Code of Maryland Regulations › Title 32 - MARYLAND DEPARTMENT OF AGING › Subtitle 02 - PROVIDER REGULATIONS › Chapter 32.02.01 - Certificate of Registration for Continuing Care Facilities and Providers › Section 32.02.01.21 - Disclosure Statement

Current through Register Vol. 51, No. 14, July 12, 2024
A. General. A provider shall furnish, without cost, a disclosure statement for each facility of the provider holding either a preliminary certificate of registration or a certificate of registration to all prospective subscribers and, upon request, annually to all subscribers. A disclosure statement shall be provided to a prospective subscriber before payment of any part of the entrance fee or, if earlier, the execution of a continuing care agreement. The provider shall submit its initial disclosure statement to the Department for review at least 45 days before distributing the statement to any prospective or existing subscribers.
B. Disclosure Statement Revisions. A provider shall revise its disclosure statement annually. A provider shall file a revised disclosure statement with the Department within 120 days after the end of the provider's fiscal year and notify current subscribers that the revised disclosure statement is available for review. The Department shall review the disclosure statement solely to ensure compliance with this regulation.
C. Disclosure Statement Contents. The disclosure statement shall include:
(1) The name and address of the facility;
(2) A description of the facility;
(3) The name and address of any parent or subsidiary person;
(4) The organizational structure and management of the provider, including:
(a) If the provider is a corporation or limited liability company, the:
(i) Name of the corporation or limited liability company,
(ii) State in which the corporation is incorporated or the limited liability company is formed, and
(iii) Name of the chief executive officer;
(b) If the provider is a partnership, the:
(i) Names of the general partners,
(ii) State governing the formation of the partnership, and
(iii) Name of the primary individual responsible for managing the partnership;
(c) If the provider is an unincorporated association, the:
(i) Names of the members,
(ii) State governing the association's activities, and
(iii) Name of the primary individual responsible for managing the association;
(d) If the provider is a partnership having a corporation or limited liability company as one or more of its general partners, the:
(i) Name of each corporation or limited liability company,
(ii) State in which the corporation is incorporated or the limited liability company is formed, and
(iii) Name of the chief executive officer;
(e) If the provider is a trust, the:
(i) Name of each trustee,
(ii) Names of the owners of beneficial interests in the trust,
(iii) State whose law governs the trust, and
(iv) Name of the primary individual responsible for overseeing the trust's activities; and
(f) A statement regarding whether the provider is qualified, or intends to qualify, as a tax-exempt organization under the Internal Revenue Code;
(5) A statement regarding any affiliation of the provider with a religious, charitable, or other nonprofit organization, and the extent to which that organization is responsible for the financial and contractual obligations of the provider;
(6) A description of all fees collected by the provider that are not optional, including:
(a) Entrance fees;
(b) Fees for health-related services;
(c) Parking fees; and
(d) Periodic fees;
(7) The date and the amount of any changes in the fees that are not optional imposed in any of the past 5 years during which the facility was in operation;
(8) A statement describing provisions that have been, or will be, made to comply with the operating reserve requirements in Regulation .20 of this chapter;
(9) A general statement regarding the provider's investment policy related to the required reserves, including how often the reserve fund investment is reviewed and by whom;
(10) A copy of the most recent certified financial statement available under generally accepted accounting principles;
(11) A description of the long-term financing for the facility;
(12) If operations have not begun at the facility, a summary of the most recent feasibility study approved by the Department, which shall include:
(a) A description of the anticipated sources and uses of funds for the purchase or construction of the facility, including related costs such as:
(i) Land costs,
(ii) Construction costs,
(iii) Architect and engineering fees,
(iv) Financing expenses,
(v) Marketing costs,
(vi) Legal and administrative costs, and
(vii) Furnishing and equipment costs;
(b) A description of any short-term or long-term financing used in acquiring or constructing the facility, including the terms and costs of the financing or, if the provider leases the facility, a description of the anticipated or actual terms of the lease;
(c) The projected balance sheets, income statements, and cash flow statements of the provider contained in the feasibility study approved by the Department or, if there have been revisions to these financial projections since approval was received, then:
(i) Include the most current projections, and
(ii) Specify that the financial projections have been revised since the feasibility study was approved by the Department;
(d) A projected presales schedule for the independent living units;
(e) A projected move-in schedule for all of the units of the facility;
(f) A statement indicating when the provider expects to have executed agreements for 65 percent of the provider's independent living units;
(g) A statement indicating when the provider expects to achieve 95 percent occupancy of the facility's independent living units; and
(h) Any further information the Department requires;
(13) If operations have begun at the facility and the provider has not reached 85 percent occupancy in the independent living units, a summary of the most recent feasibility study approved by the Department, which shall include:
(a) A description of the sources and uses of funds for the purchase or construction of the facility, including related costs such as:
(i) Land costs,
