- (1) The facility shall retain, store and safeguard the client medical record and its contents.
- (2) The facility shall protect the client medical record against access by unauthorized individuals.
- (3) The facility shall retain the client medical record for at least seven years. Medical records of minors shall be kept until the age of 18 plus four years, but in no case less than seven years.
(4) The facility shall maintain a record for each client receiving respite services that includes:
- (a) the assessment and service agreement;
- (b) demographic information and client identification data;
- (c) contact information for the responsible party;
- (d) nursing notes;
- (e) physician treatment orders;
- (f) records made by staff regarding daily care of the client in service; and
- (g) a post-service summary.
KEY: health care facilities
Date of Last Change: March 10, 2022
Authorizing, and Implemented or Interpreted Law: 26-21-5; 26-21- 16