Code of Maryland Nursing Home Regulations Index

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=160 BGCOLOR="#006699" TEXT="#080000" background="16d00a03.jpg"> <div> <I><B>V</B></I><FONT SIZE="6" COLOR="#000080" FACE="Verdana" ><I><B>oices</B></I></FONT><FONT SIZE="6" COLOR="#000080" FACE="TimesRoman" ><I><B> </B></I></FONT><FONT SIZE="5" COLOR="#000080" FACE="Verdana" ><I><B>for Quality Care (LTC), Inc.</B></I></FONT></div> <bR> <div> <B>P.O. Box 2251, Leonardtown, MD 20650</B></div> <div> <B>1-888-600-2375</B></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="178cae83.jpg"> <div> <B> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="177" BORDERCOLORLIGHT="#000099" BORDERCOLORDARK="#000099" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 640 WIDTH="165"><div> <B>Website Navigation Panel</B></div> <div> Click on the text below to go to other pages in our website<FONT SIZE="2" COLOR="#000000" FACE="Arial" ><B>.</B></FONT></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="Voices for Quality Care"><U><B>Home</B></U></A></div> <div> <A HREF="id45.htm" TARGET="_top" TITLE="About Voices"><U><B>About Voices</B></U></A></div> <div> <A HREF="id59.htm" TARGET="_top" TITLE="Culture Change"><U><B>Culture Change</B></U></A></div> <div> <A HREF="id72.htm" TARGET="_top" TITLE="Beth Bakers Book"><U><B>Beth Baker's Book</B></U></A></div> <div> <A HREF="id49.htm" TARGET="_top" TITLE="Nursing Home Staffing in Maryland"><U><B>Nursing Home Staffing in Maryland</B></U></A></div> <div> <A HREF="id48.htm" TARGET="_top" TITLE="Washington,DC Nursing Home Data"><U><B>Washington, DC Nursing Home Data</B></U></A></div> <div> <A HREF="id180.htm" TARGET="_top" TITLE="Star Ratings"><U><B>Nursing Home Star Ratings</B></U></A></div> <div> <A HREF="id56.htm" TARGET="_top" TITLE="Laws and Regulations"><U><B>Laws and Regulations</B></U></A></div> <div> <A HREF="id47.htm" TARGET="_top" TITLE="Related Websites"><U><B>Related Websites</B></U></A></div> <div> <A HREF="id43.htm" TARGET="_top" TITLE="Contact Us"><U><B>Contact Us</B></U></A></div> <div> <A HREF="id46.htm" TARGET="_top" TITLE="Membership Application"><U><B>Membership Application</B></U></A></div> <div> <A HREF="id53.htm" TARGET="_top" TITLE="Directions to Our Meetings"><U><B>Directions to Our Meetings</B></U></A></div> <div> <A HREF="id52.htm" TARGET="_top" TITLE="Voices ByLaws"><U><B>Voices ByLaws</B></U></A></div> <div> <A HREF="id54.htm" TARGET="_top" TITLE="Terms of Service"><U><B>Terms of Service</B></U></A></div> <div> <A HREF="id55.htm" TARGET="_top" TITLE="Privacy Policy"><U><B>Privacy Policy</B></U></A></div> <div> <A HREF="id176.htm" TARGET="_top" TITLE="Maryland Ombudsman Program"><U><B>MD Ombudman Program</B></U></A></div> <div> <A HREF="id178.htm" TARGET="_top" TITLE="Assisted Living Choices"><U><B>Assisted Living Choices</B></U></A></div> <div> <A HREF="id181.htm" TARGET="_top" TITLE="FamilyCouncil"><U><B>Family Councils</B></U></A></div> <div> <A HREF="id76.htm" TARGET="_top" TITLE="Donation"><U><B>Donate to Voices</B></U></A></div> </tD> </tR> </TABLE></B></div> <bR> </td> <td valign="top" height=320 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <B>COMAR (Code of Maryland Regulations)</B></div> <div> <B>Nursing Home Regulations Index</B></div> <bR> <div> <B>10.07.02.