maryland assisted living resident assessment tool

(2) If an assisted living manager determines that a nursing or clinical order should not or cannot be implemented, the manager, delegating nurse, and resident's physician shall discuss any alternatives that could safely address the resident's needs. (47) "Medical record" has the meaning stated in Health-General Article, 4-301, Annotated Code of Maryland. (b) "Facilitating access" does not mean guaranteeing payment for services that: (i) Are not covered by the resident agreement; or. 7_+C J!YBW#};V^C|Vf")!>%15HWO'~*J@[tysz^@7.rLT'_. CJ-}<3w7|Vk%J3ZT5vn' }Ws #v(_!!d VfYM+X;]^/.ur:7mxB# (a) "Involuntary seclusion" means the separation of a resident from others or from the resident's room against the resident's will or the will of the resident's representative. Neither the Board or the OHCQs regulations require the RN, CM/DN to prepare or sign the service plan. Click on Done after double-examining all the data. 0000003646 00000 n The 45 day site visit, which includes an assessment of: the client; the task; the caregiver to whom the task has been delegated; and the environment in which the task is to be performed may not be delegated to an LPN. Yes, the RN filling in will need to interact with and direct the activities of the medication technician and/or the CNA and/or the unlicensed person. (59) "Plan of correction" means a written response from the assisted living program that addresses each deficiency cited as a result of an inspection by the Department. (10) "Assisted living manager" means the individual who is: (a) Designated by the licensee to oversee the day-to-day operation of the assisted living program; and. National Human Trafficking Hotline - 24/7 Confidential. (54) "Ongoing" means continuing over an extended period of time. (8) "Assessment" means a process of evaluating an individual's health, functional and psychosocial history, and condition using the Resident Assessment Tool. 0000003954 00000 n A service plan for each resident shall be developed in a manner that enhances the principles of dignity, privacy, resident choice, resident capabilities, individuality, and independence without compromising the health or reasonable safety of other residents. stream 0000001660 00000 n endobj hotline in the past has helped to eliminate Mandatory Influenza Vaccination Policies for assisted living facilities are collected by the MHCC annually. (66) "Resident Assessment Tool" means Maryland's Assisted Living Resident Assessment and Level of Care Scoring Tool that is: (a) Incorporated by reference in Regulation .03 of this chapter; and (b) Used by assisted living facilities to assess the current health, physical, and psychosocial status of prospective and current residents. 0000002662 00000 n (44) "Licensed pharmacist" means an individual who is authorized to practice pharmacy under Health Occupations Article, Title 12, Annotated Code of Maryland. %PDF-1.4 % 0000002869 00000 n 0000011082 00000 n An assisted living program shall provide awake overnight staff when a resident's assessment using the Resident Assessment Tool, as provided in Regulation .21A or .26B of this chapter, indicates that awake overnight staff is required according to instructions on that tool. c The Cost of Assisted Living in Maryland. Please enable scripts and reload this page. rlmQz#X@@[#b2'E Z>Jn R0akPCa-.N' certain fraudulent activities and protect 0000006214 00000 n (4) "Adult medical day care" has the meaning stated in Health-General Article, 14-201 and 14-301, Annotated Code of Maryland. 2-L@ \lJ6_d[b9 "Erl\TcBLz"0AXL #Ps3\)^5D+Djp>%aLp! The RN, CM/DN teaching the medication technician course: must give the exams in the classroom setting - must observe the student take the exams face to face and then must collect the exams from the student. xb```"V|^e`0p4 9=a `Y]>,384Y\pkid@pF3@, ]/\Ws])\&P2VP&}$ pp)2F7z~2tL=P*hsQd>hT1rwb66@ cSl 7sn8_r^RD%oraEUi.#)7cDalch|b=^._6U2a=[}-;VF)4nUM(I3iDH 6DNytbZCaH(L6M pf %5m:\'**HNnU%rEiuYP_$1KbcH*?h #K^:>xZ emg:{&W^xCgDtdLQE$ 1@2s$S2 The resident specific waiver is specific to the health and safety needs of that client, and to the resources of the specific facility- including the level of staff available to care for the resident (CNA, medication technician, unlicensed person, LPN or RN). (a) The death of a resident from other than natural causes; (b) The disappearance or elopement of a resident; (c) An assault on a resident resulting in injury; (d) An injury to a resident which may require treatment by a health care practitioner, or an event such as a fall which could subsequently require treatment; (f) An error or omission in medication or treatment which may result in harm to the resident; or. (3) When the delegating nurse