US · guidance
CMS SOM App. U, Tag R112
(2) Maintain the records and information in an accurate and timely manner
Interpretive Guidelines: §403.730(d)(2)
The RNHCI must have complete, comprehensive and accurate patient records. Patient
records should be maintained continuously during the patient’s stay at the RNCHI and
the organization must ensure that records are completed in a timely manner and
accessible to the patient and/or patient’s representative in a timely manner.
Survey Procedures:
• Review a sample of active and closed patient records for completeness and
accuracy in accordance with Federal and State laws and regulations and the
RNHCI policy.
• Does the record include the necessary and most current information about the
patient?
• Interview staff and ask them to describe the process for maintaining and updating
a patient’s record.
History
Rev. 239; Issued: 04-24-26; Effective: 04-24-26; Implementation: 04-24-26
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
3bdfc0e67722ca7dc459a43af0c6eddea97a31a10161d2dad32e5c481e7b17bd
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