(ii) Construction costs,
(iii) Architect and engineering fees,
(iv) Financing expenses,
(v) Marketing costs,
(vi) Legal and administrative costs, and
(vii) Furnishing and equipment costs;
(b) A description of any short-term or long-term financing used in acquiring or constructing the facility, including the terms and costs of financing, or, if the provider leases the facility, a description of the terms of the lease;
(c) The projected balance sheets, income statements and cash flow statements of the provider shown in the feasibility study approved by the Department or, if there have been revisions to these financial projections since approval was received, then:
(i) Include the most current projections, and
(ii) Specify that the financial projections have been revised since the feasibility study was approved by the Department;
(d) A projected presales schedule for the independent living units;
(e) A projected move-in schedule for all of the units of the facility;
(f) A semiannual schedule which shows actual move-ins for all of the units of the facility since opening;
(g) A statement indicating when the provider expects to achieve 95 percent occupancy of the facility's independent living units; and
(h) Any further information the Department requires;
(14) A cash flow forecast statement for the current and the next 2 fiscal years;
(15) The names and occupations of:
(a) The provider's officers, directors, trustees, and managing or general partners; and
(b) Any person with a 10 percent or greater equity or beneficial interest in the provider;
(16) A description of the financial interest in or occupation with the provider of each person identified under §C(15) of this regulation;
(17) If it is anticipated that a business entity will provide to either the facility or the provider goods, premises, or services with a value of $10,000 or more within any fiscal year, and if a person identified in §C(15) of this regulation has a financial interest of 10 percent or more in the business entity, then include:
(a) The name and address of the business entities;
(b) A description of the goods, premises, or services; and
(c) The anticipated yearly costs the facility or provider will incur for the goods, premises, or services;
(18) If the facility is, or will be, managed on a day-to-day basis by a person other than an individual directly employed by the provider, then include a description of the proposed manager or management company, including the business experience the manager or company has operating or managing similar facilities;
(19) A description of any matter in which an individual identified under §C(15) of this regulation has:
(a) Been convicted of, or pleaded nolo contendere to, a felony charge involving fraud, embezzlement, fraudulent conversion, or misappropriation of property;
(b) Been held liable, or enjoined by a final judgment, in a civil action involving fraud, embezzlement, fraudulent conversion, or misappropriation as a fiduciary;
(c) Been subject to an effective injunctive or restrictive order of a court of record arising out of or relating to business activity or health care, including actions affecting a license to operate any facility or service for aging, impaired, or dependent persons; or
(d) Had any state or federal license or permit suspended or revoked within the past 10 years, as a result of an action brought by a governmental agency arising out of or relating to business activity or health care, including actions affecting a license to operate any facility or service for aging, impaired, or dependent persons;
(20) A description of the form of governance of the provider, including the composition of the governing body;
(21) A statement that the provider shall hold the periodic meetings with residents as required under Regulation .19 of this chapter;
(22) If applicable, a description of the conditions under which the provider may:
(a) Be issued an initial certificate of registration for any new units; and
(b) Use escrowed deposits;
(23) If applicable, a statement of the amount of a subscriber's deposit that may be used upon issuance of an initial certificate of registration;
(24) A summary of the basic services provided, or proposed to be provided, under the continuing care agreements that clearly states which services are to be included in the basic fee or fees and which services are to be made available at an extra charge;
(25) A statement that explains:
(a) The extent to which health-related services are to be furnished; and
(b) Which health-related services are to be included in the basic fee or fees and which are to be made available at an extra charge;
(26) A statement that the provider will promptly amend its disclosure statement if, in the opinion of the provider or the Department, an amendment is necessary to prevent the disclosure statement from containing any material misstatement of fact required by this regulation to be stated in the disclosure statement or omission of a material fact required by this regulation to be stated in the disclosure statement;
(27) A description of any activity involving a renovation or an expansion, whether or not subject to Department review under Regulation .15 or .17 of this chapter, during the preceding fiscal year or proposed for the current fiscal year;
(28) If it is the provider's policy to impose a surcharge on some, but not all, subscribers because of some condition or circumstance, a statement that describes the types of conditions or circumstances that would warrant a surcharge and that a surcharge is not considered part of the entrance fee when calculating a statutory refund under Regulation .31 of this chapter;
(29) A description of the existence and role of the resident association;
(30) A description of the internal grievance procedure that provides for:
(a) The opportunity for a subscriber to submit a written grievance to the provider; and
(b) A response from the provider within 45 days after receipt of the written grievance as to the investigation and resolution of the subscriber's grievance; and
(31) Any other material information concerning the facility or the provider that the Department requires or that the provider wishes to include.