Current through Bulletin 2024-19, October 1, 2024
Section R432-300-9 - Facility Records(1) The licensee shall:(a) maintain accurate and complete records that are filed, stored safely, and are easily accessible to staff and the department;(b) ensure records are protected against access by unauthorized individuals;(c) maintain personnel records for each employee that are kept for at least three years after employment termination and include the following content: (i) an employee application;(ii) the date of employment and initial policies and procedures orientation;(iii) the termination date;(iv) the reason for leaving;(v) documentation of CPR, first aid, and emergency procedures training;(vii) a food handlers permit;(viii) tuberculosis skin test documentation;(ix) documentation of criminal background check; and(x) certifications, registration, and licenses as required.(2) The licensee shall maintain in the facility a separate record for each resident that includes the following: (a) the resident's name, date of birth, and last address;(b) the name, address, and telephone number for:(i) the person who administers and obtains medications, if this 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;(d) the admission agreement;(e) a copy of an advanced directive or living will initiated by the resident;(f) a physician's assessment;(g) a resident assessment;(h) a written plan of care;(j) daily nursing notes that include: (vi) weight notations when indicated or as needed due to a change in the resident's condition;(k) a record of any resident cash, resources, or valuables entrusted to the facility; and(l) incident and accident reports.(3) The licensee shall retain resident records for at least seven years following discharge.Utah Admin. Code R432-300-9
Amended by Utah State Bulletin Number 2023-10, effective 5/9/2023