reglab/housing_qa huggingface dataset:
MD. Health - General Code Ann. §  19-1201 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 12 - Comprehensive Physical Rehabilitation Facilities|Section 19-1201 - Definitions

    (a)    In this subtitle the following words have the meanings indicated.    (b)    “Comprehensive physical rehabilitation services” means:        (1)    A program of coordinated, integrated, interdisciplinary, physician-directed services provided by or under the supervision of physicians qualified or experienced in rehabilitation that:            (i)    Includes evaluation and treatment of individuals with physical disabilities;            (ii)    Emphasizes education and training of individuals with disabilities; and            (iii)    Incorporates:                1.    At least 4 of the following core disciplines:                A.    Physical therapy;                B.    Occupational therapy;                C.    Speech and language therapy;                D.    Psychotherapy;                E.    Rehabilitation nursing; and                F.    Social work; and                2.    At least 2 of the following disciplines:                A.    Psychology;                B.    Audiology;                C.    Respiratory therapy;                D.    Therapeutic recreation;                E.    Orthotics;                F.    Prosthetics;                G.    Special education or instruction; and                H.    Vocational rehabilitation; and        (2)    Any other service that the Secretary may designate by regulation.    (c)    “Comprehensive rehabilitation facility” means:        (1)    Any person that provides or holds himself out as providing comprehensive physical rehabilitation services on an out-patient basis; or        (2)    A hospital that is licensed as a special rehabilitation hospital under Subtitle 3 of this title.    (d)    (1)    “Health care facility” includes any facility defined in § 19-114(d) of this title.        (2)    “Health care facility” does not include a home health agency that is licensed under Subtitle 4 of this title.    (e)    “Specialized rehabilitation program” means any of the specialty programs that the Commission on Accreditation of Rehabilitation Facilities accredits, including:        (1)    Spinal cord injury programs;        (2)    Head injury programs; and        (3)    Infant and early childhood developmental programs.
MD. Health - General Code Ann. §  19-1202 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 12 - Comprehensive Physical Rehabilitation Facilities|Section 19-1202 - Compliance With Requirements of Subtitle

    A comprehensive rehabilitation facility shall meet the requirements of this subtitle before the facility may provide:         (1)    Comprehensive physical rehabilitation services; or        (2)    Any specialized rehabilitation program.
MD. Health - General Code Ann. §  19-1203 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 12 - Comprehensive Physical Rehabilitation Facilities|Section 19-1203 - Comprehensive Rehabilitation Licenses

    (a)    This section does not apply to a special rehabilitation hospital that is licensed under Subtitle 3 of this title.    (b)    Any person that provides or holds himself out as providing comprehensive physical rehabilitation services on an out–patient basis shall obtain a comprehensive rehabilitation license before the person may provide comprehensive physical rehabilitation services in the State.    (c)    The Department shall issue a comprehensive rehabilitation license to any person for whom a comprehensive rehabilitation license is required if the person submits an application on the form established and provided for the Secretary.    (d)    While it is effective, a comprehensive rehabilitation license authorizes the licensed person to provide comprehensive physical rehabilitation services.    (e)    A person may not provide or hold himself out as providing comprehensive physical rehabilitation services on an out–patient basis unless the person has been issued a comprehensive rehabilitation license under this section.
MD. Health - General Code Ann. §  19-1204 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 12 - Comprehensive Physical Rehabilitation Facilities|Section 19-1204 - Comprehensive Rehabilitation Facilities

    A comprehensive rehabilitation facility shall meet any standard that the Secretary adopts by regulation.
MD. Health - General Code Ann. §  19-1205 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 12 - Comprehensive Physical Rehabilitation Facilities|Section 19-1205 - Inspections

    The Secretary may inspect a comprehensive rehabilitation facility to assure that the facility meets the requirements of this subtitle.
MD. Health - General Code Ann. §  19-1206 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 12 - Comprehensive Physical Rehabilitation Facilities|Section 19-1206 - Revocation of License

