Md. Code Regs. tit. 10, pt. 1, subtit. 07, ch. 10.07.02 - Nursing Homes

  1. § 10.07.02.01 - Definitions
  2. § 10.07.02.01-1 - [Repealed]
  3. § 10.07.02.02 - Incorporation by Reference
  4. § 10.07.02.03 - License Required
  5. § 10.07.02.03-1 - Recodified
  6. § 10.07.02.04 - Licensing Procedure
  7. § 10.07.02.05 - Licensed Bed Capacity
  8. § 10.07.02.06 - Rights of Applicant if License Denied or Revoked
  9. § 10.07.02.07 - Inspection by Secretary
  10. § 10.07.02.07-1 - Recodified
  11. § 10.07.02.08 - New Construction, Conversion, Alteration, or Addition
  12. § 10.07.02.08-1 - Recodified
  13. § 10.07.02.09 - Administration and Resident Care
  14. § 10.07.02.10 - Employee Training on Cognitive Impairment and Mental Illness
  15. § 10.07.02.11 - Admission and Discharge
  16. § 10.07.02.11-1 - Recodified
  17. § 10.07.02.11-2 - Recodified
  18. § 10.07.02.12 - Resident's Representative
  19. § 10.07.02.13 - Resident Care Policies
  20. § 10.07.02.14 - Physician Services
  21. § 10.07.02.14-1 - Recodified
  22. § 10.07.02.14-2 - Recodified
  23. § 10.07.02.15 - Medical Director - Qualifications
  24. § 10.07.02.16 - Medical Director - Responsibilities
  25. § 10.07.02.17 - Nursing Home's Responsibilities in Relation to the Nursing Home's Medical Director
  26. § 10.07.02.18 - Nursing Services
  27. § 10.07.02.19 - Nursing Services - Staffing
  28. § 10.07.02.20 - Nursing Services - Director of Nursing
  29. § 10.07.02.21 - Dietetic Services
  30. § 10.07.02.21-1 - Recodified
  31. § 10.07.02.21-2 - Recodified
  32. § 10.07.02.21-3 - Recodified
  33. § 10.07.02.21-4 - Recodified
  34. § 10.07.02.22 - Specialized Rehabilitative Services - Occupational Therapy Services, Physical Therapy Services, Speech Pathology and Audiology Services
  35. § 10.07.02.23 - Special Care Units - General
  36. § 10.07.02.24 - Special Care Units - Respiratory Care Unit
  37. § 10.07.02.25 - Special Care Units - Dementia Care Unit
  38. § 10.07.02.26 - Pharmaceutical Services
  39. § 10.07.02.27 - Pharmaceutical Management
  40. § 10.07.02.28 - Laboratory and Radiologic Services
  41. § 10.07.02.29 - Dental Services
  42. § 10.07.02.30 - Social Work Services
  43. § 10.07.02.31 - Resident Activities
  44. § 10.07.02.32 - Clinical Records
  45. § 10.07.02.33 - Infection Prevention and Control Program
  46. § 10.07.02.34 - Employee Health Program
  47. § 10.07.02.35 - Resident Health Program
  48. § 10.07.02.36 - Volunteer Health Program
  49. § 10.07.02.37 - Infection Control - Standard Precautions
  50. § 10.07.02.38 - Reports and Action Required in Unusual Circumstances
  51. § 10.07.02.39 - Transfer Agreement
  52. § 10.07.02.40 - Emergency and Disaster Plan
  53. § 10.07.02.41 - Physical Plant - New and Existing Construction Requirements
  54. § 10.07.02.42 - Physical Plant - General Requirements
  55. § 10.07.02.43 - Physical Plant - Plumbing
  56. § 10.07.02.44 - Physical Plant - Heating and Cooling
  57. § 10.07.02.45 - Physical Plant - Ventilation
  58. § 10.07.02.46 - Physical Plant - Emergency Power
  59. § 10.07.02.47 - Nursing Care Unit
  60. § 10.07.02.48 - Call Systems
  61. § 10.07.02.49 - Resident Bedroom in Nursing Home
  62. § 10.07.02.50 - Body-Holding Room
  63. § 10.07.02.51 - Resident Bathroom Amenities
  64. § 10.07.02.52 - Equipment and Supplies for Bedside Care and Therapy
  65. § 10.07.02.53 - Rehabilitation Facilities - Space and Equipment
