<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".21" citation="COMAR 10.07.04.21" title_num="10" subtitle_num="07" chapter_num="04" heading="Notifications.">
  <paragraph num="A.">
    <text>Within 24 hours of an event or change in condition and in accordance with State and federal confidentiality laws, a center shall attempt to notify a resident and a resident’s representative, family member, legal guardian, or custodian of:</text>
    <paragraph num="(1)">
      <text>A change in the resident’s condition;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>An adverse event that affected the resident; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>If appropriate, the corrective action taken.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The notification may be waived by the individual identified under Regulation .19A of this chapter if the individual sends a written response instructing the center that the individual:</text>
    <paragraph num="(1)">
      <text>Waives the required notifications; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Requests that the notification be provided only under the circumstances identified in the written response.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>All written responses waiving some or all notifications shall be maintained in the resident’s medical record.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The center shall document in the medical records that the required notification were completed. The documentation shall include:</text>
    <paragraph num="(1)">
      <text>The nature of the event or change in condition;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The names of the individuals who received notification;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The dates and times of the notifications; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The name of the staff who made the notifications.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>If a center has made reasonable attempts to notify the required individuals and has been unable to make contact, the failure to reach the individuals shall be documented in the medical records.</text>
  </paragraph>
  <paragraph num="F.">
    <text>If the Department determines that the center has failed to provide the required notification, the Department shall require the center as part of its plan of correction to provide notification as soon as possible.</text>
  </paragraph>
</regulation>