|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Ch. 217
|
|
|
|
|
|
2000 LAWS OF MARYLAND
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) APPRAISAL AND OBSERVATION OF EACH RESIDENT BY THE
LICENSED NURSE TO DETERMINE ANY CHANGE IN THE RESIDENT'S PHYSICAL OR
MENTAL STATUS: AND
(2) IF THERE IS A CHANGE IN THE RESIDENTS PHYSICAL OR MENTAL
STATUS, AN EVALUATION BY THE LICENSED NURSE OF:
(I) THE RESIDENT'S MEDICATIONS:
(II) LABORATORY VALUES RELATING TO THE RESIDENT:
(III) CLINICAL DATA RELATING TO THE RESIDENT, INCLUDING THE
RESIDENTS:
1. HYDRATION AND NUTRITIONAL NEED:
2. SKIN INTEGRITY:
3. NOTED WEIGHT CHANGES: AND
4. APPETITE:
(IV) INJURIES SUSTAINED BY THE RESIDENT THAT RESULT FROM
ACCIDENT OR INCIDENTS INVOLVING THE RESIDENT: AND
(V) ANY OTHER RELEVANT PARAMETERS AFFECTING OR
REFLECTING THE RESIDENTS PHYSICAL AND MENTAL STATUS.
[(b)] (6) (d) "Deficiency" [shall mean any failure of a nursing facility to
meet the requirements of this subtitle or any rule or regulation that the Secretary
adopts under this subtitle, and, in the case of a nursing facility that participates in
the Maryland Medicaid Program under Title 15 of this article as a nursing facility,
any failure to meet the requirements of § 1919(b), (c), or (d) of the federal Social
Security Act (42 U.S.C. § 1396R(b), (c), or (d)), that is serious or life threatening]
MEANS A CONDITION EXISTING IN A NURSING HOME OR AN ACTION OR INACTION BY
THE NURSING HOME STAFF THAT RESULTS IN POTENTIAL FOR HARM, ACTUAL HARM,
OR A SERIOUS AND IMMEDIATE THREAT TO ONE OR MORE RESIDENTS.
[(c) "Life threatening" shall mean a condition existing in a nursing facility that
presents an imminent danger of health or serious mental or physical harm to the
residents of the nursing facility and must be remedied immediately to insure their
health, safety, and welfare.]
(d) (E) "Nursing [facility] HOME" means a facility (other than a facility
offering domiciliary or personal care as defined in Subtitle 3 of this title) which offers
nonacute inpatient care to patients suffering from a disease, CHRONIC ILLNESS,
condition, disability of advanced age, or terminal disease requiring maximal nursing
care without continuous hospital services and who require medical services and
nursing services rendered by or under the supervision of a licensed nurse together
with convalescent [services], restorative [services], or rehabilitative services.
|
|
|
|
|
|
|
|
|
|
- 1436 -
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
 |
