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. However, the nursing home would need to contract with a licensed social worker to provide oversight. Complete transcripts from all Nursing Schools/Programs will need to be emailed to the Maryland Board of Nursing Endorsement Unit. (2)[The total areas]The nursing home shallset asideareasfor[patients]residentsdining and recreation[areas shall be no less than]that totalat least30 square feet perlicensedbed for the first 100 beds[and], plus27 square feet perlicensedbed for all beds in excess of 100. 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. (2) CMS Manual System, Pub. [(3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. [D.]F.Admission Record. or Advanced Practice Registered Nurse (APRN). There shall be provision for the laundering of patients clothing. The 3D modeling software has a user-friendly interface that can be used to create designs or machinery parts. [(f)](g)[Sufficient]A nursing care unit shall have sufficientspace and equipment for medical records[which enables]so thatpersonnel[to]canfunction[in an effective manner]effectivelyand[to]maintaineasily accessiblerecords on all[patientsso they are easily accessible]residents. 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. (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. Extra pillows shall be available. B. Nurse Practitioners. In, Initiation of services to meet the rehabilitative needs of the. [(5)](1)The[facility]nursing homeshall screen[all new employees for immunity to common childhood infections such as mumps, rubella, measles, and chicken pox (varicella), through the use of pre-employment questionnaires and, if appropriate, serologic testing for presence of antibodies of these diseases, to prevent adult exposure of new employees to residents with communicable forms of such disease organisms.] ]; [(16)](15)Tuberculosis[Surveillance. Other forms of evidence may include pictures, (c) A room may not be used as aresidentbedroomif it can only be reached bypassing through a kitchen. Assumptions. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment,the nursing home shall providethat treatment, assistive device, or equipment[shall be provided by the facility]unless the[facility]nursing homedocuments in the quality assurance committee minutes the reason or reasons why the treatment, assistive device, or equipment should not be provided. fraud and/or abuse of State government (a) Resident Care, Treatment, Diagnostic. You may be trying to access this site from a secured browser on the server. [Patients]Residentsmay not be admitted or retained if, in the judgment of the attending physician, they are: [G. Admissions Procedures for Patients With Communicable Diseases. (2)Standardized recipes adjusted to appropriate yield shall be followed. (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. Public toilets for both sexes shall be located conveniently to this area. (51) Physical restraint means any manual method or physical or mechanical devise, material, or equipment attached or adjacent to the residents body that the individual cannot remove easily which restricts freedom of movement or normal access to ones body including but not limited to: (f) Lap trays the resident cannot remove easily. (44) Nursing care has the meaning stated in Health-General Article, 19-301(k), Annotated Code of Maryland. (a)Adequate space shall be provided[for the storage of]to storefood supplies[;]. If a comprehensive care facility is unable to effect a transfer agreement with a hospital in the community and can document its attempts to secure an agreement, the facility shall be considered to have such an agreement in effect. When the resident is transferred from the nursing home for any reason or at time of death, the administrator or the administrators designee shall notify the attending physician and the: (3) Responsible party designated by the resident. 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. This duty may be discharged by reasonable and timely efforts to inform law enforcement and the identified victims. (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. that might be grounds for action under 8-316 or Subtitle 6A of this title, the (2) The composition of the committee shall include at least: (c) The consultant dietitian-nutritionist; (3) The committee shall meet at least quarterly to establish policies and procedures. [A.] to provide constituents, businesses, (2) The air conditioning system shall be in compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and all federal, State, and local codes. [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. Contact the Discipline & Compliance Division, For general inquiries (Discipline): (b) Give the employee acertificate[evidencing]signed by the programs teacher or trainer asevidence ofcompletion of the program[shall be issued to the employee. [(f)](g)Protection from Freezing. (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. An existing nursing home shall provide for adequate ventilation through windows or mechanical means or a combination of both. The identity of the patient making the threat; and 3. (a) Orient staff to the emergency and disaster plan and to their individual responsibilitiesin relation to the planwithin 24 hours of the commencement of job duties;[and], (b) Document completion of the orientation in the staff members personnel file through the signature of the employee; and. NOTE 2: COMAR 10.06.01 further requires the following: (1) Health Care Providers. (1) The Commission, through the Department, shall certify a facility or center to perform dialysis upon determination that the facility or center meets the standards adopted by the Commission, including: (a) 42 CFR 494.1494.110, as amended; and. ]; [(8)](7)Laboratory and radiologic services[. The container label bears appropriate instructions to protect the product from freezing[When in addition to the risk]when freezing it may subject a product to: (ii)Riskof breakage of the container[, freezing subjects a product to loss of strength or potency,];or[to destructive]. 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. (2) A minimum pressure of 15 psi during demand period is required at top floor equipment. For general inquiries (Safe Practice Program): mbon.nursemonitoringdept@maryland.gov. 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. [(a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health-Care[Facilities; and]Settings. (1) An existing nursing home that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing. (b) Certified graduates of a State-approved medicine aide course. No. 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 . Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. (1) A nursing home shall ensure that screened doors and windows are installed and maintained in accordance with applicable fire and safety codes and COMAR 10.15.03 Food Service Facilities. C. Effective January 1, 2005, the facilitys infection control coordinator shall attend a basic infection control training course that is approved by the Office of Health Care Quality and the Office of Epidemiology and Disease Control Program for the Department. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. A licensee[aggrieved by]that disagrees withthe imposition of a sanction under A(2) of this regulation may appeal the Secretarys action in accordance with Health-General Article, 19-364 and 19-367, Annotated Code of Maryland. Comprehensive care facilities and extended care facilities shall develop written policies, consistent with these regulations, to govern the nursing care and related medical or other services they provide covering the following: (1) Admission, transfer, and discharge policies including categories of patients accepted and not accepted by the facility, or those who are required to transfer to another level of care. L. Resident Directed Meal Pattern. Order forms can be downloaded from the Division of State Documents . Nursing service personnel shall help the resident perform daily routine dental hygiene. (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. D.Humidity. (41) NFPA means National Fire Protection Association. 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. This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the MarylandDepartment of Health (MDH). (2)A catered or satellite system shall be covered by a contractapproved by the Department. (g) Storage for trays, tableware, flatware, and utensils. The Department in these cases may require additional space to be provided. Please refer to Renewal Fee Waiver for Active Duty Military Personnel for additional details. A. Certification. In all instances sufficient consultation shall be provided to fulfill all required responsibilities. (g) All devices shall be interlocked with the fire alarm system. This istoallowentry of fire fighters, removal of smoke, and emergency evacuation. If the[facility does not provide its own facilities but does provide]nursing home onlyprovidestransfusion services[alone], it shall meet at least the requirements[in Regulation.09FH]establishedunder COMAR 10.10.02. C. Measles, Mumps, Rubella, and Chickenpox. The Maryland Board of Nursing does [(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. When the Commission on Graduates of Foreign Nursing Schools receive all three required applications, they will complete the report and mail it to the Maryland Board of Nursing. (a) Beresponsible for the control of the operation on a 24-hour basis;and[shall serve]. (2)Nurses andsupportpersonnel shall be chosen for their training, experience,and ability. (b) A resident assessed to exhibit unsafe behaviors shall have a care plan to ensure the resident is safe when smoking. Records for all[patients]residentsshall be maintained in accordance with accepted professional standards and practices. Simple background check maryland board of nursing. The Maryland State Board of Nursing licenses registered nurses and practical nurses. (b) Provide the liaisons contact information to the local emergency management organization. The summary shall, at a minimum: (a) List means of potential transportation to be used in the event of evacuation; (b) List potential alternative facilities or locations to be used in the event of evacuation; (c) Describe means of communication with family members and residents representatives; (d) Describe the role and responsibilities of the resident, family member, or residents representative in the event of an emergency situation; and. A. (31) Licensed certified social workerclinical (LCSW-C) means an individual authorized to practice clinical social work under Health Occupations Article, Title 19, Annotated Code of Maryland. The State of Maryland pledges (7) Recommended Dietary Allowances (10thEdition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). In laundries in new facilities there shall be a physical separation between the clean and soil areas. The lock on the door of a medication room shall be counted as one of the two locks. (2) Private water systems shall comply with all federal, State, and local requirements. (1) A nursing home shall develop residentcare policies[shall be developed]with the advice of[the]: (a)Theprincipal physician[(]or medical staff or medical director, if applicable[)]; and[at], (b)Atleast one registered nurse. C. Locked Doors Prohibited. Further, we believe that federal Certificates of Confidentiality do not shield a researcher from the obligation to report diseases, conditions, or circumstances when such reports are required by state law. [D.]C.The[facility]nursing homeshall hold the care planning conference not later than 7 calendar days after[completion of]completingthe assessment, but may hold the conference[earlier]soonerif agreed to by the resident, a family member, or a residents representative. (b) The renewal application shall be submitted on, If the sale, transfer, assignment, or lease of a, The transfer of any stock which results in a change of the person or persons who control the, For purposes of Life Safety Code enforcement, the. (3)[Thenotification shall include]Includean invitation for the family member or residents representative to attend the conference. (2) In accordance with a nursing home-developed procedure, a licensed nurse shall prepare medications to be sent with a resident during a short-term leave of absence of 24 hours or less. Menus shall be written at least 1 week in advance. In compliance with Executive Order 01.01.1996.03, this proposed regulation is more restrictive or stringent than corresponding federal standards as follows: (1) Regulation citation and manner in which it is more restrictive than the applicable federal standard: (1) The facility must provide medically-related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. (1) The[facility]nursing homeshall assess residents for tuberculosis according to the[following guidelines: (a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health Care[Facilities; and]Settings. (1)Covers shall be placed on hot[water bottlesand,ice caps]packs, ice packs and other temperature-related therapeutic medical devicesbefore they are placed in a bed or on a[patient]resident. You will need to provide evidence of completing the Continuing Education requirements specified in 18 VAC 90-19-160 during the two (2) years immediately preceding application for reinstatement.