    The Secretary may revoke a license issued under this subtitle or may revoke the authority to provide comprehensive physical rehabilitation services for any health care facility or person that does not meet each requirement of this subtitle or any regulation adopted by the Secretary under this subtitle.
MD. Health - General Code Ann. §  19-1207 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 12 - Comprehensive Physical Rehabilitation Facilities|Section 19-1207 - Health Care Facilities

    (a)    A person may not hold himself out as providing a complete array of rehabilitation services unless the person provides comprehensive physical rehabilitation services.    (b)    A health care facility may not provide or hold itself out as providing any specialized rehabilitation program unless the facility is licensed by the Department.    (c)    A person may not provide comprehensive physical rehabilitation services unless the person meets the requirements of this subtitle.
MD. Health - General Code Ann. §  19-1208 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 12 - Comprehensive Physical Rehabilitation Facilities|Section 19-1208 - Violations; Penalties

    A person who violates any provision of this subtitle is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $5,000, or imprisonment not exceeding 1 year, or both.
MD. Health - General Code Ann. §  19-1401 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1401 - Definitions

    (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 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 resident’s 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 resident’s:                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 resident’s physical and mental status.    (d)    “Deficiency” means a condition existing in a nursing home or an action or inaction by the nursing home staff that results in potential for more than minimal harm, actual harm, or serious and immediate threat to one or more residents.    (e)    “Nursing 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, restorative, or rehabilitative services.    (f)    “Ongoing pattern” means the occurrence of any potential for more than minimal harm or greater deficiency on two consecutive on-site visits as a result of annual surveys, follow-up visits, any unscheduled visits, or complaint investigations.    (g)    “Potential for more than minimal harm deficiency” means a condition existing in a nursing home or an action or inaction by the nursing home staff that has the potential to cause actual harm to a resident.    (h)    “Serious and immediate threat” means a situation in which immediate corrective action is necessary because a nursing home’s noncompliance with one or more State regulations has caused or is likely to cause serious injury, harm, impairment to, or death of a resident receiving care in the nursing home.    (i)    “Sustained compliance” means a period of 30 days following the date of notice of corrective action with no deficiencies.
MD. Health - General Code Ann. §  19-1401.1 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1401.1 - Application

    (a)    (1)    In addition to the requirements for licensure of a related institution as provided in this title, an applicant for licensure of a nursing home shall include in the application the identity of:            (i)    Any person with an ownership interest in the nursing home; and            (ii)    Any management company, landlord, or other business entity that will operate or contract with the applicant to manage the nursing home.        (2)    (i)    The person acquiring a nursing home shall provide the Department with written notice of the acquisition or change in operator at the same time as the notice required under § 19–120(k)(6)(ii) of this title is filed with the Maryland Health Care Commission.            (ii)    For other changes to the information required under paragraph (1) of this subsection, the nursing home shall notify the Department within 30 days after the effective date of the change.    (b)    An applicant for licensure shall submit to the Secretary or the Secretary’s designee evidence:        (1)    That affirmatively demonstrates the ability of the applicant to comply with minimum standards of:            (i)    Medical care;            (ii)    Nursing care;            (iii)    Financial condition; and            (iv)    Other applicable State or federal laws and regulations; and        (2)    Regarding the regulatory compliance history and financial condition of any health care facility owned or operated by the applicant in other jurisdictions.
MD. Health - General Code Ann. §  19-1401.2 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1401.2 - Approval or Denial of Application

    On review of the information required under § 19–1401.1 of this subtitle and any other information that is relevant to the ability of the applicant to operate a nursing home, the Secretary may:        (1)    Approve an application for a license;        (2)    Deny an application for a license;        (3)    Approve an application for a license subject to conditions; or        (4)    Revoke a license.
MD. Health - General Code Ann. §  19-1401.3 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1401.3 - Change in Financial Condition of Nursing Home

    (a)    A licensee shall report to the Secretary or the Secretary’s designee any significant change in the financial condition of the nursing home, including cash flow or any other circumstances that could adversely affect the nursing home’s delivery of essential services to patients, including nursing services, dietary services, and utilities.    (b)    Except as provided by subsection (c) of this section, any information obtained by the Secretary under this section is confidential and may not be disclosed without the consent of the licensee.    (c)    The provisions of subsection (b) of this section do not apply to:        (1)    The holder of a license that has been suspended or revoked; or        (2)    The use of information in:            (i)    An administrative proceeding initiated by the Department; or            (ii)    A judicial proceeding.
MD. Health - General Code Ann. §  19-1402 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1402 - Imposition of Penalties Generally

