A license or certificate exists even if it is inactive, (7) In cases where the cost of any medication obtained from the pharmacy selected by the resident exceeds the cost of the same or equivalent medication available through a pharmacy that the nursing home has contracted with to provide pharmaceutical services, the resident shall be responsible for the additional amount. (2) The janitors closet or service alcove. The following procedures are to be used when admitting an individual with a communicable disease into a nursing facility: (3) The Secretary or a designee of the Secretary may prohibit a facility from accepting an individual with a communicable disease if it is determined that admitting the individual with a communicable disease could pose a risk to the health, safety, or welfare of any other resident or individual associated with the facility. (2) To provide services to the resident, a designated pharmacy shall agree to comply with the nursing homes policies. (2) Upon request, the director or assistant director of nursing may accompany physicians visiting residents. (a) Resident Care, Treatment, Diagnostic. 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. The nursing. D. Restrictions on Participation Documented on Chart. The assessment shall: (2) Use a data dictionary as identified by the automated data processing requirements; and. The additional food servicearearequired when meals are provided to anyone outside of the[facility]nursing homeis to be calculated by using the total number of individuals to whom meals are provided. Thewindow opening shall be at least 28 inchesso that the total area equals 10 square feet per bed. For this reason, they will not be printed in the Maryland Register or the Code of Maryland Regulations (COMAR). The resident care management system shall[be comprised]consistof three[interrelated]relatedcomponents: [A. responsive, accurate and consistent, E. The social work industry and trade groups would benefit due to the increase in hiring and contracting with licensed social workers. F. Employee Health Oversight. (2) Private sewage disposal systems shall comply with COMAR 26.04.02. (67) Residents representative means a person with the authority to act on the residents behalf regarding the matter at issue. Virginia Board of Nursing Jay P. Douglas, MSM, RN, CSAC, FRE, Executive Director Brandon A. Jones, MSN, RN, CEN, NEA-BC, President . (1) All air-supply and air-exhaust systems shall be mechanically operated. (1) The nursing home shall providean administrative area[shall be provided which]thatis suitable for conducting business or discussing[in privacy problems]problems privatelywith the[patients sponsor]residents representative. The regulations provide an objective test that does not depend on the terminology used by either the health care provider or the hospital. [(1)](a)Equipment shall[be of a type that will provide]allow for providingsafe and effective[patient]residentcare. (2) Medications shall be administered by: (a) Appropriately licensed personnel in accordance with laws and regulations governing these acts; or. resources. (11) A training program shall provide at least 16 hours of training prior to a trainees direct assignment to resident care. [There shall be at least 12 square feet perbed for 50 percent of the total licensed beds.]. (1)When the director of nursing is absent, the individual shall designate an experienced, qualified registered nurse to direct the nursing service. The dietary preferences of a resident shall be ascertained, including preferences arising from a residents religious, cultural, and ethnic heritage, and efforts shall be made to meet those preferences. B. E. Space. (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. (b)The amount of storage space needed[is dependent upon]to store food depends on thefrequency of deliveries. Copies of these documents are filed in special public depositories located throughout the State. Reporting does NOT require PROOF that child abuse or neglect has occurred. The Maryland State Board of Nursing licenses registered nurses and practical nurses. (2)Standardized recipes adjusted to appropriate yield shall be followed. (4)A nursing home shall be constructed in accordance with the provisions of the NFPA 101Life Safety Code. A care plan under this regulation shall be based upon assessments conducted at the following times: family member or residents representative 7 calendar days advance notice, in writing, of the location, date, and time of, (2) The team shall establish goals for each problem or need identified, (3) Approaches to accomplishing each goal shall be established. Responsibility for the Residents Care. (d) Any other relevant parameters affecting or reflecting the residents physical and mental status. Approved employees shall read the skin test and manage the results of the skin test in accordance with Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health-Care Facilities.]