reglab/housing_qa huggingface dataset:
MD. Health - General Code Ann. §  19-1410.1 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1410.1 - Safe Patient Lifting

    (a)    On or before December 1, 2008, each nursing home shall establish a safe patient lifting workgroup with equal membership from management and employees.    (b)    (1)    On or before July 1, 2009, the safe patient lifting workgroup shall develop a safe patient lifting policy for the nursing home.        (2)    The goal of the policy shall be to reduce employee injuries associated with patient lifting.    (c)    While developing a safe patient lifting policy, the workgroup shall consider, based on the patient population of that nursing home, the appropriateness and effectiveness of:        (1)    Developing or enhancing patient handling hazard assessment processes;        (2)    Enhanced use of mechanical lifting devices;        (3)    Developing specialized lift teams;        (4)    Training programs for safe patient lifting required for all patient care personnel at the nursing home;        (5)    Incorporating physical space and construction design for mechanical lifting devices in any architectural plans for nursing home construction and renovation; and        (6)    Developing an evaluation process to determine the effectiveness of the policy.
MD. Health - General Code Ann. §  19-1410.2 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1410.2 - Annual Assessment of Workplace Safety Issues

    (a)    In this section, “workplace safety” means the prevention of any physical assault or threatening behavior against an employee in a nursing home.    (b)    This section applies to nursing homes that are licensed for 45 beds or more.    (c)    Each nursing home shall assign to an appropriate committee the task of:        (1)    Conducting an annual assessment of workplace safety issues; and        (2)    Making recommendations to the nursing home for reducing workplace injuries.    (d)    In conducting an annual assessment of workplace safety issues, the committee assigned to conduct the assessment under subsection (c)(1) of this section shall consult with geriatric nursing assistants and other employees of the nursing home who are involved in assisting residents with activities of daily living.
MD. Health - General Code Ann. §  19-1411 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1411 - Medical Director

    (a)    (1)    Each nursing home shall designate a physician to serve as medical director.        (2)    The medical director is responsible for monitoring physician services at the nursing home.        (3)    The medical director shall report monthly to the quality assurance committee on the quality of medical care at the nursing home.    (b)    The Secretary, in consultation with the Medical and Chirurgical Faculty of Maryland, and representatives of the nursing home industry, shall:        (1)    Establish qualifications for the medical director of a nursing home or anyone acting for the medical director in his or her absence;        (2)    Define the duties of the medical director; and        (3)    Adopt regulations for the attending physicians who treat residents of nursing homes that will provide for physician accountability.
MD. Health - General Code Ann. §  19-1412 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1412 - Technical Assistance Unit; Medical Automated Systems

    (a)    The Secretary shall:        (1)    Establish a technical assistance unit within the Department to support compliance efforts and best practices; and        (2)    Establish a list of approved medical automated systems.    (b)    The Secretary may:        (1)    Partially reimburse a nursing home for installation of automated systems that have been approved by the Department;        (2)    Develop guidelines for reimbursement; and        (3)    Adopt regulations for the implementation of this subtitle.
MD. Health - General Code Ann. §  19-1413 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1413 - Notice Regarding Closure, Public Funding, Accidents, or Significant Changes

    Each nursing home shall:         (1)    Establish a procedure to provide for the smooth and orderly transfer of residents in the event of closure;        (2)    Provide a 30-day notice to residents and their families or guardians prior to closure of the nursing home unless the Department waives the notice requirement;        (3)    Provide a 15-day notice to residents and their families or guardians prior to termination of public funding unless the Department waives the notice requirement; and        (4)    Immediately notify, if known, a resident’s family or guardian of:            (i)    An accident involving the resident which results in injury and has the potential for requiring physician intervention;            (ii)    A significant change in the resident’s physical, mental, or psychosocial status; or            (iii)    A need to alter the resident’s treatment significantly.
MD. Health - General Code Ann. §  19-1413.1 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1413.1 - Penalty

    (a)    A nursing home that violates § 19-1413(2) of this subtitle is subject to a civil money penalty not exceeding expenses incurred by the Office of Health Care Quality in ensuring a smooth and orderly transition of residents, including payroll expenses.    (b)    If a civil money penalty is imposed on a nursing home under subsection (a) of this section, the nursing home is subject to § 19-1406 of this subtitle.
MD. Health - General Code Ann. §  19-1414 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1414 - Review of Financial and Performance Records

