<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".31" citation="COMAR 10.07.02.31" title_num="10" subtitle_num="07" chapter_num="02" heading="Resident Activities.">
  <paragraph num="A.">
    <text>Activities Program. The nursing home shall provide:</text>
    <paragraph num="(1)">
      <text>A program of structured and unstructured activities; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Activities designed and monitored appropriately to meet the day-to-day needs and interests of each resident and encourage:</text>
      <paragraph num="(a)">
        <text>Self-care;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Engagement in resident-selected activities; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Maintenance of an optimal level of psychosocial functioning.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Staffing. A staff member who is qualified by experience or training shall be appointed to be responsible for the activities program. If the designee is not a qualified resident activities coordinator as defined in Regulation .01 of this chapter, the Department may approve the designee based on the person’s education, performance, and experience.</text>
  </paragraph>
  <paragraph num="C.">
    <text>If the Department determines that an effective program is not maintained consultation may be required as specified by the Department.</text>
  </paragraph>
  <paragraph num="D.">
    <text>Restrictions on Participation Documented on Chart. The physician shall document in the resident’s chart any restrictions applicable to the resident’s participation in the activities program.</text>
  </paragraph>
  <paragraph num="E.">
    <text>Objective. The activities shall be designed to promote the general health and physical, social, and mental well-being of the residents.</text>
  </paragraph>
  <paragraph num="F.">
    <text>Space, Supplies. The nursing home shall provide adequate space and a variety of supplies and equipment to satisfy the appropriate individual activity needs of residents.</text>
  </paragraph>
</regulation>