COMAR (Code of Maryland Regulations)

Nursing Home Regulations Index

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

10.07.02.01. Definitions

10.07.02.01-1. Incorporation by Reference

10.07.02.02. License Required

10.07.02.03. Licensing Procedure

10.07.02.03-1. Licensed Bed Capacity

10.07.02.04. Rights of Applicant if License Denied or Revoked

10.07.02.05. Inspection by Secretary of Health and Mental Hygiene

10.07.02.06. New Construction, Conversion, Alteration, or Addition

10.07.02.07. Administration and Resident Care

…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.

10.07.02.07-1. Employee Training on Cognitive Impairment and Mental Illness

10.07.02.08. Admission and Discharge

10.07.02.08-1. Resident's Representative

10.07.02.09. Resident Care Policies

10.07.02.10. Physician Services

10.07.02.11. Medical Director Qualifications

10.07.02.11-1. Medical Director Responsibilities

10.07.02.11-2. Facility's Responsibilities in Relation to the Facility's Medical Director

10.07.02.12. Nursing Services

10.07.02.13. Dietetic Services

10.07.02.14. Specialized Rehabilitative Services- Occupational Therapy Services, Physical Therapy Services, Speech Pathology and Audiology Services.A. Rehabilitative Services - Admission Policies

10.07.02.14-1. Special Care Units-General

10.07.02.14-2. Special Care Units-Respiratory Care Unit

10.07.02.15. Pharmaceutical Services

     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.

10.07.02.16. Laboratory and Radiologic Services

10.07.02.17. Dental Services

10.07.02.18. Social Work Services

10.07.02.19. Patient Activities

10.07.02.20. Clinical Records

10.07.02.21. Infection Control Program

10.07.02.21-1. Employee Health Program

10.07.02.21-2. Resident Health Program

10.07.02.21-3. Volunteer Health Program

10.07.02.21-4. Infection Control - Standard Precautions

10.07.02.22. Reports and Action Required in Unusual Circumstances

10.07.02.23. Transfer Agreement

10.07.02.24. Disaster Plan

10.07.02.25. Location and Communication

10.07.02.26. Physical Plant General Requirements

10.07.02.27. Nursing Care Unit

10.07.02.28. Resident Bedroom and Toilet Facilities

10.07.02.29. Equipment and Supplies for Bedside Care

10.07.02.30. Rehabilitation Facilities - Space and Equipment

10.07.02.31. Dayroom and Dining Area

10.07.02.32. Dietetic Service Area

10.07.02.33. Administrative Areas

10.07.02.34. Housekeeping Services, Pest Control, and Laundry

10.07.02.35. Resident Care Management System

10.07.02.36. Resident Status Assessment

10.07.02.37. Care Planning

10.07.02.38. Special Skin Record

10.07.02.39. Geriatric Nursing Assistant Program

10.07.02.40. Curriculum for the Geriatric Nursing Assistant Program

10.07.02.41. Paid Feeding Assistants

10.07.02.42. Geriatric Nursing Assistant Program - Competency Evaluation and Registry

10.07.02.43. Medicine Aide - Scope of Responsibility

10.07.02.44. Medicine Aide Course Requirements

10.07.02.45. Quality Assurance Program

10.07.02.46. Quality Assurance Plan

10.07.02.47. Relocation of Residents

10.07.02.48. Posting of Staffing

10.07.02.49. Sanctions

10.07.02.50. Mandated Staffing Pattern

10.07.02.51. Civil Money Penalties - Imposition

10.07.02.52. Civil Money Penalties - Amount of Penalty

10.07.02.53. Civil Money Penalties - Effective Date and Duration of Penalty

10.07.02.54. Civil Money Penalties - Payment of Penalty/Establishment of Escrow Account

10.07.02.55. Civil Money Penalties - Hearings

10.07.02.56. Criminal Penalties

10.07.02.57. Emergency Suspension

10.07.02.58. Denial or Revocation of License

10.07.02.59. Hearings

10.07.02.60. Health Care Quality Account

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

10.07.09.00. Title 10 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

10.07.09.01.  Scope

10.07.09.02. Definitions

10.07.09.03. Resident's Representative

10.07.09.04. Admission Procedures and Requirements

10.07.09.05. Admission Prohibitions

10.07.09.06. Admission Contract Required

10.07.09.07. Third-Party Signature on Admission Contract

10.07.09.08. Resident's Rights and Services

10.07.09.09. Implementation of Residents' Bill of Rights

10.07.09.10. Resident Transfers and Discharges

10.07.09.11. Involuntary Discharge or Transfer of a Resident

10.07.09.12. Resident Relocation and Bed Hold

10.07.09.13. Hearings for Transfers and Discharges

10.07.09.14. Physical and Chemical Restraints

10.07.09.15. Abuse of Residents

10.07.09.16. Complaint Procedure

10.07.09.17. Personal Property of Residents

10.07.09.18. Protection of a Resident's Personal Funds

10.07.09.19. Records of Resident Personal Funds

10.07.09.20. Misuse of Resident's Funds

10.07.09.9999. Administrative History Effective date: December 30, 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