    The Department may review financial and performance records of an applicant for a license or management firm under contract with an applicant for a license to determine ability of the applicant or management firm to comply with appropriate laws and regulations.
MD. Health - General Code Ann. §  19-1415 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1415 - Notice of Change of Condition of Resident

    (a)    In this section, “change in condition” means a significant change in the resident’s physical, mental, or psychological status including:        (1)    Life-threatening conditions such as heart attack or stroke;        (2)    Clinical complications such as:            (i)    Development of a pressure sore;            (ii)    Onset of recurrent periods of delirium;            (iii)    Onset of recurrent urinary tract infection;            (iv)    Onset of depression; or            (v)    Onset of aggressive or inappropriate behavior;        (3)    The need to discontinue a medication or treatment because of:            (i)    Adverse consequences; or            (ii)    The need to begin a new form of treatment;        (4)    Evaluation at or admission to a hospital; and        (5)    Accidents that result in injury having the potential for requiring a physician’s intervention.    (b)    Consistent with State and federal confidentiality laws and in a timely manner, a nursing home shall notify a resident and, if applicable, the resident’s representative or interested family member of any:        (1)    Change in condition;        (2)    Adverse event that may result in a change in condition;        (3)    Outcome or care that results in an unanticipated consequence; or        (4)    Corrective action, if appropriate.    (c)    If the Department determines that a nursing home failed to notify a resident, resident’s representative, or interested family member under subsection (b) of this section, the Department shall require as part of a plan of correction that the nursing home notify the resident, the resident’s representative, or interested family member as soon as possible.
MD. Health - General Code Ann. §  19-1416 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1416 - Family Councils

    (a)    In this section, “family council” means a group of individuals who work together to protect the rights of and improve the quality of life of residents of a nursing home.    (b)    (1)    A family council for a nursing home may consist of the following members:            (i)    Members of a resident’s family; or            (ii)    An individual appointed by the resident, or if the resident is incapable of appointing an individual, an individual appointed by the resident’s family.        (2)    (i)    Subject to subparagraph (ii) of this paragraph, a family council may be created by the owner, operator, or staff of a nursing home.            (ii)    Except as provided in paragraph (3) of this subsection, in order to facilitate the development of a family council, the owner, operator, or staff of a nursing home may lead the family council for no longer than 6 months at which time the family council shall be led by a member of the family council.        (3)    On the written request of a family council, the nursing home may assist the family council in the administrative functions of operating the family council in a mutually agreed upon manner.    (c)    A nursing home shall give each new or prospective resident the following written information about the family council:        (1)    The name, address, and phone number of a current member of the family council;        (2)    A brief description of the purpose and function of the family council;        (3)    Instructions on how the resident or prospective resident may review the public files described in subsection (e) of this section; and        (4)    The name, address, and phone number of the State or local ombudsman.    (d)    A nursing home shall respond in writing to any written grievance or other written communication from the family council within 14 calendar days after receiving a communication.    (e)    (1)    A nursing home shall create and maintain a public correspondence file and a regulatory correspondence file for communications with a family council.        (2)    The correspondence files shall include a copy of each written communication and response described in subsection (d) of this section.        (3)    (i)    The records in the regulatory file shall be unedited.            (ii)    The records in the public file shall delete any information that identifies an individual resident.        (4)    The public file may be reviewed by a resident, prospective resident, or the representative of either a resident or prospective resident during normal business hours and at any other time the nursing home agrees to make the public file available.        (5)    The nursing home shall promptly comply with a request by a licensing authority to review the records in either the public or regulatory files.
MD. Health - General Code Ann. §  19-1417 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14 - Nursing Homes|Section 19-1417 - Short Title

    This subtitle may be cited as the “Maryland Nursing Home Quality Assurance Act”.
MD. Health - General Code Ann. §  19-14A-01 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14A - Third Party Liability Reviews and Audits of Nursing Homes|Section 19-14A-01 - Definitions

