(20) "Criminal history records check" means a check of criminal history information, as defined in Criminal Procedure Article, 10-201, Annotated Code of Maryland, by the Department of Public Safety and Correctional Services. The assisted living manager shall document in the resident's record this change and the date of notification. 0000000856 00000 n The results show the facilities that have a mandatory vaccination policy for their staff as well as the statewide average. 0000000961 00000 n ^!J@Zc$BX- +FF*1!fN? 0000007067 00000 n Maryland Quality Reporting Your resource for information on the quality and performance of nursing homes, hospitals, hospice, assisted living . (50) "Neglect" means depriving a resident of adequate food, clothing, shelter, supervision, essential medical treatment, or essential rehabilitative therapy. 0000003433 00000 n |eP ?G1Mp)+-6\j,vP]. ur (a) "Physical restraint" means the use of a device or physical action to prevent, suppress, or control head, body, or limb movement, that cannot be readily and easily removed by the resident. 0000007581 00000 n oM:tKY.C'"TZ1,]n=W YzK5] Wh~f}?3F5T%%bMSu | mJ J0WY (53) "Office of Health Care Quality (OHCQ)" means the Office of Health Care Quality of the Maryland Department of Health. The RN, CM/DN is not responsible for signing time cards/time sheets for any A.L. On admittance, the facility must complete the Resident Assessment Tool to determine their care needs and if the resident requires . %PDF-1.5 b`UHR!f/E^+PnucgyZy/v~a JG1na4 7_+C J!YBW#};V^C|Vf")!>%15HWO'~*J@[tysz^@7.rLT'_. CJ-}<3w7|Vk%J3ZT5vn' }Ws #v(_!!d VfYM+X;]^/.ur:7mxB# We're available on the following channels. The assisted living manager shall document in the resident's record this discussion and all individuals who participated in the discussion. 0000003646 00000 n B.The RN, CM/DN checking to assure that all medication boxes have been appropriately signed. (a) A witnessed written document, voluntarily executed by the declarant consistent with the requirements of Health-General Article, Title 5, Subtitle 6, Annotated Code of Maryland; or. (a) "Assisted living program" means a residential or facility-based program that provides housing and supportive services, supervision, personalized assistance, health-related services, or a combination of these services to meet the needs of individuals who are unable to perform, or who need assistance in performing, the activities of daily living or instrumental activities of daily living, in a way that promotes optimum dignity and independence for the individuals. (2) Information on the Resident Assessment Tool shall be based on an examination conducted by a primary physician, certified nurse practitioner, certified registered nurse midwife, registered nurse, or physician assistant who shall certify that the information on the Assessment reflects the resident's current health status. xref (iv) Giving the medication to the resident. .qTE!@9]&lPE$M@.MQT? {7;4 /8B 0000004963 00000 n truthful and transparent services. (42) "Law enforcement agency" means the Maryland State Police or a police agency of a county or municipal corporation. 2 0 obj Regardless of who arranges this, the AL manager must meet the same requirements as everyone else in the medication technician training program. (47) "Medical record" has the meaning stated in Health-General Article, 4-301, Annotated Code of Maryland. theory, simulated medication pass, and the clinical experience of administering medication to an A.L. eF ;OL{0fV9%F;"QYe"q$xU^tMA(rE=jl5pq5DCI%.N8)'M[-kvbc6mYysB~h5A|nzn( m 0000001663 00000 n 0000001220 00000 n <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 0000004750 00000 n Fill the empty areas; engaged parties names, addresses and phone numbers etc. Copyright Maryland.gov. Please enable scripts and reload this page. The RN, CM/DN 45 day nursing assessment is required when a medication technician is performing the delegated nursing function of medication administration. 4 0 obj Id14Y_i0`~wkz2+ Q,. Get Form . %%EOF 2004; 52:1618-25. * 19. <>>> (a) "Cognitive impairment" means the loss of those thought processes that orchestrate relatively simple ideas, movements, or actions into goal-directed behavior. (2) Within 30 days before admission, the assisted living manager or designee shall determine admission eligibilities described in A (1) of this regulation based on completion of a resident assessment using the Resident Assessment Tool as described in B of this regulation. (b) Insured by the Federal Deposit Insurance Corporation. (a) "Significant change of condition" means a shift in a resident's health, functional, or psychosocial conditions that either causes an improvement or deterioration in a resident's condition as described in