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). (b) Receives nursing services rendered by or under the supervision of a registered nurse. as stated in Regulation .14 of this chapter. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the MarylandDepartment of Health (MDH). (iii) Describes provisions for light, heat, food service, washing, and toileting residents. A copy of the clinical record, identification, and summary sheet described in Regulation[.20B].32shall be used as an admission record. (15) Department means the Maryland Department of Health. 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. (4) A call system shall be provided in eachpatients toilet room,bathroom, andshower stallin locationseasilyaccessible to thepatients. (e) Notify families that the information provided may change depending on the nature or scope of the emergency or disaster. (1)Current medical records and those of discharged[patients]residentsshall be completed promptly. SS-07, Centers for Disease Control and Prevention (CDC), Atlanta, GA). 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. A. C. A nursing home shall be constructed to comply with the provisions of the NFPA 101 Life Safety Code, as promulgated by the State Fire Prevention Commission, that are applicable to nursing homes. A The nurse is responsible for the cost of the evaluation and the drug screens. (3) A copy of the agreement between the nursing home and the replacement shall be sent to the Department. (72) Speech-language pathologist means an individual licensed by the State Board of Audiologists, Hearing Aid Dispensers, and Speech-Language Pathologists. (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 information is fluid and evolving. A convenient outside service entrance shall[be planned]existto facilitate receiving food supplies and the disposal of waste. 18008 Bothell Everett Hwy SE # F, Bothell, WA 98012. (16) Dietitian-nutritionist means an individual who: (a) Is licensed by the Maryland Board of Dietetic Practice to practice dietetics; (b) Has met the certifying requirements for registration as a dietitian as administered by the Commission on Dietetic Registration; and. The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. [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. The quality assurance plan shall include: (3) Procedures to take action when there is a change in the residents condition,including: (a) Communicating changes to the director of nursing or the residents attending physician; and, (b) Changing the residents plan of care as necessary; and. (3) Qualifications of social worker. [A.] If your original state does not participate in nursys.com, you will need to contact the respective states Board of Nursing and request verification to be sent to the Maryland Board of Nursing. (2) Staff and nursing home-approved practitioners shall be trained in the use of electronic health records. The nursing home shall provide a living room for residents use with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. Waivers may be granted under Regulation[.02F].03Fof this chapter. Hospitals have to report only if they made a "change" and if that change was based in whole or in part of any of the 14 specific reasons listed in. A. (12) Exhaust Hoods. Waiting for proof may involve grave risk to the child and . Disciplines shall record all assessments on a form approved by the Department. (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. Updated printed copies of the Nurse Practice Act and Regulations can be purchased at the Division of State Documents in person, by internet, or by telephone. Equipment for Food Preparation and[Distribution. (1) New Construction. (1) For every four licensed beds, there shall be at least one hand washing sink. The search provides a list of Subtitle Chapters. If the designee is not a qualified[patient]residentactivities coordinator as defined in Regulation[.01Y,].01ofthis chapter, the Department may approve the designee based on the persons education, performance, and experience. Yes and no. (52) Physical therapist means an individual licensed to practice physical therapy by the State Board of Physical Therapy Examiners. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. customers, and stakeholders with 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. (3)The[facility]nursing homeshall be kept free of unnecessary accumulations of personal possessions, boxes, trunks, suitcases, papers, unused furniture, bed clothing, linens, bric-a-brac, and similar items. [E.]D.The[facilitys]nursing homescommunication mechanism shall ensure that theadministrator, director of nursing, and the medical director receive and address reports of infectionprevention andcontrol findings and recommendations in a timely manner. G. Reevaluation of[Patients]ResidentsProgress. A medical committee, or any other entity within a hospital that makes such decisions, is considered part of the hospital. Human Service Worker. (iii) Provideofficespace for theemployedpersonnel[employed;]to work. (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. [In]Anexisting[facilities]nursing homeshall: (1) Havea sufficient number of lockers[capableof being]that can besecurely locked[shall be provided]for all employees working at any one time[,];and[provision shall be made]. All rights reserved. C. Conversion of an Existing Structure. [E.]I. (3)Audiologist means an individual who holds a Maryland license issued by the State Board of Audiologists, Hearing Aid Dealers, and Speech-Language Pathologists. D. Consultation. (3)When the designee is replaced, the Department shall be notified of the name of the registered nurse filling the vacancy. (6) Medical and social history ofthe[patient]resident; (13)[Discipline assessment]Assessments done by various disciplines; and. to provide constituents, businesses, B. (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. 3. If the position of director of nursing remains vacant for a period exceeding 30 days, the nursing homes license may be revoked unless the administrator and the governing body are able to demonstrate that they have made every effort to obtain a replacement. (2) Preparation and serving shall be supervised by a qualified dietetic supervisor; At least three meals or their equivalent shall be, A substantial evening meal is an offering of three or more menu items at one time, one of which includes a high quality protein such as meat, fish, eggs, or cheese. (e) If windows can be opened, but the nursing home has concern over the window being opened due to resident safety issues and elopement, the window sash may be restricted by hardware as approved by the Department. When the attending physician and medical director document a residents medical need for a particular treatment, assistive device, or equipment, C. When the attending physician and medical director agree that a particular. It is suggested that there be established a multi-discipline audit team to participate in an ongoing system of internal patient care audit.]. (2)Activitiesdesignedand monitored appropriately to meet the day-to-day needs and interests of each[patient, to]resident andencourage[self-care,resumption of normal activities, and maintenance]: (b) Engagement inresident-selected activities;and. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. 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.]. B. (67) Residents representative means a person with the authority to act on the residents behalf regarding the matter at issue. (ii) Office space shall be at least 110 square feet for one therapist, or 85 square feet per therapist if there are two or more. Responsibilities delegated to other staff besides the director of nursing shall have a clear delegation of authority. a genuine interest in the well-being and welfare of, (1) The administrator shall employ sufficient and satisfactory personnel as specified in this chapter to, The Department shall approve the increase in beds within 72 hours following receipt of the. Amber Havensamber.havens@maryland.gov, Compliance Coordinator: (Identified by Impact Letter and Number from Section II.). We're available on the following channels. (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. Yes. (2)Locatedconvenient to[patients]the residentsbedrooms. Any person who has knowledge of conduct by a licensed nurse that may violate a nursing law or rule or related state or federal law may report the alleged violation to the board of nursing where the . A public hearing has not been scheduled. [.05].07Inspection by Secretary [of Health and Mental Hygiene]. (1) Medications, legend and non-legend, administered to residents shall be ordered in writing by the residents physician. [The following requirements shall be met:]. 201 W. Preston Street, Baltimore, MD 21201-2399 (410)767-6500 or 1-877-463-3464 Citation numbers for the Annotated Code begin with a (section sign), for example 1-101. Determine if a report should be madeif yes you MUST report immediately to the State Agency (see below).