B. New York State Licensed Professions. (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. [(3)](4)Aisle space between working areas shall be at least 3 feet[;], andaisle space formain traffic shall be at least 5 feetwide. (b) Demonstration of proper feeding skills performed on a resident, (4) Submit the quality assurance plan to the Departments Office of Health Care Quality at the time of, (3) Procedures to take action when there is a change in the residents condition, (b) Changing the residents plan of care as necessary, (1) A description of a complaint process that effectively addresses resident, (a) The designated person or persons and their phone numbers to receive complaints, (c) The time frames for investigating complaints, (b) Interview of the resident, staff, and, (5) A description of the process for notifying, (6) A description of a process for the ongoing evaluation of, (1) Names of the staff members on duty and the room numbers of the residents, A. 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. National Human Trafficking Hotline - 24/7 Confidential. (d) Be protected to prevent the entry and harborage of rodents and insects; (i) Screen doors that fit tightly when closed; (ii) Easily adjusted closely fitted window screens; (f) Effectively protect all openings to the outside against the entry of insects by: [C. Laundries-New Facilities. Upon successful completion of the curriculum, the graduate is granted the AS in nursing and is eligible to take the state board examination for registered nurse licensure. [Comprehensive care facilities or extended care facilities]A nursing homelicensed under this regulation may not usethe word hospitalin[their]itstitle[the word Hospital]. (5) All members of the committee shall review revisions of policies and procedures before implementing any changes. board and train for aggressive dogs; poundland pencil case; June 14, 2022 / / patron saint of those in mortal danger Standardized recipes are those recipes which have been tested by the[facility]nursing homeor another source[which assureconsistency in]and that ensureconsistentquality and quantity. (1) A nursing home shall providea separate room or rooms[shall be provided]for the administrator andadministrative supportstaff. (b) Fire and smoke dampers shall be constructed, located, and installed in accordance with the requirements of NFPA 101 Life Safety Code. media; projects; press; contact; slider. The director of a medical laboratory defined at Health-Gen 17-201(b)(1) as any facility, entity, or site that offers or performs tests or examinations in connection with the diagnosis and control of human diseases or the assessment of human health, nutritional, or medical conditions . Currently there is an estimated $11,000 salary differential between the salary of a non-licensed employee performing social work services and a licensed social work employee. H. Transfusion Services. Nursing homes that employ an individual on or before January 1, 2021 shall be exempt from the license requirement. The minimum requirements are: D. Call SystemExisting Facilities. Order forms can be downloaded from the, 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee, Division ofState Documents' Maryland Department of HealthPublications, FAQ: End Stage Renal Disease (ESRD) Setting, Frequently Asked Questions regarding activities of the Registered Nurse, Case Manager/Delegating Nurses (RN CM/DN) in Assisted Living, Frequently Asked Questions Developmental Disabilities (DD) Practice Setting, Delegation of Nursing Functions in Dialysis Settings. [(f)](g)[Sufficient]A nursing care unit shall have sufficientspace and equipment for medical records[which enables]so thatpersonnel[to]canfunction[in an effective manner]effectivelyand[to]maintaineasily accessiblerecords on all[patientsso they are easily accessible]residents. In all instances sufficient consultation shall be provided to fulfill all required responsibilities. (2)There shall beat leastone night light in each bedroom forresidents. 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. (19) Distinct part extended care facility means a portion of a nursing home that is licensed as an extended care facility. We're available on the following channels. Agency Note: Supervision should be adequate to prevent patients from intruding into the rooms of other patients. (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. (iv) Personal furnishings that are allowed shall be appropriate for the residents use. (54) Physician assistant has the meaning stated in Health Occupations Article, 15-101(o), Annotated Code of Maryland. Storage and Handling Requirements for . (c) A[party aggrieved by a]person that disagrees with thedecision of the Secretaryto deny a license applicationunder this section[shall have the right to appeal as provided under the authority of Health-General Article, 2-207, Annotated Code of Maryland]may appeal the Secretarys action by filing a request for a hearing in accordance with Regulation .78 of this chapter. 6. ], [Agency Note: It is recommended that the comprehensive care facility arrange for a similar transfer agreement with an extended care facility.]. SS-7, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (6) National Fire Protections Association, NFPA 99 Health Care Facilities Code (2015 Edition); and. The additional cost to hire or contract with a licensed social worker is estimated to be $11,000 annually. (1) New Construction. 