(9) Recommended Dietary Allowances, (10th Edition, Food and Nutritional Board, Commission on Life Sciences, and National Research Council, 1989). friendly and courteous, timely and Information reported to the (vii) A bedsidelamp, over-bed lamp,or other directional light source forresidentreadingandbedside care. Thus approximately 172 facilities would be impacted by this proposal. 201 W. Preston Street, Baltimore, MD 21201-2399, COMAR 10.01.07 Petitions for Adoption, Amendment or Repeal of Regulations, MDHPolicy 02.10.01 Policy For Regulations, MDHProcedures 02.10.01.P1 - Procedures For Regulations, State Government Article, 2-102, Annotated Code of Maryland, MDHPolicy 02.10.03 MDHPolicy On Policies, RR&EA - Work Plans and Evaluation Reports, Regulatory Review and Evaluation Act (RREA General Information). Schedule II drugs shall be kept in separately locked, securely fixed boxes or drawers in a cabinet, under two locks, keyed differently; medicine storage and preparation area with illumination of 100 footcandles at the work counter; preparation area shall include a small sink set into the counter or with drain boards; biological refrigerator. [.111].16Medical Director Responsibilities. customers, and stakeholders with State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. An existingnursing homeshall meetall local codes and standards for safety and maintenance of institutional elevators. (3) Is in a readily visible type font and size. not accept anonymous complaints. If the employee refuses to be immunized, the facility shall document the refusal and the reason for the refusal.] B. (3)In-service training shall include at least: [(2)](b)Fire prevention programs and[patient]residentrelated safety procedures in emergency situations or conditions; [(4)](d)Confidentiality of[patient]residentinformation; [(5)](e)Preservation of[patient]residentdignity, including protection of the[patients]residentsprivacy and personal and property rights; [(6)](f)[Psychophysical]Physical,functional,and psychosocial needs of the aged ill; H. Employment Records. (3) Nursing, housekeeping, laundry, or other personnel may not be[utilized]usedas[dietetic]food servicestaff. (4)[All facilities]A nursing homeshall establish and enforce a written preventive maintenance program to ensure that all[essential mechanical, electrical, and patient care]resident care and therapyequipment is maintained in safe operating condition. (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. 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. with rehabilitation areas shall provide a, There shall be an allowance of at least 12 square feet per, C. Dayroom Area. (3) Local Law or Ordinance, Where Applicable. (6) Assistingresidentsto adjust to their disabilitiesandensuring availability anduseoftheir prosthetic and assistive devices. (4) Other persons hired asgeriatric nursing assistants[nurse aides after July 1, 1990]shall complete an approvedgeriatric nursing assistant trainingprogram within 120 days of employment. 22, referenced in B of this regulation. [A.] E. Character. LoginAsk is here to help you access Maryland Board Of Accountancy Cpe Central quickly and handle each specific case you encounter. An occurrence of a communicable or suspected communicable disease shall be reported and acted upon in accordance with medical asepsis as described in COMAR 10.06.01 Communicable Diseases and COMAR 10.15.03 Food Service Facilities. (8) The audible signal shall be loud enough to be heard at the nurses station. (3) Approaches to accomplishing each goal shall be established. (6) The nursing home shall make available to residents educational and informational materials relating to immunization against influenza virus and immunization against pneumococcal disease. (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. (1) A nursing homeshallhavesufficient lighting at night inthe followingareas: (c) Designated toiletsof the nursing home for the safety of theresidentwhogetsup during the night. No caregiver-patient relationship is necessary to trigger the reporting obligation. Example: 20.25.01 would take you to Title 20 (Public Service Commission), Subtitle 25 (Electric and Gas Submeters in Apartment Houses, Office Buildings, and Shopping Centers), and Chapter 01 (General Information). Approaches shall[communicate]indicatethe work to be done,[by whom it is to be done]who is to do it, and how frequently it is to be[performed]done. (1) All policies and procedures for the mobile food cart shall be approved by the Department and the nursing homes local health department before implementation. (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. We are vaccinating all eligible patients. 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. 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. (2) Ifcorrected, will result in an unreasonable,substantial financial burdenon the nursing home. (4)A nursing home shall be constructed in accordance with the provisions of the NFPA 101Life Safety Code. [(3) The tuberculin skin test for new admissions may be a two-step skin test that is performed by the facility according to the established infection control policy of the facility. The federal regulations only require the employ of a qualified social worker (a bachelors degree in social work or a bachelors degree in a human services field) if the facility has more than 120 beds. (a) Tuberculosis in a communicable form means that an individual: (i) Is presumed to have active pulmonary or laryngeal tuberculosis as evidenced by positive X-ray findings with or without positive acid-fast bacilli (AFB) sputum smear or positive AFB sputum culture; and. D. Restrictions on Participation Documented on Chart. The nursing home shall be staffed as referenced in A and B of this regulation. The[facility]nursing homeshall provide[for a]: (1)Aprogram of structured and unstructured activities[,]; and. Dry Food Storage. [In existing facilities,]. Frequently Asked Questions & Practice Topics, National Human Trafficking Hotline - 24/7 Confidential. J. The basic nursing curriculum covers two academic years, is approved by the Maryland Board of Nursing, and is accredited by the National League for Nursing Accrediting Commission. State resources. (41) NFPA means National Fire Protection Association. Agency Note: 10 foot ceiling height is recommended. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. (b) Isresponsible for the overall care of a resident. There shall be sufficient floor space in the food service department to permit all activities to function efficiently without overcrowding. (5) The nursing home shall make its resident care policies available for review by residents and the residents representative. JavaScript is required to use content on this page. (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. (b)Renovations of[existing]allkitchens shall be approved by the Department,which will consider modification of the minimum space requirement based on space available, costs,and type of service. In some cases, the statutory language that requires reporting seems to contemplate the existence of a patient-provider relationship, while in others the reporting requirements apply broadly to any person, which would include members of the research team. Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility. (36) Management firm means an organization, under contract with an applicant for a license or a current licensee, that is intended to have or has full responsibility and control for the day-to-day operations of the nursing home. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. [Comprehensive care facilities or extended care facilities]A nursing homelicensed under this regulation may not usethe word hospitalin[their]itstitle[the word Hospital]. (3)[Unless medically contraindicated, the]Thephysician shall[discuss]reviewwith the[patient]residentor[his]thefamily or[sponsor]residents representativethe goals and the treatment program. (42) Nurse means a licensed practical nurse or registered nurse licensed in the State as defined in Health Occupations Article, 8-101, Annotated Code of Maryland. or Advanced Practice Registered Nurse (APRN). (2) The information disclosed shall explain the additional care provided in each of the following areas: (a) The Dementia special care units written statement of its overall philosophy and mission, which reflects the needs of residents with dementia; (b) The process and criteria for placement, transfer, or discharge from the unit; (c) The process used for individualized assessment and establishing the resident-centered plan of care and its implementation, including the method by which the plan of care evolves and is responsive to changes in the individuals condition; (d) Staff training and continuing education practices; (e) The physical environment and design features appropriate to support the functioning of cognitively impaired adult residents; (f) The frequency and types of resident activities; (g) The involvement of families and family support programs; and. Department of Health Professions Perimeter Center 9960 Mayland Drive, Suite 300 Henrico, Virginia 23233-1463. (1) CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual, (Version 1.14, October 2016). (ii) Has received chemotherapy for less than 14 days. Baltimore, Maryland, 21215-2254. (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. E. The Department shall make a site visit and conduct a full survey of each licensed nursing home at least once per calendar year. from civil liability.-Except as provided in subsection (b) of this section, the C. A new nursing home shall adhere to the requirements of this chapter. (5) A nursing home shall develop a system to ensure that nursing home staff have access to residents health records in the event of a failure of the nursing homes electronic medical record system. A State-approved training course for paid feeding assistants shall consist of at least 8 hours of training that includes: (9) Successful completion of a two-part test that includes a: (b) Demonstration of proper feeding skills performed on a resident[under observation]while being observed. Maryland Department of Health 10.07.02 Nursing Homes (Office of Health (e) Contains a refrigerator to be used for medication storage only. [.07-1].10Employee Training on Cognitive Impairment and Mental Illness. The culture change nursing home shall be required to have service areas that meet the specifications in this chapter for: [C. Call SystemNew Construction. (4) A computer system with a monitor or other electronic display device may be installed to replace the call system enunciator, as long as it reveals the location where the signal originated and sounds an audible alert tone. [B.] Masks are required inside all of our care facilities. (b) The renewal application shall be submitted onwritten or electronicforms provided by the Secretary.]. (65)Resident activities coordinator means an individual who: (i) Certifiedtherapeutic recreation specialist; (iii)Licensed occupational therapy assistant; or. Find more COVID-19 testing locations on Maryland.gov. D. Laundries-Existing Facilities. (1)Foods shall be prepared by methods that conserve nutritive value, flavor, and appearance, and shall be served at proper temperatures, in a form to meet individual needs. Temperatures. (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. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Attn: Director of Complaints & Investigations. ]; and. CCNE 2014 Self Study Appendices. The baccalaureate degree program in nursing, master's degree program in nursing, Doctor of Nursing Practice program and post-graduate APRN certificate programs at University of Maryland School of Nursing are accredited by the Commission on Collegiate Nursing Education. (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; (b) Results of chest x-rays required in this regulation; and. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. 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. BLS Healthcare Provider certification from American Heart Association; additional life support training, as applicable to unit requirements. 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.. (3) A new employee shall be assessed for risk of tuberculosis through: (a) A two-step tuberculin skin testing at the time of hire following guidelines referenced in the Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings; or. Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. 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. If the medical records supervisor is not a qualified medical record practitioner, the Department may require that the supervisor receive consultation from aqualifiedperson[so qualified]. Mandated reporting is required when: Title 24 M.R.S. 2. Unless otherwise indicated, all general requirements apply to both new construction and an existing nursing home. (a)[Because specific temperatures are often required for the safe storage of drugs, the]Thestorage[facilities]facilityshall provide for the[following]conditionslisted in C(3)(b)(g) of this regulationwhen prescribed[:]. mbon.nets@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. C. Assistance by Nursing Personnel. [A.] (45) Nursing home means a comprehensive care facility or extended care facility which offers nonacute inpatient care to patients: (a) Suffering from a disease, chronic illness, condition, disability of advanced age, or terminal disease requiring maximal nursing care without continuous hospital services; and. A medical committee, or any other entity within a hospital that makes such decisions, is considered part of the hospital. (1) If the supervisor is not alicensed registereddietitian, the individual shall receive regularly scheduled consultation from alicensedregistered dietitian or other qualified person. National Human Trafficking Hotline - 24/7 Confidential. A. (b) Connected to mechanically operated exhaust ventilation. The facilitys infection control program shall include monitoring of the health status of all residents to determine if the residents are free from tuberculosis in a communicable form.