoring and evaluating thehealth care services andoutcomes[of the health care], including clinical and physician services provided to the[facilitys]nursing homesresidents; and. There shall be an advisory dentist[, licensed to practice in the State,]who shall: (1) Recommend oral hygiene policies and practices for the care of the[patients]residentsand for arrangements for emergency treatment; (3) Provide direction for in-service training to give the nursing staffanunderstanding of[patients]residentsdental problems. In addition, 10 million men and women are abused by an intimate partner every year. 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. (1)The physicians orders, the initial evaluations, the plan of rehabilitative care, goals, services rendered, evaluations of progress, and other pertinent information shall be[recorded]: (a) Recordedin the[patients]residentsmedical record[,];and[shall be dated], (i) Physicianordering the service;and[the person or persons]. Resident Dining, Occupational Therapy, and Activities Program. (f) A joint between filter segments and the enclosing duct work shall be gasketed or sealed to provide a positive seal against air leakage. Members of the residents family or the responsible party for the resident may not deliver medications to the resident or to the nursing home. ];and. (3)With the Departments approval,an administrator may[, with the Departments approval,]serve on a less than full-time basis for a maximum of two nursing facilities, one of which shall have a licensed capacity of 35 beds or less. (3) Pass standardized edits as defined by CMS and the State. (1) A nursing home that uses electronic health records exclusively or along with a paper based medical record shall comply with this chapter and all applicable State and federal laws, including laws governing privacy and security of records. (a) Air handling duct systems shall meet the requirements applicable to nursing homes cited in NFPA 99 Health Care Facilities Code. A nurse's practice and behavior is expected to be safe, competent, ethical and in compliance with applicable laws and rules. A[facility]nursing homelicensed under[these regulations]this chaptermay not discriminate in admitting or providing care to an individual because of[the race, color, national origin, or physical or mental handicap]the individuals: (7) Mental disability[of the individual]. The director of nursing shall assume responsibility for maintaining professional competence of staff through their participation in education programs. In new construction,]Administrative AreasNew Construction. (28) Infection preventionist means a licensed healthcare worker who: (a) Manages the infection prevention and control program in the nursing home; and. The administrator of the facility shall be responsible for seeing that appropriate procedures and reporting are carried out. A member of the facilitys staff shall be assigned responsibility for social services. When no specific storage directions or limitations are provided in the individual monograph,[it is to be understood that]the storage conditionsshallinclude protection from moisture, freezing, and excessive heat. Tonya Spruill In a culture change nursing home, service areas shall be provided for resident care needs as approved bythe Department. Thereshall be sufficient space to accommodate all activities without[interference]interferingwith each other. (2)A nursing home may not employ an individual as a geriatric nursing assistant until the individual has successfully completed a competency evaluation approved by the Maryland Board of Nursing. Public toilets for both sexes shall be located conveniently to this area. Telephone service and drinking fountains which meet ANSI standards also shall be provided.]. Temperature. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. The culture change nursing home shall be required to have service areas that meet the specifications in this chapter for: [C. Call SystemNew Construction. (a)A distance of at least 3 feet shall be maintained between each bed. of Legislative Audits operates a toll-free D. Unusual Occurrences. (ii)80 square feet, per bed, for multiple-bed rooms. The physician shall[note on]document inthe[patients]residentschart any restrictions applicable to the[patients]residentsparticipation in the activities program. (4)A nursing home shall be constructed in accordance with the provisions of the NFPA 101Life Safety Code. Responsibility to Report CarethatIs Considered Questionable. [C. Lobby Area. A. 100-07 State Operations Provider Certification, (Transmittal 127, November 26, 2014, U.S. Department of Health and Human Services Centers for Medicare and Medicaid Services). E. Transportation. require that all employees receive annual immunization for influenza, unless: (b) Against the employees religious beliefs; or. This instruction shall include the following topics: (e) Communication and interpersonal skills.]. , then PI must report to the health officer when a specimen evidences the diseases/conditions listed in the statute. (i) Each bed providedshall bein good repair, witha cleanandcomfortable standard sizemattress and foundation. The Maryland State Board of Nursing licenses registered nurses and practical nurses. Because specific temperatures are often required for the safe storage of drugs, the. (3)The relief director of nursing shall be freed from other responsibilities. (3) Analysis of additional burden or cost on the regulated person: The proposed requirement that social work services be performed by a licensed social worker becomes effective January 1, 2021. (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. (2) All walls, floors, ceilings, windows, and fixtures shall be kept clean. You may be trying to access this site from a secured browser on the server. (2) The nursing home shall obtain written consent to administer the immunization from: (3) A resident is not required to receive the influenza and pneumococcal immunization if it is: (b) Against the residents religious beliefs; or. B. CCNE 2014 Self Study Report. 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. investigator will be assigned. (7) Culture Change Nursing Home. (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. (2)Progress notesrelated to rehabilitative servicesshall be written at least every 2 weeks. A. ), III. Spaces housing medicine storage cabinet, medicine preparation area, and biological refrigerator shall be under the direct visual control of the nursing or pharmacy staff.

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