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 07 HOSPITALS Chapter 02 Comprehensive Care Facilities and Extended Care Facilities Authority: Health-General Article, §19-308, 19-308.1, 19-323, and 19-329, Annotated Code of Maryland Preface </B></div> <bR> <div> <A HREF="id152.htm" TARGET="_top" TITLE="10.07.02.01"><U><B>10.07.02.01. Definitions</B></U></A></div> <bR> <div> <A HREF="id151.htm" TARGET="_top" TITLE="10.07.02.011"><U><B>10.07.02.01-1. Incorporation by Reference </B></U></A></div> <bR> <div> <A HREF="id153.htm" TARGET="_top" TITLE="10.07.02.02"><U><B>10.07.02.02. License Required</B></U></A></div> <bR> <div> <A HREF="id154.htm" TARGET="_top" TITLE="10.07.02.03"><U><B>10.07.02.03. Licensing Procedure</B></U></A></div> <bR> <div> <A HREF="id165.htm" TARGET="_top" TITLE="10.07.02.031"><U><B>10.07.02.03-1. Licensed Bed Capacity</B></U></A></div> <bR> <div> <A HREF="id155.htm" TARGET="_top" TITLE="10.07.02.04"><U><B>10.07.02.04. Rights of Applicant if License Denied or Revoked</B></U></A></div> <bR> <div> <A HREF="id156.htm" TARGET="_top" TITLE="10.07.02.05"><U><B>10.07.02.05. Inspection by Secretary of Health and Mental Hygiene</B></U></A></div> <bR> <div> <A HREF="id157.htm" TARGET="_top" TITLE="10.07.02.06"><U><B>10.07.02.06. New Construction, Conversion, Alteration, or Addition</B></U></A></div> <bR> <div> <A HREF="id78.htm" TARGET="_top" TITLE="10.07.02.07"><U><B>10.07.02.07. Administration and Resident Care</B></U></A></div> <div> <A HREF="id78.htm" TARGET="_top" TITLE="10.07.02.07"><U><B>…The administrator shall be responsible for the implementation and enforcement of all provisions of the Patient's Bill of Rights Regulations under COMAR 10.07.09.B. Delegation to Administrator, etc.</B></U></A></div> <bR> <div> <A HREF="id166.htm" TARGET="_top" TITLE="10.07.02.071"><U><B>10.07.02.07-1. Employee Training on Cognitive Impairment and Mental Illness</B></U></A></div> <bR> <div> <A HREF="id80.htm" TARGET="_top" TITLE="10.07.02.08"><U><B>10.07.02.08. Admission and Discharge</B></U></A></div> <bR> <div> <A HREF="id79.htm" TARGET="_top" TITLE="10.07.02.081"><U><B>10.07.02.08-1. Resident's Representative</B></U></A></div> <bR> <div> <A HREF="id81.htm" TARGET="_top" TITLE="10.07.02.09"><U><B>10.07.02.09. Resident Care Policies</B></U></A></div> <bR> <div> <A HREF="id82.htm" TARGET="_top" TITLE="10.07.02.10"><U><B>10.07.02.10. Physician Services</B></U></A></div> <bR> <div> <A HREF="id83.htm" TARGET="_top" TITLE="10.07.02.11"><U><B>10.07.02.11. Medical Director Qualifications</B></U></A></div> <bR> <div> <A HREF="id84.htm" TARGET="_top" TITLE="10.07.02.11.1"><U><B>10.07.02.11-1. Medical Director Responsibilities</B></U></A></div> <bR> <div> <A HREF="id85.htm" TARGET="_top" TITLE="10.07.02.112"><U><B>10.07.02.11-2. Facility's Responsibilities in Relation to the Facility's Medical Director</B></U></A></div> <bR> <div> <A HREF="id86.htm" TARGET="_top" TITLE="10.07.02.12"><U><B>10.07.02.12. Nursing Services</B></U></A></div> <bR> <div> <A HREF="id87.htm" TARGET="_top" TITLE="10.07.02.13"><U><B>10.07.02.13. Dietetic Services</B></U></A></div> <bR> <div> <A HREF="id88.htm" TARGET="_top" TITLE="10.07.02.14"><U><B>10.07.02.