Client Record Requirements For Supportive Facilities

The individual record maintained for each client must contain the following information: (1) Marital status; (2) Social security number; (3) Medicaid or Medicare number; MINIMUM PROGRAM REQUIREMENTS FOR MENTAL HEALTH CHAPTER 0940-05-19 (4) Legal competency status if available; (5) Source of financial support and financial arrangements for residing in the facility. This information must be updated when the client’s financial status changes; (6) Name, address and telephone number of the physician or health agency providing medical services; (7) A list of each individual article of the client’s personal property valued at fifty dollars ($50) or more including its disposition, if no longer in use; (8) Written accounts of all monies received and disbursed on behalf of the client; (9) Report of medical problems, accidents, seizures and illnesses and treatments for such accidents, seizures and illnesses; (10) Report of significant behavior incidents; and (11) Notes made on a quarterly basis (every three [3] months) which minimally include a brief statement of the client’s progress while residing in the facility. The notes must include the date that the note was written and the signature of the person making the note.