Appendix A of the Resident Assessment Tool. The tool is a combination of the Mini-Cog, a validated cognitive screen, and the Medication Transfer Screen (MTS), a pillbox skills test. endstream endobj 21 0 obj<> endobj 23 0 obj<> endobj 24 0 obj<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 25 0 obj<> endobj 26 0 obj<> endobj 27 0 obj<> endobj 28 0 obj<> endobj 29 0 obj<> endobj 30 0 obj<> endobj 31 0 obj<> endobj 32 0 obj<> endobj 33 0 obj<> endobj 34 0 obj<>stream (41) "Lavatory" means a basin used to maintain personal cleanliness that has hot and cold running water and sanitary drainage. When a resident is in the facility, a staff member shall be present. of Legislative Audits operates a toll-free 0000009961 00000 n C. Awake Overnight Staff. (a) "Administration of medication" means the act of preparing and giving a medication to a resident. nQt}MA0alSx k&^>0|>_',G! (c) How and by whom the services are to be provided; (2) The service plan is developed within 30 days of admission to the assisted living program; and. endstream endobj 147 0 obj<> endobj 148 0 obj<> endobj 149 0 obj<>stream (30) "Frequent" means occurring or appearing quite often or at close intervals, but not continuously. Assisted Living Assisted Living at Goodwill Retirement Community in Grantsville, Maryland. The RN, CM/DN in assessing the resident and the staff providing care to the resident during the 45 day site visit, must review the MAR which includes but is not limited to: A. SECTION 1. This assessment is provided by the residence and performed by a medical professional. (4) Information on the assessment shall include at a minimum: (a) Recent medical history, including any acute medical conditions or hospitalizations; (b) Significant medical conditions affecting functioning, including the individual's ability for self-care, cognition, physical condition, and behavioral and psychosocial status; (c) Other active and significant chronic or acute medical diagnoses; (d) Known allergies to foods and medications; (e) Medical confirmation that the individual is free from communicable tuberculosis, and other active reportable airborne communicable diseases; (f) Current and other needed medications; (g) Current and other needed treatments and services for medical conditions and related problems; (h) Current nutritional status, including height, weight, risk factors, and deficits; (j) Medically necessary limitations or precautions; and. The RN, CM/DN training is designed to provide the RN with information he/she needs to keep the resident safe, the facility safe and the RN safe and in compliance with all State laws and regulations. }U~'ln. Nursing oversight is different from Delegation of Nursing functions see OHCQS regulations COMAR 10.07.14(.02) (.04F) and (.21) F.). (21) "Delegating nurse" means a registered nurse who: (a) Is licensed to practice registered nursing in this State as defined in Health Occupations Article, Title 10, Annotated Code of Maryland; and. The reason that exams are given is so those applicants who can not do simple math or read English are not admitted or permitted to progress through the medication technician class. (23) "Department" means the Maryland Department of Health. (3) When the delegating nurse determines in the nurse's clinical judgment that the resident does not require a full assessment within 48 hours, the delegating nurse shall: (a) Document the determination and the reasons for the determination in the resident's record; and. {Ar5L+o0'eMlz There are three levels of care: low, moderate, and high. All rights reserved. (59) "Plan of correction" means a written response from the assisted living program that addresses each deficiency cited as a result of an inspection by the Department. Assisted living program means a residential or facility-based program that provides housing and supportive services, supervision, personalized assistance, health-related services, or a combination thereof to meet the needs of residents who are unable to perform, or who need assistance with, ADLs and/or instrumental activities of daily living. 