1. A. The unit director shall:

   1. (1) Review the rights advisor's report;
   2. (2) Discuss the matter with any individual involved; and

   3. (3) Within 5 working days of receipt of the report, decide whether to:

      1. (a) Accept the rights advisor's report, completely or in part with respect to the facts as found; or
      2. (b) Modify or reject the recommendations made by the rights advisor.
2. B. The unit director shall write and forward a decision to the rights advisor, who shall forward copies to the grievant, the CEO and, if involved, the grievant's LAP.

3. C. If the unit director concludes that a grievance has been substantiated and requires remedial action, the unit director immediately shall:

   1. (1) Notify the CEO and, if indicated, the clinical director; and

   2. (2) Provide a remedy, which may include, but is not limited to:

      1. (a) Directing a change in practice; or
      2. (b) Seeking approval for changes in policy.

4. D. If the grievant is:

   1. (1) Satisfied with the action taken by the unit director, the grievance ends at this stage; or

   2. (2) Dissatisfied with the action taken by the unit director and wishes to pursue the grievance, the rights advisor shall:

      1. (a) If the grievant requests the review, request a review by the residents' rights committee, notifying the CEO of the request for the review; and
      2. (b) Subsequently request a review by the CEO.

Authority: Health-General Article, §7.5-201, 7.5-205(D), 10-701, Annotated Code of Maryland

Effective date: March 28, 1994 (21:6 Md. R. 467)

Regulation .01 amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .02B amended effective January 26, 1998 (25:2 Md. R. 76); October 23, 2017 (44:21 Md. R. 983)

Regulation .03C amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .04 amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .06H amended effective October 23, 2017 (44:21 Md. R. 983)

Regulation .10B, C amended effective October 23, 2017 (44:21 Md. R. 983)