Pages - 10.07.14.21.aspx - 2019-dsd.maryland.gov (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. xref 0000003220 00000 n (1) Within 30 days before admission, the assisted living program shall collect, on the Resident Assessment Tool written information about a potential resident's physical condition and medical status. resources. (1) Upon the written recommendation of the resident's physician or assessing nurse, the assisted living program may apply to the Department for a waiver in accordance with Regulation .09 of this chapter to use an electronic monitoring system instead of awake overnight staff. to provide constituents, businesses, 0000004224 00000 n (42) "Law enforcement agency" means the Maryland State Police or a police agency of a county or municipal corporation. All rights reserved. (73) "Short-term residential care" means a stay, either continuous or intermittent, in an assisted living program of not more than 30 days from the date of initial admission, which cannot exceed 30 days per year. Indicate the resident's ability to take his/her own medications safely & appropriately: Independently without assistance Can do so with physical assistance, reminders, or supervision only Needs to have medications administered by someone else General Comments. National Human Trafficking Hotline - 24/7 Confidential. Journal of the American Geriatric Society. 0000004446 00000 n (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. Be sure to obtain the Resident Assessment form from OHCQ. (a) "Cognitive impairment" means the loss of those thought processes that orchestrate relatively simple ideas, movements, or actions into goal-directed behavior. It is important that persons who provide care to people 65 years or older or those with medical conditions like asthma, diabetes, heart disease, or kidney disease get vaccinated against flu because older age and medical conditions put a person at higher risk for influenza-related complications and death. responsive, accurate and consistent, 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. National Human Trafficking Hotline - 24/7 Confidential. Maryland Memory Care / Assisted Living for Alzheimer's / Dementia You may be trying to access this site from a secured browser on the server. 0000004017 00000 n (ii) Cannot be paid for by the resident or the resident's agent. (g) An emergency situation or natural disaster. hotline in the past has helped to eliminate Pages - 10.07.14.02.aspx - 2019-dsd.maryland.gov 0000002869 00000 n (b) "Cognitive impairment" includes lack of judgment, planning, organization, self-control, and the persistence needed to manage normal demands of the individual's environment. Contact for Research Inquiries Johns Hopkins Bayview Medical Center 5300 Alpha Commons Drive Alpha Commons (k) Monitoring or tests that need to be performed or followed up after admission. 0000004669 00000 n (25) "Emergency admission" means the temporary admittance of an individual in an assisted living program when the individual's health and safety would be jeopardized by not permitting immediate admittance. (70) "Self-administration of medication" means a resident having the cognitive and physical ability to take medication as prescribed by an authorized prescriber: (71) "Service plan" means a written plan developed by the licensee, in conjunction with the resident and the resident's representative, if appropriate, which identifies, among other things, services that the licensee will provide to the resident based upon the resident's needs as determined by the Resident Assessment Tool. 0000004750 00000 n 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 1.1 Overview of the Resident Assessment Instrument (RAI) Providing care to residents with post-acute and long-term care needs is complex and challenging work. (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. 49, No. (76) "Substantial" means considerable in importance, degree, amount, frequency, or extent. A service plan for each resident shall be developed in a manner that enhances the principles of dignity, privacy, resident choice, resident capabilities, individuality, and independence without compromising the health or reasonable safety of other residents. 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. of Legislative Audits operates a toll-free (46) "Management firm" means an organization, under contract with an applicant for a license or a current licensee, that is intended to have or has full responsibility and control over the day-to-day operations of the assisted living program. (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. Following an analysis of the number of residents that the assisted living program intends to serve and the individual needs of each resident, the licensee shall develop a staffing plan that identifies the type and number of staff needed to provide the services required by this chapter. 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. (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. (d) With which residents can make local calls free of charge. 