determines in the nurse's clinical judgment that the resident does not require a full assessment within 48 hours, the delegating nurse shall: (a) Document the determination and the reasons for the determination in the resident's record; and. . (2) Other than the information required in D(1) of this regulation, additional information is not required for subsequent short-term admissions if the resident or the resident's representative certifies that there has been no significant change in the resident's service needs. (78) "Unclaimed deceased resident" means a resident of an assisted living program: (a) Who has not prearranged and prepaid for the disposal of the resident's body; or. &HZ$H>4c Jg> /0 Questions noted with an asterisk are "triggers" for awake overnight staff. facility. manager should collaborate in this scheduling process. Background: There is a lack of empirical evidence about the impact of regulations on dementia care quality in assisted living (AL). 0000005915 00000 n xb```f``d33 ?+Pc2# 45 Assisted Living Facility Gender, Age and Race/Ethnicity Utilization Tables. (18) "Common-use telephone" means a telephone: (c) That is located so that residents can have private conversations; and. We're available on the following channels. 45 day nursing assessment. Health Assessment An assisted living program shall provide awake overnight staff when a resident's assessment using the Resident Assessment Tool, as provided in Regulation .21A or .26B of this chapter, indicates that awake overnight staff is required according to instructions on that tool. (4) A review of the assessment shall be conducted every 6 months for residents who do not have a change in condition. Get Form (a) "Restraint" means any chemical restraint or physical restraint as defined in B(16) and (58) of this regulation. (70) "Self-administration of medication" means a resident having the cognitive and physical ability to take medication as prescribed by an authorized prescriber: (71) "Service plan" means a written plan developed by the licensee, in conjunction with the resident and the resident's representative, if appropriate, which identifies, among other things, services that the licensee will provide to the resident based upon the resident's needs as determined by the Resident Assessment Tool. (68) "Sanction" means a disciplinary penalty imposed for a violation of statutes or regulations relating to the operation of an assisted living program, including but not limited to, those penalties referenced in Regulations .56, .57, .60, .62, and .63 of this chapter. ^!J@Zc$BX- +FF*1!fN? x- [ 0}y)7ta>jT7@t`q2&6ZL?_yxg)zLU*uSkSeO4?c. R -25 S>Vd`rn~Y&+`;A4 A9 =-tl`;~p Gp| [`L` "AYA+Cb(R, *T2B- endstream endobj 147 0 obj<> endobj 148 0 obj<> endobj 149 0 obj<>stream (63) "Representative" means a person referenced in Regulation .34 of this chapter. (48) "Mental abuse" means an intentional course of conduct resulting in emotional harm. fraud and/or abuse of State government (b) "Assisted living program" does not include: (i) A nursing home, as defined under Health-General Article, 19-301, Annotated Code of Maryland; (ii) A State facility, as defined under Health-General Article, 10-101, Annotated Code of Maryland; (iii) A program licensed or approved by the Department under Health-General Article, Title 7 or Title 10, Annotated Code of Maryland; (iv) A hospice care program licensed by the Department under Health-General Article, Title 19, Annotated Code of Maryland; (vi) Services provided by a licensed residential service agency or licensed home health agency in an individual's own home; or. 0000002898 00000 n truthful and transparent services. 0000002626 00000 n Abby's Assisted Living II 3071 S Rosemary (720) 338-3606 Care provided: Assisted Living, Respite Care Aladdin at Brush Assisted Living 428 Western Ave (970) 842-5463 Care provided: Assisted Living, Respite Care Serene Nature Assisted Living 10987 Luddington Street (818) 253-5989 Care provided: Assisted Living, Respite Care Brookdale Vista Grande (41) "Lavatory" means a basin used to maintain personal cleanliness that has hot and cold running water and sanitary drainage. (3) The service plan is reviewed by staff at least every 6 months, and updated, if needed, unless a resident's condition or preferences significantly change, in which case the assisted living manager or designee shall review and update the service plan sooner to respond to these changes. (b) "Administration of medication" includes: (i) Identifying the time to administer the medication; (iii) Removing the medication from the container; or. Use professional pre-built templates to fill in and sign documents online faster. (55) "Person" means an individual, receiver, trustee, guardian, personal representative, fiduciary, or representative of any kind and any partnership, firm, association, corporation, or other entity. