The LMHA or LBHA must maintain the following documentation
in the record of the resident with MI:
(1) all assessments used for service planning;
(2) documentation related to the initiation and delivery
of MI specialized services, including reasons for delays and all follow-up
activities;
(3) documentation related to monitoring MI specialized
services, including:
(A) the satisfaction with MI specialized services by
the resident with MI or the LAR; and
(B) progress or lack of progress toward achieving goals
and outcomes identified in the PCRP;
(4) documentation of all meetings required by this
chapter;
(5) guardianship paperwork and consents, if applicable;
and
(6) documentation of the refusal of MI specialized
services or uniform assessments or both by the resident with MI, if
applicable.
|
