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Health Care Facility Definitions
Types of Facilities

Baltimore County has approximately 340 health care establishments that have been included in the Health Department's Inspectional Program. These facilities include:

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Hospitals

"Hospitals" are institutions that have a group of at least five physicians who are organized as a medical staff for the institution. Hospitals must maintain facilities to provide, under supervision of medical staffs, diagnostic and treatment services for individuals that receive day and overnight care.

Assisted Living Facilities

“Assisted Living Facilities” are residential programs that provide housing and supportive services, supervision, personalized assistance, health related services, or a combination of these services to meet the needs of residents who are unable to perform or who need assistance in performing, the activities of daily living or instrumental activities of daily living, in a way that promotes optimum dignity and independence for the residents.

Comprehensive Care Facilities (nursing homes)

“Comprehensive Care Facilities” are facilities that admit patients suffering from disease, disabilities or advanced age, requiring medical services and nursing services rendered by or under the supervision of a registered nurse.

Day Care Centers for the Elderly and Handicapped Adults

Medical Day Care Centers for the Elderly and Handicapped Adults” are facilities that operate for the purpose of providing medical day care services in an ambulatory care setting to medically handicapped adults who do not require 24-hour inpatient care, but, due to their degree of impairment, are not capable of full-time independent living.

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Drug/Alcohol Treatment and Rehabilitation Facilities

There are three types of Drug/Alcohol Treatment and Rehabilitation facilities. An “Immediate Care Facility” provides a planned regimen of 24-hour professionally directed evaluation, observation, medical monitoring, and addiction treatment in an inpatient setting. A “Traditional Housing Program” is an organization that provides alcohol-free and drug-free housing to individuals recovering from alcohol dependence or drug dependence, and does not provide alcohol treatment or drug treatment services. A “Detoxification Program” is a program that provides services to an alcohol or drug-dependent patient by monitoring the decreasing amount of alcohol and toxic agents in the body, managing the withdrawal systems, and motivating the individual to participate in the appropriate addiction treatment programs for alcohol or other drug dependence.

County Health Centers

“County Health Centers” are strategically located facilities that provide public health clinical services to the community.  “Outpatient Mental Health Centers” provide clinical services that are age and culturally appropriate, provided by individuals who, as determined by the program, are appropriately credentialed and privileged, and coordinated with other components of the service delivery system.

Hospices

“Hospices” provide coordinated, interdisciplinary programs of hospice care services designed to meet the special physical, psychological, spiritual, and social needs of dying individuals and their families, by providing palliative and supportive medical, nursing, and other health-related services during illness and bereavement through home or inpatient care.

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Intermediate Care Facilities Servicing the Mentally Retarded

“Intermediate Care Facilities” are facilities that serve the mentally retarded.

Job Corps Centers

“Job Corps Centers” provide Job Corps training to eligible youth aged 14 to 24.

Psychiatric Rehabilitation Facilities

“Psychiatric Rehabilitation Facilities” provide services to an individual at a program site or at off-site locations appropriate to the individual’s needs.

Residential Child Care Facilities

“Residential Child Care Facilities” provide children 24-hour-per-day care within a structured set of services and activities, that are designed to achieve specific objectives relative to the needs of the children served including the provision of food, clothing, shelter, education, social, health, mental health, recreation, or any combination of these services and activities.

Residential Treatment Centers

“Residential Treatment Centers” are institutions that provide resident treatment for emotionally disturbed children or adults with overnight accommodations for two or more non-related individuals who are referred for admission on the recommendation of a physician.

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Special Schools

There are three types of special schools. A “Nonpublic School” has an educational program that is governed and operated by an individual or entity, excluding the federal government or any state, county or municipal agency, or division of them. A “Private School” is a school or facility that provides special education and related services for children with disabilities who are or have been placed or referred by public agencies as a means of providing special education and related services. “Public schools with special instructional programs” are public schools that provide educational services to students with disabilities, 3 thru 20 years old. (Only the public schools with special instructional programs operated by the Maryland State Department of Education, local school systems, and the Department of Health and Mental Hygiene are inspected.)

Vocational/Day Habilitation Service Programs

“Vocational Day and Habilitation Service Facilities” provide vocational assessment activities, job training, work skill training, placement programs, training in social skills, acceptable work behaviors, and other skills such as money management, basic safety skills, training in work related hygiene, and work skills. “Day Habilitation Service Facilities” provide services to individuals participating in structured activities designed to increase or maintain motor skill, communication skills, personal hygiene skills, leisure skills and community integration.

Miscellaneous Facilities

“Miscellaneous Facilities” are facilities that require an inspection or a consultative investigation because they have been assigned to the Division of Medical Environmental Health or because they are associated with or located on the premises of a health care facility that provides services to “at risk populations”.

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Revised May 9, 2006


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