A[facility]nursing homeshall use the following forms and procedures for resident assessment as described in the[State Operations Manual for Provider Certification]CMS Manual System, Pub. (2) In a nursing home in which the director of nursing serves as relief for the administrator, the director of nursing shall designate a specific registered nurse who shall be in charge of the nursing service while the director of nursing covers for the administrator. A physician, physician's assistant, dentist, chiropractor, nurse practitioner, nurse, podiatrist, any other licensed health care provider, a medical examiner, or an administrator of a hospital, clinic, dispensary, or nursing home who knows of a case of a reportable disease, condition, outbreak, or unusual manifestation shall report it to the health officer within the time limits specified in B of this regulation.. [.21].33InfectionPreventionandControl Program. (3) The individual who prepares medications shall give and record them. Please refer to Renewal Fee Waiver for Active Duty Military Personnel for additional details. (ii) To avoid injury to the resident, the mattress and foundation shall fit the bed. In our example, you can read each and then select Subtitle 25. Menus shall be written at least 1 week in advance. A public hearing has not been scheduled. following applies: If a nursing home administrator, registered nurse, licensed The Maryland Medical Cannabis Commission (MMCC) certifies and registers certifying providers for medical cannabis. Anyone not on the committee shall be informed of how to present and submit concerns to: (3) A member of the family council if one exists. 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. ]; and. (1)New Construction. (4) The director of nursings time counted in bedside care shall be documented. Space near the utility sink shall be provided for the storage of brooms, mops, and cleaning materials.]. E. Quality Assurance. (1) A sufficient number of food service personnel shall be employed to, (2) Working hours shall be scheduled to ensure that the, (3) Nursing, housekeeping, laundry, or other personnel may not be, (1) Therapeutic diets shall be planned by a. (1) The nursing home shall arrange for pharmacies that provide medications for residents in the nursing home. (2)Nurses andsupportpersonnel shall be chosen for their training, experience,and ability. Please turn on JavaScript and try again. Editors Note on Incorporation by Reference. JavaScript is required to use content on this page. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. The Maryland General Assemblys Office 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. A catered or satellite system shall be covered by a contractapproved by the Department. (b) Receives nursing services rendered by or under the supervision of a registered nurse. [.07].09Administration and Resident Care. (b) Connected to mechanically operated exhaust ventilation. A qualified social worker is an individual with, (i) A bachelors degree in social work or a bachelors degree in a human services field including but not limited to sociology, special education, rehabilitation counseling, and psychology; and. (69) Secretary means the Secretary of Health. Activities Program. [(g)](h)Storage under Non-specific Conditions. (a) The emergency power source shall be a generating set and prime mover located on the premises with automatic transfer. Standardized recipes are those recipes which have been tested by the[facility]nursing homeor another source[which assureconsistency in]and that ensureconsistentquality and quantity. (iii) Provideofficespace for theemployedpersonnel[employed;]to work. Waiting for proof may involve grave risk to the child and . 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. (d)Residentsmay not occupy rooms extending below the ground level. (iii) Inform the appropriate law enforcement agency and, if feasible, the specified victim or victims of: 1. D. A record of the posting shall be retained for 1 year. Contact the Discipline & Compliance Division, For general inquiries (Discipline): J. (2) Agroup of professional personnel including one or more physicians and one or more registered nursesshall review the policies at least annually. ];and. TTY: Facsimile: (410) 333-3616 (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. (2) The nursing home shall provide the Office of Health Care Quality with the documentation that verifies that the applicable local and State governmental authorities have approved work that was done. Resident Dining, Occupational Therapy, and Activities Program. (b)A nursing care unit[also]bathroomshall include: [(a)](i)A toilet, within the care unit, for the use of personnel[, a]; and. H. Transfusion Services. (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. (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. (2) The name and license number of the replacement director of nursing shall be supplied to the Department as soon as employment begins. (7) Corridors may not be used to supply air to or exhaust air from any room, except that air from corridors may be used to ventilate bathrooms, toilet rooms, janitors closets, and small electrical or telephone closets opening directly on corridors. You may be asked to demonstrate that your license is active, for which you must meet all the necessary continuing education requirements. (1) All air-supply and air-exhaust systems shall be mechanically operated. (b) The vendor or staff may provide the following services: (c) The nursing home shall ensure that all piped medical gas systems adhere to the following standards: (i) NFPA 99 Health Care Facilities Code; and. (7) Each trainee shall be clearly identified as a trainee during all skills training portions of the training. The Maryland General Assemblys Office (2)A nursing home desiring to provide services other than thosefor which it is alreadylicensed shall obtain prior approval from the Department. [Records shall be maintained]. 