<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".19" citation="COMAR 10.07.02.19" title_num="10" subtitle_num="07" chapter_num="02" heading="Nursing Services — Staffing.">
  <paragraph num="A.">
    <text>Supervisory Personnel — Nursing Homes.</text>
    <paragraph num="(1)">
      <text>Nursing homes shall provide at least the following supervisory personnel:</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The director of nursing’s time is included in §A(1) of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Hours of Bedside Care — Nursing Home.</text>
    <paragraph num="(1)">
      <text>A nursing home shall employ supervisory personnel and a sufficient number of support personnel to provide a minimum of 3 hours of bedside care per occupied bed per day, 7 days per week.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Bedside hours include the care provided by:</text>
      <paragraph num="(a)">
        <text>Registered nurses;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Licensed practical nurses; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Support personnel.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Only those hours which the director of nursing spends in bedside care may be counted in the 3-hour minimum requirement.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The director of nursing’s time counted in bedside care shall be documented.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Staffing in Nursing Home.</text>
    <paragraph num="(1)">
      <text>A nursing home shall be staffed with at least one registered nurse, 24 hours per day and 7 days per week.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Additional registered nurses, licensed practical nurses, and support personnel shall be employed to meet the needs of all the residents admitted. The nursing home shall be staffed as referenced in §§A and B of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Nursing Service Personnel on Duty. The ratio of nursing service personnel on duty providing bedside care to residents may not at any time be less than one to 15.</text>
  </paragraph>
</regulation>