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Content of records - 6 Pa. Code § 11.193

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Every older adult daily living center records must include the following information about the client:

  • Identifying information, including name, admission date, identifying physical characteristics and birth date;
  • Demographic information, including race and sex;
  • The language or means of communication spoken or understood by the client and the primary language used in the client’s natural home, if other than English;
  • Medical reports and progress notes, if any;
  • Individual care plans; and
  • Intake screening forms.

Current as of June 2015