10A N.C. Admin. Code 13D.2402

Current through Register Vol. 38, No. 24, June 17, 2024

Section 13D .2402 - PRESERVATION OF MEDICAL RECORDS

(a) A facility shall keep medical records on file for five years following the discharge of an adult patient.

(b) Not withstanding Paragraph (c) of this Rule, if the patient is a minor when discharged from the nursing facility, the records shall be kept on file until his or her 19th birthday and for the additional time specified in G.S. 1-17(b) for commencement of an action on behalf of a minor.

(c) If a facility discontinues operation, the licensee shall inform the Division of Health Service Regulation where its records are stored. For five years after a facility discontinues operations, records shall be stored with a business offering medical record storage and retrieval services.

(d) All medical records are confidential. A facility shall comply with 42 CFR Parts 160, 162 and 164 of the Health Insurance Portability and Accountability Act.

(e) At the time of the inspection, a facility shall inform the surveyor of the name of any patient who has denied the Department access to his or her medical record pursuant to G.S. 131E-105.

10A N.C. Admin. Code 13D .2402

Authority G.S. 131E-104; 131E-105;
Eff. January 1, 1996.
Amended Eff. November 1, 2014;
Readopted Eff. July 1, 2016.

Authority G.S. 131E-104;
Eff. January 1, 1996.

Amended by North Carolina Register Volume 29, Issue 11, December 1, 2014 effective 11/1/2014.

Readopted by North Carolina Register Volume 31, Issue 03, August 1, 2016 effective 7/1/2016.