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<section article="ghg" article_name="Health - General" number="19-301" title_number="19" title_name="Health Care Facilities" subtitle_number="3" subtitle_name="Hospitals and Related Institutions">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Accredited hospital” means a hospital accredited by the Joint Commission on Accreditation of Healthcare Organizations.</text>
  </level>
  <level label="c">
    <text>“Accredited residential treatment center” means a residential treatment center that is accredited by:</text>
    <level label="1">
      <text>The Joint Commission on Accreditation of Healthcare Organizations;</text>
    </level>
    <level label="2">
      <text>The Commission on Accreditation of Rehabilitation Facilities; or</text>
    </level>
    <level label="3">
      <text>The Council on Accreditation.</text>
    </level>
  </level>
  <level label="d">
    <text>“Apartment unit” means any space, in a residential building, that is enclosed and self-contained and has a sanitary environment, if the space includes:</text>
    <level label="1">
      <text>2 or more rooms;</text>
    </level>
    <level label="2">
      <text>A direct exit to a thoroughfare or to a common element leading to a thoroughfare;</text>
    </level>
    <level label="3">
      <text>Facilities for living, sleeping, and eating; and</text>
    </level>
    <level label="4">
      <text>At least the following facilities for cooking:</text>
      <level label="i">
        <text>Storage space for food and utensils;</text>
      </level>
      <level label="ii">
        <text>A refrigerator;</text>
      </level>
      <level label="iii">
        <text>A cook top; and</text>
      </level>
      <level label="iv">
        <text>Adequate electrical capacity and outlets for small appliances.</text>
      </level>
    </level>
  </level>
  <level label="e">
    <level label="1">
      <text>“Domiciliary care” means services that are provided to aged or disabled individuals in a protective, institutional or home-type environment.</text>
    </level>
    <level label="2">
      <text>“Domiciliary care” includes:</text>
      <level label="i">
        <text>Shelter;</text>
      </level>
      <level label="ii">
        <text>Housekeeping services;</text>
      </level>
      <level label="iii">
        <text>Board;</text>
      </level>
      <level label="iv">
        <text>Facilities and resources for daily living; and</text>
      </level>
      <level label="v">
        <text>Personal surveillance or direction in the activities of daily living.</text>
      </level>
    </level>
  </level>
  <level label="f">
    <text>“Hospital” means an institution that:</text>
    <level label="1">
      <text>Has a group of at least 5 physicians who are organized as a medical staff for the institution;</text>
    </level>
    <level label="2">
      <text>Maintains facilities to provide, under the supervision of the medical staff, diagnostic and treatment services for 2 or more unrelated individuals; and</text>
    </level>
    <level label="3">
      <text>Admits or retains the individuals for overnight care.</text>
    </level>
  </level>
  <level label="g">
    <text>“License” means a license issued by the Secretary:</text>
    <level label="1">
      <text>To operate a hospital in this State;</text>
    </level>
    <level label="2">
      <text>To operate a related institution in this State; or</text>
    </level>
    <level label="3">
      <text>To operate a residential treatment center in this State.</text>
    </level>
  </level>
  <level label="h">
    <text>“Limited service hospital” means a health care facility that:</text>
    <level label="1">
      <text>Is licensed as a hospital on or after January 1, 1999;</text>
    </level>
    <level label="2">
      <text>Changes the type or scope of health care services offered by eliminating the facility’s capability to admit or retain patients for overnight hospitalization;</text>
    </level>
    <level label="3">
      <text>Retains an emergency or urgent care center; and</text>
    </level>
    <level label="4">
      <text>Complies with the regulations adopted by the Secretary under § 19-307.1 of this subtitle.</text>
    </level>
  </level>
  <level label="i">
    <text>“Nonaccredited hospital” means a hospital not accredited by the Joint Commission on Accreditation of Healthcare Organizations.</text>
  </level>
  <level label="j">
    <text>“Nonaccredited residential treatment center” means a residential treatment center that is not accredited by:</text>
    <level label="1">
      <text>The Joint Commission on Accreditation of Healthcare Organizations;</text>
    </level>
    <level label="2">
      <text>The Commission on Accreditation of Rehabilitation Facilities; or</text>
    </level>
    <level label="3">
      <text>The Council on Accreditation.</text>
    </level>
  </level>
  <level label="k">
    <text>“Nursing care” means service for a patient that is:</text>
    <level label="1">
      <text>Ordered by a physician; and</text>
    </level>
    <level label="2">
      <text>Provided or supervised by a registered or practical nurse who is licensed to practice in this State.</text>
    </level>
  </level>
  <level label="l">
    <text>“Nursing facility” means a related institution that provides nursing care for 2 or more unrelated individuals.</text>
  </level>
  <level label="m">
    <text>“Person” includes this State or a county or municipal corporation.</text>
  </level>
  <level label="n">
    <level label="1">
      <text>“Personal care” means a service that an individual normally would perform personally, but for which the individual needs help from another because of advanced age, infirmity, or physical or mental limitation.</text>
    </level>
    <level label="2">
      <text>“Personal care” includes:</text>
      <level label="i">
        <text>Help in walking;</text>
      </level>
      <level label="ii">
        <text>Help in getting in and out of bed;</text>
      </level>
      <level label="iii">
        <text>Help in bathing;</text>
      </level>
      <level label="iv">
        <text>Help in dressing;</text>
      </level>
      <level label="v">
        <text>Help in feeding; and</text>
      </level>
      <level label="vi">
        <text>General supervision and help in daily living.</text>
      </level>
    </level>
  </level>
  <level label="o">
    <level label="1">
      <text>“Related institution” means an organized institution, environment, or home that:</text>
      <level label="i">
        <text>Maintains conditions or facilities and equipment to provide domiciliary, personal, or nursing care for 2 or more unrelated individuals who are dependent on the administrator, operator, or proprietor for nursing care or the subsistence of daily living in a safe, sanitary, and healthful environment; and</text>
      </level>
      <level label="ii">
        <text>Admits or retains the individuals for overnight care.</text>
      </level>
    </level>
    <level label="2">
      <text>“Related institution” does not include a nursing facility or visiting nurse service that is conducted only by or for adherents of a bona fide church or religious organization, in accordance with tenets and practices that include reliance on treatment by spiritual means alone for healing.</text>
    </level>
  </level>
  <level label="p">
    <text>“Residential treatment center” means a psychiatric institution that provides campus-based intensive and extensive evaluation and treatment of children and adolescents with severe and chronic emotional disturbances who require a self-contained therapeutic, educational, and recreational program in a residential setting.</text>
  </level>
  <level label="q">
    <text>“Unrelated individual” means anyone who is not:</text>
    <level label="1">
      <text>A child, grandchild, parent, grandparent, sibling, stepparent, stepchild, or spouse of the proprietor; or</text>
    </level>
    <level label="2">
      <text>An in-law of any of these individuals.</text>
    </level>
  </level>
</section>
