Weekly Q&A

Q: What are the required forms for EHPs?

A: 488.10(f)(1)-(f)  Mandated Forms
(i) a Personal Data Sheet (DSS-2949)
(ii) an Incident Report (DSS-3123)
(iii) a Medical Evaluation (DSS-3122)
(iv) an Inventory of Resident Property (DSS-3027)
(v) a Notice of Change (DSS-934); and
(vi) a Chronological Admission and Discharge Register (DSS-3026)

ISP with EHP addendum is also used for EHPs

See attached DAL 14-01 Individualized Service Plan (ISP)
with an EHP addendum to meet the requirements for the EHP functional assessment

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Q: What does the State say about residents (who don’t have memory issues) having alcohol?

A: Residents are adults and possess the right to make decisions for themselves. The facility should establish its own policy in alignment with this principle. Not all facilities allow alcohol in their facility and/or alcohol to be stored in the residents’ room. Each facility has guidance and/or a policy in place for storing and/or use of alcohol. Resident handbook/rules typically address alcohol. Resident(s) should consult with the facility on their alcohol guidance on storage and/or if alcohol is permitted at the facility.

NYSHFA | NYSCAL CONTACTS:

Christina Audi, MHA, LNHA
Executive Director, NYSCAL
caudi@nyshfa-nyscal.org
518-462-4800 x 13