Ohio Administrative Code › Title 5122 - Department of Mental Health and Addiction Services › Chapter 5122-30 - Licensing of Residential Facilities › Section 5122-30-23 - Facility records

Current through all regulations passed and filed through July 1, 2024
(A)
								Each facility
			 shall maintain resident and staff records, including at a minimum:
(1)
									A roster of the
			 names and ages of all residents, and date of admission. The roster shall be
			 considered part of the client records, and individual residents shall be listed
			 as to their residency status and maintained on the roster for three years post
			 discharge.
(2)
									For each resident, the facility shall maintain:
(a)
										A written
			 referral from the referring entity or individual, if applicable, that
			 specifies:
(i)
											Name, address and telephone number of the referring
			 entity;
(ii)
											For individuals receiving mental health services, the
			 name, address, and telephone number of the person or entity responsible for the
			 continued provision of mental health services.
(b)
										Immediately
			 accessible written emergency information, which includes the name and birth
			 date of the resident, current medical information, medications, and the name,
			 address, and phone number of the person(s) to be notified in the event of an
			 emergency.
(c)
										Class one and class two facilities shall have records
			 of a medical assessment conducted by a qualified healthcare practitioner within
			 twelve months prior to the date of admission. The assessment for a resident of
			 a class two facility shall include, but not be limited to, identifying whether
			 the resident is capable of self-administering medication, and, if assistance is
			 needed, the type of assistance required. No resident shall be admitted to a
			 class two facility unless the resident is capable of self-administering
			 medication with or without assistance;
(d)
										A copy of the
			 signed resident agreement, in accordance with rule
			 5122-30-24 of
			 the Administrative Code.
(e)
										List of current medications, including name, dosage and
			 schedule for the resident to take medications.
(f)
										List of all
			 current medical diagnoses and allergies, if applicable.
(g)
										In a class one
			 facility that administers medication, a record of all medications
			 administered.
(h)
										In a class one or class two facility, a record of all
			 medications self-administered by residents with assistance, to include the
			 date, time and medication self-administered by the resident.
(i)
										List of other
			 entities providing services, including, but not limited to physical or
			 behavioral health care, social services, educational services, etc., and phone
			 number and contact person.
(j)
										Personal care services plan for residents of class one
			 and class two facilities, or notation that the resident is not in need of
			 personal care services.
(k)
										Notation of provision of personal care services,
			 including the resident's progress or functional status, in accordance with the
			 following schedule:
(i)
											For residents of a class one facility, at least
			 monthly.
(ii)
											For residents of a class two facility, at least
			 weekly.
(3)
									For each resident
			 with a mental illness or severe mental disability, a copy of the written
			 notification to the board serving the county in which the facility is located
			 of the resident's placement in the facility within seven days of the resident's
			 admission, including date of notification.
(4)
									For each staff,
			 the facility shall maintain:
(a)
										Test results indicating no active
			 tuberculosis.
(b)
										Records of training received.
(c)
										All records and
			 reports verifying compliance with rule
			 5122-30-20
			 of the Administrative Code.
(d)
										All records and
			 reports verifying compliance with rule
			 5122-30-31
			 of the Administrative Code.