6. (4) Emergency power shall be provided for the: (b) Duplex receptacles installed 50 feet apart in all corridors in resident areas or appropriately located duplex receptacles in the common area of refuge; (c) Telephone service with at least one telephone available for incoming and outgoing calls; (f) Elevator, if required, for evacuation as referenced in NFPA 101 Life Safety Code; (g) Heating equipment, if applicable, to maintain a minimum temperature of 71F or 22C in the common areas of refuge; (j) Computer system, if applicable, to enable use of electronic medical records system; and. (8) The committee may not require the pharmacy to provide drugs by way of a specific drug distribution system such as unit dose or use of a particular packaging system. (10) Table 1. C.The[facility]nursing homeshall maintain documentation of the discussion between the[facility]nursing homeand the volunteer concerning influenza vaccine and tuberculinskintesting. Nursing personnel shall assist the[patient]residentin carrying out routine dental hygiene. (1) A call system that uses wireless pagers or other wireless communication devices may be used as an alternative system. (6) Medical and social history ofthe[patient]resident; (13)[Discipline assessment]Assessments done by various disciplines; and. (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. [(2) Nurses StationExisting Facility. (9) The committee shall establish the contents of sealed emergency drug kits. The infectionprevention andcontrol program shall include the handling ofspecialmedical waste as defined in COMAR 10.06.06. accessible and convenient, and (iii) Clean linen anda clean, comfortable pillowshall be provided. The staff shall document[progression]progressof the condition or conditions weekly until the condition or conditions have healed. You may be trying to access this site from a secured browser on the server. (f) Each living room forresidentsuse shall be provided with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. (3) Areas that meet this requirement may include: (b) Lobbies, portion not required for egress per NFPA 101 Life Safety Code, as are applicable to nursing homes; (m) No more than 50 percent of the floor area of all occupational therapy and physical therapy areas, and other areas as approved by the Department. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. Transcripts must be evaluated by the Commission on Foreign Nursing Schools (CGFNS). (2) Bedside hours include the care provided by: (3) Only those hours which the director of nursing spends in bedside care may be counted in the 3-hour minimum requirement. (3) In facilities with 25 beds or fewer, responsibility may be assigned to the full-time cook. (4) A nursing home shall provide full access to electronic health records in accordance with all applicable laws and regulations to: (a) Representatives of the Department as set forth in COMAR 10.07.02.07; (b) An ombudsman as set forth in Human Services Article, 10-905, Annotated Code of Maryland; and. The Secretary of Health and Mental Hygiene proposes to amend Regulations .01.04 under COMAR 10.27.22 Multistate Licensure Compact Regulations. A utility sink shall be provided within reasonable distance from the food service department for its use, but it may be shared with other activities. [C.]E.Registry. Written Agreement. 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. H. Advance Planning and Posting of Menus. (2) Policies and procedures shall address, at a minimum the following: (a) Identify how many staff members will assist with serving food items, pushing the mobile cart, and delivering meals to the residents; (b) Ensure proper food protection on three sides to protect the food; (c) Maintain proper temperature control, hot food at a minimum of 135F and cold food maintained at a maximum of 41F; (d) Record of temperatures before serving meals on each individual unit; (3) The hand washing policy and procedures referenced in L(2)(f) of this regulation shall include the following: (a) Use of a hand sanitizer in lieu of proper hand washing is not permitted; (b) Bare hands may not have direct contact with ready-to-eat food; (c) Hand washing shall be done before starting meal service on each individual unit; (d) When and at what location hand washing will be done; (e) Hand washing may not be done in resident rooms; (f) Access to a hand washing sink may not require the opening of a door; (g) The hand washing sink shall be in a central, unobstructed location; (h) Mobile hand sinks are acceptable as long as a written procedure to meet sanitation requirements is developed; (i) The hand sink shall be supplied with hot and cold water under pressure; (j) The unit shall be supplied with adequate waste containers to hold dirty water until dumping is done; and. A nursing home shall comply with all applicable federal, State, and local governing laws, regulations, standards, ordinances, and codes. Mandated Reporters. There shall be provision for the laundering of patients clothing. Dayroom areas shall be provided. (1) The Secretary may issue a license to a[comprehensive care facility]nursing homeor an extended care facility for less than a 24-month period under any of the following conditions: (d) If new construction is completed to the point of being able to provide all necessary services to its residents but certain substantial items of equipment[of]foroptional servicesare temporarily lacking, which in the opinion of the Department will have no immediate adverse effect on the safety or health of its residents[, are