  66. § 10.07.02.54 - Dayroom and Dining Area
  67. § 10.07.02.55 - Dietetic Service Area
  68. § 10.07.02.56 - Administrative Areas
  69. § 10.07.02.57 - Housekeeping Services, Pest Control, and Laundry
  70. § 10.07.02.58 - Resident Care Management System
  71. § 10.07.02.59 - Resident Status Assessment
  72. § 10.07.02.60 - Care Planning
  73. § 10.07.02.61 - Skin Record
  74. § 10.07.02.62 - Geriatric Nursing Assistant Training Program
  75. § 10.07.02.63 - Paid Feeding Assistants
  76. § 10.07.02.64 - Quality Assurance Program
  77. § 10.07.02.65 - Quality Assurance Plan
  78. § 10.07.02.66 - Relocation of Residents
  79. § 10.07.02.67 - Posting of Staffing
  80. § 10.07.02.68 - Sanctions
  81. § 10.07.02.69 - Mandated Staffing Pattern
  82. § 10.07.02.70 - Civil Money Penalties - Imposition
  83. § 10.07.02.71 - Civil Money Penalties - Amount of Penalty
  84. § 10.07.02.72 - Civil Money Penalties - Effective Date and Duration of Penalty
  85. § 10.07.02.73 - Civil Money Penalties - Payment of Penalty/Establishment of Escrow Account
  86. § 10.07.02.74 - Civil Money Penalties - Hearings
  87. § 10.07.02.75 - Criminal Penalties
  88. § 10.07.02.76 - Emergency Suspension
  89. § 10.07.02.77 - Denial or Revocation of License
  90. § 10.07.02.78 - Hearings
  91. § 10.07.02.79 - Health Care Quality Account
  92. § 10.07.02.80 - Financial Disclosure

Notes

Md. Code Regs. tit. 10, pt. 1, subtit. 07, ch. 10.07.02
Effective date: June 30, 1978 (5:13 Md. R. 1053)
This chapter is a compilation and revision of prior regulations contained in COMAR 10.07.02, Nursing Homes-Extended Care, and COMAR 10.07.05, Intermediate Care Facilities-Long-term Care (Type A). COMAR 10.07.02 was effective January 1, 1967; amended effective March 27, 1973 and April 16, 1975 (2:8 Md. R. 565). COMAR 10.07.05 was effective July 1, 1969 and amended effective March 27, 1973.
Regulation .01B amended effective January 7, 1991 (17:26 Md. R. 2975); June 22, 1992 (19:12 Md. R. 1134); January 17, 1994 (21:1 Md. R. 33); August 15, 1994 (21:16 Md. R. 1383); June 30, 1997 (24:13 Md. R. 931); June 1, 1998 (25:11 Md. R. 821)
Regulation .01B amended as an emergency provision effective January 1, 2001 (28:4 Md. R. 414); amended permanently effective May 14, 2001 (28:9 Md. R. 885)
Regulation .01B amended effective September 16, 2002 (29:18 Md. R. 1442); March 3, 2003 (30:4 Md. R. 316); September 13, 2004 (31:18 Md. R. 1350)
Regulation .01I-1, L-1, O-1, GG-1 adopted effective January 13, 1986 (13:1 Md. R. 16)
Regulation .01GG-1, KK-1 adopted effective August 3, 1981 (8:15 Md. R. 1306)
Regulation .01II-1 adopted effective January 26, 1987 (14:2 Md. R. 128)
Regulation .01-1 adopted effective June 1, 1998 (25:11 Md. R. 821)
Regulation .01-1 amended effective January 6, 2005 (31:26 Md. R. 1862)
Regulation .02 amended effective January 14, 1988 (15:1 Md. R. 20)
Regulation .02 repealed and new Regulation .02 adopted effective May 10, 1993 (20:9 Md. R. 778)
Regulation .02 amended effective August 24, 2009 (36:17 Md. R. 1312)
Regulation .02F amended effective April 8, 1996 (23:7 Md. R. 551)
Regulation .02G adopted effective September 16, 2002 (29:18 Md. R. 1442)
Regulation .03 amended effective May 10, 1993 (20:9 Md. R. 778); August 27, 2007 (34:17 Md. R. 1507); August 24, 2009 (36:17 Md. R. 1312); August 29, 2016 (43:17 Md. R. 953)