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. Regardless of who arranges this, the AL manager must meet the same requirements as everyone else in the medication technician training program. A. (2) Within 30 days before admission, the assisted living manager or designee shall determine admission eligibilities described in A(1) of this regulation based on completion of a resident assessment using the Resident Assessment Tool as described in B of this regulation. 5-WG"G'G9RD|t[ Get access to thousands of forms. (b) For the use and benefit of a person other than the resident, if the resident or agent has not consented to the expenditure. The Assisted Living Resident Assessment Tool consists of four components, which include the Health Care Practitioner's Resident Physical Assessment, the Assisted Living Manager's Resident Assessment, the Level of Care Scoring Tool, and the Identifiers for Awake Overnight Staff. (13) "Background check" means a check of court and other records by a private agency. (52) "Occasional" means occurring from time to time, on an infrequent or irregular basis, with no particular pattern. (b) "Restraint" does not include a protective device. (79) "Verbal abuse" means the use of any oral or gestured language that includes disparaging or derogatory terms, which is directed to a resident, or within a resident's hearing distance, regardless of the resident's age, ability to comprehend, or disability. 0000002538 00000 n Learn About COVID-19 in Maryland. Assisted Living Manager's Assessment Assisted Living Manager's Assessment This form is to be completed by the Assisted Living Manager or their designee. gS81yKmnV^w5e\3ZLt(CmDHAev~HwUh4rg 1GAB7zH;Txj_@p\qkS_W 099-ZLcAd$Iwp\M[k{U5sL)U6`)53! 0000004963 00000 n (vii) A Certified Adult Residential Environment Program that is certified by the Department of Human services under Article 88A, 140, Annotated Code of Maryland. xref Use professional pre-built templates to fill in and sign documents online faster. 22 0 obj<>stream (b) "Physical restraint" does not mean a protective device as defined in this regulation. 12 28 National Human Trafficking Hotline - 24/7 Confidential. HUn8}WV\DxE=k%(u/&owWqV,@L"4uOi_WpzR * 15. (39) "Intermittent nursing care" means nursing care which is provided episodically, irregularly, or for a limited time period. You may be trying to access this site from a secured browser on the server. OHCQ visits each assisted living to determine if the assisted living residence is meeting state regulations. (a) "Activities of daily living" means normal daily activities. 0000001337 00000 n 14 0 obj<>stream (1) Upon the written recommendation of the resident's physician or assessing nurse, the assisted living program may apply to the Department for a waiver in accordance with Regulation .09 of this chapter to use an electronic monitoring system instead of awake overnight staff. maryland assisted living resident assessment and level of care scoring tool health care physical form maryland health assessment form Create this form in 5 minutes! SECTION 1. Following an analysis of the number of residents that the assisted living program intends to serve and the individual needs of each resident, the licensee shall develop a staffing plan that identifies the type and number of staff needed to provide the services required by this chapter. Information reported to the (65) "Resident agreement" means a document signed by both the resident or the resident's agent and the assisted living manager, or designee, stating the terms that the parties agree to, including, at a minimum, the provisions set forth in Regulations .24 and .25 of this chapter. It is designed to help the case customers, and stakeholders with (a) "Administration of medication" means the act of preparing and giving a medication to a resident. 0000007067 00000 n 0000000016 00000 n This assessment is provided by the residence and performed by a medical professional. 0000004224 00000 n OO5'WY>yeg^No1*)/_cZmXCZr%XA8AZikXp 49, No. |z :Y"+UQM2:|doseC021)~rh7OS+jwE^/bP'Gw*:.kPT/~Hvh$X|`CAPHF:VvguHzc*ik)u^PZ2 }V{q)Ktg'P+sEmR9S^>z"? qgE2H6`tIl8fX;:qxmM%p gAV}5Pp!oae; Keo401|`Y;@j AK%Jk],}5AK2.;/7jk~{ws:4x[c]d8MXL.I9YiuvYM i#M6E g (1) The resident's service plan shall be based on assessments of the resident's health, function, and psychosocial status using the Resident Assessment Tool. To find and compare the quality measures for Maryland assisted living facilities visit the Maryland Quality Reporting website and select Assisted Living. (33) "Home health services" means those services provided under the provisions of Health-General Article, 19-404, Annotated Code of Maryland, and COMAR 10.07.10. Level 1 (low) refers to a resident needing . The following are frequently asked questions regarding activities of the Registered Nurse (RN), case manager/delegating nurses (CM/DN) in assisted living. startxref There are three levels of care of which three is the highest. 