(1) Before admission the assisted living manager or designee shall determine whether: (a) The resident may be admitted under the assisted living program's licensure category; and. View tables with the assisted living resident utilizaton by gender, age, race/ethnicity, by geographic region and jurisdiction for the most recent survey year. C. All drugs must be appropriately discontinued. 0000001468 00000 n Assisted Living Manager's Assessment Assisted Living Manager's Assessment This form is to be completed by the Assisted Living Manager or their designee. )WGn}{":N If themedication box is empty, the reason for it is noted on the back of the MAR. (b) "Activities of daily living" includes: (ii) Grooming, bathing, oral hygiene including brushing teeth, shaving, and combing hair; (iii) Mobility, transfer, ambulation, and access to the outdoors, when appropriate; (v) Dressing in clean, weather-appropriate clothing. Regardless of who arranges this, the AL manager must meet the same requirements as everyone else in the medication technician training program. . This assessment is provided by the residence and performed by a medical professional. 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. Copyright Maryland.gov. (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. (33) "Home health services" means those services provided under the provisions of Health-General Article, 19-404, Annotated Code of Maryland, and COMAR 10.07.10. gS81yKmnV^w5e\3ZLt(CmDHAev~HwUh4rg 1GAB7zH;Txj_@p\qkS_W 099-ZLcAd$Iwp\M[k{U5sL)U6`)53! HUn8}WV\DxE=k%(u/&owWqV,@L"4uOi_WpzR (a) "Nursing overview" means a process by which a registered nurse assures that the health and psychosocial needs of the resident are met. These requirements include completing all three (3) components of the medication technician training program within 44 days e.g. 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 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. stream 0 xref )!qY*R':gsiij (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. (38) "Intensive" means highly concentrated. Please enable JavaScript in your browser. 0000001137 00000 n 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. 0000003954 00000 n Please enable scripts and reload this page. 0000012867 00000 n (65) "Resident agreement" means a document signed by both the resident or the resident's agent and the assisted living manager, or designee, stating the terms that the parties agree to, including, at a minimum, the provisions set forth in Regulations .24 and .25 of this chapter. The Cost of Assisted Living in Maryland. 0000000016 00000 n trailer m}R)2#b?CR # (78) "Unclaimed deceased resident" means a resident of an assisted living program: (a) Who has not prearranged and prepaid for the disposal of the resident's body; or. (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. truthful and transparent services. The licensee shall retain this documentation in the resident's record. (b) Used by assisted living facilities to assess the current health, physical, and psychosocial status of prospective and current residents. 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. eF ;OL{0fV9%F;"QYe"q$xU^tMA(rE=jl5pq5DCI%.N8)'M[-kvbc6mYysB~h5A|nzn( m The Maryland assisted living study: Prevalence, recognition and treatment of dementia and other psychiatric disorders in the assisted living population of central Maryland. <<87e0044c2c518a4eb12f1dbf4822a393>]>> (76) "Substantial" means considerable in importance, degree, amount, frequency, or extent. 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. friendly and courteous, timely and 45 day nursing assessment. (22) "Delegation of nursing tasks" means the formal process approved by the Maryland Board of Nursing which permits professional nurses to assign nursing tasks to other individuals if the registered nurse: (a) Provides proper training, supervision, and monitoring; and. (60) "Protective device" means any device or equipment, except bed side rails: (ii) Prevents a resident from aggravating an existing physical problem; or. Health Assessment (b) "Administration of medication" includes: (i) Identifying the time to administer the medication; (iii) Removing the medication from the container; or. OJHh,Dwpb$p@V~N&FOk{w1_vM`m&h|gO.sZ#6e{e* -4kjS startxref (b) "Significant change of condition" does not include any ordinary, day-to-day fluctuations in health status, function, or behavior, or an acute short-term illness, such as a cold, unless these fluctuations continue to recur. The RN, CM/DN 45 day nursing assessment is required when a medication technician is performing the delegated nursing function of medication administration. Contact for Research Inquiries Johns Hopkins Bayview Medical Center 5300 Alpha Commons Drive Alpha Commons 0000001494 00000 n In regard to signing off on the scheduling of personnel for the facility, the RN, CM/DN is not required to sign off on the scheduling of staff. "F$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 0000006214 00000 n (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. JavaScript is required to use content on this page. Yes, the RN, CM/DN teaching the medication technician training program must limit the medication technician class day to six hours. The Genworth 2021 Cost of Care Survey shows that assisted living in Maryland costs an average of $4,900 per month. B. n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. There are no national standardized quality measures for assisted living residences like those for nursing homes and home health agencies. Influenza Vaccination Rates of Assisted Living Staff are collected by the MHCC annually. Copyright Maryland.gov. 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 (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. (a) The death of a resident from other than natural causes; (b) The disappearance or elopement of a resident; (c) An assault on a resident resulting in injury; (d) An injury to a resident which may require treatment by a health care practitioner, or an event such as a fall which could subsequently require treatment; (f) An error or omission in medication or treatment which may result in harm to the resident; or. Get access to thousands of forms. The RN, CM/DN at the time of the 45 day site visit is to assess the client; the environment; the nursing task to be delegated; and the clinical competency of the medication technician who is in the facility at the time of the site visit. (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. (32) "Health condition" means the status of a resident's physical, mental, and psychosocial well-being. Use professional pre-built templates to fill in and sign documents online faster. 0000004669 00000 n to provide constituents, businesses, (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. * 14. Get the Assisted Living Forms Pdf you require. (13) "Background check" means a check of court and other records by a private agency. (12) "Authorized prescriber" means an individual who is authorized to prescribe medications under Health Occupations Article, Annotated Code of Maryland. The following are frequently asked questions regarding activities of the Registered Nurse (RN), case manager/delegating nurses (CM/DN) in assisted living. 0000000736 00000 n 5-WG"G'G9RD|t[ fraud hotline to receive allegations of 0000003878 00000 n (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. Open it up with cloud-based editor and begin adjusting. ]/\Ws])\&P2VP&}$ pp)2F7z~2tL=P*hsQd>hT1rwb66@ cSl 7sn8_r^RD%oraEUi.#)7cDalch|b=^._6U2a=[}-;VF)4nUM(I3iDH 6DNytbZCaH(L6M pf %5m:\'**HNnU%rEiuYP_$1KbcH*?h #K^:>xZ emg:{&W^xCgDtdLQE$ 1@2s$S2 trailer 0000008909 00000 n 0000002662 00000 n Please enable JavaScript in your browser. Each assisted living residence is required by law to have the latest inspection results on hand for public inspection. (41) "Lavatory" means a basin used to maintain personal cleanliness that has hot and cold running water and sanitary drainage. WPTHcA I"gEji6y5gC+wdt#|lZBf]3ZxHKl#v&oCNU |YYOY&SzaR/b>n0L496.x. Current through Register Vol. 0000001660 00000 n %PDF-1.5 accessible and convenient, and b`UHR!f/E^+PnucgyZy/v~a JG1na4 (2) If an electronic monitoring system is approved by the Department for the assisted living program to use, the licensee shall document the approval of the electronic monitoring system in the area provided on the Resident Assessment Tool. 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. All rights reserved. The Department may modify the level of care determination made by the assisted living program at any time. (4) "Adult medical day care" has the meaning stated in Health-General Article, 14-201 and 14-301, Annotated Code of Maryland. 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. Please enable scripts and reload this page. {Ar5L+o0'eMlz 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.