lacking temporarily]; or. (1) A new nursing home shall be constructed, equipped, and maintained to protect the health and safety ofresidents,personnel, and the public. Goal[outcome]outcomesshall be measurable in time or degree, or both. (2) Each facility shall submit a written proposal to the Department for satisfying the developmental training program requirement. Copyright Maryland.gov. For brevity's sake in these FAQs, the Board will use the term "hospital" to indicate the entity that is required to report. F.Space Heaters. Resources & Information | Maryland Board of Physicians A. (2) Upon request, the director or assistant director of nursing may accompany physicians visiting residents. (ii)Those disciplineswho provided the service. accessible and convenient, and Code Ann., Health Occupations Article, 4140 Patterson Avenue, Baltimore, MD 21215-2254, If you have a non- compact active license in another state but never held a Maryland license, you must complete one of the above advance practice applications in, Once registration is completed in nursys.com, your license verification is immediately available for verification. A. (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. The pharmacy shall agree in writing to maintain at the pharmacy a resident profile record system for each resident in the nursing home for whom prescriptions are dispensed. Apply the definitions in the regulations. Responsibility to Report CarethatIs Considered Questionable. (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. (70) Serious and immediate threat means a situation in which immediate corrective action is necessary because a deficiency has caused or is likely to cause serious injury, harm, impairment to, or death of a resident receiving care in the nursing home. The University of Maryland Francis King Carey School of Law is one of seven professional and graduate schools at The University of Maryland Baltimore (UMB).For more help crafting your Fordham supplemental essays, create your free account or schedule a free advising consultation by calling (844) 343-6272 How to Write the Fordham University Essay . (7) Respond promptly to notification of, and assess and manage adequately, reported acute and other significant clinical condition changes in residents; (8) Ensure that individuals receiving palliative care have appropriate comfort and supportive care measures, (9) Properly refer residents to specialty services and providers when the care needs of the resident exceed the scope of the attendingphysicians knowledge and skill, A. Please enable JavaScript in your browser. Applies to anyone: Any individual having knowledge of an animal bite shall report the bite to the health officer., Maryland Reporting Obligations that May Apply to Investigators or Other Members of the Research Team, Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Office of Human Subjects Research - Institutional Review Board. D.Lobby AreaNewNursing Home. maryland board of nursing reporting requirements maryland board of nursing reporting requirements. 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. [A.] (g) Storage for trays, tableware, flatware, and utensils. (41) NFPA means National Fire Protection Association. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster. Please enable JavaScript in your browser. input into the contents of the orientation program; the number of hours of orientation required for the various levels of. The identity of the specified victim or victims, Injuries Apparently Caused by Auto Accidents ,Lethal Weapons, Gunshots, Burns, or Moving Vessels, Health Gen 20-702 (moving vessel injuries), In Allegany, Anne Arundel, Charles, Kent, Montgomery, Prince Georges , Somerset, Talbot, and Wicomico Counties, a physician, pharmacist, dentist or nurse who treats an individual for an injury that shows evidence of having been caused by an auto accident or lethal weapon shall notify the county sheriff, police, or state police as soon as practicable., Syphilis: Failure to comply with medical observation; contact reporting; positive serological test for mother or infant. [(d)](e)WarmAny temperature between[30C and 40C (86 and 104F)]86F and 104F or 30C and 40C. The lock on the door of a medication room shall be counted as one of the two locks. (v) Equipment for the disposal of liquid and semi-solid wastes and bodily fluids via the nursing homes sanitary sewer connection or on-site sewage disposal system. A refrigerator is a cold place in which the temperature is maintained thermostatically between[2C and 8C (46 and 59F)]46F and 59F or 8C and 15C. [E.]F.JanitorsCloset or Service Area. (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. 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. (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. (3) A copy of the agreement between the nursing home and the replacement shall be sent to the Department. accessible and convenient, and (5) The[facility]nursing homeshall[record]: (a) Recordthe satisfactory completion of the program in each employees personnel record[. Agency Note: Care should be exercised in the rotation of stored food so that old stock is used first. This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the MarylandDepartment of Health (MDH). These actions are involuntary if they occur after any of four specified events. As of July 1, 2021, OHCQ oversees 19,032 providers in 45 industries . (7) Culture Change Nursing Home. Dry Food Storage. (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. For a bedroom that has sloping walls, only 50 percent of the floor area with a ceiling height between 4 feet and 7 feet, 6 inches, shall be credited, provided that at least 50 percent of the total area of the bedroom has a ceiling height of 8 feet.