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US · guidance

CMS SOM App. H, Tag V725

§ 494.170 Condition: Medical records

activein force · 2026-07-22 – presentas-observed

Interpretive Guidance § 494.170

This Condition requires the facility to maintain complete and accurate records and to protect

them against loss and unauthorized use. The requirements apply to both hard copy and

electronic health records.

Compliance with this Condition is determined by observation, interview, and review of medical

records.

Condition level noncompliance should be considered when there are serious and/or pervasive

problems identified with the accuracy, completion, accessibility, and/or protection of patients’

medical record information.

History

Rev.

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
92b1b9c40075b853db2a7b2fee4490da3c146c729de70aa08aa313df6624e80e
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