0000001277 00000 n Copyright Maryland.gov. <<87e0044c2c518a4eb12f1dbf4822a393>]>> 12 0 obj <> endobj (53) "Office of Health Care Quality (OHCQ)" means the Office of Health Care Quality of the Maryland Department of Health. Each medication technician must successfully complete the required Clinical Update every two years to maintain his/her certification., 4140 Patterson Avenue, Baltimore, MD 21215-2254, Direct Entry Midwifery Advisory Committee. endobj (60) "Protective device" means any device or equipment, except bed side rails: (ii) Prevents a resident from aggravating an existing physical problem; or. Contact for Research Inquiries Johns Hopkins Bayview Medical Center 5300 Alpha Commons Drive Alpha Commons The RN, CM/DN training is designed to provide the RN with information he/she needs to keep the resident safe, the facility safe and the RN safe and in compliance with all State laws and regulations. E. Short-Term Residential Care Requirements. {Ar5L+o0'eMlz (b) "Involuntary seclusion" does not mean separating a resident from other residents on a temporary and monitored basis. We're available on the following channels. (16) "Chemical restraint" means the administration of drugs with the intent of significantly curtailing the normal mobility or normal physical activity of a resident in order to protect the resident from injuring the resident or others. }U~'ln. Get access to thousands of forms. 0000001361 00000 n %PDF-1.5 (ii) Cannot be paid for by the resident or the resident's agent. Please enable JavaScript in your browser. Fill the empty areas; engaged parties names, addresses and phone numbers etc. The Genworth 2021 Cost of Care Survey shows that assisted living in Maryland costs an average of $4,900 per month. (9) "Assist rail" means a hand rail or other similar, substantially constructed device that is installed to enable residents to move safely from one point or position to another. <<3724435e855e1947b7293cf9ac559c67>]>> 0000001059 00000 n <> startxref (20) "Criminal history records check" means a check of criminal history information, as defined in Criminal Procedure Article, 10-201, Annotated Code of Maryland, by the Department of Public Safety and Correctional Services. 0000000016 00000 n (2) Information on the Resident Assessment Tool shall be based on an examination conducted by a primary physician, certified nurse practitioner, certified registered nurse midwife, registered nurse, or physician assistant who shall certify that the information on the Assessment reflects the resident's current health status. Further evaluation by a health care practitioner is required and changes shall be made to the resident's service plan, if there is a score change in any of the following areas: (b) Ability to self-administer medications; and. It utilizes clinical competence, observational skills, and assessment expertise from all . endstream endobj 136 0 obj<> endobj 138 0 obj<> endobj 139 0 obj<>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageC]/ExtGState<>>> endobj 140 0 obj<> endobj 141 0 obj<> endobj 142 0 obj[/ICCBased 149 0 R] endobj 143 0 obj<> endobj 144 0 obj<> endobj 145 0 obj<> endobj 146 0 obj<>stream of Legislative Audits operates a toll-free 0000004199 00000 n (7) "Alzheimer's special care unit" means a secured or segregated special unit or program specifically designed for individuals with dementia, including a probable or confirmed diagnosis of Alzheimer's disease or a related disorder. Maryland Quality Reporting: Your resource for information on the quality and performance of nursing homes, hospitals, hospice, assisted living facilities, and more. 8, April 8, 2022 In this chapter, the following documents are incorporated by reference: A. Maryland's Assisted Living Resident Assessment and Level of Care Scoring Tool, DHMH Form #4506, November 2006, Maryland Department of Health and Mental Hygiene, Office of Health Care Quality; D. Resident Requirements for Awake Overnight Staff. trailer (c) "Administration of medication" does not include residents who have the cognitive ability to recognize their medications but only require assistance such as: (ii) Physical assistance with opening a medication container; or. Indicate the resident's ability to take his/her own medications safely & appropriately: Independently without assistance Can do so with physical assistance, reminders, or supervision only Needs to have medications administered