0000002662 00000 n 49, No. (52) "Occasional" means occurring from time to time, on an infrequent or irregular basis, with no particular pattern. (b) The continued appropriateness of a waiver to use an approved electronic monitoring system instead of awake overnight staff. Get access to thousands of forms. Within 30 days before admission, the assisted living manager, or designee, shall collect on the Resident Assessment Tool the following information regarding the current condition of each resident: (1) Level of functioning in activities of daily living; (2) Level of support and intervention needed, including any special equipment and supplies required to compensate for the individual's deficits in activities of daily living; (3) Current physical or psychological symptoms requiring monitoring, support, or other intervention by the assisted living program; (4) Capacity for making personal and health care-related decisions; (5) Presence of disruptive behaviors, or behaviors which present a risk to the health and safety of the resident or others; and. (66) "Resident Assessment Tool" means Maryland's Assisted Living Resident Assessment and Level of Care Scoring Tool that is: (a) Incorporated by reference in Regulation .03 of this chapter; and. * 17. manager should collaborate in this scheduling process. Yes, the RN filling in will need to interact with and direct the activities of the medication technician and/or the CNA and/or the unlicensed person. 12 0 obj <> endobj resources. F. On-site nursing personnel shall work in partnership with the delegating nurse and assisted living program staff to ensure: National Human Trafficking Hotline - 24/7 Confidential. manager and the RN, CM/DN. endobj The Maryland Department of Health (MDH), Office of Health Care Quality (OHCQ) licenses assisted living programs based on level of care provided. (49) "Minimal" means the least amount required to produce the desired result. 0 (43) "License" means a document issued by the Secretary to operate an assisted living program in Maryland. We're available on the following channels. endobj (64) "Resident" means an individual 18 years old or older who requires assisted living services. HOWEVER, the RN, CM/DN is responsible for determining the skill set and competencies needed of personnel who are assigned to provide assistance in care to residents or to actually provide care to dependent residents. A. %%EOF All rights reserved. Therefore this MAR review is absolutely critical to the assessment, monitoring, and functioning of the medication technician. 0000001277 00000 n 20 22 0 (b) "Assisted living program" does not include: (i) A nursing home, as defined under Health-General Article, 19-301, Annotated Code of Maryland; (ii) A State facility, as defined under Health-General Article, 10-101, Annotated Code of Maryland; (iii) A program licensed or approved by the Department under Health-General Article, Title 7 or Title 10, Annotated Code of Maryland; (iv) A hospice care program licensed by the Department under Health-General Article, Title 19, Annotated Code of Maryland; (vi) Services provided by a licensed residential service agency or licensed home health agency in an individual's own home; or. Level of care In Maryland assisted living residences are licensed to provide care to residents based on a level of care. 0000007266 00000 n (b) "Involuntary seclusion" does not mean separating a resident from other residents on a temporary and monitored basis. (c) Determines whether the resident needs awake overnight monitoring. The resident specific waiver is specific to the health and safety needs of that client, and to the resources of the specific facility- including the level of staff available to care for the resident (CNA, medication technician, unlicensed person, LPN or RN). %%EOF (61) "Quality assurance" means a system for maintaining professionally acceptable standards of care by: (a) Identifying opportunities to improve; (b) Studying problems if any, and their root causes; and. OO5'WY>yeg^No1*)/_cZmXCZr%XA8AZikXp (d) With which residents can make local calls free of charge. Please enable scripts and reload this page. %PDF-1.4 % (1) Before admission, the assisted living manager shall ensure that the resident is assessed using the Resident Assessment Tool. If a physician or assessing nurse, in the physician's or nurse's clinical judgment, does not believe that a resident requires awake overnight staff, the physician or assessing nurse shall document the reasons in the area provided in the Resident Assessment Tool. Therefore, if the LPN is administering all the medications, a 45 day RN, CM/DN site visit with assessment is not needed. (a) "Involuntary seclusion" means the separation of a resident from others or from the resident's room against the resident's will or the will of the resident's representative. (18) "Common-use telephone" means a telephone: (c) That is located so that residents can have private conversations; and. (3) When a resident is assessed or reassessed using the Resident Assessment Tool, as provided in Regulation .21A or .26B of this chapter, the physician or assessing nurse shall review and document: (a) The need for awake overnight staff if the resident's previous assessment or review of an assessment indicated awake overnight staff was not necessary at the time; and. 0000004674 00000 n 0000001137 00000 n (b) "Administration of medication" includes: (i) Identifying the time to administer the medication; (iii) Removing the medication from the container; or. (iii) Prevents a resident from precipitating a potential physical problem; (b) That may limit, but does not eliminate, the movement of the resident's head, body, or limbs; and. 03. We also assess the relationship between cohort membership and other hypothesis-driven factors (demographics, cognition, function, and behavior) on recognition and care variables. 