    (a)    If a deficiency exists, the Secretary may impose sanctions that include:        (1)    A directed plan of correction with corrective measures necessary to protect residents;        (2)    Imposing adequate staffing levels in a nursing home;        (3)    Appointing a State monitor subject to § 19-1405 of this subtitle; and        (4)    Imposing a civil money penalty.    (b)    A civil money penalty may be imposed when a deficiency exists or an ongoing pattern of deficiencies exists in a nursing home.    (c)    In determining whether a civil money penalty is to be imposed, the Secretary shall consider, pursuant to guidelines set forth in regulations promulgated by the Secretary, the following factors:        (1)    The number, nature, and seriousness of the deficiencies;        (2)    The extent to which the deficiency or deficiencies are part of an ongoing pattern during the preceding 24 months;        (3)    The degree of risk to the health, life, or safety of the residents of the nursing home caused by the deficiency or deficiencies;        (4)    The efforts made by, and the ability of, the nursing home to correct the deficiency or deficiencies; and        (5)    A nursing home’s prior history of compliance.    (d)    Upon determination by the Department that a deficiency or deficiencies exist, the Department shall notify the nursing home that:        (1)    Unless corrective action taken pursuant to this section is substantially completed, a civil money penalty will be imposed; or        (2)    An order imposing a civil money penalty will be issued, pursuant to § 19-1403 of this subtitle which shall include a list of all deficiencies and notice that a civil money penalty may be imposed until the time that the cited deficiencies have been rectified.
MD. Health - General Code Ann. §  19-1403 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1403 - Order Proposing Penalty

    (a)    If a civil money penalty is proposed, the Secretary shall issue an order which shall state the basis on which the order is made, the deficiency or deficiencies on which the order is based, the amount of civil money penalties to be imposed, and the manner in which the amount of civil money penalties imposed was calculated.    (b)    An order issued pursuant to subsection (a) of this section shall be void unless issued within 60 days of the inspection or reinspection at which the deficiency is identified.
MD. Health - General Code Ann. §  19-1404 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1404 - Amount of Penalty

    (a)    A civil money penalty imposed under this section for potential for more than minimal harm deficiencies:        (1)    May not exceed $10,000 per instance; or        (2)    May not exceed $1,000 per day for an ongoing pattern of deficiencies until the nursing home is in compliance.    (b)    A civil money penalty imposed under this subtitle for actual harm deficiencies:        (1)    May not exceed $10,000 per instance; or        (2)    May not exceed $5,000 per day for an ongoing pattern of deficiencies until the nursing home is in compliance.    (c)    A civil money penalty imposed under this section for a serious and immediate threat:        (1)    May not exceed $10,000 per instance; or        (2)    May not exceed $10,000 per day for an ongoing pattern of deficiencies until the nursing home is in compliance.    (d)    In setting the amount of a civil money penalty under this section, the Secretary shall consider, pursuant to guidelines set forth in regulations promulgated by the Secretary, the following factors:        (1)    The number, nature, and seriousness of the deficiencies;        (2)    The degree of risk to the health, life, or safety of the residents of the nursing home caused by the deficiency or deficiencies;        (3)    The efforts made by the nursing home to correct the deficiency or deficiencies;        (4)    Current federal guidelines for money penalties;        (5)    Whether the amount of the proposed civil money penalty will jeopardize the financial ability of the nursing home to continue operating as a nursing home; and        (6)    Such other factors as justice may require.
MD. Health - General Code Ann. §  19-1405 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1405 - Independent State Monitor

    (a)    When the Department determines that there is a deficiency in a nursing home, the Department may appoint an independent monitor to oversee efforts made by the nursing home to achieve compliance with State and federal regulations governing nursing homes that participate in the Medicare and Medicaid programs.    (b)    The appointment of a State monitor is an intermediate sanction that may be in addition to or in lieu of other sanctions.    (c)    The State monitor’s duties may include:        (1)    Periodic inspections of a nursing home for the purpose of assessing the nursing home’s compliance with State and federal regulations; and        (2)    Reporting to the Department and the nursing home its findings.    (d)    The State monitor may not be an employee of the Department.    (e)    A nursing home shall be responsible for the costs associated with the appointment of a State monitor to the nursing home.
MD. Health - General Code Ann. §  19-1406 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1406 - Administrative Appeal

