Rule 290-9-37-.18 - Resident Files and Information(1) An individual file shall be maintained for each resident. Personal information shall be treated as confidential and shall not be disclosed except to the resident and his or her legally authorized representative or legal guardian, if any. The file shall be disclosed to an authorized agent of the Department or others to whom written authorization is given by the resident or his or her legally authorized representative or legal guardian, if any. The file shall be made available, upon request, for inspection and copy to the Department and to the resident or his or her legally authorized representative or legal guardian, if any.(2) If the primary file for the resident is kept at a location other than the Community Living Arrangement, information maintained within the residence shall be sufficient in order to allow staff to respond to residents' emergencies and shall include the following information: (a) Identifying information including name, social security number, and date of birth;(b) Name, address, and telephone number of next of kin, representative or legal guardian, if any, or representative payee and any court order or written document designating the representative or legal guardian, if any, of the resident;(c) Name, address, and telephone number and relationship of the person to be contacted in the event of an emergency;(d) The name, address, and telephone number of the resident's physician, hospital and pharmacy of choice;(e) A record of all monies and other valuables entrusted to the residence for safekeeping. A receipt for same shall be provided to the resident or his or her representative or legal guardian, if any, at the time of admission and at any time thereafter when the resident acquires additional property and wishes to entrust such property to the residence for safekeeping;(f) Health information, including all health appraisals, diagnoses, prescribed diets, medications, and physician's instructions;(g) An inventory of or system for marking and identifying all personal items brought to the residence by the residents. The inventory may be updated upon request at any time. Such inventory or marking requirement may be waived by the resident or his or her legally authorized representative or legal guardian, if any;(h) A copy of resident rights and responsibilities including all rights and responsibilities enumerated in Section .19 of these rules, or a statement asserting that the resident has a copy of such rights and responsibilities signed by the resident or his or her representative or legal guardian, if any;(i) A photocopy of the signed admission agreement;(j) A copy of a living will and durable power of attorney for health care, if any. Original documents shall remain within possession of the resident or his or her legally authorized representative or legal guardian, if any;(k) A copy of the resident's individual service plan, and(l) A summary of any incident, accident, or adverse change in the condition of the resident, including follow-up and notifications.(3) A written record reflecting the services, supports, care, or treatment, as applicable, provided to the resident shall be maintained in chronological order by the Community Living Arrangement.Ga. Comp. R. & Regs. R. 290-9-37-.18
O.C.G.A. Secs. 31-7-1et seq., 37-1-22.
Original Rule entitled "Resident Files and Information" adopted. F. Oct. 24, 2002; eff. Nov. 13, 2002.