Utah Admin. Code 432-270-21

Current through Bulletin 2024-23, December 1, 2024

Section R432-270-21 - Records

(1) The licensee shall ensure accurate and complete records are maintained. The licensee shall safely file and store records and ensure they remain easily accessible to staff and the department.

(2) The licensee shall ensure records are protected against access by unauthorized individuals.

(3) The licensee shall ensure personnel records are maintained for each employee and are retained for at least three years following termination of employment. The licensee shall ensure personnel records include the following:

(a) employee application;

(b) date of employment;

(c) termination date;

(d) reason for leaving;

(e) documentation of CPR and first aid training;

(f) health inventory;

(g) food handlers permits;

(h) TB skin test documentation;

(i) documentation of criminal background screening; and

(j) documentation of core competency initial and annual training.

(4) The licensee shall ensure a separate record for each resident is maintained at the facility that includes the following:

(a) the resident's name, date of birth, and last address;

(b) the name, address, and telephone number of:

(i) the person who administers and obtains medications, if this person is not facility staff;

(ii) the individual to be notified in case of accident or death; and

(iii) a physician and dentist to be called in an emergency;

(c) the admission agreement;

(d) the resident assessment; and

(e) the resident service plan.

(5) The licensee shall retain resident records for at least three years following discharge.

(6) The licensee shall ensure written incident and injury reports are maintained to document resident death, injuries, elopement, fights or physical confrontations, situations that require the use of passive physical restraint, suspected abuse or neglect, and other situations or circumstances affecting the health, safety, or well-being of residents. The licensee shall ensure the reports are kept on file for at least three years.

Utah Admin. Code R432-270-21

Amended by Utah State Bulletin Number 2016-4, effective 1/28/2016

Amended by Utah State Bulletin Number 2020-19, effective 9/15/2020

Amended by Utah State Bulletin Number 2023-22, effective 11/9/2023