<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".23" citation="COMAR 10.07.14.23" title_num="10" subtitle_num="07" chapter_num="14" heading="Admission Requirements.">
  <paragraph num="A.">
    <text>Discrimination Prohibited. An assisted living program licensed under this chapter may not discriminate in admitting or providing care to an individual because of the individual’s:</text>
    <paragraph num="(1)">
      <text>Race;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Color;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>National origin;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Sexual orientation;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Gender identity;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Religion;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Physical disability; or</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Mental disability.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>An assisted living program may not provide services to individuals who at the time of initial admission, as established by the initial assessment, would require:</text>
    <paragraph num="(1)">
      <text>More than intermittent nursing care;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Treatment of stage three or stage four skin ulcers;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Ventilator services;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Skilled monitoring, testing, and frequent adjustment of medications and treatments where there is the presence of a fluctuating acute condition; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Monitoring of a chronic medical condition that is not controllable through readily available medications and treatments.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>An individual may not be admitted to an assisted living program who is:</text>
    <paragraph num="(1)">
      <text>Dangerous to the individual or others when the assisted living program would be unable to eliminate the danger through the use of appropriate treatment modalities; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>At high risk for health or safety complications which cannot be adequately managed.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>The provisions of §§B and C of this regulation do not apply to a resident being admitted to an assisted living program when the resident is under the care of a general hospice care program licensed by the Department which ensures delivery of one or more of the services described under §§B and C of this regulation through the hospice program’s plan of care.</text>
  </paragraph>
</regulation>