. If you EVER held a Maryland license and it is currently listed as Inactive, Non-Renewed, or Invalid, you must request a renewal packet from Please enable JavaScript in your browser. A. The Maryland General Assemblys Office (2)The Department shall be notified of the name of the assistant director of nursing. The infectionprevention andcontrol program shall include the handling ofspecialmedical waste as defined in COMAR 10.06.06. LoginAsk is here to help you access Maryland Board Of Accountancy Cpe Central quickly and handle each specific case you encounter. However, the nursing home would need to contract with a licensed social worker to provide oversight. A[facility]nursing homelicensed under[these regulations]this chaptermay not discriminate in admitting or providing care to an individual because of[the race, color, national origin, or physical or mental handicap]the individuals: (7) Mental disability[of the individual]. (3)Policies and procedures shall be adopted and made available to all nursingservicepersonnel. Consequently, OHCQ has observed inadequate discharge planning and lack of coordination of care transitions. Goal[outcome]outcomesshall be measurable in time or degree, or both. (2)Existing Facilities. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. Under 5-705, any person other than the persons listed above who has reason to believe that a child has been subject to abuse or neglect shall make either an oral or written report that meets specified requirements to the extent possible [with exceptions for certain confidential and privileged communications]. O. of Legislative Audits operates a toll-free (4) Ensure that the immunization is given in the form of Tdap (tetanus, diphtheria, acellular pertussis) vaccine, in accordance with the guidelines prescribed in Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Health Care Infection Control Practices Advisory Committee (HICPAC). This table below refers to the filter efficiencies for central ventilation and air conditioning systems in a nursing home other than chronic disease hospitals. Comments may be sent to Jake Whitaker, Acting Director, Office of Regulation and Policy Coordination, Maryland Department of Health, 201 West Preston Street, Room 512, Baltimore, MD 21201, or call 410-767-6499 (TTY 800-735-2258), or email to mdh.regs@maryland.gov, or fax to 410-767-6483. fraud hotline to receive allegations of (1) Shall be provided on each side of all corridors in resident areas; and. Thus 172 times $11,000 equals an annual cost increase of $1,892,000 to the regulated industry. (c) Coordinate management of the resident and the residents contacts with the. ; Public Safety Article, 14-110.1; Annotated Code of Maryland. Acall system shall be installed and maintained in operating order in all nursing units. resources. (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[]. A[facility]nursing homewhich holds a current and valid operating license may establish special care units with the approval of the: (1)Office of[Licensing and Certification Programs and the Departments Division of Engineering and Maintenance]Health Care Quality;and. These documents may also be inspected at the office of the Division of State Documents, 16 Francis Street, Annapolis, Maryland 21401. Maryland Nurse Practice Act. 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. The Office of Health Care Quality surveyed multiple facilities and determined that 25 percent of nursing homes employed or contracted with a licensed social worker. a list of all states/jurisdictions where the institution has not made a determination of whether the curriculum meets educational requirements. PDF Reporting Decision Tool - Nursing Home Help (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[goal]goalsshall be realistic, practical, and tailored to the residents needs. (b) As high as practical, as such the bottom of the outdoor air intake is: (i) At least 6 feet above ground level; or. The person in charge of the service to which the employee is assigned shall. .08 New Construction, Conversion, Alteration, or Addition. The installation of a portable air-conditioning unit shall be approved by the: (d) If windows cannot be opened for ventilation, a central HVAC system shall be provided and maintained. (2) In orderto prevent accidents and promote efficiency of service, the nursing home shall ensure that the following areas have sufficient artificial lighting: G.Minimally Maintained Lighting Levels. (c) Maintains the continuing education requirements of registration. However, the nursing home would need to contract with a licensed social worker to provide oversight. Please enable JavaScript in your browser. (2)All clinical information pertaining to a[patients]residentsstay shall be centralized in the[patients]residentsmedical record. (c) Toilets and bathing rooms within arehabilitationarea shall be equipped with a nurse call system. A facility which holds full licensure as of the adoption of these regulations shall be considered as having an adequate size dietetic service department.]. 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. A handsink with hot and cold running water shall be convenient to the nurses station.]. (a) Stored in water-tight containers with tight-fitting covers; and. ]; [Agency Note:Refer to Regulation.26 Sof this chapter for window screening requirements.]