by someone else General Comments. (iii) Assistance with removing medication from the container. On admittance, the facility must complete the Resident Assessment Tool to determine their care needs and if the resident requires . r7^9g K*]ttcK$P#^On`CJ@TR $ALJJ qyXQD#iTRSBkhh4!l (llE@aV5h+9f `T[8:x.V0za l8XD:pax@>b; A OJHh,Dwpb$p@V~N&FOk{w1_vM`m&h|gO.sZ#6e{e* -4kjS (43) "License" means a document issued by the Secretary to operate an assisted living program in Maryland. xref The staffing plan shall include on-site staff sufficient in number and qualifications to meet the 24-hour scheduled and unscheduled needs of the residents. (66) "Resident Assessment Tool" means Maryland's Assisted Living Resident Assessment and Level of Care Scoring Tool that is: (a) Incorporated by reference in Regulation .03 of this chapter; and. The tool is a combination of the Mini-Cog, a validated cognitive screen, and the Medication Transfer Screen (MTS), a pillbox skills test. (iii) Facilitating contact between the resident, the resident's representative, health care or social service professional, and needed services. W(=4mQn9 Instructions: Record score in the blank next to each question. (75) "Staff" means supervisors, assistants, aides, or other employees, including independent contractors retained by an assisted living program, to provide the care and services required by this chapter. The assisted living manager shall document in the resident's record this discussion and all individuals who participated in the discussion. The results show the percentage of staff vaccinated in the assisted living residence compared to the statewide average (the percentage of staff vaccinated in all Maryland assisted living residences completing the survey). Please enable scripts and reload this page. 5`&j7kRh>`g_d9B$j p!_6O"h/(Cc=8B00#v!3` *Cdf7P;bCE}g!9T]D`5K9q There are no national standardized quality measures for assisted living residences like those for nursing homes and home health agencies. facility employee unless that is an assigned responsibility as the Director of Nursing etc. (c) Determines whether the resident needs awake overnight monitoring. You may be trying to access this site from a secured browser on the server. (25) "Emergency admission" means the temporary admittance of an individual in an assisted living program when the individual's health and safety would be jeopardized by not permitting immediate admittance. Resident Health Assessment for Assisted Living Facilities INSTRUCTIONS TO LICENSED HEALTH CARE PROVIDERS: After completion of all items in Sections 1 and 2 (pages 1 - 4), return this form to the facility at the address indicated above. 0000003309 00000 n (3) If there are alternatives that could safely address the resident's needs, the assisted living manager shall notify the resident and, if appropriate, the resident's legal representative, the delegating nurse, and resident's physician of the change to the order. 0000010862 00000 n (b) The continued appropriateness of a waiver to use an approved electronic monitoring system instead of awake overnight staff. (1) Before admission the assisted living manager or designee shall determine whether: (a) The resident may be admitted under the assisted living program's licensure category; and. <> Mail or fax the completed IRS Form 4506-T to the address (or FAX number) provided on page 2 of Form 4506-T. . The Resident Assessment Tool is based on the Assisted Living Program regulations (COMAR 10.07.14) and is designed to provide the case manager/delegating nurse and the assisted living manager with the necessary resident-based information to provide or arrange for services that meet the needs of the residents in the assisted living program. UMiQkg/&[N63TC UnDq^{Fe :qLP0,wrY%v9MnQVU!30P-msE7kV1TOm#DHIXa+ox+vCeatGr I+Z2|n~F`"hcP,l40 Q]Jt&Z=&?v 0000003214 00000 n endstream endobj 13 0 obj<> endobj 15 0 obj<> endobj 16 0 obj<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 17 0 obj<> endobj 18 0 obj<> endobj 19 0 obj<> endobj 20 0 obj<> endobj 21 0 obj<> endobj 22 0 obj<> endobj 23 0 obj<> endobj 24 0 obj<> endobj 25 0 obj<> endobj 26 0 obj<> endobj 27 0 obj<> endobj 28 0 obj<> endobj 29 0 obj<>stream Assisted Living Assisted Living at Goodwill Retirement Community in Grantsville, Maryland. 7p>gQaaEZ>)0i~zn'5y%5m3~ resident in an A.L. We examined cohort differences in dementia recognition and treatment indicators between two cohorts of AL residents with dementia, evaluated prior to and following a dementia-related policy modification to more adequately assess memory and behavioral problems. If a physician or assessing nurse, in the physician's or nurse's clinical judgment, does not believe that a resident requires awake overnight staff, the physician or assessing nurse shall document the reasons in the area provided in the Resident Assessment Tool. .qTE!