Current through Register Vol. 51, No. 19, September 20, 2024
A. Meals.
(1) The assisted living manager shall ensure
that:
(a) A resident is provided three meals
in a common dining area and additional snacks during each 24-hour period, 7
days a week;
(b) Meals and snacks
are well-balanced, varied, palatable, properly prepared, and of sufficient
quality and quantity to meet the daily nutritional needs of each resident with
specific attention given to the preferences and needs of each
resident;
(c) All food is prepared
in accordance with all State and local sanitation and safe food handling
requirements;
(d) Food preparation
areas are maintained in accordance with all State and local sanitation and safe
food handling requirements; and
(e)
Residents have access to snacks or food supplements during the evening
hours.
(2) Menus.
(a) Menus shall be written at least 1 week in
advance with portion sizes tailored to each resident.
(b) Menus shall be maintained on file, as
served, for 2 months.
(c) As part
of the licensure approval and renewal process, an applicant shall submit a
4-week menu cycle with documentation by a licensed dietician or nutritionist
that the menus are nutritionally adequate.
(3) Special Diets.
(a) The assisted living program staff shall:
(i) Prepare or arrange for the provision of
special diets as ordered by the resident's personal physician or as needed by
the resident's condition; and
(ii)
Document special diets in the resident's record.
(b) If the diet is beyond the capability of
the program, the resident or the resident's physician shall make other
arrangements for the resident's care, or the program shall discharge the
resident.
B.
Monitoring. The assisted living manager shall ensure that each resident is
monitored on a daily basis to ensure that:
(1)
The resident's service plan is being properly implemented; and
(2) All adaptive equipment, ambulation
devices, and other necessary independent living aids are in proper working
order.
C. Nursing
Services. The assisted living manager, in consultation with the delegating
nurse, shall ensure that all nursing services are provided consistent with the
Nurse Practice Act, Health Occupations Article, Title 10, Annotated Code of
Maryland.
D. Personal Care
Services. The assisted living manager shall provide or ensure the provision of
all necessary personal care services, including, but not limited to, the range
of assistance needed by a resident to complete the following activities of
daily living:
(1) Eating or being
fed;
(2) Personal hygiene,
grooming, bathing, and oral hygiene, including brushing teeth, shaving, and
combing hair;
(3) Mobility,
transfer, ambulation, and access to the outdoors, when appropriate;
(4) Toileting and incontinence care;
and
(5) Dressing in clean,
weather-appropriate clothing.
E. Housekeeping Services. The assisted living
manager shall ensure that:
(1) Housekeeping
services are provided; and
(2) All
areas of the facility are maintained in a clean and orderly
condition.
F. Health
Care and Social Services. The assisted living manager is responsible for
facilitating access to any appropriate health care and social services for the
resident as determined in the resident's assessment, including but not limited
to:
(1) Social work services;
(2) Rehabilitative services, including
occupational, physical, speech, and audiology therapies;
(3) Home health services;
(4) Hospice services;
(5) Skilled nursing services;
(6) Physician services;
(7) Oral health care;
(8) Dietary consultation and
services;
(9) Counseling;
(10) Psychiatric services; and
(11) Other specialty health and social work
services such as services for residents with cognitive impairment.
G. Social and Spiritual
Activities.
(1) The assisted living manager
shall provide or arrange appropriate opportunities for socialization, social
interaction, and leisure activities which promote the physical and mental
well-being of each resident, including facilitating access to spiritual and
religious activities consistent with the preferences and background of the
resident.
(2) To encourage resident
participation in social and recreational activities, the assisted living
manager shall:
(a) Provide or arrange for
transportation to these activities in accordance with the resident's service
plan; and
(b) Assist a resident
with communication, interpersonal, and social skills, including managing
difficult behaviors in accordance with the resident's service plan.
