If the social worker is not a licensed certified social worker LCSW or a licensed certified social worker-clinical LCSW-C, the facility shall provide for an LCSW or LCSW-C to provide sufficient hours of supervision. (1) Medications, legend and non-legend, administered to residents shall be ordered in writing by the residents physician. 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. The search provides a list of Subtitle Chapters. (2) The charge nurse or nurses shall have the ability to recognize significant changes in the condition of residents and to take necessary action. ]; [(13)](12)Reports and action required in unusual circumstances[. (2)There shall be an allowance of at least 12 square feet per[ambulatory patient]resident[;this]. No. (c) Have attended a program of instruction in training methodologies approved by the Department. Proof of immunity to these diseases shall be verified by: (a) Documented evidence of administration of vaccine; or. E. The Department shall make a site visit and conduct a full survey of each licensed nursing home at least once per calendar year. (b) Standardize communication about resident problems and conditions: (iii) Between these facilities and outside agencies. (2)Nurses andsupportpersonnel shall be chosen for their training, experience,and ability. (3) If the pharmacy fails to comply with the policies, a representative of the nursing home shall discuss the situation with the pharmacy and the resident, and if the pharmacy subsequently refuses to follow the policies, the resident shall select another pharmacy that agrees to comply. 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. (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. 272, April 1995 and Transmittal No. (2) The ventilation rates shown in Table 1 under D(10)of this regulation shall be considered the minimum acceptable rates and may not be construed as precluding the use of higher ventilation rates. Abuse of Developmentally-Delayed Individual, Any person who believes that an individual with a developmental disability has been abused shall report the abuse promptly to the executive officer or administrative head of the licensed service provider, who shall in turn make a report to law enforcement authorities. The regulations provide an objective test that does not depend on the terminology used by either the health care provider or the hospital. A member of the facilitys staff shall be assigned responsibility for social services. [The administrator or the administrators designee shall notify the private or public agency or relative responsible for the patient when the patientis transferred from the facility for any reason or at time of death. (2) CMS Manual System, Pub. (5) The pharmacy shall be responsible for delivering medications to the nursing home. Karen E. B. Evans. In this regulation, the term committee means the pharmaceutical services committee. D. Excessive Absenteeism of Administrator. Bedsareto be placed so that all sides of the bed are at least 18 inches from heating units. A list of these depositories was published in 46:1 Md. If the attending physician cannot be reached, the medical director shall be contacted for instructions. of Legislative Audits operates a toll-free (3) Is in a readily visible type font and size. (1)[Effective with employees hired on or after July 1, 1990, the]Thegeriatric nursing assistanttraining program[course]shall consist of 75 hours or more, and include at least 37.5 hours of classroom instruction and[not less than]at least37.5 hours of supervised clinical experience in long-term care. 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. Yes and no. truthful and transparent services. The Maryland Board of Nursing requires applicants for Temporary licenses to use a permanent Mailing Address when completing the application for licensure. 4140 Patterson Avenue, Baltimore, MD 21215-2254, Employer Notification of Board Order Form, Worksite Verification Monitoring Program Form, Direct Entry Midwifery Advisory Committee, Applicants denied licensure and certification. [D.]C.The[facility]nursing homeshall have mechanisms for communicating the results of infection control activities to employees[,]andtothe individual or individuals who are responsible for improving the[facilitys]nursing homesperformance. A. (iii) Shall maintain a minimum temperature of 71F or 22C and a maximum temperature of 81F or 27C. (3) Pass standardized edits as defined by CMS and the State. C.Outside Service Entrance. [Policies shall be reviewed at least annually by a]. It is not necessary to determine anyones subjective intent. Report must be made immediately to the health officer in the county where the physician cares for the patient. The[goal]goalsshall be realistic, practical, and tailored to the residents needs. 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.]