US · guidance
CMS Pub. 100-02, ch. 2, § 30
Medical Records Requirements
The medical records maintained by an IPF must permit determination of the degree and
intensity of the treatment provided to individuals who are furnished services in the
institution.
In addition, consistent with the hospital conditions of participation, all medical records,
including progress notes and treatment plan, should be legible and complete, and should
be promptly signed and dated by the person (identified by name and discipline) who is
responsible for ordering, providing or evaluating the service furnished.
History
(Rev. 253, Issued: 12- 14-18, Effective: 01-16-19, Implementation: 01- 16-19)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
164658e5dd78ef0aa8396f019a6dd7ba32248cbd6010fa499b9d7c9913848a83
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