Maryland Code, Human Services § 10-408

(1) offer continuing care in a retirement community;

(2) enter into or renew continuing care agreements;

(3) begin construction of a new facility;

(4) begin construction of an expansion to or renovation of an existing facility; or

(5) collect deposits for continuing care in this State.

(b)(1) A new capital addition to a facility that will result in the construction of a number of independent and assisted living units that is greater than 25% of the number of existing units is considered new development and is subject to §§ 10-409 through 10-411 of this subtitle.

(2) A new capital addition to a facility that does not involve the construction of independent or assisted living units and that does not meet the standard of § 10-401(l)(1)(ii) of this subtitle is not subject to review by the Department under §§ 10-409 through 10-415 of this subtitle.

(3) A capital improvement or replacement that does not meet the standard of § 10-401(w) of this subtitle is not subject to review by the Department under §§ 10-409 through 10-415 of this subtitle.