# COMAR Title 10 — Maryland Department of Health

## Subtitle 07 — Hospitals

### Chapter 02 — Nursing Homes

#### Regulation .12 Resident's Representative.

*COMAR 10.07.02.12*

A. A nursing home shall recognize the authority of:

  (1) A guardian of the person under Estates and Trusts Article, §13-705, Annotated Code of Maryland;

  (2) A guardian of the property under Estates and Trusts Article, §13-201, Annotated Code of Maryland;

  (3) An advance directive that meets the requirements of Health-General Article, §5-602, Annotated Code of Maryland;

  (4) A surrogate decision maker with authority under Health-General Article, §5-605, Annotated Code of Maryland;

  (5) A power of attorney that meets the requirements of Estates and Trusts Article, §13-601, Annotated Code of Maryland;

  (6) A representative payee or other similar fiduciary; or

  (7) To the extent permitted by Maryland law, any other individual, if that individual was designated by a resident who was competent at the time of designation.

B. A facility shall require documentation or other appropriate verification of the authority of a resident's representative. A facility may not recognize the authority of a resident's representative if the representative attempts to exceed the authority:

  (1) Stated in the instrument that grants the representative authority; or

  (2) Established by State law.

C. A facility shall:

  (1) Document in the resident's record the name of the individual, if any, with authority identified in §A of this regulation; or

  (2) Include the documentation in the record.
