The County Book, Anne Arundel County

Assisted living

Dates change; confirm with the official source before you act on one.

Every entry below names its official source and the date it was checked against that source.

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Deadlines

Personal-care staff: 6 hours of cognitive-impairment training within the first 120 days of employment

Staff whose duties involve personal care services must complete a minimum of 6 hours of initial cognitive-impairment, mental-illness, and behavioral-health training within the first 120 calendar days of employment. Staff also receive initial and annual training in the regulation's topic list, including fire and life safety, infection control, and basic food safety.

Jurisdiction: Maryland

Source: COMAR 10.07.14.19H(1); COMAR 10.07.14.19B(5)

Checked against this source on 2026-10-31

Plan of correction due within 10 calendar days of the statement of deficiencies

An acceptable plan of correction is due within 10 calendar days of receipt of the statement of deficiencies. An IDR request is likewise due within 10 calendar days, and an IDR request does not extend the plan deadline.

Jurisdiction: Maryland

Source: COMAR 10.07.14.11

Checked against this source on 2026-10-31

Cycles

OHCQ surveys every assisted living program on site at least annually

OHCQ (or its designee) surveys every assisted living program on site at least annually. Surveys may be announced or unannounced.

Jurisdiction: Maryland

Source: COMAR 10.07.14.12C-D

Checked against this source on 2026-10-31

Delegating nurse on site to observe each resident at least every 45 calendar days

The delegating nurse must be on site to observe each resident at least every 45 calendar days. The clock runs per resident, not per building.

Jurisdiction: Maryland

Source: COMAR 10.07.14.21C(1)

Checked against this source on 2026-10-31

Resident Assessment Tool: within 30 days before admission, reviewed every 6 months, new one at least annually

The Resident Assessment Tool is documented within 30 days before admission, reviewed at least every 6 months, and a new one is completed at least annually. A new assessment is also due within 48 hours after a significant change in condition or on the delegating nurse's determination.

Jurisdiction: Maryland

Source: COMAR 10.07.14.22

Checked against this source on 2026-10-31

Manager and delegating nurse meet at least every 6 months

The assisted living manager and the delegating nurse meet at least every 6 months to review resident status changes, service-plan requirements, and pharmacy-review findings. The manager documents the meeting.

Jurisdiction: Maryland

Source: COMAR 10.07.14.13A(2)(b)-(c)

Checked against this source on 2026-10-31

Annual facility risk assessment for tuberculosis in the quality assurance plan

The quality assurance plan includes an annual facility risk assessment for tuberculosis.

Jurisdiction: Maryland

Source: COMAR 10.07.14.13A(2)(a)

Checked against this source on 2026-10-31

Paperwork

Service plan developed within 30 days of admission and reviewed at least every 6 months

A resident's service plan is developed within 30 calendar days of admission and reviewed by staff at least every 6 months, sooner on a significant change. A full assessment is completed at least annually, and within 48 hours after a significant change or nonroutine hospitalization (7 calendar days where the delegating nurse documents the clinical-judgment exception).

Jurisdiction: Maryland

Source: COMAR 10.07.14.28B, .28D(2)-(3)

Checked against this source on 2026-10-31

Assisted living managers must hold a Board license (since July 1, 2026)

Since July 1, 2026, an individual must be licensed by the State Board of Long-Term Care Administrators before practicing as an assisted living manager in Maryland.

Jurisdiction: Maryland

Source: Md. Code, Health Occupations ยง 9-3A-01(a); COMAR 10.33.03.01A; Board Assisted Living Managers page

Checked against this source on 2026-10-31

Assisted living manager CE: 20 hours in the 2-year period before renewal

An assisted living manager's license renews on a 2-year cycle, and the manager must complete 20 hours of Department-approved continuing education within the 2-year period before the renewal date.

Jurisdiction: Maryland

Source: COMAR 10.33.04.02B

Checked against this source on 2026-10-31