Each residence shall at a minimum maintain the following information for each resident:

(1)  The resident’s name;

(2)  The resident’s last address;

(3)  The name of the person or agency referring the resident to the home;

(4)  The name, specialty (if any), telephone number, and emergency telephone number of each physician who has treated the resident during the preceding twelve (12) months;

(5)  The date the resident began residing in the home;

(6)  A list of medications taken by the resident including the dosage;

(7)  Written acknowledgements that the resident has received copies of the rights as provided in § 23-17.4-16;

(8)  A record of personal property and funds that the resident has entrusted to the facility;

(9)  Information about any specific health problems of the resident that may be useful in a medical emergency;

(10)  The name, address, and telephone number of a person identified by the resident who should be contacted in the event of an emergency or death of the resident;

(11)  Any other health-related emergency, or pertinent information which the resident requests the residence to keep on record;

(12)  Specific records of medication administration as required by the licensing agency; and

(13)  Copies of the resident agreement, initial and periodic assessments and service plan(s).