</B></U></A><A HREF="id88.htm" TARGET="_top" TITLE="10.07.02.14"><U><B>14. Specialized Rehabilitative Services- Occupational Therapy Services, Physical Therapy Services, Speech Pathology and Audiology Services.A. Rehabilitative Services - Admission Policies</B></U></A></div> <bR> <div> <A HREF="id167.htm" TARGET="_top" TITLE="10.07.02.141"><U><B>10.07.02.14-1. Special Care Units-General</B></U></A></div> <bR> <div> <A HREF="id168.htm" TARGET="_top" TITLE="10.07.02.142"><U><B>10.07.02.14-2. Special Care Units-Respiratory Care Unit</B></U></A></div> <bR> <div> <A HREF="id169.htm" TARGET="_top" TITLE="10.07.02.15"><U><B>10.07.02.15. Pharmaceutical Services</B></U></A></div> <div> <A HREF="id169.htm" TARGET="_top" TITLE="10.07.02.15"><U><B>     Includes prohibiting residents from taking their own medications with them on short outings from the nursing home as well as restrictions that severely limit the right of nursing home residents to choose their own pharmacies.</B></U></A></div> <bR> <div> <A HREF="id90.htm" TARGET="_top" TITLE="10.07.02.16"><U><B>10.07.02.16. Laboratory and Radiologic Services </B></U></A></div> <bR> <div> <A HREF="id91.htm" TARGET="_top" TITLE="10.07.02.17"><U><B>10.07.02.17. Dental Services</B></U></A></div> <bR> <div> <A HREF="id92.htm" TARGET="_top" TITLE="10.07.02.18"><U><B>10.07.02.18. Social Work Services</B></U></A></div> <bR> <div> <A HREF="id93.htm" TARGET="_top" TITLE="10.07.02.19"><U><B>10.07.02.19. Patient Activities</B></U></A></div> <bR> <div> <A HREF="id94.htm" TARGET="_top" TITLE="10.07.02.20"><U><B>10.07.02.20. Clinical Records</B></U></A></div> <bR> <div> <A HREF="id95.htm" TARGET="_top" TITLE="10.07.02.21"><U><B>10.07.02.21. Infection Control Program</B></U></A></div> <bR> <div> <A HREF="id170.htm" TARGET="_top" TITLE="10.07.02.211"><U><B>10.07.02.21-1. Employee Health Program</B></U></A></div> <bR> <div> <A HREF="id171.htm" TARGET="_top" TITLE="10.07.02.212"><U><B>10.07.02.21-2. Resident Health Program</B></U></A></div> <bR> <div> <A HREF="id172.htm" TARGET="_top" TITLE="10.07.02.213"><U><B>10.07.02.21-3. Volunteer Health Program</B></U></A></div> <bR> <div> <A HREF="id173.htm" TARGET="_top" TITLE="10.07.02.214"><U><B>10.07.02.21-4. Infection Control - Standard Precautions</B></U></A></div> <bR> <div> <A HREF="id96.htm" TARGET="_top" TITLE="10.07.02.22"><U><B>10.07.02.22. Reports and Action Required in Unusual Circumstances </B></U></A></div> <bR> <div> <A HREF="id97.htm" TARGET="_top" TITLE="10.07.02.23"><U><B>10.07.02.23. Transfer Agreement</B></U></A></div> <bR> <div> <A HREF="id98.htm" TARGET="_top" TITLE="10.07.02.24"><U><B>10.07.02.24. Disaster Plan</B></U></A></div> <bR> <div> <A HREF="id158.htm" TARGET="_top" TITLE="10.07.02.25"><U><B>10.07.02.25. Location