. (f) Except for trays that are assembled in the main kitchen and then distributed to the nursing care units, equipment to hold hot food if bulk foods are plated and served to the residents on the nursing care unit. Staff working in laundry shall be given personal protective equipment, including: (d) All laundry shall be processed through the use of sufficiently hot water, chemical agents, or a combination of the both, to remove or destroy infectious biological materials. (49) Ongoing pattern means the occurrence of any potential for more than minimal harm or greater deficiency on two consecutive on-site visits as a result of: (b) Follow-up visits and unscheduled visits; or. (2) The[facility]nursing homeshall provide information concerning the[communicable]infectiousdisease status of any resident being transferred or discharged to any other[facility]nursing home, including a funeral home. [(6)](f)[Due care]Adequate exhaust ventilationshall be[taken in]provided whenusing vaporous materials or pollutants. (2) In compliance with NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code, and other applicable codes, and all federal, State, and local codes. (c)For purposes of Life Safety Code enforcement, the[facility]nursing homeis considered[as]to bean existing[facility]nursing homeif it has been in continuous use as a nursing home. (2) Renovations ofexistingkitchens shall be approved by the Department which will consider modification of the minimum space requirement based on space available, costs, and type of service. As of July 1, 2020, the U.S. Department of Education implemented new regulations that professional nursing programs (PN, RN and APRN) must adhere to if they participate in Title IV HEA funding, and if the program is: designed to meet educational requirements for a specific professional . [C. Lobby Area. (2)When[the director of nursing serves]servingas relief for the administrator,[he]the director of nursingshall designate an experienced, qualified registered nurse to direct the nursing service. Arrangements shall be made, when necessary, for the[patient]residentto be transported to the dentists office. Issue/renew license to Advanced Practice Registered Nurses meeting established requirements. C. A new nursing home shall adhere to the requirements of this chapter. 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. 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. (3) Laundry use,as referencedin the 2007Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Getting started with CalCentral. Complete the form below for state-specific nurse licensure . Director of Nursing. [(e)](f)Excessive HeatAny temperature above[40C (104F)]104F or 40C. The resident care management system shall. The State of Maryland pledges H. Advance Planning and Posting of Menus. The[facility]nursing home, in consultation with the medical director and other physicians, if necessary, shall establish and maintain surveillance of the health status of employees, including: (1) Advising on the development and execution of an employee health program, which shall include provisions for determining that employees are free of communicable diseases according to current[acceptable]acceptedstandards of practice; and. Patients may not be kept behind locked doors, that is, doors which patients cannot open. (2) Emergency power for the purpose of egress lighting and protection shall be as required by NFPA 101 Life Safety Code. Interior walls and floors shall be of a[character to permit]type to allowfrequent and easy cleaning. Currently, a license has not been required for an individual to operate in this role. There shall be provision for the laundering of patients clothing. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. Agency Note: Utilization Review. (iv)[Provision for storing and transporting clean linen in covered container.] (b) Connected to mechanically operated exhaust ventilation. 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). (2) Staff and nursing home-approved practitioners shall be trained in the use of electronic health records. 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). Standardized recipes adjusted to appropriate yield shall be followed. The[facility]nursing homeshall urge that volunteers, defined as individuals who spend an average of 8 hours per week or more in the institution[patient]residentcare areas and who receive no pay or benefits,[accept]receiveannual influenza vaccination and tuberculinskintesting as considered necessary by the[facility]nursing home. (e) Special diets or dietary restrictions; (f) Family or legal representative contact information, (a) Orient staff to the emergency and disaster plan and to their individual responsibilities, (b) Document completion of the orientation in the staff members personnel file through the signature of the employee, (d) A filter or filter efficiency shall comply with the standards of, the Guidelines for Design and Construction of Residential Health, Care, and Support Facilities, The Department may specify the location and size of a nurses. 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. Thenursing home shall notify theattending physician[shall be notified]promptly of the findings. For this reason, they will not be printed in the Maryland Register or the Code of Maryland Regulations (COMAR). (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. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department.]. Maryland Nursing License Requirements The Maryland Board of Nursing regulates the state's Licensed Practical Nurses and Registered Nurses. The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. B. (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. Staffing. 410.764.4777 | Toll Free 800.492.6836 . (1)Written administrative and[patient]residentcare policies and procedures shall be developed for rehabilitative services by appropriate rehabilitation team members and representatives of the medical, administrative, and nursing staff. D.Each day that the nursing[facility]homeoperates after the first conviction, without correction of the cited violation, is considered a subsequent offense and may subject the operator to further prosecution.