Md. Code Regs. 10.07.02.19 - Nursing Services - Staffing
A.
Supervisory Personnel - Nursing Homes.
(1)
Nursing homes shall provide at least the following supervisory personnel:
| Residents | Registered Nurses |
| (a) 2-99 | One-full-time |
| (b) 100-199 | Two-full-time |
| (c) 200-299 | Three-full-time |
| (d) 300-399 | Four-full-time |
(2) The director of nursing's time is
included in §A(1) of this regulation.
B. Hours of Bedside Care - Nursing Home.
(1) A nursing home shall employ supervisory
personnel and a sufficient number of support personnel to provide a minimum of
3 hours of bedside care per occupied bed per day, 7 days per week.
(2) Bedside hours include the care provided
by:
(a) Registered nurses;
(b) Licensed practical nurses; and
(c) Support personnel.
(3) Only those hours which the director of
nursing spends in bedside care may be counted in the 3-hour minimum
requirement.
(4) The director of
nursing's time counted in bedside care shall be documented.
C. Staffing in Nursing Home.
(1) A nursing home shall be staffed with at
least one registered nurse, 24 hours per day and 7 days per week.
(2) Additional registered nurses, licensed
practical nurses, and support personnel shall be employed to meet the needs of
all the residents admitted. The nursing home shall be staffed as referenced in
§§A and B of this regulation.
D. Nursing Service Personnel on Duty. The
ratio of nursing service personnel on duty providing bedside care to residents
may not at any time be less than one to 15.
Notes
Regulations .19 amended effective January 13, 1986 (13:1 Md. R. 16); amended and recodified to .31 effective 46:12 Md. R. 541, eff.
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