COMAR Questions and Answers Updated 2026

COMAR Questions and Answers
Updated 2026
Resident'sCRightsC-CAnswer(1)CConsideration,Crespect,ChumanCdignityCandCindividuality;

(2)CAdequateCandCcompliantCcare;

(3)CParticipateCinCserviceCplan;

(4)CChooseCaCpharmacy;

(5)CRefuseCtreatment;

(6)CPrivacy;

(7)CFreeCfromCabuse,Cneglect,CinvoluntaryCseclusion,CandCexploitation;

(8)CFreeCfromCrestraints;

(9)CConfidentiality;

(10)CManageCpersonalCfinances;

(11)CRetainClegalCcounsel;

(12)CReligiousCservicesC&CvisitsCfromCclergy;

(13)CPersonalCclothingCandCeffects,C&CreasonableCsecurity;

(14)CDetermineCdress,Chairstyle,Cetc.;

(15)CMeetCorCvisitCprivately;

(16)CMakeCsuggestionsCorCcomplaintsCorCpresentCgrievances;

(17)CPromptCresponseC-Ccomplaint,Cetc.;

(18)CComplaintsCtoCOmbudsman,CAPS,COHCQ,C&CAdvocacyCagency;

(19)CAccessCtoCwritingCmaterials;

(20)CPromptCresponseC-CpersonalCrequest;

(21)CCorrespondence;

(22)CRoommate;

(23)CTelephoneC

(24)CPersonalCclothingCandCpossessions.



QualificationsCofCOtherCStaff.C-CAnswer1)C18+CyrsCunlessClicensedCasCaCnurse

(2)CFreeCfrom:

,(a)CTB,CMMRVC

C.CExceptCforCCNAsC&CGNAs,CifCprovidingCpersonalCcareCemployee:

(1)CShallCdemonstrateCcompetenceCtoCDN

(2)CMayCworkCforC7Cdays,CifCaccompaniedCbyCCNACorCGNA

D.CBasicCCPRCtrainedCstaffCmemberCavailableC24ChoursCaCday.

E.CReliefCpersonnelCshallCbeCavailableCatCallCtimes.

Training....



"AdministrationCofCmedication"Cincludes:C-
CAnswer(i)CIdentifyingCtheCtimeCtoCadministerCtheCmedication;
(ii)COpeningCtheCmedicationCcontainer;

(iii)CRemovingCtheCmedicationCfromCtheCcontainer;Cor

(iv)CGivingCtheCmedicationCtoCtheCresident.



"AdministrationCofCmedication"CdoesCnotCinclude:C-
CAnswerresidentsCwhoChaveCtheCcognitiveCabilityCtoCrecognizeCtheirCmedicationsCbutConlyCr
equireCassistanceCsuchCas:

(i)CACreminderCtoCtakeCtheCmedication;

(ii)CPhysicalCassistanceCwithCopeningCaCmedicationCcontainer;Cor

(iii)CAssistanceCwithCremovingCmedicationCfromCtheCcontainer.



"AssistedClivingCprogram"C-CAnswermeansCaCresidentialCorCfacility-
basedCprogramCthatCprovidesChousingCandCsupportiveCservices,Csupervision,CpersonalizedCassi
stance,Chealth-
relatedCservices,CorCaCcombinationCofCtheseCservicesCtoCmeetCtheCneedsCofCindividualsCwho
CareCunableCtoCperform,CorCwhoCneedCassistanceCinCperforming,CtheCactivitiesCofCdailyClivin
gCorCinstrumentalCactivitiesCofCdailyCliving,CinCaCwayCthatCpromotesCoptimumCdignityCandCi
ndependenceCforCtheCindividuals.



"DelegatingCnurse"C-CAnswermeansCaCregisteredCnurseCwho:

(a)CIsClicensedCtoCpracticeCregisteredCnursingCinCthisCStateCasCdefinedCinCHealthCOccupation
sCArticle,CTitleC10,CAnnotatedCCodeCofCMaryland;Cand

,(b)CHasCsuccessfullyCcompletedCtheCBoardCofCNursing'sCapprovedCtrainingCprogramCforCregist
eredCnurses,CdelegatingCnurses,CandCcaseCmanagersCinCassistedCliving.



