<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".25" citation="COMAR 10.07.02.25" title_num="10" subtitle_num="07" chapter_num="02" heading="Special Care Units — Dementia Care Unit.">
  <paragraph num="A.">
    <text>A dementia care unit shall meet the:</text>
    <paragraph num="(1)">
      <text>General requirements established for all special care units as outlined in Regulation .24 of this chapter; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Requirements of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Dementia Unit Disclosure.</text>
    <paragraph num="(1)">
      <text>The disclosure shall be made to the Department and to any person seeking placement or receiving care in a Dementia special care unit or program of a nursing home.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The information disclosed shall explain the additional care provided in each of the following areas:</text>
      <paragraph num="(a)">
        <text>The Dementia special care unit’s written statement of its overall philosophy and mission, which reflects the needs of residents with dementia;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The process and criteria for placement, transfer, or discharge from the unit;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The process used for individualized assessment and establishing the resident-centered plan of care and its implementation, including the method by which the plan of care evolves and is responsive to changes in the individual’s condition;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Staff training and continuing education practices;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The physical environment and design features appropriate to support the functioning of cognitively impaired adult residents;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>The frequency and types of resident activities;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>The involvement of families and family support programs; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>The cost of care and any additional fees.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Secured units shall meet the established standards applicable to nursing home set forth in NFPA 99 Health Care Facilities Code and NFPA 101 Life Safety Code.</text>
  </paragraph>
</regulation>