Provide a detailed description of the incident:dates, Bedsareto be placed so that all sides of the bed are at least 18 inches from heating units. truthful and transparent services. (ii)80 square feet, per bed, for multiple-bed rooms. A. (43) Nurse practitioner has the meaning stated in Health Occupations Article, 8-101(k), Annotated Code of Maryland. Third, determine if any of the specific exceptions to those reasons apply. (a) Anursing unit shall contain at least one janitors closet containing a floor receptor or service sink and storage space for housekeeping equipment and supplies. (c) Successful completion of a curriculum in physician management or administration from[the American Medical Directors Association or another curriculum approved by the Department or its designee; and]: (i) AMDA: The Society for Post-Acute and Long-Term Care Medicine; or. C. Call SystemNew Construction. Policies shall provide for the coordination of rehabilitative services and the rehabilitative aspects of nursing. (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. (50) Paid feeding assistant means an individual who: (a) Meets the requirements of Regulation .58 of this chapter; and. [In new construction,facilities], (a)A nursing homewith rehabilitation areas shall provide a[lavatory]hand washing sinkand toilet which meet[ANSI]Guidelines for Design and Construction of Residential Health, Care, and Support Facilitiesstandards forresidents who are dependent on the use of awheelchair[patients]. Nursing Assistant (CNA), Licensed Practical Nurse (LPN), Registered Nurse(RN), E. Auxiliary Heat. (b) Haveartificial light adequate for reading and other uses as required. (1)The[facility]nursing homeshall[inquire about a history of varicella for each new employee. (2) Departments Office of Capital Planning, Budgeting and Engineering Services. Issue/renew license to Advanced Practice Registered Nurses meeting established requirements. The Department shall be notified of the name of the assistant director of nursing. (2)The[water]temperatures[in hot water bottles]in the building, hot packs, and therapeutic equipmentmay not exceed 120For 49C. (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. 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. (59) Qualified medical record practitioner means an individual who: (i) Received a baccalaureate degree from an accredited college or university including or supplemented by a successful completion of a course in health record administration approved by the Council on Medical Education of the American Medical Association; and, (ii) Passed the national registration examination for registered record administrators; or, (i) Received an associate of arts degree in health record technology from a college or university approved by the American Medical Association Council on Medical Education or an equivalent approved health record technology correspondence course of the American Medical Record Association; and. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the requirement to have a licensed social worker employed. ; (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. (8) During training, a trainee may provide only that care for which the trainee has demonstrated competency to the satisfaction of the appropriate program instructor. The[facility]nursing homeshall maintain adequate space and equipment, conveniently located, to provide for efficient processing[of medical records (],reviewing, indexing, filing, and prompt retrieval[)]of medical records. B. A janitorscloset or service alcove fortheexclusive use of food service areas shall be provided in, or adjacent to, the dietetic service department. A catered or satellite system shall be covered by a contractapproved by the Department. Q Who pays for the chemical dependency evaluation and the drug screens? A copy of the clinical record, identification, and summary sheet described in Regulation[.20B].32shall be used as an admission record. All rights reserved. Activities spaceshall beof adequate size to meet the needs of the residentsandshall be located on each floor occupied by residents. If you save it electronically, email it to mbon.complaintsinvestigations@maryland.gov. (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. (a) The Secretary shall require an applicant for licensure to submit to the Secretary the following information concerning the applicants: (ii) Ability to comply with[minimum]the applicablestandards of medical and nursing care and applicable State or federal laws and regulations by disclosing the identities of its medical director, director of nursing, and administrator, and by providing the[facilitys]nursing homesquality assurance plan, as required in Regulation[.46].66of this chapter; and. A. Required: immunity Amber Havensamber.havens@maryland.gov, Compliance Coordinator: The Office of Health Care Quality surveyed multiple facilities and determined that 75 percent or approximately 172 nursing homes did not employ a licensed social worker. 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. A. The training on cognitive impairment and mental illness shall be designed to meet the specific needs of the. (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. [(4)](3)The[facility]nursing homeshall continue to monitor residents for signs and symptoms of tuberculosis by performing a yearly symptom review. (b) Has 2 years of experience in a social or recreational program in a licensed health care setting within the last 5 years, 1 year of which was full time in a resident activities program with guidance froman individual identified in B(73)(a) of this regulation. 10.34.06 Reporting Pharmacist's and Pharmacy Technician's Mailing Address and Location of Employment, Effective March 18, 2013. (b) Maintained and applied by trained staff. Yes and no. Effective in 2013. (2) The director of nursing shall obtain approval from the Department. [H.]I. Registered Professional Nurse. Nursing personnel shall assist the, E. Transportation. [B.] Although NCSBN has made every effort to provide complete, accurate and up-to-date information, NCSBN makes no warranties, express or implied, or representations as to the accuracy or reliability of this information. G. Appropriate Care of Residents. G.Emergency Procedures. (4)A nursing home shall be constructed in accordance with the provisions of the NFPA 101Life Safety Code. ], [Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility.]