Nev. Admin. Code § 449.99746

Current through December 31, 2024

Section 449.99746 - Contents, maintenance and confidentiality of medical record

1. A recovery center shall maintain a medical record for each patient admitted to the center in accordance with accepted professional principles.

2. A medical record must be:

(a) Complete;

(b) Accurate;

(c) Organized; and

(d) Readily accessible to those persons who are authorized to review the records.

3. A medical record must include, without limitation:

(a) Sufficient information to identify the patient;

(b) A record of any assessment of the patient conducted pursuant to NAC 449.99736; and

(c) The patient's plan of care developed pursuant to NAC 449.99738 and the services and treatments provided to the patient during the patient's stay at the recovery center.

4. A recovery center shall maintain the medical records of each patient admitted to the center for at least:

(a) Five years after the discharge of the patient; and

(b) If the patient is a minor, 3 years after the patient reaches 18 years of age.

5. A recovery center shall ensure that:

(a) Information contained in a medical record is not lost, destroyed or used in an unauthorized manner; and

(b) No person willfully and knowingly falsifies or causes another person to falsify information contained in a medical record.

6. Information contained in a medical record is confidential and must not be released without the written consent of the patient except:

(a) As required by law;

(b) Under a contract involving a third-party payor; or

(c) As required upon transfer of the patient to another facility.

Nev. Admin. Code § 449.99746

Added to NAC by Bd. of Health by R121-16A, eff. 9/21/2017

NRS 439.200, 449.0302, 449.0303