0000004446 00000 n customers, and stakeholders with (vii) A Certified Adult Residential Environment Program that is certified by the Department of Human services under Article 88A, 140, Annotated Code of Maryland. (38) "Intensive" means highly concentrated. You may be trying to access this site from a secured browser on the server. 1823 form. D. Resident Requirements for Awake Overnight Staff. yJGex!X,/xV$ [llRVtzA.:lLpdlDbH[` E8?J The assisted living manager, or designee, shall ensure that all services are provided in a manner that respects and enhances the dignity, privacy, and independence of each resident. YX023emT\ )(R0^rB,TECN ~\d)>,*Vn. m}R)2#b?CR # (b) "Physical restraint" does not mean a protective device as defined in this regulation. Please enable JavaScript in your browser. Contact OHCQ, Valerie Richardson RN at 410-402-8185 for more information on how to obtain a resident specific waiver for your specific client. The Resident Assessment Tool is based on the Assisted Living Program regulations (COMAR 10.07.14) and is designed to provide the case manager/delegating nurse and the assisted living manager with the necessary resident-based information to provide or arrange for services that meet the needs of the residents in the assisted living program. )!qY*R':gsiij to provide constituents, businesses, xb```e960900 ilY@Lk D%bn&Vxq'Hl`PJYDg AMd`g`KL@l` ! 20 0 obj <> endobj N')].uJr (77) "Treatment" means medical or psychological management to cure or improve a disease or condition. The licensee shall retain this documentation in the resident's record. 0000004199 00000 n maryland assisted living resident assessment and level of care scoring tool health care physical form maryland health assessment form Create this form in 5 minutes! (ii) Compliance with a valid advance directive. (c) "Administration of medication" does not include residents who have the cognitive ability to recognize their medications but only require assistance such as: (ii) Physical assistance with opening a medication container; or. 12 28 (75) "Staff" means supervisors, assistants, aides, or other employees, including independent contractors retained by an assisted living program, to provide the care and services required by this chapter. 0000011082 00000 n 3 0 obj The RN, CM\DN must obtain the approved final version of the tool from OHCQ. Be sure to obtain the Resident Assessment form from OHCQ. Journal of the American Geriatric Society. (3) If there are alternatives that could safely address the resident's needs, the assisted living manager shall notify the resident and, if appropriate, the resident's legal representative, the delegating nurse, and resident's physician of the change to the order. (1) The resident's service plan shall be based on assessments of the resident's health, function, and psychosocial status using the Resident Assessment Tool. Abby's Assisted Living II 3071 S Rosemary (720) 338-3606 Care provided: Assisted Living, Respite Care Aladdin at Brush Assisted Living 428 Western Ave (970) 842-5463 Care provided: Assisted Living, Respite Care Serene Nature Assisted Living 10987 Luddington Street (818) 253-5989 Care provided: Assisted Living, Respite Care Brookdale Vista Grande (28) "Family council" means a group of individuals who work together to protect the rights of and improve the quality of life of residents of an assisted living program. g ew?H& D. All medication orders are to be entered appropriately on the MAR. 0000000736 00000 n Each assisted living residence is required by law to have the latest inspection results on hand for public inspection. Assisted Living Manager's Assessment Assisted Living Manager's Assessment This form is to be completed by the Assisted Living Manager or their designee. (36) "Informal dispute resolution (IDR)" means an informal process that provides a licensee the opportunity to question the Department about deficiencies cited on a recent inspection. (15) "Certified medication technician" means an individual who is certified as a medication technician by the Maryland Board of Nursing under COMAR 10.39.04.02. (a) "Nursing overview" means a process by which a registered nurse assures that the health and psychosocial needs of the resident are met. * 16.
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