(1996 Replacement Volume and 1998 Supplement)

SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows the Laws of Maryland read
as follows:

Article—Health - General

19-319.

(a) (1) To qualify for a license, an applicant and the hospital or related
institution to be operated shall meet the requirements of this section.

(2) IN ADDITION TO THE REQUIREMENTS OF THIS SECTION, TO QUALIFY
FOR A LICENSE, A NURSING FACILITY SHALL MEET THE REQUIREMENTS OF § 19- 319.3
OF THIS SUBTITLE.

19-319.3.

(A) IN THIS SECTION, "LICENSED PERSONNEL" MEANS:

(1) A REGISTERED NURSE WHO IS LICENSED TO PRACTICE IN THE

STATE; OR

(2) A PRACTICAL NURSE WHO IS LICENSED TO PRACTICE IN THE STATE.

(B) A NURSING FACILITY SHALL EMPLOY STAFF SUFFICIENT IN NUMBER AND
QUALIFICATIONS TO MEET THE SCHEDULED AND UNSCHEDULED NURSING CARE
NEEDS OF THE RESIDENTS.

(C) TO ENSURE COMPLIANCE WITH SUBSECTION (B) OF THIS SECTION, A
NURSING FACILITY SHALL;

(1) ESTABLISH AND EMPLOY REGISTERED NURSES WHO ARE LICENSED
TO PRACTICE IN THE STATE FOR THE FOLLOWING POSITIONS:

(I) A FULL TIME DIRECTOR OF NURSING;

(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 § 19-319.1 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