16 Del. Code Regs. § 4410-6.0 - Patient care management for skilled home health agencies

Skilled home health agencies must provide services in accordance with a written plan of care established by a physician and in consultation with a registered nurse. The home health agency shall only admit those individuals whose needs can be met by the agency. The skilled health home agencies must develop a written home health aide care plan for each patient. A copy of the care plan must be kept at the patient’s residence. The skilled home health agency must maintain a record of all medication and treatments administered to a patient.  Patient services include, nursing, professional therapy, social services, home health aide, records and reports,
 
Skilled home health agencies must maintain medical records for each patient. Medical records must be retained for 6 years from the last date of service. In the case of minor patients, patient records must be retained for 6 years after the patient reaches 18 years of age. All records must be disposed of by shredding, burning, or other similar protective measure in order to preserve the patients’ rights of confidentiality. Records must be protected from loss, damage, and unauthorized use. Records of all medication and treatments administered to a patient indicating date, time of day, type of medication/treatment, dose, route of self-administration/administration, by whom given and any reactions noted.