"DelegationCofCnursingCtasks"CmeansC-
CAnswertheCformalCprocessCapprovedCbyCtheCMarylandCBoardCofCNursingCwhichCpermitsCpr
ofessionalCnursesCtoCassignCnursingCtasksCtoCotherCindividualsCifCtheCregisteredCnurse:

(a)CProvidesCproperCtraining,Csupervision,CandCmonitoring;Cand

(b)CRetainsCresponsibilityCforCtheCnursingCtasks.

(23)C"Department"CmeansCtheCDepartmentCofCHealthCandCMentalCHygiene.



"FacilitatingCaccess"CmeansC-
CAnswer(i)CMakingCappropriateCreferralsCforCcareCandCtreatment;
(ii)CArrangingCforCtheCappointmentCandCinvolvementCofCappropriateChealthCcareCdecisionCma
kers,CwhenCnecessary;Cand

(iii)CFacilitatingCcontactCbetweenCtheCresident,CtheCresident'sCrepresentative,ChealthCcareCorC
socialCserviceCprofessional,CandCneededCservices



"FacilitatingCaccess"CdoesCnotCmeanC-CAnswerguaranteeingCpaymentCforCservicesCthat:

(i)CAreCnotCcoveredCbyCtheCresidentCagreement;Cor

(ii)CCannotCbeCpaidCforCbyCtheCresidentCorCtheCresident'sCagent



"HouseholdCmember"C-
CAnswermeansCanCindividualClivingCinCanCassistedClivingCfacilityCwhoCisCnotCaCresidentCorCs
taffCmember.



"Incident"C-CAnswer(a)CTheCdeathCofCaCresidentCfromCotherCthanCnaturalCcauses;

(b)CTheCdisappearanceCorCelopementCofCaCresident;

(c)CAnCassaultConCaCresidentCresultingCinCinjury;

(d)CAnCinjuryCtoCaCresidentCwhichCmayCrequireCtreatmentCbyCaChealthCcareCpractitioner,Cor
CanCeventCsuchCasCaCfallCwhichCcouldCsubsequentlyCrequireCtreatment;
(e)CAbuseCofCaCresident;

(f)CAnCerrorCorComissionCinCmedicationCorCtreatmentCwhichCmayCresultCinCharmCtoCtheCres
ident;Cor

, (g)CAnCemergencyCsituationCorCnaturalCdisaster.



"ProtectiveCdevice"C-CAnsweranyCdeviceCorCequipment,CexceptCbedCsideCrails:

(a)CThat:

(i)CShieldsCaCresidentCfromCself-injury;

(ii)CPreventsCaCresidentCfromCaggravatingCanCexistingCphysicalCproblem;Cor

(iii)CPreventsCaCresidentCfromCprecipitatingCaCpotentialCphysicalCproblem;

(b)CThatCmayClimit,CbutCdoesCnotCeliminate,CtheCmovementCofCtheCresident'sChead,Cbody,C
orClimbs;CandC(c)CThatCisCprescribedCbyCaCphysician.



"ResidentCAssessmentCTool"C-
CAnswerMaryland'sCAssistedCLivingCResidentCAssessmentCandCLevelCofCCareCScoringCToolC(DH
MHCFormC4506)CthatCis:

(a)CIncorporatedCbyCreferenceCinCRegulationC.03CofCthisCchapter;Cand

(b)CUsedCbyCassistedClivingCfacilitiesCtoCassessCtheCcurrentChealth,Cphysical,CandCpsychosocia
lCstatusCofCprospectiveCandCcurrentCresidents.



"Self-administrationCofCmedication"C-
CAnswermeansCaCresidentChavingCtheCcognitiveCandCphysicalCabilityCtoCtakeCmedicationCasC
prescribedCbyCanCauthorizedCprescriber:

(a)CAtCtheCcorrectCtime;

(b)CByCtheCcorrectCroute;Cand

(c)CInCtheCcorrectCdosage.



"Short-termCresidentialCcare"C-
CAnsweraCstay,CeitherCcontinuousCorCintermittent,CinCanCassistedClivingCprogramCofCnotCmor
eCthanC30CdaysCfromCtheCdateCofCinitialCadmission,CwhichCcannotCexceedC30CdaysCperCyea
r.



"SignificantCchangeCofCcondition"C-
CAnsweraCshiftCinCaCresident'sChealth,Cfunctional,CorCpsychosocialCconditionsCthatCeitherCcau
sesCanCimprovementCorCdeteriorationCinCaCresident'sCconditionCasCdescribedCinCAppendixCA
CofCtheCResidentCAssessmentCTool.