D.C. Mun. Regs. tit. 22, r. 22-A3846

Current through Register Vol. 71, No. 49, December 6, 2024

Rule 22-A3846 - RESIDENT RECORDS

3846.1

Each MHCRF shall maintain a permanent record on each resident in a secure location at the MHCRF for as long as the resident remains at the MHCRF, and shall retain it for at least three (3) years after the resident's discharge or death. The permanent record may be maintained at an Owner's business office in the District of Columbia after the resident's discharge or death, provided that it shall be accessible to the Department upon request.

3846.2

Each resident's record shall include a current face sheet which documents the following information on each resident:

(a) Administrative and demographic information, including name, date of birth, sex, social security number, marital status, and last known address;

(b) Medical insurance numbers, including Medicare and Medicaid, if any;

(c) Date of admission and diagnoses;

(d) Names, addresses, and telephones numbers of the resident's representative(s), representative payee, if any, involved family members, and next-of-kin;

(e) Names, addresses and telephone numbers of the resident's current personal physician(s), dentist, and any other regular health care practitioners;

(f) Names and up-to-date contact information for the resident's CSA treatment team or other mental health services, substance use disorder or community support providers, and for his or her day program provider and employer, as applicable;

(g) Religious affiliation, if any, including the names and telephone numbers of the resident's minister, priest, or rabbi; and

(h) Resident's allergies.

3846.3

The MHCRF shall also maintain an accessible and up-to-date record that documents:

(a) The resident's medication as provided in § 3839;

(b) Any special diet;

(c) Any treatment or other procedure that is required for the safety and well-being of the resident ;

(d) Any Major Unusual Incidents directly involving the resident, reported in accordance with § 3848;

(e) All records required by § 3825.2.

3846.4

Each resident's record shall be current with each entry legible, in ink, dated, and signed with the full name of the record keeper. Errors shall be corrected by crossing out, but shall not be erased.

3846.5

Each MHCRF shall maintain a roster of current residents and shall submit a copy of the roster to the Department when the residence is first occupied, whenever there is a change of one or more residents, and when an application for license renewal is submitted.

3846.6

Each MHCRF shall make resident records available to the Department within twenty-four (24) hours of request.

D.C. Mun. Regs. tit. 22, r. 22-A3846

Final Rulemaking published at 64 DCR 1633 (2/16/2018)