S.D. Admin. R. 44:82:05:02

Current through Register Vol. 51, page 57, November 12, 2024

Section 44:82:05:02 - Resident records

The owner or operator shall ensure confidentiality and safeguarding of resident records. Records for each resident shall be maintained while they are residing in the home and for an appropriate amount of time thereafter. The home may arrange storage or transfer of resident records with another licensed home, or at the request of the resident, relinquish records to the resident or the residents legal representative, or arrange storage of remaining medical records with a third party vendor who undertakes such a storage activity. At least 30 days before closure, the owner or operator shall notify the department in writing indicating of the provisions for the safe preservation of resident records and their location. If ownership of the community living home is transferred, the new owner shall maintain the resident records as if there was not a change in ownership. Resident records at a minimum shall include the following:

(1) Current basic health information including a list of medications, allergies, diet requirements, and daily health needs;

(2) The name and contact information of the residents physician and other health care professionals involved with the residents care;

(3) The name and contact information of the residents preferred emergency contact(s), immediate family members, and health care representative or power of attorney;

(4) An evaluation of the residents individualized and independent residential community living support needs completed within the past year, or upon a significant change in the residents condition, that is recorded on a form approved by the department;

(5) A current plan of care, as agreed to by the resident (or legal representative) and the owner or operator, updated at least annually;

(6) Any reports of suspicion of abuse or neglect reported to the department;

(7) Disposition of medications that were outdated or disposed; and

(8) Discharge information including disposition of medications.

S.D. Admin. R. 44:82:05:02

44 SDR 66, effective 10/17/2017

General Authority: SDCL 34-12-13(10).

Law Implemented: SDCL 34-12-13(10).