<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".16" citation="COMAR 10.07.09.16" title_num="10" subtitle_num="07" chapter_num="09" heading="Complaint Procedure.">
  <paragraph num="A.">
    <text>A resident, the resident's representative, or an interested individual has the right to:</text>
    <paragraph num="(1)">
      <text>Make a complaint about the nursing facility;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Recommend a change in facility policy and procedure; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Be free from reprisal, restraint, interference, coercion, or discrimination by the nursing facility or its employees as a result of making a complaint or recommending a change in policy.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A nursing facility shall develop and implement the following complaint procedures:</text>
    <paragraph num="(1)">
      <text>A resident, the resident's representative, or an interested individual may present complaints to:</text>
      <paragraph num="(a)">
        <text>The nursing facility administration;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The nursing facility's staff;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The Office;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The Department; or</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Other persons or groups;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A complaint may be made to the nursing facility in person, orally or in writing, by telephone or by mail, and may be reported anonymously;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A nursing facility may not require the signature of the resident or, when applicable, the resident's representative or an interested individual on a complaint;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>If a complaint is presented to a nursing facility, the nursing facility shall investigate within 30 days the allegations made in the complaint and advise the complainant of the action the nursing facility is taking to resolve the complaint;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A nursing facility shall send to the Office and the Department a copy of any complaint that a complainant indicates has not been resolved to the satisfaction of the complainant;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A nursing facility shall maintain a permanent record for inspection by the Office or the Department of all complaints concerning the nursing facility; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>A complainant may request a hearing from the Department within 30 days of receiving the facility's response to the complaint or within 60 days of filing the complaint, whichever is earlier.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>A complaint which has not been resolved to the satisfaction of the complainant may be resolved through a hearing as follows:</text>
    <paragraph num="(1)">
      <text>After receiving a written request for a hearing, the Department shall forward a copy of the request to the Office and schedule a hearing;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The nursing facility may be represented by the nursing facility administrator, designee, or counsel;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>The complainant may be represented by:</text>
      <paragraph num="(a)">
        <text>The complainant;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The Office;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Counsel; or</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Any other individual;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>The Department's Director of Licensing and Certification, or a designee of the Director, shall conduct the hearing;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The Director or the Director's designee may:</text>
      <paragraph num="(a)">
        <text>Receive testimony from both parties;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>If appropriate, issue deficiencies and require the nursing facility to submit a plan of correction;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Attempt to assist the parties in reaching a satisfactory resolution;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Notify the complainant of the results of the findings and any actions taken; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Notify the appropriate State's attorney if there is evidence of criminal conduct.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A hearing conducted under §C of this regulation is not a contested case as defined in State Government Article, §10-202, Annotated Code of Maryland.</text>
  </paragraph>
</regulation>