. Interior walls and floors shall be of a[character to permit]type to allowfrequent and easy cleaning. License/Certificate Renewal - California Assumptions. of Legislative Audits operates a toll-free G. Before discharge the nursing home shall: (1) Verify that the transfer and discharge to an assisted living nursing home is licensed and appropriate to meet the needs of the resident; and. For example: Type in Consumer Protection and you will see eleven (11) different Titles covering this topic. The director of a medical laboratory must submit a report of a positive HIV test or of a CD4+ lymphocyte count less than 200 per cubic millimeter, within 48 hours to the health officer. (2) Foodinstorage shall be arranged so that new food items are stored behind old food items. Only one of these is specific to Title 20 violations for investigation by the Public Service Commission. Citation numbers for the Annotated Code begin with a (section sign), for example 1-101. In existing facilities where a physical separation is not possible, exceptions as to approved laundry facilities may be made at the discretion of the Department. [(3) The course instructor shall have overall supervisory responsibility for the operation of the program, and shall: (a) Be a registered nurse licensed in Maryland; (b) Have at least 2 years of nursing experience, at least 1 year of which shall have been in caring for the elderly or chronically ill in the past 5 years; and. State resources. certain fraudulent activities and protect (1) The duty to take the actions under paragraph (2) of this subsection arises only under the limited circumstances described under subsection (b) of this section. (2) Each floor shall have at least one toilet room large enough to: (b) Permit toilet assistance or training. (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. These written procedures shall: (1) Be a part of the nursing homes Emergency and Disaster Plan, in conformance with Regulation .40 of this chapter; and. 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. Research Exception: The requirements for reporting HIV+ test results do not apply when the test is conducted as part of research conducted by an institution within Maryland under the following conditions: (a) All personal identifiers are removed from the specimen before testing; (b) The specimen cannot be linked to the individual from whom it was taken; (c)The test result cannot be linked to the individual from whom the specimen was taken; and (d)The research protocol has been approved by an institutional review board. (2) Ifindicated,the supervisor shallrefer the matter to the director of nursing. Code Ann., Health Occupations Article, 8-302 (b) and (c).. In person purchases can be made at 16 Francis Street - Wineland Building, Annapolis, MD. Pharmaceutical services shall be under the general supervision of a licensed pharmacist who shall: (a) With the advice of the pharmaceutical services committee, be responsible for developing, coordinating, and supervising pharmaceutical services and provide in-service training at least twice yearly; (b) Visit the nursing home frequently enough to assure that policies and procedures established by the pharmaceutical services committee are enforced; (c) Notify the attending physician of any potential drug problems found during the drug regimen review; and. Registered Professional Nurse. Cpe Central Loginsupported by NASBA's CPA Examination Services (CPAES The event must be reported within ten days of any change made by the hospital. The lock on the door of a medication room shall be counted as one of the two locks. The responsibilities of the director of nursing shall include: (1) Assisting in the development and updating of statements of nursing philosophy and objectives to define the type of nursing care the nursing home shall provide; (2) Preparation of written job descriptions for nursing service personnel; (3) Planning to meet the total nursing needs of residents to be met and recommending the assignment of a sufficient number of supervisory and support personnel for each tour of duty; (4) Development and maintenance of nursing service policies and procedures to implement the program of care; (5) Participation in the coordination of resident services through appropriate staff committee meetings on issues relating to: (6) Cooperation with administration in planning the orientation program and the staff development program to upgrade the competency of personnel; (7) Assurance that nursing personnel understand the philosophy and meet the objectives; (8) Participation in planning and budgeting for nursing services; (9) Establishment of a procedure to ensure that nursing service personnel, including private duty nurses, have valid and current Maryland licenses; (10) Execution of resident care policies unless delegated to the principal physician or medical director; (11) Participation in the selection of prospective admissions to ensure thatthenursing homes staff is capable of meeting the needs of all residents admitted; (12) Coordination of the interdisciplinary resident care management efforts; and. [H.]I. (3)As appropriate, respiratory care personnel are competent in the following: (j) Recognition of and attention to the psychosocial needs of residents and their families. (9) The committee shall establish the contents of sealed emergency drug kits. ]; (b)[Care shall be exercised in the usage and storage of toxic]Use and storetoxicand flammable insecticides and rodenticideswith care[. (b) An interferon-gamma release assay (IGRA) blood test. (2)The record and progress notes concerning the[patient]residentshall reflect at all times the most recent and current status of the[patient]resident, including current short-term and long-term goals. (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. The medical director shall actively participate in the[facilitys]nursing homesquality improvement process. National Council of State Boards of Nursing, Inc. All Rights Reserved. D. Call SystemExisting Facilities. (iii) These policies shall address the condition of the personal furnishings, presence of insects or vermin, and overall safety to ensure that the use of the residents belongings does not create any safety or health issues. (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.