1. Program Definition and Services 

Skilled Nursing Services in Maryland provide specialized medical care and rehabilitation services to individuals with complex medical needs. Services include: 

• 24-hour nursing care 

• Rehabilitation therapies (physical, occupational, speech) 

• Wound care 

• Intravenous therapy 

• Post-operative care 

• Management of chronic conditions 

2. Regulations 

The program is governed by COMAR 10.07.02 (Comprehensive Care Facilities and Extended Care Facilities)  

3. Licensing or Certification 

Providers must be licensed as a Comprehensive Care Facility or Extended Care Facility by the Maryland Department of Health's Office of Health Care Quality 

4. Responsible State Agency 

The Maryland Department of Health's Office of Health Care Quality is responsible for licensing and regulating skilled nursing facilities 

5. Application Process 

The specific application process is not detailed in the available results. Providers should contact the Maryland Department of Health's Office of Health Care Quality for application procedures. 

6. Required Documentation 

Providers must maintain: 

• Nursing home license 

• Staff credentials and training records 

• Resident care plans and assessments 

• Documentation of services provided 

7. Timeline for Approval 

The available results do not provide a specific timeline for approval. Providers should contact the Maryland Department of Health's Office of Health Care Quality for this information. 

8. Pre-Application Process 

There is no explicit mention of a pre-application process in the provided results. 

9. Pre-Application Training 

While specific pre-application training is not mentioned, providers must ensure that: 

• Registered nurses are available 24 hours per day, 7 days per week 

• Staff are trained to meet the needs of all residents 

10. Additional Notes 

• Facilities must provide a minimum of 3 hours of bedside care per occupied bed per day, 7 days per week 

• The ratio of nursing service personnel on duty providing bedside care to residents may not be less than one to 15 

• Facilities must employ supervisory personnel based on the number of beds 

• Medicare covers short-term rehabilitation stays after hospitalization 

• Medicaid may cover long-term care for eligible individuals 

• Facilities are subject to unannounced on-site surveys, follow-up visits, and complaint investigations