and Communication</B></U></A></div> <bR> <div> <A HREF="id174.htm" TARGET="_top" TITLE="10.07.02.26"><U><B>10.07.02.26. Physical Plant General Requirements</B></U></A></div> <bR> <div> <A HREF="id100.htm" TARGET="_top" TITLE="10.07.02.27"><U><B>10.07.02.27. Nursing Care Unit</B></U></A></div> <bR> <div> <A HREF="id101.htm" TARGET="_top" TITLE="10.07.02.28"><U><B>10.07.02.28. Resident Bedroom and Toilet Facilities</B></U></A></div> <bR> <div> <A HREF="id102.htm" TARGET="_top" TITLE="10.07.02.29"><U><B>10.07.02.29. Equipment and Supplies for Bedside Care</B></U></A></div> <bR> <div> <A HREF="id103.htm" TARGET="_top" TITLE="10.07.02.30"><U><B>10.07.02.30. Rehabilitation Facilities - Space and Equipment</B></U></A></div> <bR> <div> <A HREF="id104.htm" TARGET="_top" TITLE="10.07.02.31"><U><B>10.07.02.31. Dayroom and Dining Area</B></U></A></div> <bR> <div> <A HREF="id105.htm" TARGET="_top" TITLE="10.07.02.32"><U><B>10.07.02.32. Dietetic Service Area</B></U></A></div> <bR> <div> <A HREF="id159.htm" TARGET="_top" TITLE="10.07.02.33"><U><B>10.07.02.33. Administrative Areas</B></U></A></div> <bR> <div> <A HREF="id160.htm" TARGET="_top" TITLE="10.07.02.34"><U><B>10.07.02.34. Housekeeping Services, Pest Control, and Laundry</B></U></A></div> <bR> <div> <A HREF="id161.htm" TARGET="_top" TITLE="10.07.02.35"><U><B>10.07.02.35. Resident Care Management System</B></U></A></div> <bR> <div> <A HREF="id106.htm" TARGET="_top" TITLE="10.07.02.36"><U><B>10.07.02.36. Resident Status Assessment</B></U></A></div> <bR> <div> <A HREF="id107.htm" TARGET="_top" TITLE="10.07.02.37"><U><B>10.07.02.37. Care Planning</B></U></A></div> <bR> <div> <A HREF="id108.htm" TARGET="_top" TITLE="10.07.02.38"><U><B>10.07.02.38. Special Skin Record</B></U></A></div> <bR> <div> <A HREF="id109.htm" TARGET="_top" TITLE="10.07.02.39"><U><B>10.07.02.39. Geriatric Nursing Assistant Program</B></U></A></div> <bR> <div> <A HREF="id110.htm" TARGET="_top" TITLE="10.07.02.40"><U><B>10.07.02.40. Curriculum for the Geriatric Nursing Assistant Program</B></U></A></div> <bR> <div> <A HREF="id111.htm" TARGET="_top" TITLE="10.07.02.41"><U><B>10.07.02.41. Paid Feeding Assistants</B></U></A></div> <bR> <div> <A HREF="id112.htm" TARGET="_top" TITLE="10.07.02.42"><U><B>10.07.02.42. Geriatric Nursing Assistant Program - </B></U></A><A HREF="id112.htm" TARGET="_top" TITLE="10.07.02.42"><U><B>Competency Evaluation and Registry</B></U></A></div> <bR> <div> <A HREF="id113.htm" TARGET="_top" TITLE="10.07.02.43"><U><B>10.07.02.43. Medicine Aide - Scope of Responsibility </B></U></A></div> <bR> <div> <A HREF="id114.htm" TARGET="_top" TITLE="10.07.02.44"><U><B>10.07.02.44. Medicine Aide Course Requirements</B></U></A></div> <bR> <div> <A HREF="id115.htm" TARGET="_top" TITLE="10.07.02.45"><U><B>10.07.02.45. Quality Assurance Program</B></U></A></div> <bR> <div> <A HREF="id116.htm" TARGET="_top" TITLE="10.07.02.46"><U><B>10.07.02.46. Quality Assurance Plan</B></U></A></div> <bR> <div> <A HREF="id117.htm" TARGET="_top" TITLE="10.07.02.47"><U><B>10.07.02.47. Relocation