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For the purpose of enforcing this chapter, the director, the fire marshal, the superintendent of police and such subordinate officials as may be expressly designated by the above-named county officials shall, upon exhibiting the proper credentials or proof of identity, have the right to enter any building, structure or premises of an institution for the purpose of inspecting all spaces and areas (except the living quarters of staff members of any institution without the consent of the occupant of such living quarters) at any time during business or operating hours and at such other times as may be necessary for the health, safety or welfare of the patients. (Mont. Co. Code 1965, § 89-3; 1972 L.M.C., ch. 16, § 5; 1980 L.M.C., ch. 27, § 1.)
Every institution shall keep a register containing a record of all persons admitted and cared for. Such register shall be maintained on a yearly basis in a substantial bound volume or in such other form as may be approved by the director, and shall be signed either by the patient, his physician or a person responsible for the patient's care. The register shall contain the following minimum information:
Name
Admittance address
Age
Sex
Date of admission
Date of discharge
Weight on admission and monthly recordings, if possible
Nursing notes
List of any personal belongings or money turned over to the institution for safekeeping and disposition
Name and address of person responsible for patient
Name and address of attending physician
Diagnosis
Medication orders
Progress notes.
(Mont. Co. Code 1965, § 89-4.)
No owner or administrator of, nor any person employed or associated with, an institution shall accept from any applicant for care of patient, or from any other person on behalf of such an applicant or patient, advance payment or compensation for a period of care for the applicant or patient exceeding twelve (12) months.
This section shall not be construed to include those cases where such institution is operated by a bona fide charitable organization and there has been a gift or donation to the institution by any patient, or person on behalf of the patient, but otherwise shall be strictly construed. (Mont. Co. Code 1965, § 89-5.)
(a) Generally. The county council, sitting as the board of health, by resolution, is hereby authorized and empowered to adopt and enforce from time to time all needful standards and regulations for the health, safety, welfare and physical requirements of the patients in institutions and for the implementation and enforcement of this chapter, and such rules and regulations may be in addition to, inclusive of and not in conflict with any rules and regulations of the state board of health applicable to such institutions; provided, however, that, before finally adopting or enforcing such regulations or before substantially revising such rules and regulations, the board of health shall give at least fifteen (15) days' notice by publication, circular or otherwise as it may deem appropriate, informing all persons who may be interested in the enforcement of such rules and regulations that the board of health will hear such persons on a certain day named in such notice for the purpose of receiving and considering suggestions before the adoption or revision of such rules.
(b) Publication, etc. After adoption or revision of such regulations, the board may, within a reasonable time thereafter, publish the regulations in such form as it may determine, and make copies of the regulations available to all interested persons at the office of the director. (Mont. Co. Code 1965, § 89-8; 1972 L.M.C., ch. 16, § 13.)
The council is hereby authorized and empowered to pay to any hospital located in the county not receiving state aid and caring for county tax eligible indigent patients, such sum not exceeding fifty thousand dollars ($50,000.00) as the council shall determine; such sum to be a grant-in-aid of the hospital to promote the general public health and welfare of the people of the county. (Mont. Co. Code 1965, § 11-3; 1947, Sp. Sess., ch. 60.)
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