Regulation .03A amended effective May 24, 1982 (9:10 Md. R. 1021); June 22, 1992 (19:12 Md. R. 1134)
Regulation .03B amended effective August 1, 1994 (21:15 Md. R. 1304)
Regulation .03-1 adopted effective May 10, 1993 (20:9 Md. R. 778)
Regulation .04B amended effective December 7, 1992 (19:24 Md. R. 2125)
Regulation .05 amended effective August 1, 2016 (43:15 Md. R. 864)
Regulation .05B amended effective January 17, 1994 (21:1 Md. R. 33)
Regulation .05C amended effective January 25, 1980 (7:2 Md. R. 115)
Regulation .07 amended effective January 26, 1987 (14:2 Md. R. 128); May 20, 1996 (23:10 Md. R. 731); August 24, 2009 (36:17 Md. R. 1312)
Regulation .07A amended effective August 3, 1981 (8:15 Md. R. 1306)
Regulation .07G amended effective May 24, 1982 (9:10 Md. R. 1021); January 26, 1987 (14:2 Md. R. 128); March 3, 2003 (30:4 Md. R. 316)
Regulation .07-1 adopted effective January 1, 2007 (33:26 Md. R. 1996)
Regulation .08 amended effective June 22, 1992 (19:12 Md. R. 1134)
Regulation .08A, B, D amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .08A, E amended effective January 13, 1986 (13:1 Md. R. 16)
Regulation .08-1 adopted effective September 16, 2002 (29:18 Md. R. 1442)
Regulation .09A amended effective November 8, 1982 (9:22 Md. R. 2196); January 13, 1986 (13:1 Md. R. 16); January 17, 1994 (21:1 Md. R. 33)
Regulation .09B-1 adopted effective August 3, 1981 (8:15 Md. R. 1306)
Regulation .09C, D amended effective August 24, 2009 (36:17 Md. R. 1312)
Regulation .10 amended effective January 26, 1987 (14:2 Md. R. 128); June 30, 1997 (24:13 Md. R. 931)
Regulation .10E amended effective November 8, 1982 (9:22 Md. R. 2196)
Regulation .10H amended effective May 24, 1982 (9:10 Md. R. 1021)
Regulation .10 repealed and new Regulation .10 adopted effective August 6, 2001 (28:15 Md. R. 1396)
Regulation .11 amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .11O amended effective November 8, 1982 (9:22 Md. R. 2196)
Regulation .11 repealed and new Regulation .11 adopted effective August 6, 2001 (28:15 Md. R. 1396)
Regulation .11-1 adopted effective August 6, 2001 (28:15 Md. R. 1396)
Regulation .11-2 adopted effective August 6, 2001 (28:15 Md. R. 1396)
Regulations .12, .13, .18-.21 amended effective January 13, 1986 (13:1 Md. R. 16)
Regulation .12 amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .13 amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .14-1 adopted effective August 15, 1994 (21:16 Md. R. 1383)
Regulation .14-2 adopted effective August 15, 1994 (21:16 Md. R. 1383)
Regulation .15 amended effective January 26, 1987 (14:2 Md. R. 128); September 22, 2008 (35:19 Md. R. 1716)
Regulation .15B amended effective March 16, 1992 (19:5 Md. R. 577); June 5, 1995 (22:11 Md. R. 820)
Regulation .17 amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .18B amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .19A, B amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .20 amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .21 amended effective June 1, 1998 (25:11 Md. R. 821)
Regulation .21 repealed and new Regulation .21 adopted effective January 6, 2005 (31:26 Md. R. 1862)
Regulation .21E amended effective November 8, 1982 (9:22 Md. R. 2196)
Regulation .21-1 adopted effective January 17, 1994 (21:1 Md. R. 33)
Regulation .21-1 repealed and new Regulation .21-1 adopted effective January 6, 2005 (31:26 Md. R. 1862)
Regulation .21-2 adopted effective January 6, 2005 (31:26 Md. R. 1862)
Regulation .21-3 adopted effective January 6, 2005 (31:26 Md. R. 1862)
Regulation .21-4 adopted effective January 6, 2005 (31:26 Md. R. 1862)
Regulation .22B amended effective August 3, 1981 (8:15 Md. R. 1306)
Regulation .24 repealed and new Regulation .24 adopted effective April 21, 2008 (35:8 Md. R. 805)
Regulation .26F amended and .26G-H repealed effective January 17, 1983 (10:1 Md. R. 28)
Regulation .26EE amended effective October 25, 1982 (9:21 Md. R. 2106); September 16, 2002 (29:18 Md. R. 1442)
Regulation .27A, B amended effective March 3, 2003 (30:4 Md. R. 316)
Regulation .27B amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .28 amended effective January 26, 1987 (14:2 Md. R. 128); January 17, 1994 (21:1 Md. R. 33)
Regulation .28C amended effective January 14, 1988 (15:1 Md. R. 20)
Regulation .31A amended effective September 16, 2002 (29:18 Md. R. 1442)
Regulation .32F amended effective January 17, 1994 (21:1 Md. R. 33)
Regulation .32G amended effective January 26, 1987 (14:2 Md. R. 128)
Regulation .33E amended effective January 26, 1987 (14:2 Md. R. 128)
Regulations .35-.41 adopted effective January 13, 1986 (13:1 Md. R. 16)
Regulation .35 amended effective December 16, 1996 (23:25 Md. R. 1785)
Regulation .36 amended effective December 16, 1996 (23:25 Md. R. 1785); September 16, 2002 (29:18 Md. R. 1442)
Regulation .36C amended effective March 3, 2003 (30:4 Md. R. 316)
Regulation .37 amended effective December 16, 1996 (23:25 Md. R. 1785); September 16, 2002 (29:18 Md. R. 1442)
Regulation .38 amended effective December 16, 1996 (23:25 Md. R. 1785)
Regulation .39A and B amended effective October 1, 1990 (17:19 Md. R. 2320)
Regulation .39C and D repealed effective October 1, 1990 (17:19 Md. R. 2320)
Regulation .39G amended effective June 30, 1986 (13:13 Md. R. 1491)
Regulation .40A amended effective June 30, 1986 (13:13 Md. R. 1491)
Regulations .40 and .41 recodified to Regulations .43 and .44, respectively, Appendix recodified as Regulation .40 and amended, and new Regulations .41 and .42 adopted effective October 1, 1990 (17:19 Md. R. 2320)
Regulation .41 repealed and new Regulation .41 adopted effective September 13, 2004 (31:18 Md. R. 1350)
Regulation .41A amended effective August 1, 1994 (21:15 Md. R. 1304)
Regulation .41D amended effective June 30, 1986 (13:13 Md. R. 1491)
Regulation .43C adopted effective October 1, 1990 (17:19 Md. R. 2320)
Regulations .45-.51 adopted effective January 7, 1991 (17:26 Md. R. 2975)
Regulations .45-.51 repealed as an emergency provision effective January 1, 2001 (28:4 Md. R. 414); repealed permanently effective May 14, 2001 (28:9 Md. R. 885)
Regulations .45-.60 adopted as an emergency provision effective January 1, 2001 (28:4 Md. R. 414); adopted permanently effective May 14, 2001 (28:9 Md. R. 885)
Regulation .49D amended effective September 16, 2002 (29:18 Md. R. 1442)
Regulation .54D adopted effective March 3, 2003 (30:4 Md. R. 316)
Regulation .61 adopted effective August 24, 2009 (36:17 Md. R. 1312)
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Chapter revised effective June 17, 2019 (46:12 Md. R. 536)

Authority: Health-General Article, §§ 19-308, 19-308.1, 19-323, and 19-1401 et seq.; Public Safety Article, § 14-110.1; Annotated Code of Maryland

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