of Residents</B></U></A></div> <bR> <div> <A HREF="id118.htm" TARGET="_top" TITLE="10.07.02.48"><U><B>10.07.02.48. Posting of Staffing</B></U></A></div> <bR> <div> <A HREF="id119.htm" TARGET="_top" TITLE="10.07.02.49"><U><B>10.07.02.49. Sanctions</B></U></A></div> <bR> <div> <A HREF="id120.htm" TARGET="_top" TITLE="10.07.02.50"><U><B>10.07.02.50. Mandated Staffing Pattern</B></U></A></div> <bR> <div> <A HREF="id121.htm" TARGET="_top" TITLE="10.07.02.51"><U><B>10.07.02.51. Civil Money Penalties - Imposition</B></U></A></div> <bR> <div> <A HREF="id122.htm" TARGET="_top" TITLE="10.07.02.52"><U><B>10.07.02.52. Civil Money Penalties - Amount of Penalty</B></U></A></div> <bR> <div> <A HREF="id123.htm" TARGET="_top" TITLE="10.07.02.53"><U><B>10.07.02.53. Civil Money Pe</B></U></A><A HREF="id123.htm" TARGET="_top" TITLE="10.07.02.53"><U><B>nalties - Effective Date and Duration of Penalty</B></U></A></div> <bR> <div> <A HREF="id124.htm" TARGET="_top" TITLE="10.07.02.54"><U><B>10.07.02.54. Civil Money Penalties - Payment of Penalty/Establishment of Escrow Account</B></U></A></div> <bR> <div> <A HREF="id125.htm" TARGET="_top" TITLE="10.07.02.55"><U><B>10.07.02.55. Civil Money Penalties - Hearings</B></U></A></div> <bR> <div> <A HREF="id175.htm" TARGET="_top" TITLE="10.07.02.56"><U><B>10.07.02.56. Criminal Penalties</B></U></A></div> <bR> <div> <A HREF="id126.htm" TARGET="_top" TITLE="10.07.02.57"><U><B>10.07.02.57. Emergency Suspension</B></U></A></div> <bR> <div> <A HREF="id127.htm" TARGET="_top" TITLE="10.07.02.58"><U><B>10.07.02.58. Denial or Revocation of License</B></U></A></div> <bR> <div> <A HREF="id128.htm" TARGET="_top" TITLE="10.07.02.59"><U><B>10.07.02.59. Hearings</B></U></A></div> <bR> <div> <A HREF="id129.htm" TARGET="_top" TITLE="10.07.02.60"><U><B>10.07.02.60. Health Care Quality Account</B></U></A></div> <bR> <div> <A HREF="id130.htm" TARGET="_top" TITLE="10.07.02.9999"><U><B>10.07.02.9999. Administrative History Effective date: June 30, 1978 (5:13 Md. R. 1053). This chapter is a compilation and revision of prior regulations contained in COMAR 10.07.02, Nursing Homes - Extended Care, and COMAR 10.07.05, Intermediate Care Facilities - Long-term Care (Type A) COMAR 10.07.02 was effective January 1, 1967; amended effective March 27, 1973 and April 16, 1975 (2:8 Md. R. 565) COMAR 10.07.05 was effective July 1, 1969 and amended effective MRegulation .01B amended e</B></U></A></div> <bR> <div> <B>10.07.09.00. Title 10 </B><B>DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 07 HOSPITALS Chapter 09 Residents' Bill of Rights: Comprehensive Care Facilities and Extended Care Facilities Authority: Health-General Article, §19-343¯19-347 and 19-349¯19-352, Annotated Code of Maryland</B></div> <bR> <div> <A HREF="id131.htm" TARGET="_top" TITLE="10.07.09.01"><U><B>10.07.09.01.  