For the purposes of this Chapter, the following words and phrases have the following meanings: Director; Department: The term "Director" means Director of the Department of Health and Human Services and the term "Department" means the Department of Health and Human Services. Domiciliary care: The term "domiciliary care" shall mean those services provided to aged or disabled persons in a protective institutional or home-type environment. These services shall include shelter, housekeeping services, board, facilities and resources for daily living, personal surveillance or direction in the activities of daily living. Domiciliary care home: The term "domiciliary care home" shall mean an institution which maintains conditions or facilities and equipment for provision of domiciliary care to persons who because of advanced age or physical or mental disability are not gainfully employed. Establishment: The term "establishment" shall mean erection, building or substantial acquisition, reconstruction, expansion or modification of a structure to be used as a hospital. Family council: A group that includes a family member, friend, or representative of 2 or more residents of a nursing home or other facility subject to Section 25-24A. A family council is led by residents and their families, not by the facility, and works to protect residents’ rights and improve residents’ quality of life. Hospital: The term "hospital" shall mean any institution which maintains and operates facilities for the provision of diagnostic and treatment services under the supervision of physicians who are members of an organized medical staff of not less than 5 legally, ethically and professionally qualified physicians. This shall include general hospitals and institutions in which service is limited to special fields such as cardiac, eye, ear, nose and throat, pediatric, orthopedic, skin and cancer, mental, tuberculosis, chronic disease and obstetrics and sanitariums wherein feeble minded and mental patients, epileptics, alcoholics, senile psychotics or drug addicts are treated or cared for. Institution: The term "institution" shall mean a place to which are admitted or in residence for overnight care 2 or more nonrelated individuals needing medical, nursing or personal care or 4 or more nonrelated individuals needing domiciliary care as defined in this Section. This shall not include any dispensary or first-aid treatment facility maintained solely for and limited to services for employees or students of any commercial or industrial plant, educational institution, convent, County home or almshouse, motels, apartments and facilities maintaining services for persons capable of independent living. Nonrelated individual: The term "nonrelated individual" shall mean anyone who is not a son, daughter, grandson, granddaughter, father, mother, grandfather, grandmother, brother, sister, stepmother, stepfather, stepson, stepdaughter, husband or wife of the owner, operator or lessee or an in-law of any one of the preceding persons. Nursing care: The term "nursing care" shall mean services to patients requested or ordered by physicians and provided or supervised by registered or practical nurses licensed to practice in the State. Nursing home: The term "nursing home" shall mean an institution which maintains conditions or facilities and equipment for provision of nursing care for chronically ill or convalescent patients. This shall include convalescent homes, nursing units of homes for the aged, psychiatric nursing homes, nursing facilities for the handicapped, homes for alcoholics, halfway houses or any other home-type facility which admits patients and holds itself out as providing 24 hours per day nursing care for such patients. Patient: The term "patient" shall mean any individual suffering from disease or disabilities or any individual who due to advanced age requires services or care. Personal care: The term "personal care" shall mean those services which an individual would normally perform for himself but for which he is personally dependent on others because of advanced age, infirmity or physical or mental limitation. This includes assistance in walking, getting in and out of bed, bathing, dressing, feeding and general supervision and assistance in daily living. Personal care home: The term "personal care home" shall mean an institution which maintains conditions or facilities and equipment for provision of domiciliary or personal care in a protective institutional environment to persons who because of advanced age or physical or mental disability are not gainfully employed. Room: An area enclosed by 4 ceiling-high walls and covered by a ceiling.

The director is hereby charged with the responsibility for the administration and enforcement of the provisions of this chapter under the direction of the county executive.

For the purpose of enforcing this chapter, the director, the fire marshal, the superintendent of police and such subordinate officials as may be expressly designated by the above-named county officials shall, upon exhibiting the proper credentials or proof of identity, have the right to enter any building, structure or premises of an institution for the purpose of inspecting all spaces and areas (except the living quarters of staff members of any institution without the consent of the occupant of such living quarters) at any time during business or operating hours and at such other times as may be necessary for the health, safety or welfare of the patients.

Every institution shall keep a register containing a record of all persons admitted and cared for. Such register shall be maintained on a yearly basis in a substantial bound volume or in such other form as may be approved by the director, and shall be signed either by the patient, his physician or a person responsible for the patient's care. The register shall contain the following minimum information: Name Admittance address Age Sex Date of admission Date of discharge Weight on admission and monthly recordings, if possible Nursing notes List of any personal belongings or money turned over to the institution for safekeeping and disposition Name and address of person responsible for patient Name and address of attending physician Diagnosis Medication orders Progress notes.

No owner or administrator of, nor any person employed or associated with, an institution shall accept from any applicant for care of patient, or from any other person on behalf of such an applicant or patient, advance payment or compensation for a period of care for the applicant or patient exceeding twelve (12) months. This section shall not be construed to include those cases where such institution is operated by a bona fide charitable organization and there has been a gift or donation to the institution by any patient, or person on behalf of the patient, but otherwise shall be strictly construed.

A chart showing inspection reports shall be posted conspicuously on the premises of each institution.

No institution shall admit more patients than the number of beds for which it is licensed.

(a) Generally. The county council, sitting as the board of health, by resolution, is hereby authorized and empowered to adopt and enforce from time to time all needful standards and regulations for the health, safety, welfare and physical requirements of the patients in institutions and for the implementation and enforcement of this chapter, and such rules and regulations may be in addition to, inclusive of and not in conflict with any rules and regulations of the state board of health applicable to such institutions; provided, however, that, before finally adopting or enforcing such regulations or before substantially revising such rules and regulations, the board of health shall give at least fifteen (15) days' notice by publication, circular or otherwise as it may deem appropriate, informing all persons who may be interested in the enforcement of such rules and regulations that the board of health will hear such persons on a certain day named in such notice for the purpose of receiving and considering suggestions before the adoption or revision of such rules. (b) Publication, etc. After adoption or revision of such regulations, the board may, within a reasonable time thereafter, publish the regulations in such form as it may determine, and make copies of the regulations available to all interested persons at the office of the director.

The council is hereby authorized and empowered to pay to any hospital located in the county not receiving state aid and caring for county tax eligible indigent patients, such sum not exceeding fifty thousand dollars ($50,000.00) as the council shall determine; such sum to be a grant-in-aid of the hospital to promote the general public health and welfare of the people of the county.

Any owner or person in charge of any institution who violates any provision of this chapter shall be subject to punishment for a class B violation as set forth in section 1-19 of chapter 1 of the County Code. Each day during which such violation shall continue shall be deemed a separate offense.