# COMAR Title 10 — Maryland Department of Health

## Subtitle 12 — Adult Health

### Chapter 04 — Day Care for the Elderly and Adults with a Medical Disability

#### Regulation .21 Comprehensive Assessments.

*COMAR 10.12.04.21*

A. The participant shall receive a comprehensive assessment (ADCAPS) that is designed to evaluate the participant's strengths and needs. A registered nurse shall complete the initial assessment within 30 days of a participant's admission and every 120 days thereafter as long as there is no change in the participant's condition. The assessment shall include:

  (1) Health status;

  (2) Functional status;

  (3) Participation in activities;

  (4) Nutritional status;

  (5) Psychosocial status; and

  (6) Home management skills.

B. Regardless of the schedule in §A of this regulation, the licensed or certified professional health care provider shall complete a reassessment by the end of the participant's next day of attendance when any significant change in the participant's condition occurs. The practitioner shall perform a follow-up evaluation of any significant change, and document the evaluation in the participant's medical record.