This assessment is provided by the residence and performed by a medical professional. (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. (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. )WGn}{":N In this chapter, the following terms have the meanings indicated. (2) Other than the information required in D(1) of this regulation, additional information is not required for subsequent short-term admissions if the resident or the resident's representative certifies that there has been no significant change in the resident's service needs. Maryland Quality Reporting Your resource for information on the quality and performance of nursing homes, hospitals, hospice, assisted living . %%EOF
2004; 52:1618-25. Nursing oversight is different from Delegation of Nursing functions see OHCQS regulations COMAR 10.07.14(.02) (.04F) and (.21) F.). 0000004199 00000 n
The performance measures reported for assisted living residences include: 1) the results of Inspection surveys performed on-site; 2) influenza vaccination rates of assisted living staff, and 3) facility mandatory influenza vaccination policies. (23) "Department" means the Maryland Department of Health. 135 16
View tables with the assisted living resident utilizaton by gender, age, race/ethnicity, by geographic region and jurisdiction for the most recent survey year. Toll Free 1 (877) 245-1762 TTY Number: 1-800-735-2258 Fax (410)
(c) Determines whether the resident needs awake overnight monitoring. (i) Making appropriate referrals for care and treatment; (ii) Arranging for the appointment and involvement of appropriate health care decision makers, when necessary; and. All rights reserved. HyTSwoc
[5laQIBHADED2mtFOE.c}088GNg9w '0 Jb All rights reserved. theory, simulated medication pass, and the clinical experience of administering medication to an A.L. 0000012867 00000 n
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F. A resident admitted as an emergency placement by a local department of social services is exempt from all physical examination and assessment requirements of this regulation if the resident is in temporary emergency shelter and services status, not to exceed 14 days, with notification to the Department of the placement within 48 hours. "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 (50) "Neglect" means depriving a resident of adequate food, clothing, shelter, supervision, essential medical treatment, or essential rehabilitative therapy. D. Resident Requirements for Awake Overnight Staff. 0000004541 00000 n
(24) "Discharge" means releasing a resident from an assisted living program, after which the releasing program no longer is responsible for the resident's care. 0000000736 00000 n
We also assess the relationship between cohort membership and other hypothesis-driven factors (demographics, cognition, function, and behavior) on recognition and care variables. (5) Failure to implement a nursing or clinical order, without demonstrating why the order should not be followed or without identifying alternatives to care, may result in sanctions against the assisted living program. ?VWQ~|k&S"{w1cw_1OT*1&k,Y3P$%a4*UnR^8"T!W.s]funvt|,Wyh>^m,79v>SE}B$: jKtWcK 6vWb7g
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d%}S assessment tool used to identify resident care proble ms that are addressed in an . gS81yKmnV^w5e\3ZLt(CmDHAev~HwUh4rg 1GAB7zH;Txj_@p\qkS_W
099-ZLcAd$Iwp\M[k{U5sL)U6`)53! The tool is a combination of the Mini-Cog, a validated cognitive screen, and the Medication Transfer Screen (MTS), a pillbox skills test. n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. 0000000016 00000 n
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A. (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. (ii) Compliance with a valid advance directive. <>
You may be trying to access this site from a secured browser on the server. 1823 form. No, This is not true. (42) "Law enforcement agency" means the Maryland State Police or a police agency of a county or municipal corporation. (b) Insured by the Federal Deposit Insurance Corporation. (43) "License" means a document issued by the Secretary to operate an assisted living program in Maryland. 2y.-;!KZ ^i"L0-
@8(r;q7Ly&Qq4j|9 x]{s6U+5(I2_qb]yR^#>}Cw$@ $gVn4H{EXXQ,S(* On admittance, the facility must complete the Resident Assessment Tool to determine their care needs and if the resident requires . (iii) Assistance with removing medication from the container. Assisted Living Facility Gender, Age and Race/Ethnicity Utilization Tables. endobj
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JavaScript is required to use content on this page. There are no national standardized quality measures for assisted living residences like those for nursing homes and home health agencies. ^!J@Zc$BX-
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Resident Health Assessment for Assisted Living Facilities INSTRUCTIONS TO LICENSED HEALTH CARE PROVIDERS: After completion of all items in Sections 1 and 2 (pages 1 - 4), return this form to the facility at the address indicated above. manager should collaborate in this scheduling process.
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-4kjS 03. 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. N')].uJr (ii) Cannot be paid for by the resident or the resident's agent. 0000001041 00000 n
(3) If the potential resident is admitted on an emergency basis by a local department of social services, the required assessment using the Resident Assessment Tool shall be completed as soon as possible but no later than 14 days of the emergency admission. startxref
To find and compare the quality measures for Maryland assisted living facilities visit the Maryland Quality Reporting website and select Assisted Living. }U~'ln. slY+TIRi,/){%]Qc%n.zTbSK
Urz+. OHCQ visits each assisted living to determine if the assisted living residence is meeting state regulations. 0000003954 00000 n
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(b) "Restraint" does not include a protective device. 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. trailer
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(34) "Household member" means an individual living in an assisted living facility who is not a resident or staff member. (69) "Secretary" means the Secretary of Health, or the Secretary's designee.
Copyright Maryland.gov. Assisted Living Assisted Living at Goodwill Retirement Community in Grantsville, Maryland. (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. rlmQz#X@@[#b2'E
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##hctTKvQF+, a.0+>3&'e&V/(Ge&[-6p!wS;S/ey^^1 / We're available on the following channels. (g) An emergency situation or natural disaster. 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. Instructions: Record score in the blank next to each question. (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. 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 UMiQkg/&[N63TC UnDq^{Fe :qLP0,wrY%v9MnQVU!30P-msE7kV1TOm#DHIXa+ox+vCeatGr I+Z2|n~F`"hcP,l40 Q]Jt&Z=&?v Contact for Research Inquiries Johns Hopkins Bayview Medical Center 5300 Alpha Commons Drive Alpha Commons Sign it in a few clicks Draw your signature, type it, upload its image, or use your mobile device as a signature pad. (4) If a manager fails to implement a nursing or clinical order without identifying and providing alternatives to the care or service order, the delegating nurse shall notify the resident's physician, the OHCQ, and the resident or, if appropriate, the legal representative of the resident. Please enable JavaScript in your browser. 22 0 obj<>stream
(5) If the resident's previous assessment did not indicate the need for awake overnight staff, each full assessment or review of the full assessment shall include documentation as to whether awake overnight staff is required due to a change in the resident's condition. 7p>gQaaEZ>)0i~zn'5y%5m3~ C. The assisted living manager, or designee, shall ensure that: (1) A written service plan or other documentation sufficiently recorded in the resident's record is developed by staff, which at a minimum addresses: (a) The services to be provided to the resident, which are based on the assessment of the resident; (b) When and how often the services are to be provided; and. E. Short-Term Residential Care Requirements. Yes, the RN, CM/DN teaching the medication technician training program must limit the medication technician class day to six hours. g ew?H& 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. (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. 5`&j7kRh>`g_d9B$j p!_6O"h/(Cc=8B00#v!3` *Cdf7P;bCE}g!9T]D`5K9q (72) "Sexual abuse" means a crime listed in Criminal Law Article, Title 3, Subtitle 3, Annotated Code of Maryland. 0000002626 00000 n
The Assisted Living Resident Assessment Tool consists of four components, which include the Health Care Practitioner's Resident Physical Assessment, the Assisted Living Manager's Resident Assessment, the Level of Care Scoring Tool, and the Identifiers for Awake Overnight Staff.
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