Section 5320.65. Recordkeeping

Latest version.

Provision of services and the resident’s progress toward treatment goals shall be documented by direct-care staff completing a progress note in the resident’s record at least weekly, or more often as warranted by specific changes in the resident’s behavior status. Additionally, special treatment interventions ordered in the treatment plan shall be documented by the direct-care or consulting direct-care staff authorized to provide the special treatment on a monthly basis or more frequently if warranted.

                    
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