<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".11" citation="COMAR 10.12.04.11" title_num="10" subtitle_num="12" chapter_num="04" heading="Preadmission Assessment.">
  <paragraph num="A.">
    <text>Before admission, the center shall obtain a written assessment from the prospective participant's health care provider, who shall certify that the information provided reflects the individual's health status within 45 days of the individual's admission. Upon request and for good cause shown, the Department may grant an exception to all or part of the preadmission assessment.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Written Assessment. The health care provider's assessment shall include:</text>
    <paragraph num="(1)">
      <text>Recent medical history, including any acute medical condition or hospitalization;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Significant medical conditions affecting function, including the individual's ability for self-care, cognition, physical conditions, and behavioral and psychosocial status;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Other active and significant chronic or acute medical diagnoses;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Known allergies to medications, environment, and food;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Medical confirmation that the individual is free from communicable disease and other active reportable airborne diseases;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Current and other needed medications and treatments and the ability of the individual to self-medicate or self-treat;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Information of advanced directives for health care;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Current nutritional status including height, weight, risk factors, and deficits;</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Diets ordered by the health care provider;</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Medically necessary limitations or precautions; and</text>
    </paragraph>
    <paragraph num="(11)">
      <text>Monitoring or performance of tests after admission.</text>
    </paragraph>
  </paragraph>
</regulation>