Current through Register Vol. 51, No. 19, September 20, 2024
A. A resident
of an assisted living program has the right to:
(1) Be treated with consideration, respect,
and full recognition of the resident's human dignity and
individuality;
(2) Receive
treatment, care, and services that are adequate, appropriate, and in compliance
with relevant State, local, and federal laws and regulations;
(3) Participate in planning the resident's
service plan and medical treatment;
(4) Choose a pharmacy provider, subject to
the provider's reasonable policies and procedures with regard to patient safety
in administration of medications;
(5) Refuse treatment after the possible
consequences of refusing treatment are fully explained;
(6) Privacy, including the right to have a
staff member knock on the resident's door before entering unless the staff
member knows that the resident is asleep;
(7) Be free from mental, verbal, sexual, and
physical abuse, neglect, involuntary seclusion, and exploitation;
(8) Be free from physical and chemical
restraints;
(9)
Confidentiality;
(10) Manage
personal financial affairs to the extent permitted by law;
(11) Retain legal counsel;
(12) Attend or not attend religious services
as the resident chooses, and receive visits from members of the
clergy;
(13) Possess and use
personal clothing and other personal effects to a reasonable extent, and to
have reasonable security for those effects in accordance with the assisted
living program's security policy;
(14) Determine dress, hairstyle, or other
personal effects according to individual preference, unless the personal
hygiene of a resident is compromised;
(15) Meet or visit privately with any
individual the resident chooses, subject to reasonable restrictions on visiting
hours and places, which shall be posted by the assisted living
manager;
(16) Make suggestions or
complaints or present grievances on behalf of the resident, or others, to the
assisted living manager, government agencies, or other persons without threat
or fear of retaliation;
(17)
Receive a prompt response, through an established complaint or grievance
procedure, to any complaints, suggestions, or grievances the resident may
have;
(18) Have access to the
procedures for making complaints to:
(a) The
Long-Term Care Ombudsman Program of the Department of Aging as set forth in
COMAR 32.03.02;
(b) The Adult
Protective Services Program of the local department of social
services;
(c) The Office of Health
Care Quality of the Department; and
(d) The designated protection and advocacy
agency, if applicable;
(19) Have access to writing instruments,
stationery, and postage;
(20)
Receive a prompt, reasonable response from an assisted living manager or staff
to a personal request of the resident;
(21) Receive and send correspondence without
delay, and without the correspondence being opened, censored, controlled, or
restricted, except on request of the resident, or written request of the
resident's representative;
(22)
Receive notice before the resident's roommate is changed and, to the extent
possible, have input into the choice of roommate;
(23) Have reasonable access to the private
use of a common use telephone within the facility; and
(24) Retain personal clothing and possessions
as space permits with the understanding that the assisted living program may
limit the number of personal possessions retained at the facility for the
health and safety of other residents.
B. Confidential Information.
(1) Any case discussion, consultation,
examination, or treatment of a resident is:
(a) Confidential;
(b) To be done discreetly; and
(c) Not open to an individual who is not
involved directly in the care of the resident, unless the resident or
resident's representative permits the individual to be present.
(2) Except as necessary for the
transfer of a resident from the assisted living program to another facility, or
as otherwise required by law, the personal and medical records of a resident
are confidential and may not be released without the consent of the resident or
resident's representative, to any individual who is:
(a) Not associated with the assisted living
program; or
(b) Associated with the
assisted living program, but does not have a demonstrated need for the
information.
(3) The
assisted living manager shall share resident information with the Department as
necessary to administer this chapter.
C. Service Prohibited. A resident may not be
assigned to do any work for the assisted living program without the resident's
consent and appropriate compensation, unless the resident declines to be
compensated.
D. Adult Medical Day
Care.
(1) Adult day care attendance may be
encouraged.
(2) Adult day care
attendance or attendance at any other structured program shall be voluntary,
not mandatory.
(3) Adult medical
day care availability and policies shall be disclosed in the assisted living
program's admission agreement.
E. Notice of Resident's Rights. An assisted
living program shall place a copy of the resident's rights, as set forth in
this regulation, in a conspicuous location, plainly visible and easily read by
residents, staff, and visitors, and provide a copy to each resident and
resident's representative on admission.