The assisted living manager shall ensure that an individual record or log is maintained at the assisted living program for each resident in a manner that ensures security and confidentiality, and which includes at a minimum: Resident Assessment Tools; Nursing assessments; Medical orders; Service plans; Care notes; Emergency data sheet; Applicable advance directive and mental health advance directive; Maryland Medical Orders for Life-Sustaining Treatment (MOLST) form; Monthly weights or, in accordance with the health care practitioner’s orders for weights, more or less frequently; Pharmacy reviews, if appropriate; Rehabilitation plans, if appropriate; and Any other records related to the care and services provided to the resident. Readmission of a Resident. A resident shall be reassessed by the delegating nurse within 48 hours of readmission to the program if the following occurs: Hospitalizations or a 15-day or longer stay in any skilled facility; or There is a significant change in the resident’s mental or physical status upon return to the program after an absence from the program. When the delegating nurse determines in the nurse’s clinical judgment that the resident does not require a full assessment within 48 hours, the delegating nurse shall: Document the determination and the reasons for the determination in the resident’s record; and Ensure that a full assessment of the resident is conducted within 7 calendar days. The assisted living manager shall develop policies and procedures to ensure that all information relating to a resident’s condition or preferences, including any significant change as defined in Regulation .02B(81) of this chapter, is documented in the resident’s record and communicated in a timely manner to: The resident; The resident representative, as appropriate; and Health care practitioners and staff who are involved in the development and implementation of the resident’s service plan, as appropriate. Resident Care Notes. Appropriate staff shall write care notes for each resident: On admission; At least weekly; With any significant changes in the resident’s condition, including when incidents occur and any follow-up action is taken; When the resident is transferred from the facility to another health care facility; On return from medical appointments; When seen in the facility by any health care practitioner or health care provider; On return from nonroutine leaves of absence; and When the resident is discharged permanently from the facility, including the location and manner of discharge. Staff shall write care notes that are individualized, legible, dated, timed, and signed by the writer. The assisted living program shall maintain a resident’s record for 5 years after the resident is discharged. If an assisted living program ceases operation, the assisted living program shall make arrangements to retain records as required by §E of this regulation. If the assisted living program changes ownership, the prior owner shall provide all written and electronic records of current residents to the new owner in a usable format prior to the issuance of the new license. An assisted living program shall: Maintain the privacy and confidentiality of a resident’s medical records and medical information; Release medical records or medical information about a resident only with the consent of the resident or resident representative, or as permitted by Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland; and Maintain and dispose of a resident’s medical records in accordance with Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland.