(II) FOR NURSING FACILITIES WITH 100 BEDS OR MORE, A
FULL TIME ASSISTANT DIRECTOR OF NURSING;

(III) NURSING SUPERVISORS ON DUTY AT ALL TIMES, 21 HOURS A
DAY, 7 DAYS A WEEK; AND

(IV) A FULL TIME DIRECTOR TO SUPERVISE THE IN SERVICE
EDUCATION PROGRAM REQUIRED UNDER § 19-310.1 OF THIS SUBTITLE;

(2) MAINTAIN A RATIO OF LICENSED PERSONNEL TO RESIDENTS OF NO
FEWER THAN:

(I) ONE LICENSED PERSONNEL TO 15 RESIDENTS DURING THE
MORNING SHIFT;

(II) ONE LICENSED PERSONNEL TO 25 RESIDENTS DURING THE
AFTERNOON SHIFT; AND

(III) ONE LICENSED PERSONNEL TO 35 RESIDENTS DURING THE
NIGHT SHIFT; AND

(3) MAINTAIN A RATIO OF CERTIFIED NURSING ASSISTANTS TO
RESIDENTS OF NO FEWER THAN;

(I) ONE CERTIFIED NURSING ASSISTANT TO FIVE RESIDENTS
DURING THE MORNING SHIFT;

(II) ONE CERTIFIED NURSING ASSISTANT TO 10 RESIDENTS
DURING THE AFTERNOON SHIFT; AND

(III) ONE CERTIFIED NURSING ASSISTANT TO 15 RESIDENTS
DURING THE NIGHT SHIFT.

(D) (1) LICENSED PERSONNEL AND CERTIFIED NURSING ASSISTANTS MAY
NOT PROVIDE FOOD PREPARATION, HOUSEKEEPING, LAUNDRY, OR MAINTENANCE
SERVICES.

(2) AN INDIVIDUAL EMPLOYED TO PROVIDE FOOD PREPARATION,
HOUSEKEEPING, LAUNDRY, OR MAINTENANCE SERVICES MAY NOT PROVIDE
NURSING CARE TO RESIDENTS.

(E) (1) A NURSING FACILITY SHALL DISPLAY ON EACH FLOOR OF THE

FACILITY A NOTICE THAT EXPLAINS THE CURRENT RATIO OF LICENSED PERSONNEL
TO RESIDENTS AND CERTIFIED NURSING ASSISTANTS TO RESIDENTS.

(2) THE NOTICE SHALL BE;

(I) POSTED IN A LOCATION THAT IS VISIBLE AND ACCESSIBLE TO
RESIDENTS, FAMILY MEMBERS OF THE RESIDENTS, CAREGIVERS, AND POTENTIAL
CONSUMERS; AND

(II) ON A FORM PROVIDED BY THE DEPARTMENT.