10-144-113 Me. Code R. § III-13

Current through 2024-51, December 18, 2024
Section 144-113-III-13 - Resident and Other Records
13.1 Summary sheets. There shall be a summary sheet maintained for each resident that includes applicable information, including the resident's name, birth date, date of admission, duly authorized licensed practitioner's name, address and telephone number, nearest relative or friend's name, address and telephone number, person to be notified in an emergency, their name, address and telephone number, day program name, telephone number, address and contact person, date of discharge or death and significant medical/social issues.
13.2 Resident records. There shall be a record maintained for each resident that contains applicable information on physical and mental condition, behavior, mood, eating habits, incidents or accidents, documented proof of guardianship, conservatorship, representative payee, power of attorney or other legal representative, and the dates of medical examinations, other medical and dental treatment and drugs prescribed.
13.3 Discharge summary. Discharge summaries must be completed in conjunction with the resident and/or guardian. Documentation shall include, but not be limited to the following:
13.3.1 Reason for discharge; and
13.3.2 Targeted living arrangement.
13.4 Record of personal property. The provider shall maintain a list of each resident's property including items of personal value.
13.5 Employee records for a corporation, partnership, association or an entity other than an individual. For any provider that is a corporation, partnership, association or an entity other than an individual, the Department may request that reasonable personnel policies and records be kept documenting that employees have been trained and are competent and performing their duties consistent with these regulations.

10-144 C.M.R. ch. 113, § III-13