Each facility shall prepare a record on each resident at the time of admission on which the following minimum information shall be recorded: name; date of admittance; address at the time of admittance; race; sex; marital status; religious preference; date of birth; name; address, and telephone number of person responsible for resident and his/her relationship to him/her; and name and telephone number of physician or nurse practitioner/physician assistant. The date and reason for discharge shall be entered upon discharge of a resident.
15 Miss. Code. R. § 16-1-45.16.6