<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.07.02.11" title_num="10" subtitle_num="07" chapter_num="02" heading="Admission and Discharge.">
  <paragraph num="A.">
    <text>Written Policy. The nursing home shall develop written policies, consistent with this chapter and COMAR 10.07.09, to govern the nursing care, related medical, and other services that the nursing home provides regarding:</text>
    <paragraph num="(1)">
      <text>Admissions, transfers, and discharges;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Acceptable payment sources; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Medical Assistance program information.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The nursing home shall make its admission and discharge policies available for review by residents, the resident’s representative, and the long-term care ombudsman.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Discrimination Prohibited. A nursing home licensed under this chapter may not discriminate in admitting or providing care to an individual because of the individual’s:</text>
    <paragraph num="(1)">
      <text>Race;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Color;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>National origin;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Sexual orientation;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Gender identity;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Religion;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Physical disability; or</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Mental disability.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Contract. Before or at admission, a contract shall be executed by the administrator and resident, guardian, or responsible agency which is consistent with the requirements of Health-General Article, §19-344, Annotated Code of Maryland, “Rights of Individuals”.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Registry. A nursing home shall maintain a permanent resident registry in which the name of each resident is entered in chronological order with the date and number of entry.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Admission Record. A copy of the clinical record, identification, and summary sheet described in Regulation .32 shall be used as an admission record.</text>
  </paragraph>
  <paragraph num="G.">
    <text>Before discharge the nursing home shall:</text>
    <paragraph num="(1)">
      <text>Verify that the transfer and discharge is to a licensed assisted living facility and appropriate to meet the needs of the resident; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Document the verification in the resident’s medical record.</text>
    </paragraph>
  </paragraph>
  <paragraph num="H.">
    <text>Notification of Responsible Persons When Resident Moves. When the resident is transferred from the nursing home for any reason or at time of death, the administrator or the administrator’s designee shall notify the attending physician and the:</text>
    <paragraph num="(1)">
      <text>Private agency;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Public agency; or</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Responsible party designated by the resident.</text>
    </paragraph>
  </paragraph>
  <paragraph num="I.">
    <text>Restrictions on Admission and Retention of Residents. Residents may not be admitted or retained if, in the judgment of the attending physician, they are:</text>
    <paragraph num="(1)">
      <text>Acutely ill and require medical, surgical, or nursing care beyond the capabilities of the facility; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Dangerous to themselves or others.</text>
    </paragraph>
  </paragraph>
</regulation>