[Patients]Residentsshall be assisted to obtain routine and emergency dental care. 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. (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. The[facility]nursing homeshall ensure that: (1)The nurse manager or the director of nursing of vent units has a background in ventilator care or is qualified in ventilator management; [(1)](2)Respiratory care services are provided by a sufficient number of qualified personnel;and. A nursing home shall maintain a minimum design temperature of 75F or 24C for all occupied areas. E. The social work industry and trade groups would benefit due to the increase in hiring and contracting with licensed social workers. (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. E. Objective. In person purchases can be made at 16 Francis Street - Wineland Building, (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. 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). Copyright Maryland.gov. (3) Prevention of backflowshall beensured by proper installation of: C.Sewage. Written Policies. (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. State Operations Manual for Provider Certification, Appendix RResident Assessment Instrument for Long-Term Care Facilities, Transmittal No. [There]The nursing homeshall[be provided]provideone or more attractively furnished areas of adequate size for resident dining, occupational therapy, and social activities. Contact us via email: OPC@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. (1)A nursing home shall be equipped with a properly maintained air conditioning system. (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. Except for a designated anonymous HIV test site, a facility or office that orders a test for HIV and receives a test result that documents the presence of HIV as defined by the CDC laboratory criteria shall, upon the Secretary's request, make available to the Secretary, or an agent of the Secretary, the information necessary to compile an HIV/AIDS case report. (a) The nursing home shall provide a common area or areas of refuge in an emergency situation if all resident rooms, day rooms, and toilet rooms are not tied into the emergency generator to provide heat and cooling. (1) A nursing home shall be staffed with at least one registered nurse, 24 hours per day and 7 days per week. The licensee may renew the license for an additional 2-year term, if the licensee: Pays the renewal fee; Submits to the Board: A renewal application and satisfactory evidence of compliance with . [(3)](c)All electrical equipment shall be[periodically]testedperiodicallyfor proper grounding, current leakage, and calibration where appropriate. JavaScript is required to use content on this page. 10.07.02 [Comprehensive Care Facilities and Extended Care Facilities]Nursing Homes, Authority: Health-General Article, 19-308, 19-308.1, 19-323, and 19-1401 et seq. (b) Connected to mechanically operated exhaust ventilation. The[facility]nursing homeshall complete all assessments in accordance with the provisions of 42 CFR[]483.20[and 413.343],as amended. (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. The identity of the patient making the threat; and 3. (2) The nursing home shall maintain and dispose of a clients medical records in accordance with Health-General Article, Title 4, Subtitles 3 and 4, Annotated Code of Maryland. A list of these depositories was published in 46:1 Md. (5) Existing Facility. Nursing personnel shall assist the, E. Transportation. Administrative procedures Act under State Government Article, State Documents Law under State-Government Article, This office manages and coordinates all aspects of the Department's internal policy process, The Department's policy program is under the authority of. [.16].28Laboratory and Radiologic Services. (4)If[the]afour or five meal a day plan is used, the meal pattern to provide this plan shall be approved by the Department. (1) A special care unit shall meet the general construction requirements of Regulations[.06,and .26].08, .42, and .41of this chapter, and the requirements in this regulation. Welcome to the Maryland Board of Nursing Temporary Nurse Aide Pathway for CNA/GNA Certification. 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. However, the nursing home would need to contract with a licensed social worker to provide oversight. D. The Quality Assurance Committee. As long as the cumulative days of suspension imposed solely for the five reasons listed in COMAR 10.32.22.03C(7) do not exceed 30 in a calendar year, that suspension need not be reported. Open at all Times for Inspection. The[facility]nursing homeunit shall meet all applicable requirements in Regulation[.26F].46of this chapter for emergency electrical power, including the provision of: (a) To service the medical gas systems, a vendor or staff shall be trained and accredited in accordance with NFPA 99 Health Care Facilities Code. (1) The licensee, if not acting as an administrator, shall appoint as administrator a responsible person who is[qualified]: (a) Qualifiedby training and experience[,];and[is licensed]. Standardized recipes are those recipes which have been tested by the[facility]nursing homeor another source[which assureconsistency in]and that ensureconsistentquality and quantity. E. The Department shall make a site visit and conduct a full survey of each licensed nursing home at least once per calendar year. Medical Director Qualifications. (1)If the[administrator is absent from the facility an excessive amount of time and the Department determines that the]director of nursings absence[from nursing service]while covering for the administratoris having an adverse effect on[patient]residentcare,the Department may require