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Ch. 218
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2000 LAWS OF MARYLAND
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Annotated Code of Maryland
(1996 Replacement Volume and 1999 Supplement)
SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF
MARYLAND, That the Laws of Maryland read as follows:
Article - Health - General
Subtitle 14. Nursing Homes [ - Civil Money Penalties].
19-1401.
(a) In this subtitle, the following words have the meanings indicated.
(B) "ACTUAL HARM DEFICIENCY" MEANS A CONDITION EXISTING IN A
NURSING HOME OR AN ACTION OR INACTION BY THE NURSING HOME STAFF THAT
HAS CAUSED PHYSICAL OR EMOTIONAL INJURY OR IMPAIRMENT TO A RESIDENT.
(C) "CONCURRENT REVIEW MEANS A DAILY INSPECTION OF EACH RESIDENT
BY A LICENSED NURSE THAT EVALUATES MEDICATION ADMINISTRATION,
LABORATORY VALUES, DEHYDRATION AND MALNUTRITION, NUTRITIONAL STATUS
AND WEIGHT LOSS OR CAIN. SKIN BREAKDOWN, ACCIDENTS AND INJURIES.
CHANGES IN MENTAL OR PSYCHOLOGICAL STATUS. AND OVERALL CARE OF THE
(C) " CONCURRENT REVIEW" MEANS DAILY ROUNDS BY A LICENSED NURSE
WHICH INCLUDE:
(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 RESIDENTS MEDICATIONS:
(II) LABORATORY VALUES RELATING TO THE RESIDENT:
(III) CLINICAL DATA RENTING 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
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