(a)

1. (1) The following incidents or occurrences shall require the facility to prepare an internal report only and does not require a facsimile report or Form DMS-742 to be made to the Office of Long-Term Care.
2. (2) The internal report shall include all content specified in subsection (b) of this section, as applicable.

3. (3) Facilities must maintain these incident report files in a manner that allows verification of compliance with this provision:

   1. (A)

(i) Incidents where a resident attempts to cause physical injury to another resident without resultant injury.

1. (ii) The facility shall maintain written reports on these types of incidents to document patterns of behavior for subsequent actions;

   1. (B) All cases of reportable disease as required by the Department of Health; and
   2. (C) Loss of heating, air conditioning, or fire alarm system for a period of greater than two (2) hours.

(b) Internal-only reporting procedure.

1. (1)

   1. (A) Written reports of all incidents and accidents shall be completed within five (5) days after discovery.
   2. (B) The written incident and accident reports shall be comprised of all information specified in Forms DMS-731 and DMS-742, as applicable.

2. (2)

   1. (A) All written reports will be reviewed, initialed, and dated by the facility administrator or designee within five (5) days after discovery.
   2. (B) All reports involving accident or injury to residents will also be reviewed within five (5) days of the incident by the facility administrator.

   3. (C) The services plan portion of the occupancy admission agreement shall be reviewed by the administrator and:

      1. (i) Shall be amended upon any change of a resident’s condition or need for services; and
      2. (ii) Copies of the amended versions of the resident’s services plan shall be attached to the written report of the incident or accident.
3. (3) Reports of incidents specified in subsection (a) of this section will be maintained in the facility only and are not required to be submitted to the office.
4. (4) All written incident and accident reports shall be maintained on file in the facility for a period of three (3) years from the date of occurrence or report, whichever is later.