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Content of records - 6 Pa. Code § 11.193
Link to the law
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Current as of June 2015
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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