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Medical Records - General – N.M. Code R. §7.9.2.31
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Medical Records - General
Long-term care facilities must maintain medical records for residents that are stored in an easily accessible, organized location. The medical records must be protected from destruction or loss.
The medical record must be completed and stored within 60 days following a resident’s death or discharge. The facility must retain the original medical record for 10 years following a resident’s discharge or death. Medical records that are not necessary may be destroyed as long as confidentiality of the information is protected and the facility permanently retains the patient’s name, diagnosis, physician, and dates of admission and discharge.
All medical record entries must be legible, permanently recorded, and dated.
Current as of June 2015