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<section article="ghg" article_name="Health - General" number="19-1415" title_number="19" title_name="Health Care Facilities" subtitle_number="14" subtitle_name="Nursing Homes">
  <level label="a">
    <text>In this section, “change in condition” means a significant change in the resident’s physical, mental, or psychological status including:</text>
    <level label="1">
      <text>Life-threatening conditions such as heart attack or stroke;</text>
    </level>
    <level label="2">
      <text>Clinical complications such as:</text>
      <level label="i">
        <text>Development of a pressure sore;</text>
      </level>
      <level label="ii">
        <text>Onset of recurrent periods of delirium;</text>
      </level>
      <level label="iii">
        <text>Onset of recurrent urinary tract infection;</text>
      </level>
      <level label="iv">
        <text>Onset of depression; or</text>
      </level>
      <level label="v">
        <text>Onset of aggressive or inappropriate behavior;</text>
      </level>
    </level>
    <level label="3">
      <text>The need to discontinue a medication or treatment because of:</text>
      <level label="i">
        <text>Adverse consequences; or</text>
      </level>
      <level label="ii">
        <text>The need to begin a new form of treatment;</text>
      </level>
    </level>
    <level label="4">
      <text>Evaluation at or admission to a hospital; and</text>
    </level>
    <level label="5">
      <text>Accidents that result in injury having the potential for requiring a physician’s intervention.</text>
    </level>
  </level>
  <level label="b">
    <text>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:</text>
    <level label="1">
      <text>Change in condition;</text>
    </level>
    <level label="2">
      <text>Adverse event that may result in a change in condition;</text>
    </level>
    <level label="3">
      <text>Outcome or care that results in an unanticipated consequence; or</text>
    </level>
    <level label="4">
      <text>Corrective action, if appropriate.</text>
    </level>
  </level>
  <level label="c">
    <text>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.</text>
  </level>
</section>