the designation of a specific registered nurse who shall be named the[]assistant director of nursing[]. (1)Current medical records and those of discharged[patients]residentsshall be completed promptly. Masks are required inside all of our care facilities. [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. Evidence-based Nursing Education Program Approval, Board of Nursing Professional Licensure Requirements, Prelicensure Distance Education Requirements, National Simulation Guidelines for Prelicensure Nursing Programs, Safe Student Reports (SSR) Research Study, State Authorization and Crossing State Borders, Part 2: Additional Approvals and Professional This map shows you which states are currently in the NLC. The agreement shall provide for sufficient hours of consultation to assure that the staffs services meet the medically related social and emotional needs of the patients. Maryland Board of Physicians | 4201 Patterson Avenue | Baltimore, MD 21215. accessible and convenient, and confession, applicable policies and procedures, employee handbook, staffing (iv) All soiled areas within a laundry shall be connected to mechanically operated exhaust ventilation. 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. (a) Relocation means the movement of a resident from one room to another within: (i) The same Medicare-certified nursing home; (ii) A Medicaid-only certified nursing home; or. (i) Successfully completed the required course; (ii) Maintains certification as required by the certifying board for the Association of Nutrition and Foodservice Professionals; and. (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. The attending physician shall also be notified.] (1) An applicant desiring to open a comprehensive care facility or an extended care facility[or to continue the operation of an existing facility as a comprehensive care facility or an extended care facility]shall file an application with the Secretary, on awritten or electronicform provided by the Secretary. (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. National Human Trafficking Hotline - 24/7 Confidential. (vi) Appropriate use of antiseptics and disinfectants[.] (1)If a[facilitys]nursing homesadmission policies include the admission of[patients]residentsrequiring rehabilitative services, the[facility]nursing homeshall provide, or arrange for under written agreement, specialized rehabilitative services by qualified personnel[(],such asaphysical therapist, speech-languagepathologist and audiologist, and occupational therapist[)]. (33) Licensed or certified professional health care practitioner means a nurse practitioner, physician assistant, or other practitioner licensed or certified under the Health Occupations Article, Annotated Code of Maryland. There shall be a separate entrance into each room]. 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. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. (13) Supervision of certified medicine aides to ensure that the aides act within the limitations and restrictions placed on them. (b) Haveartificial light adequate for reading and other uses as required. truthful and transparent services. (ii) The nursing home shall make its residents personal furnishing policies available for review by residents and the residents representative. YouwillneedAdobe Acrobat Readeror equivalent software. ; (16) Require that unless the supervisor is a licensed registered dietitian, they shall receive regularly scheduled consultation from a licensed dietician; (17) Specifying that during admission, a resident may not be accepted unless at least one service to meet the rehabilitative needs of the resident can be initiated within the 48-hour period; (18) Allowing for the provision of a waiver of general requirements for bedrooms in long term care facilitiesboth for newly constructed bedrooms and already-existing bedrooms; and. ]; [(13)](12)Reports and action required in unusual circumstances[. The regulations provide an objective test for determining if leaves of absence are involuntary. C. The[facility]nursing homeshall obtain Departmental approval of the following pertaining to thespecial care unit: (2) An organization chartofthe special care unitandits[inter-relatedness]relationshipto the rest of the nursing[facility]home; (5) A quality assurance plan which includes: (b) Identification of the[most important]predominantaspects of care provided; (b) The administration of[medicines unique to the needs of]medicationsthat are relevant tothe special care residents; (9) An inventory of[the]anyspecialized equipment to be housed[in]onthe unit to provide services in the special care unit. The nursing home shall provide a living room for residents use with a sufficient number of reading lamps, tables, and comfortable chairs or sofas. Nursing and dietetic services shall establish an effective policy toensurethat: (1) Nursingservicepersonnel are aware of the nutritional needs and food and fluid intake ofresidents; (2) Nursing service personnel providespecialmealsand nourishment when required; (3) Residents food choices and preferences are honored as much as practical; (4)Nursingservicepersonnel promptlyaid residentswhen necessary ineating; (5)The dietetic service is informed of physicians diet orders and ofresidentsnutrition-related issues; and. The activities shall be designed to promote the general health[,]andphysical, social, and mentalwell-being of the[patients]residents. OHCQ estimates that 172 nursing homes would need to hire or contract with a licensed social worker. COMAR regulations are Maryland State agency regulations, which are referenced by Title numbers (currently 1-36). 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. to provide constituents, businesses,