NAC449.743. Records.

     1. A file must be maintained for each resident in a facility for persons with an intellectual disability or persons with a developmental disability which contains:

     (a) Identification information;

     (b) The resident’s legal status;

     (c) Admission data;

     (d) Past medical, developmental and social history;

     (e) Copies of all facility examinations and evaluations of the resident or his or her plan of care; and

     (f) A discharge summary.

Ê Entries must be made noting any treatments or services rendered, medications administered or symptoms of illness or injury.

     2. Residents’ records must be secured against loss, destruction or unauthorized use. The records must be made available to licensing and certification authorities upon request.

     [Bd. of Health, Intermediate Care Facilities Reg. §§ 16.8 & 16.9, eff. 12-5-75]