    (a)    In this subtitle the following words have the meanings indicated.    (b)    “Final report” means the third party liability audit report issued to a nursing home stating the total amount due to the Department as a result of the completed audit.    (c)    “Nursing home” has the meaning stated in § 19-1401(e) of this title.    (d)    (1)    “Third party” means any individual, entity, or program that is or may be liable to pay all or part of the medical cost of any medical assistance furnished to a recipient under the Medical Assistance Program.        (2)    “Third party” includes private health insurance, employment-related health insurance, medical support from absent parents, automobile insurance, court judgments or settlements from a liability insurer, State workers’ compensation, first party probate-estate recoveries, or any federal programs.    (e)    “Third party liability audit” means a financial review of Medical Assistance payments to a provider to ascertain the legal liability of third parties to pay for care and services available under the Medical Assistance Program.    (f)    “Third party liability review” means a financial review of the credit balances of a nursing home to ascertain the legal liability of third parties to pay for care and services available under the Medical Assistance Program.
MD. Health - General Code Ann. §  19-14A-02 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14A - Third Party Liability Reviews and Audits of Nursing Homes|Section 19-14A-02 - Report and Audit

    (a)    A nursing home that receives payment from the Medical Assistance Program shall provide a report of the credit balances of the nursing home to the Department on a quarterly basis.    (b)    The Department shall conduct a third party liability review of the report of the credit balances provided under subsection (a) of this section.    (c)    The Department may conduct a third party liability audit of a random sample of the reports of credit balances reviewed under subsection (b) of this section.    (d)    (1)    Subject to paragraph (2) of this subsection, the Department may conduct a third party liability audit of a nursing home that is found to be noncompliant as a result of the audit conducted under subsection (c) of this section.        (2)    In conducting the third party liability audit authorized under paragraph (1) of this subsection, the Department may only review the financial information of the nursing home for the 2-year period immediately prior to the date of the audit period in which the nursing home was found to be noncompliant.
MD. Health - General Code Ann. §  19-14A-03 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14A - Third Party Liability Reviews and Audits of Nursing Homes|Section 19-14A-03 - Appeal

    (a)    A nursing home may appeal the results of a final report of a third party liability audit by filing written notice with the Department within 30 days after the nursing home receives the final report from the Department.    (b)    An individual at the Department who did not participate in the final report shall:        (1)    Review the appeal authorized under subsection (a) of this section; and        (2)    Issue a report that either revises or concurs with the final report of the third party liability audit.    (c)    A nursing home may appeal the results of the report issued by the Department under subsection (b) of this section by filing written notice with the Nursing Home Appeal Board within 30 days of receipt of the report.
MD. Health - General Code Ann. §  19-14A-04 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 14A - Third Party Liability Reviews and Audits of Nursing Homes|Section 19-14A-04 - Rules and Regulations

    The Department may adopt rules and regulations to carry out the provisions of this subtitle.
MD. Health - General Code Ann. §  19-1801 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 18 - Assisted Living Programs|Section 19-1801 - "Assisted Living Program" Defined

    In this subtitle:        (1)    “Assisted living program” means a residential or facility–based program that provides housing and supportive services, supervision, personalized assistance, health–related services, or a combination thereof that meets the needs of individuals who are unable to perform or who need assistance in performing the activities of daily living or instrumental activities of daily living in a way that promotes optimum dignity and independence for the individuals.        (2)    “Assisted living program” does not include:            (i)    A nursing home, as defined under § 19–1401 of this title;            (ii)    A State facility, as defined under § 10–101 of this article;            (iii)    A program licensed by the Department under Title 7 or Title 10 of this article;            (iv)    A hospice care program regulated by the Department under Subtitle 9 of this title;            (v)    Services provided by family members;            (vi)    Services provided in an individual’s own home; or            (vii)    A program certified by the Department of Human Services under Title 6, Subtitle 5, Part II of the Human Services Article as a certified Adult Residential Environment Program.
MD. Health - General Code Ann. §  19-1802 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 18 - Assisted Living Programs|Section 19-1802 - Supervision and Monitoring of Operation

    The Department shall be the lead agency for supervising and monitoring a statewide interagency system for regulating the establishment and operation of assisted living programs.
MD. Health - General Code Ann. §  19-1803 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 18 - Assisted Living Programs|Section 19-1803 - Continuum of Care; Variety of Services

    (a)    The Department shall encourage, but may not require, providers of assisted living program services to offer a continuum of care.    (b)    Providers of assisted living program services may provide services at a variety of levels and in a variety of settings.
MD. Health - General Code Ann. §  19-1804 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 18 - Assisted Living Programs|Section 19-1804 - Duties of Department

