1. (a) The admission assessment form shall include but not be limited to the following:

   1. (1) resident's identification;
   2. (2) disease diagnosis/infections;
   3. (3) mental health history, and intellectual disability or developmental disability;
   4. (4) physical functioning which includes the numbers of persons needed to assist with activities of daily living;
   5. (5) incontinence;
   6. (6) medications;
   7. (7) special treatment and procedures;
   8. (8) cognitive function; and
   9. (9) signatures and dates.

2. (b) The comprehensive assessment includes the following information:

   1. (1) physical functional status;
   2. (2) mental functional status;
   3. (3) customary routine;
   4. (4) disease diagnosis;
   5. (5) oral/nutritional status;
   6. (6) medications;
   7. (7) devices and restraints;
   8. (8) special treatments;
   9. (9) skin condition;
   10. (10) psychosocial status;
   11. (11) sensory and physical impairments; and
   12. (12) medically defined conditions and prior medical history.

Added at 15 Ok Reg 2605, eff 6-25-98

Amended at 36 Ok Reg 1729, eff 9-13-19