Scope </B></U></A></div> <bR> <div> <A HREF="id132.htm" TARGET="_top" TITLE="10.07.09.02"><U><B>10.07.09.02. Definitions </B></U></A></div> <bR> <div> <A HREF="id133.htm" TARGET="_top" TITLE="10.07.09.03"><U><B>10.07.09.03. Resident's Representative</B></U></A></div> <bR> <div> <A HREF="id134.htm" TARGET="_top" TITLE="10.07.09.04"><U><B>10.07.09.04. Admission Procedures and Requirements</B></U></A></div> <bR> <div> <A HREF="id135.htm" TARGET="_top" TITLE="10.07.09.05"><U><B>10.07.09.05. Admission Prohibitions</B></U></A></div> <bR> <div> <A HREF="id136.htm" TARGET="_top" TITLE="10.07.09.06"><U><B>10.07.09.06. Admission Contract Required</B></U></A></div> <bR> <div> <A HREF="id137.htm" TARGET="_top" TITLE="10.07.09.07"><U><B>10.07.09.07. Third-Party Signature on Admission Contract</B></U></A></div> <bR> <div> <A HREF="id138.htm" TARGET="_top" TITLE="10.07.09.08"><U><B>10.07.09.08. Resident's Rights and Services</B></U></A></div> <bR> <div> <A HREF="id139.htm" TARGET="_top" TITLE="10.07.09.09"><U><B>10.07.09.09. Implementation of Residents' Bill of Rights</B></U></A></div> <bR> <div> <A HREF="id140.htm" TARGET="_top" TITLE="10.07.09.10"><U><B>10.07.09.10. Resident Transfers and Discharges</B></U></A></div> <bR> <div> <A HREF="id141.htm" TARGET="_top" TITLE="10.07.09.11"><U><B>10.07.09.11. Involuntary Discharge or Transfer of a Resident</B></U></A></div> <bR> <div> <A HREF="id142.htm" TARGET="_top" TITLE="10.07.09.12"><U><B>10.07.09.12. Resident Relocation and Bed Hold</B></U></A></div> <bR> <div> <A HREF="id143.htm" TARGET="_top" TITLE="10.07.09.13"><U><B>10.07.09.13. Hearings for Transfers and Discharges</B></U></A></div> <bR> <div> <A HREF="id144.htm" TARGET="_top" TITLE="10.07.09.14"><U><B>10.07.09.14. Physical and Chemical Restraints</B></U></A></div> <bR> <div> <A HREF="id145.htm" TARGET="_top" TITLE="10.07.09.15"><U><B>10.07.09.15. Abuse of Residents</B></U></A></div> <bR> <div> <A HREF="id146.htm" TARGET="_top" TITLE="10.07.09.16"><U><B>10.07.09.16. Complaint Procedure</B></U></A></div> <bR> <div> <A HREF="id147.htm" TARGET="_top" TITLE="10.07.09.17"><U><B>10.07.09.17. Personal Property of Residents</B></U></A></div> <bR> <div> <A HREF="id148.htm" TARGET="_top" TITLE="10.07.09.18"><U><B>10.07.09.18. Protection of a Resident's Personal Funds</B></U></A></div> <bR> <div> <A HREF="id164.htm" TARGET="_top" TITLE="10.07.09.19"><U><B>10.07.09.19. Records of Resident Personal Funds</B></U></A></div> <bR> <div> <A HREF="id149.htm" TARGET="_top" TITLE="10.07.09.20"><U><B>10.07.09.20. Misuse of Resident's Funds</B></U></A></div> <bR> <div> <A HREF="id150.htm" TARGET="_top" TITLE="10.07.09.9999"><U><B>10.07.09.9999. Administrative History Effective date: December 30, </B></U></A><A HREF="id150.htm" TARGET="_top" TITLE="10.07.09.9999"><U><B>1977 (4:27 Md. R. 2107). Regulations .01 - 03 amended effective December 16, 1985 (12:25 Md. R. 2472). Regulation .02K and .03K adopted effective August 30, 1982 (9:17 Md. R. 1708). Regulation .03C amended effective August 30, 1982 (9:17 Md. R. 1708)  - . Regulations .01 - 03 under COMAR 10.07.09 Patients' Bill of Rights: Comprehensive Care Facilities and Extended Care Facilities repealed and new Regulations .01 - 20 under COMAR 10</B></U></A></div> <bR> <div> <B> </B></div> <bR> </td> </tr></table></body>