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. Advisory Dentist. (4) A call system shall be provided in eachpatients toilet room,bathroom, andshower stallin locationseasilyaccessible to thepatients. (1)[Problems]Residents problemsand needs shall be identified, based upon the interdisciplinary assessment. (2) FurnishingsNew Construction. (a)A distance of at least 3 feet shall be maintained between each bed. Food Service Department. (b) Smoking shall be prohibited at the main entrance to all facilities. This meal represents[no less than]at least20 percent of the days total nutritional requirements. F. Charge Nurses Daily Rounds. Hot water temperatures in laundries shall conform to applicable standards of the International Fabric Care Institute for laundry water supply. A sticker bearing the date of the most current inspection shall be affixed on each piece of equipment. Records for all[patients]residentsshall be maintained in accordance with accepted professional standards and practices. (1)When the director of nursing is absent, the individual shall designate an experienced, qualified registered nurse to direct the nursing service. Login credentials previously used within any NASBA Online Application System cannot be used to register an account within this Licensing System. Temperature. The Department in these cases may require additional space to be provided.]. A. Please turn on JavaScript and try again. (3) An audible signal and a nurses call enunciator indicating the room from which the call originates or an alternate system approved in writing by the Department, shall be located at the nurses station. (4) The pharmacy shall have access to a copy of the written pharmaceutical care policies. mbon.complaintsinvestigations@maryland.gov. (1) An existing nursing home that wishes to convert, alter, modify, or add to the existing infrastructure shall notify the Office of Health Care Quality in writing. (2) After obtaining approval by the Maryland Health Care Commission, the nursing home shall provide written verification of the approval to the Office of Health Care Quality. (5) Adequate numbers of instructors are required to ensure that each trainee is provided effective assistance and supervision which does not endanger the safety of residents. (2) Approval of the pattern by both the residents physician and a licensed registered dietitian. (c) Administrative, Bulk Storage and Soiled. with rehabilitation areas shall provide a, There shall be an allowance of at least 12 square feet per, C. Dayroom Area. (d)Residentsmay not occupy rooms extending below the ground level. Annotated Code of Maryland is a compilation of the statutes enacted by the Maryland Legislature, generally organized by subject (e.g., Public Utility Articles). (1) Although daily rounds are primarily the responsibility of the charge nurse or nurses, the director or assistant director of nursing shall periodically make clinical rounds to nursing units, randomly reviewing clinical records, medication orders, resident care plans, and staff assignments and visiting residents. The janitors closet shall be equipped for, (a) There shall be separate clean and soiled utility rooms in each nursing unit. [C.]E.Registry. The search provides a list of Subtitle Chapters. by the Board of Examiners of Nursing Home Administrators for the State. C.The[facility]nursing homeshall maintain documentation of the discussion between the[facility]nursing homeand the volunteer concerning influenza vaccine and tuberculinskintesting. (1)The[facility]nursing homeshall[inquire about a history of varicella for each new employee. of Legislative Audits operates a toll-free (4)Authorized prescriber has the meaning stated in Health Occupations Article, 12-101, Annotated Code of Maryland. (2) Maintenance and installation may not conflict with other applicable laws, regulations, codes, or ordinances. (c) Bedroom Furniture. The current license shall immediately become void and shall be returned to the Secretary if the: (a) Nursing home is sold, leased, or discontinued; C. Request for Departmental Permission to Exceed Capacity. 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. (3) When the nursing[facility]homerelocates residents, the[facility]nursing homeshall send a[brief]medical fact sheetand any medically related informationwith each resident that includes at a minimum the residents: (e) Special diets or dietary restrictions;[and], (f) Family or legal representative contact information; and. [.21].33InfectionPreventionandControl Program. 3. Please enable JavaScript in your browser. If the physician so orders, patients who have a tendency to wander may be confined to their rooms by screen doors or folding gates. RR-17, Centers for Disease Control and Prevention (CDC), Atlanta, GA); (5) Immunization of Health-Care Personnel: Recommendations of the Advisory Committee on Immunization Practices (ACIP), (MMWR2011; 60 No. The activating device for those signals shall be located in each patients room and each and every bathing compartment and toilet room or compartment used by patients. The administrator shall[be]: (2) Bein good physical and mental health[,];and[shall demonstrate]. 100-07 State Operations Provider Certification,and with RAI instructions in the CMS Long-term Care Facility Resident Assessment Instrument 3.0 Users Manual,except that data may not be[electronically]submittedelectronicallyto the Department. The mandatory reporting law, however, also is applicable to nursing homes and to any of the alternative health systems defined in 1-401 of the Health Occupations Article. (2)The physician may document on the record that[his]thereevaluation may be less frequent but in no case may[his]thereevaluation exceed 60 days. (g) Adequatestoragespace shall be provided in each bedroom to allow eachresident tokeep necessary items of clothing, including items that need to be hung. Services Provided. 