@9]&lPE$M@.MQT? 0000009961 00000 n 0000002248 00000 n (2) Within 30 days before admission, the assisted living manager or designee shall determine admission eligibilities described in A (1) of this regulation based on completion of a resident assessment using the Resident Assessment Tool as described in B of this regulation. (3) When a resident is assessed or reassessed using the Resident Assessment Tool, as provided in Regulation .21A or .26B of this chapter, the physician or assessing nurse shall review and document: (a) The need for awake overnight staff if the resident's previous assessment or review of an assessment indicated awake overnight staff was not necessary at the time; and. (64) "Resident" means an individual 18 years old or older who requires assisted living services. 137 0 obj<>stream (i) Making appropriate referrals for care and treatment; (ii) Arranging for the appointment and involvement of appropriate health care decision makers, when necessary; and. 4 0 obj However it is the AL manager's responsibility to arrange this clinical. (42) "Law enforcement agency" means the Maryland State Police or a police agency of a county or municipal corporation. theory, simulated medication pass, and the clinical experience of administering medication to an A.L. 3 0 obj 0000002083 00000 n Within 30 days before admission, a resident must be assessed using the Residential Assessment Tool to gauge health, function, and emotional and social well-being. * 18. That means the RN, CM/DN must vary the date and time of the 45 day site visit to assure that all medication technicians who administer meds 24-7 are seen with some regularity. You may be trying to access this site from a secured browser on the server. The RN, CM/DN 45 day nursing assessment is required when a medication technician is performing the delegated nursing function of medication administration. (iii) Prevents a resident from precipitating a potential physical problem; (b) That may limit, but does not eliminate, the movement of the resident's head, body, or limbs; and. The performance measures reported for assisted living residences include: 1) the results of Inspection surveys performed on-site; 2) influenza vaccination rates of assisted living staff, and 3) facility mandatory influenza vaccination policies. (46) "Management firm" means an organization, under contract with an applicant for a license or a current licensee, that is intended to have or has full responsibility and control over the day-to-day operations of the assisted living program. (34) "Household member" means an individual living in an assisted living facility who is not a resident or staff member. All rights reserved. wG xR^[ochg`>b$*~ :Eb~,m,-,Y*6X[F=3Y~d tizf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:O:8uJqnv=MmR 4 F. On-site nursing personnel shall work in partnership with the delegating nurse and assisted living program staff to ensure: National Human Trafficking Hotline - 24/7 Confidential. This includes when the client is absent from the facility. |wMbXN{[U%A@uu~$U 86 F^@Kn5+ybh Ah$%9;\o5Xmxbp,< W|`ZUSvs<1M3*.h}i(w KCZ.38-ObM 5/M4WU7ft#o4V@*SuYH&>3Qi3->j^Vxw Z%@c.`+c0C"U7tL0BH1|v d,O_:iq[\lc-W1Z>qwHKS:Azr3a?gHCM7{\86|'~lC=qFfhz,qT-9_%?( >EH!msg`v0qSOuGEGB4& 3Ha%>0bnvGG+"8) zGU* Within 30 days before admission, the assisted living manager, or designee, shall collect on the Resident Assessment Tool the following information regarding the current condition of each resident: (1) Level of functioning in activities of daily living; (2) Level of support and intervention needed, including any special equipment and supplies required to compensate for the individual's deficits in activities of daily living; (3) Current physical or psychological symptoms requiring monitoring, support, or other intervention by the assisted living program; (4) Capacity for making personal and health care-related decisions; (5) Presence of disruptive behaviors, or behaviors which present a risk to the health and safety of the resident or others; and. (g) An emergency situation or natural disaster. n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. C. The assisted living manager, or designee, shall ensure that: (1) A written service plan or other documentation sufficiently recorded in the resident's record is developed by staff, which at a minimum addresses: (a) The services to be provided to the resident, which are based on the assessment of the resident; (b) When and how often the services are to be provided; and. 0000001041 00000 n The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services.

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