0000003214 00000 n Sec. 10.07.14.21. Preadmission Requirements, Chapter 10.07.14. Assisted {Ar5L+o0'eMlz The Maryland General Assemblys Office 0000010862 00000 n Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. The RN, CM/DN 45 day nursing assessment is required when a medication technician is performing the delegated nursing function of medication administration. (57) "Physical abuse" means the sustaining of any physical injury or pain to a resident as a result of cruel or inhumane treatment, or as a result of a malicious act by any individual. 0000001543 00000 n 0000006593 00000 n You may be trying to access this site from a secured browser on the server. 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. (69) "Secretary" means the Secretary of Health, or the Secretary's designee. 0000000016 00000 n "F$H:R!zFQd?r9\A&GrQhE]a4zBgE#H *B=0HIpp0MxJ$D1D, VKYdE"EI2EBGt4MzNr!YK ?%_&#(0J:EAiQ(()WT6U@P+!~mDe!hh/']B/?a0nhF!X8kc&5S6lIa2cKMA!E#dV(kel }}Cq9 c Please enable JavaScript in your browser. Maryland Quality Reporting: Your resource for information on the quality and performance of nursing homes, hospitals, hospice, assisted living facilities, and more. The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. The results show the percentage of staff vaccinated in the assisted living residence compared to the statewide average (the percentage of staff vaccinated in all Maryland assisted living residences completing the survey). That means the RN, CM/DN must vary the date and time of the 45 day site visit to assure that all medication technicians who administer meds 24-7 are seen with some regularity. 0000003646 00000 n 0000003433 00000 n (b) The continued appropriateness of a waiver to use an approved electronic monitoring system instead of awake overnight staff. This is $400 higher than the national average of $4,500. PDF Assisted Living Manager's Assessment - Maryland.gov Enterprise Agency * 18. E. The RN, CM/DN is to utilize his or her review of the MAR as a means to teach and remediate the medication technician as necessary. (12) "Authorized prescriber" means an individual who is authorized to prescribe medications under Health Occupations Article, Annotated Code of Maryland. b7">/.gH>\g cQ#B$:Z'3,Ytj'U:N.{L"(,n3ti99Wfb o6F7RqUg}%d'x}G_sMlJ).d-~ H.9A'.fP`;H }p!Y["PpkY]Nf&i+8zs*WGw4u#4?/cgp`aMTr^K};}:*H6m//z )75c)`u;.r&Dw7d{u1[;b%78es\(ccXaGOj-2VRI)sxWG5 d]6J)*h#pSxbqLqj1oOgLS.t_( KcWcNYj: Fj~?*;_ Wv_%of`B[L~2Uk The Resident Assessment Tool: (a) Determines the resident's required level of care; (b) Forms the basis for development of the resident's service plan; and. YX023emT\ )(R0^rB,TECN ~\d)>,*Vn. The Medi-Cog is a seven-minute tool, which can be used by health care providers to assess cognitive literacy and pillbox skills in order to optimize medication safety. (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. 0000002064 00000 n Cohort differences in dementia recognition and treatment indicators (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. Level 1 (low) refers to a resident needing . n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. (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. CY2020 Assisted Living Facility Utilization Reports, CY2019 Assisted Living Facility Utilization Reports, 4160 Patterson Avenue, Baltimore, MD 21215 PDF CHAPTER 1: RESIDENT ASSESSMENT INSTRUMENT - Centers for Medicare The regulations do not specify a minimum number of residents for licensure. (1) An assisted living program shall provide on-site nursing when a delegating nurse or physician, based upon the needs of a resident, issues a nursing or clinical order for that service. Md. Code Regs. 10.07.14.03 - Incorporation by Reference 20 0 obj <> endobj F. The MAR is a visual picture of that patient's medication use or misuse for the month. <>>> 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. i6(&RVcRO! trailer 0000002538 00000 n (47) "Medical record" has the meaning stated in Health-General Article, 4-301, Annotated Code of Maryland. (30) "Frequent" means occurring or appearing quite often or at close intervals, but not continuously. 0000001494 00000 n (iii) Assistance with removing medication from the container. \/N.GTs8#r$2J8ZEjq.20PCe`e.2(0 G&Cs.2e0S:NE= Each medication technician must successfully complete the required Clinical Update every two years to maintain his/her certification., 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee. Learn About COVID-19 in Maryland. (9) "Assist rail" means a hand rail or other similar, substantially constructed device that is installed to enable residents to move safely from one point or position to another. (37) "Instrumental activities of daily living" means home management skills, such as shopping for food and personal items, preparing meals, or handling money. (b) Insured by the Federal Deposit Insurance Corporation. However, the patients service plan is a collaborative effort between both the A.L. The inspections occur every one to two years or any time in between as a result of a complaint received by the state. (a) Significant problems with family circumstances and personal relationships; (c) Ability to participate in structured and group activities, and the resident's current involvement in these activities.