    The Department shall:        (1)    Serve as the point of entry for persons desiring information on assisted living programs;        (2)    Provide the Department of Aging and other State agencies that routinely receive inquiries from the public about assisted living with information that will enable the agencies to respond to the inquiries accurately and effectively; and        (3)    Delegate various aspects of its responsibilities under this subtitle to monitor and inspect assisted living programs and facilities to the Department of Aging and the Department of Human Services, in accordance with an interagency agreement, for the purpose of ensuring compliance with the regulations adopted by the Department under this subtitle.
MD. Health - General Code Ann. §  19-1804.1 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 18 - Assisted Living Programs|Section 19-1804.1 - License

    (a)    A person shall be licensed by the Department to conduct, operate, or maintain an assisted living program in the State.    (b)    (1)    A person shall submit an application for licensure to conduct, operate, or maintain an assisted living program to the Secretary on a form developed by the Secretary.        (2)    (i)    The Secretary shall develop the application for licensure required under paragraph (1) of this subsection.            (ii)    The application shall include the name and address of each officer, manager, alternate manager, and delegating nurse or case manager of the assisted living program.        (3)    In addition to the application, an applicant for initial licensure shall submit to the Secretary:            (i)    Information concerning any license or certification held by the applicant under the Health Occupations Article or under this article, including the prior or current operation by the applicant of a health care facility, residential facility, or similar health care program;            (ii)    Information demonstrating the financial and administrative ability of the applicant to operate an assisted living program in compliance with this subtitle;            (iii)    The policies and procedures to be implemented by the assisted living program;            (iv)    Identification of the personnel and relief personnel to be employed by the assisted living program; and            (v)    Any other information that is relevant to the ability of the applicant to care for the residents of the assisted living program.    (c)    (1)    The Secretary shall:            (i)    Review the application and information received under subsection (b) of this section; and            (ii)    Conduct an independent investigation of the assisted living program applying for initial licensure.        (2)    Based on the review and investigation conducted under paragraph (1) of this subsection, the Secretary shall:            (i)    Authorize the unconditional approval of the application;            (ii)    Authorize the conditional approval of the application; or            (iii)    Deny the application.    (d)    The Secretary may issue a probationary license that is valid for a period of time determined by the Secretary in accordance with regulations adopted by the Secretary.
MD. Health - General Code Ann. §  19-1805 (2021)
2021 Maryland Statutes|Health - General|Title 19 - Health Care Facilities|Subtitle 18 - Assisted Living Programs|Section 19-1805 - Further Duties of Department; Regulations

    (a)    The Department shall:        (1)    Define different levels of assisted living according to the level of care provided;        (2)    Require all assisted living programs to be licensed to operate according to the level of the program;        (3)    Develop a waiver process for authorizing an assisted living program to continue to care for an individual whose medical or functional condition has changed since admission to the program to an extent that the level of care required by the individual exceeds the level of care for which the program is licensed;        (4)    Promote affordable and accessible assisted living programs throughout the State;        (5)    Establish and enforce quality standards for assisted living programs;        (6)    Require periodic inspections of assisted living program facilities, including at least an annual unannounced on–site inspection;        (7)    Establish requirements for the qualifications or training or both of assisted living program employees;        (8)    Establish a “resident bill of rights” for residents of assisted living program facilities; and        (9)    Define which, if any, assisted living programs may be exempt from the requirements of § 19–311 of this title.    (b)    (1)    The Department, in consultation with representatives of the affected industry and advocates for residents of the facilities and with the approval of the Department of Aging and the Department of Human Services, shall adopt regulations to implement this subtitle.        (2)    The regulations adopted under paragraph (1) of this subsection shall:            (i)    Provide for the licensing of assisted living programs;            (ii)    Require the Department, during a survey or other inspection of an assisted living program, to review the number of waivers granted to the program under subsection (a)(3) of this section and determine whether a change in the program’s licensure status is warranted; and            (iii)    Require an assisted living program facility to post in a conspicuous place visible to actual and potential residents of the facility and other interested parties:                1.    A.    Its statement of deficiencies for the most recent survey;                B.    Any subsequent complaint investigations conducted by federal, State, or local surveyors; and                C.    Any plans of correction in effect with respect to the survey or complaint investigation; or                2.    A notice of the location, within the facility, of the items listed in item 1 of this item.