. Homes Licensed Capacity for[Patients]Residents, [(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.]. A utilization review plan should be developed with the advice of the professional personnel responsible for the establishment and enforcement of patient care policies. [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. [(2)](b)All electrical equipment shall be calibrated according tothemanufacturers directions and shall be[periodically]servicedperiodicallyas part of a preventive maintenance program. B. (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. (3)Audiologist means an individual who holds a Maryland license issued by the State Board of Audiologists, Hearing Aid Dealers, and Speech-Language Pathologists. 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. 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). (1) A nursing home shall develop policies and procedures to ensure that a resident or, if the resident lacks the capacity, the residents family or other individual accompanying the resident is informed, both orally and in writing, on how the resident shall safely and correctly take the residents medications during a short-term leave of absence of 24 hours or less. (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. (f) The system provided in laundries may not allow the spread of airborne contaminants to other parts of the nursing home that are occupied by residents, staff not working in the laundry, and the general public. The Department in these cases may require additional space to be provided. (1)Medical records shall be retained for a period of[not less than]at least5 years from the date of discharge or, in the case of a minor, 3 years after the[patient]residentbecomes of age or 5 years, whichever is longer. (4) 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (Centers for Disease Control and Prevention (CDC), Healthcare Infection Control Practices Advisory Committee (HIPAC), 2007). Standardized recipes adjusted to appropriate yield shall be followed. A bodyholdingroom shall be located to facilitate quiet and unobtrusive ingress and egress of bodies, convenient to the elevator and with an isolated exit. The[facility]nursing homeshall provide[for a]: (1)Aprogram of structured and unstructured activities[,]; and. (3) The nursing home shall provide additional information upon request. [E.]I. (4) A call system shall be provided in eachpatients toilet room,bathroom, andshower stallin locationseasilyaccessible to thepatients. (ii) Passed the national accreditation examination for accredited record technicians. (1)Within 2 weeks of[the]referral to specialized rehabilitative services, the rehabilitation team members shall provide[to]the attending physicianwitha written report of the evaluation, including goals and progress of the[patient]resident. Human Service Worker. mbon.nets@maryland.gov, National Human Trafficking Hotline - 24/7 Confidential. In laundries in new facilities there shall be a physical separation between the clean and soil areas. (2)Nurses andsupportpersonnel shall be chosen for their training, experience,and ability. Inexistingfacilities service areas shall be provided forpatientcareitems which are acceptable tothe Department.]. (1) Adequate equipment for preparation, serving, and distribution of food shall be provided[;]. B. Food Service Department. (b) Who require medical services and nursing services rendered by or under the supervision of a licensed nurse together with convalescent, restorative, or rehabilitative services. Reporting Decision Tool: When Do I Report to State Agency and Law Enforcement? (26) Health officer means the health officer or the designated representative in each of the 23 counties and the Commissioner of Health in Baltimore City. Before or at admission, a contract shall be executed by the administrator and[patient]resident,guardian, or responsible agency which is consistent with the requirements of Health-General Article, 19-344, Annotated Code of Maryland, Rights of Individuals. (a) Resident Care, Treatment, Diagnostic. (a) Identify an emergency and disaster planning liaison for the nursing home; and. [The location of thefood serviceareshall be approved by the Department. All rights reserved. [(5)](6)Pest Control. Boiler rooms shall be provided with sufficient outdoor air to maintain combustion rates of equipment and to limit temperatures in working stations to 97F or 36C. (3) The vendor providing the food shall have a valid food service permit. We're available on the following channels. The following requirements shall bemet:]Distributions. Investigators who are mental health providers licensed under the Health Occupations Article have a statutory duty to warn of a patients threats to inflict imminent physical harm upon specific victims. (2) Working hours shall be scheduled to ensure that the[dietetic]nutritionalneeds of the[patients]residentsare met. D.Humidity. B. You may be trying to access this site from a secured browser on the server. (9) The committee shall establish the contents of sealed emergency drug kits. In new construction, facilityshall provide a lobby area. (2) The duty described under this section is deemed to have been discharged if the mental health care provider or administrator makes reasonable and timely efforts t. (i) Seek civil commitment of the patient; (ii) Formulate a diagnostic impression and establish and undertake a documented treatment plan calculated to eliminate the possibility that the patient will carry out the threat; or. The kitchen may not be used for any purpose other than the preparation of food. Yes. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. Copyright Maryland.gov. (b) Food Preparation Areas and Laundries. (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.

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