Maryland Skilled Nursing Agency Policy Manual

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The Maryland Skilled Nursing Agency Policy Manual provides a comprehensive framework for the operation of state-compliant agencies delivering skilled nursing services to individuals in need of medical care in Maryland. This manual is aligned with the Code of Maryland Regulations (COMAR), particularly COMAR 10.07.02 and 10.09.10, as well as the regulations set forth by the Maryland Department of Health (MDH). It also ensures compliance with Medicaid and Medicare Conditions of Participation (42 CFR Part 484, if applicable) for agencies providing federally reimbursed services. The manual includes policies and procedures governing agency licensing and certification, clinical care standards, patient assessment and care planning, nursing staff qualifications and training, infection control, medication management, patient rights, emergency preparedness, and quality assurance. It also outlines documentation and billing procedures to meet both state and federal regulatory requirements. Designed to support agencies in providing high-quality, patient-centered care, this manual serves as an essential resource for maintaining regulatory compliance while delivering compassionate and effective skilled nursing services across a variety of care settings.