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 use of an approved wireless call system shall eliminate the need to install call light indicators outside the residents bedrooms, bathrooms, bathing areas, and therapy areas. (b) An interferon-gamma release assay (IGRA) blood test. (2)The nursing home shall require that employees who are not immune to measles, mumps, rubella, and varicella receive immunization for measles, mumps, rubella, or varicella, unlessmedically contraindicated or against the employees religious beliefs. Maryland Board of Nursing Minimum Requirements. The activating device for those signals shall be located in each patients room and each and every bathing compartment and toilet room or compartment used by patients. Pages - Office of Health Care Quality - Maryland.gov Enterprise Agency (1)[Each facility]A nursing homeshall conduct or arrange a[nurses aide]geriatric nursing assistanttraining program for unlicensed personnel assignedtodirect[patient]residentcare duties. All employees shall be assessed for risk of tuberculosis following guidelines referenced in B of this regulation. Each care unit shall have a nurses station provided with a medicine storage cabinet and preparation counter or table having adequate lighting overhead. Attention - New Law Effective April 1, 2022: Implicit Bias Training Required for License and Certificate Renewal Communica tions from the Board of Nursing Public Board Orders issued after January 1, 2022 are now accessible here. The training on cognitive impairment and mental illness shall be designed to meet the specific needs of the[facilitys]nursing homespopulation as determined by the staff trainer, including the following as appropriate: (3) Behavioral[intervention]interventionsincluding: A. Any hiatus during which the health care provider does not exercise staff privileges or fulfill the duties of employment or a contract is a leave of absence. (3) In an existing structure, the nursing home shall comply with the regulations and building codes effective at the date of construction. Both oral and written reports in a specific form are required, with a copy to the local States Attorney where abuse is suspected. JavaScript is required to use content on this page. The regulations deal only with what must be reported. . A staff memberwho isqualified by experience or training shall be appointed to be responsible for the activities program. (4)In new facilities,the director of nursing and supervisors of[the various services,]dietaryservices, housekeeping, rehabilitationservices, and social services[,]shall be responsible for orienting the new[supportive]supportpersonnel to the[facilitys]nursing homepolicies and procedures and to the physical plant. Thenursing home shall notify theattending physician[shall be notified]promptly of the findings. Current license from Maryland Board of Nursing or Compact State as Registered Nurse (RN). fraud and/or abuse of State government C. The nursing[facility]nursing homeshall establish a quality assurance committee that includes at least: (1)[A]The nursing homedirector of nursing; (4)[A]The nursing homemedical director; (5) A[dietitian]dietitian-nutritionist; and. . hotline in the past has helped to eliminate (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 medical committee, or any other entity within a hospital that makes such decisions, is considered part of the hospital. maryland board of nursing reporting requirements The Maryland Board of Nursing shall approve the geriatric nursing assistant training program curriculum. If the employee refuses to be immunized, the nursing home shall document the refusal and the reason for it. (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. (3) Local Law or Ordinance, Where Applicable. Provider Resources - Maryland 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. Regulations: This office manages and coordinates all aspects of the process of adopting new, amending, or repealing regulations for the Maryland Department of Health (MDH). Oklahoma Board of Nursing 2501 N. Lincoln Blvd., Ste. truthful and transparent services. FAQs | Medical Cannabis Certifying Provider FAQs for PAs & Physicians The frequently asked questions (FAQs) and answers set out here address mandatory reporting by certain entities of occurrences regarding health care providers. In developing these regulations, the Board learned that different hospitals use vastly different terminology to describe similar actions. [Patients]Residentsshall be assisted to obtain routine and emergency dental care. Amber Havensamber.havens@maryland.gov, Compliance Coordinator: mbon.nurselicenserenewal@maryland.gov. certain fraudulent activities and protect Maryland Nursing License Requirements | MD - NursingLicensure.org . 4. (1) A call system that uses wireless pagers or other wireless communication devices may be used as an alternative system. Exceptions may be made in part at the discretion of the Department for an individual facility only when the facility can demonstrate compliance with the intent of this section by showing an effective patient call system to provide quality patient care. truthful and transparent services. B. B. 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. Call systems shall be maintained in a manner that will provide visible and audible signal communication between nursing personnel andpatients. (b) The following shall be considered a minimumallowance of floor space: (i)100 square feet, single-bed room; and. A. Nursing Regulation | NCSBN (2)Existing Facilities. (10) The committee shall oversee the accuracy and adequacy of pharmaceutical services to the nursing home. If you are unable to find the exact regulation, contact the Division of State Documents at: To report Waste, Fraud or Abuse to the Office of Legislative Audits. (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[]. In person purchases can be made at 16 Francis Street - Wineland Building, (1) The[facility]nursing homeshall assess residents for tuberculosis according to the[following guidelines: (a)]Guidelines for Preventing the Transmission of Mycobacterium[Tuberculosis]tuberculosisin Health Care[Facilities; and]Settings. The quality assurance plan shall include: (1) A description of the measurable criteria for ongoing monitoring of all aspects of resident care including: (b) Prevention of[decubitus]pressureulcers, dehydration, and malnutrition; (2) The methodology for[collection of]collectingdata; (3) The methodology for[evaluation]evaluatingand[analysis of]analyzingdata to determine trends and patterns; D. Patient Complaints. There shall be an active program of restorative nursing care aimed at assisting each resident to achieve and maintainthe individualshighest level of independent function, including activities of daily living. In short, any member of the research team who is a licensed health care provider will be covered by the obligation to report child abuse or neglect, while any non-provider member is also obligated to report suspected abuse or neglect of a child.