# Health - General (GHG)

## Title 19. Health Care Facilities

### Subtitle 14. Nursing Homes

#### Section 19-1415

(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.

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Md. Code Ann., Health-Gen. (as displayed at mgaleg.maryland.gov, October 16, 2026)