<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".30" citation="COMAR 10.07.02.30" title_num="10" subtitle_num="07" chapter_num="02" heading="Social Work Services.">
  <paragraph num="A.">
    <text>Services Provided. The nursing home shall provide or make arrangements for services to identify and meet the resident’s medically related physical, social, and behavioral health needs.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Social Work Staff Responsibility.</text>
    <paragraph num="(1)">
      <text>Social services responsibilities in the nursing home shall be assigned to a:</text>
      <paragraph num="(a)">
        <text>Licensed bachelor social worker;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Licensed graduate social worker;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Licensed certified social worker; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Licensed certified social worker–clinical.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If the social worker is not a licensed certified social worker (LCSW) or a licensed certified social worker-clinical (LCSW-C), the nursing home shall arrange for an LCSW or LCSW-C to provide sufficient hours of supervision.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>As of January 1, 2021, a license is required for an employee to provide social services except if:</text>
      <paragraph num="(a)">
        <text>On the effective date of these regulations, the employee was assigned responsibility for social services; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The nursing home has an agreement with a qualified social work consultant that provides for sufficient hours of supervision to assure that the employee’s services meet the medically related physical, social, and behavioral health needs of the residents.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Social History. Within 7 days after admission, the social worker shall initiate a written social history, which shall be as complete as possible and shall include:</text>
    <paragraph num="(1)">
      <text>Social data about personal and family background to provide understanding of the resident and how the resident functions;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Information regarding current personal and family circumstances and attitudes as they relate to the resident’s illness and care; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Information regarding the resident’s and family’s plans regarding discharge.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Records. Records shall include the information required in §C of this regulation.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Space. A nursing home shall provide:</text>
    <paragraph num="(1)">
      <text>Space for social work personnel, accessible to residents, medical, and other staff; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Privacy for interviews.</text>
    </paragraph>
  </paragraph>
</regulation>