N.J. Admin. Code § 10:37A-5.1

Current through Register Vol. 56, No. 24, December 18, 2024

Section 10:37A-5.1 - General requirements

(a) The PA shall maintain written records for each consumer residing in supervised housing.

(b) The PA shall maintain the confidentiality of all records (in accordance with all applicable Federal and State laws) and shall securely store such records in a manner as to provide access only to authorized persons.

(c) Each consumer record shall be maintained in an organized, up-to-date fashion and shall include documentation of all services provided and contacts with consumers, including, as appropriate, the following documents:

1. A consumer service agreement that meets the requirements of N.J.A.C. 10:37A-4.2;

2. A comprehensive rehabilitation needs assessment that meets the requirements of N.J.A.C. 10:37A-4.3;

3. A nursing assessment that meets the requirements of N.J.A.C. 10:37A-4.4;

4. An individualized rehabilitation plan that meets the requirements of N.J.A.C. 10:37A-4.5;

5. Progress notes that meet the requirements of N.J.A.C. 10:37A-5.2;

6. A termination summary that meets the requirements of N.J.A.C. 10:37A-5.3; and

7. If the PA charges consumers fees, appropriate financial records that meet the requirements of N.J.A.C. 10:37A-5.4(a).

N.J. Admin. Code § 10:37A-5.1

Adopted by 48 N.J.R. 1636(a), effective 8/15/2016