N.M. Admin. Code § 8.370.20.25

Current through Register Vol. 36, No. 1, January 14, 2025

Section 8.370.20.25 - PARTICIPANT RECORDS

There must be maintained a complete record on file for each adult receiving care within a facility licensed pursuant to these regulations, which must contain at least the following:

A. Personal information:

(1) name of participant;

(2) date of birth;

(3) sex;

(4) home address (mailing address and location of residence) and telephone number;

(5) name of responsible party;

(6) current place of employment, address and work telephone number of responsible party.

B. Emergency information.

(1) record of any allergies or medical conditions the participant may have;

(2) name and telephone number of two persons to be called in case of emergency when the responsible party cannot be reached;

(3) name and telephone number of physician or emergency medical facility authorized by guardian to be called in case of illness or emergency;

(4) permission for emergency medical transportation and guardian's consent for treatment.

C. Date of enrollment.

D. Date of disenrollment.

E. The following must be recorded in each participant's file when applicable:

(1) accidents and illnesses which require first aid or medical attention;

(2) observation of recent bruises, injuries or signs of abuse or neglect;

(3) use of physical restraints.

F. Medications prescribed for the resident, including time and dosage.

G. Written authorization from the participant, responsible party or guardian, must be in the participants record for the removal of the participant's from the grounds of the facility to participate in field trips, nature walks, or other activities whether or not the activity includes transportation by vehicle.

H. Daily attendance of the participant.

I. Enrollment agreement signed by the participant, responsible party or guardian which clearly outlines the following:

(1) services to be provided by the facility and costs for the same;

(2) acknowledgement by the participant, responsible party or guardian that they clearly understand the policies of the facility and agree to them.

J. General:

(1) each participant's record must be kept on file in the facility at least six months after disenrollment.

(2) participant's records must be made available to those persons authorized by law or regulation to review or inspect such records, such as guardians, staff, or representatives of the licensing authority.

(3) participant's records must be complete with all documentation at the time of admission, to include drop ins.

N.M. Admin. Code § 8.370.20.25

Adopted by New Mexico Register, Volume XXXV, Issue 12, June 25, 2024, eff. 7/1/2024