57. The operator of a private seniors’ residence must keep a file for each resident containing, in particular,(1) the resident’s name and date of birth;
(2) the name and contact information of a person to be contacted in case of emergency;
(3) where applicable, the name and contact information of the resident’s representative and a description of the acts that the representative is authorized to perform for the resident;
(4) a copy of the lease, including all its schedules, signed with the resident or, as the case may be, the resident’s representative;
(5) a description of the resident’s health problems and specific needs, including any allergies; and
(6) where applicable, any document dated and signed by the resident in which the resident expresses his or her wish not to receive cardiopulmonary resuscitation.
In addition to the information provided for in the first paragraph, the operator of a category 2, 3, or 4 residence must enter into the resident’s file(1) the particulars concerning the resident’s health condition that must be taken into account in case of emergency and in the services offered to the resident in the residence;
(2) the distribution procedure for the resident’s medications, where applicable;
(3) the name and contact information of the resident’s attending physician, where applicable; and
(4) the name and contact information of the resident’s pharmacist, where applicable.
The operator of a residence must also include in the file, in accordance with this Regulation,(1) the resident’s consent obtained by the operator for each disclosure of personal information concerning the resident;
(1.1) the result of an identification of a resident’s loss of autonomy or an assessment of a resident’s autonomy carried out in accordance with section 13.6;
(2) the resident’s written refusals referred to in the third and fourth paragraphs of section 15;
(3) a record of any disclosure concerning the resident made in accordance with the first paragraph of section 50;
(4) a copy of any accident report concerning the resident made under the fourth paragraph of section 50; and
(5) the indication that a notice provided for in section 51 has been given, where applicable;
(6) (subparagraph revoked).
The operator of a category 3 or 4 residence must also include in the file the following documents in accordance with this Regulation, where applicable:(1) the resident’s information sheet referred to in the third paragraph of section 24; and
(2) the information provided for in paragraph 3 of section 55 and subparagraph 3 of the second paragraph of section 56 regarding the application on the resident of a control or alternative measure.
If a person refuses to provide information required under this section, the operator must have the person sign a declaration to that effect. The declaration must be kept in the file.
In order to comply with the provisions of the first paragraph of section 60, an operator may keep the elements provided for in subparagraphs 1 to 6 of the first paragraph in a separate physical file.
259-2018O.C. 259-2018, s. 57; 1574-2022O.C. 1574-2022, s. 4811; 1751-2023O.C. 1751-2023, s. 31.