State Licensing for Senior Communities and Care Services in Maryland

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Maryland Department of Health
And Mental Hygiene
4201 Patterson Ave
Baltimore, MD 21215-2299

State Commission on Aging

Type of Housing/Care Search Definitions
Adult Medical Day Care Facilities Adult Day Care A license is required to operate an Adult Medical Day Care Center for elderly and medically handicapped adults. The Day Care operator supervises participants' health, recreational/social activities, activities of daily living, exercise and counseling. As of December, 1997 there were about 70 Day Care Centers for Elderly and Medically Handicapped Adults in Maryland.
Affordable Senior Housing Affordable Senior Housing HUD 202 Program that offers rental assistance for seniors who meet the requirements of the federal program.
Assisted Living Programs Assisted Living An Assisted Living Program (ALP) License is required for a person to provide one or more unrelated individuals with housing, supportive services, supervision, personalized assistance, health-related services, or a combination thereof that meets the needs of individuals who are unable to perform, or who need assistance in performing the activities of daily living. ALPs promote optimum dignity and independence for individuals. The Department of Health and Mental Hygiene, the Department of Aging and the Department of Human Resources are in the process of conducting on-site surveys of approximately 5,000 programs to determine if they are in compliance with the Assisted Living Program regulations, which were implemented on January 1, 1999.
Continuing Care Retirement Communities Continuing Care Retirement Communities Continuing Care Retirement Communities, also known as Life Care Communities, offer a secure, stimulating and protected environment for seniors, with access to medical and nursing services, should the need arise.
Home Health Agencies Home Care A Home Health Agency License is needed by a business that provides centrally administered, skilled nursing services and home health aide services and at least one other home care service to a sick or disabled person in the person’s residence. Home health aide services are related to activities of daily living and are supervised by a registered nurse. The Department of Health and Mental Hygiene inspects Home Health Agencies in response to complaints and to ensure compliance with regulations. There are about 78 Home Health Agencies in Maryland.
Hospice Care Programs Hospice The purpose of the Hospice Care License is to ensure that the medical, physical, psychological and spiritual needs of terminally ill people enrolled in hospice programs are adequately provided. A Hospice is a service where health professionals and lay volunteers assist patients and their families with the process of dying. A business must obtain a Hospice Care License if the business provides coordinated, interdisciplinary programs of symptom management and supportive services to meet the needs of dying individuals and the families of those individuals during illness and bereavement. The Department of Health and Mental Hygiene inspects Hospice Care Programs in response to complaints and at least once every three years to ensure compliance with regulations. There are about 38 licensed Hospice Care programs in Maryland.
Nursing Homes/Long Term Nursing  A Comprehensive Care Facility, also known as a Nursing Home or a Special Care Unit, is a facility which admits two or more unrelated persons who do not need the intensive care provided by a hospital but who are unable to be cared for appropriately in a home, or other assisted living facility. This license is intended to protect the public by requiring the operator of a Comprehensive Care Facility who admits individuals suffering from disease or disabilities or advanced age, to provide the admitted residents with medical service and nursing service rendered by or under the supervision of a registered nurse. In 1999, there were 261 licensed Comprehensive Care Facilities.


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