    (a)    Within 15 days of the request for an appeal by a nursing home, the nursing home shall deposit the amount of the civil money penalty in an interest bearing escrow account, the nursing home shall bear any cost associated with establishing the escrow account, and the account shall be titled in the name of the nursing home and the Maryland Department of Health as joint owners.    (b)    When the Secretary issues the final decision of the Department:        (1)    If the decision upholds the imposition of the full civil money penalty, the escrow funds will be released to the Department within 15 days from the date of the decision;        (2)    If the decision upholds the imposition of a civil penalty, but reduces the amount of the civil penalty, the amount due the Department will be released to the Department with accrued interest within 15 days of the date of the decision and the balance will be released to the nursing home within 15 days of the date of the decision; or        (3)    If the decision reverses the imposition of the civil penalty, the escrow funds will be released to the nursing home within 15 days of the decision.    (c)    (1)    A hearing on the appeal shall be held in accordance with the Administrative Procedure Act, under Title 10, Subtitle 2 of the State Government Article.        (2)    The Secretary shall have the burden of proof with respect to the imposition of civil money penalties under § 19–1404 or § 19–1413.1 of this subtitle.        (3)    A decision shall be rendered by the Office of Administrative Hearings within 10 working days of the hearing.    (d)    A nursing home is entitled to a 40% reduction in the amount of the civil money penalty if it waives its right to a hearing within 30 days of the Department’s order.
MD. Health - General Code Ann. §  19-1407 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1407 - Health Care Quality Account

    (a)    (1)    There is a Health Care Quality Account established in the Department.        (2)    The Health Care Quality Account shall be funded by civil money penalties paid by nursing homes and other penalties that the Office of Health Care Quality may assess.        (3)    The Department shall pay all penalties collected under this title to the Comptroller of the State.        (4)    The Comptroller shall distribute the funds collected under this title to the Health Care Quality Account.        (5)    The Health Care Quality Account is a continuing, nonlapsing fund, not subject to § 7–302 of the State Finance and Procurement Article.        (6)    Any unspent portions of the Health Care Quality Account may not be transferred or reverted to the General Fund of the State, but shall remain in the Health Care Quality Account to be used for the purposes specified in this section.    (b)    The Health Care Quality Account shall be used for training, grant awards, demonstration projects, or other purposes designed to improve the quality of care.    (c)    The Department shall adopt regulations for the distribution of funds from the Health Care Quality Account.
MD. Health - General Code Ann. §  19-1408 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1408 - Site Visit and Full Survey

    (a)    (1)    The Department shall make a site visit and conduct a full survey of each licensed nursing home at least once per calendar year.        (2)    Unless otherwise required by federal law, all surveys shall be unannounced.    (b)    (1)    Subject to paragraph (2) of this subsection, the Department shall initiate an investigation of a nursing home complaint alleging actual harm within 10 business days after receiving the complaint.        (2)    If the Department receives a complaint against a nursing home alleging immediate jeopardy to a resident, the Department:            (i)    Shall make every effort to investigate the complaint within 24 hours after receiving the complaint; and            (ii)    Shall investigate the complaint not later than 48 hours after receiving the complaint.
MD. Health - General Code Ann. §  19-1408.1 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1408.1 - Graphic Data Dashboard

    (a)    The Department shall develop a clear and easy–to–understand graphic data dashboard that includes:        (1)    The number of staff hired by the agency in each unit in the fiscal year to date;        (2)    The number of surveyors employed by the agency in each unit in the fiscal year to date; and        (3)    The number of vacancies within the agency in each unit in the fiscal year to date.    (b)    The Department shall:        (1)    Update the data dashboard developed under subsection (a) of this section at least every 2 weeks; and        (2)    Post the most recent updated data dashboard prominently on its website.