Delayed Access to Medical Records for a Resident
Penalty
Summary
The facility failed to comply with the requirement to provide timely access to medical records for a resident, as outlined in 42 CFR Part 483.10(g)(2)(i)(ii)(3). The deficiency was identified during an abbreviated survey conducted in response to complaints. The facility's policy states that residents have the right to access their personal and medical records within 24 hours of a request, excluding weekends and holidays, and to obtain copies within two business days. However, the facility did not meet these timelines for Resident R1, who requested a copy of their medical records. The delay occurred because the Medical Records Department was unaware that payment for the records had been received, as the check was made out to the facility rather than directly to the department. This oversight led to a delay in processing the request. The facility administrator confirmed that the records were not released immediately, and the social worker did not send an electronic copy of the records to the resident until nearly two months after the initial request. This failure to provide timely access to medical records resulted in a deficiency under the resident rights regulations.
Plan Of Correction
I hereby acknowledge the CMS 2567-A, issued to ROSEMONT CENTER for the survey ending 12/26/2024, AND attest that all deficiencies listed on the form will be corrected in a timely manner. Preparation and/or execution of this plan does not constitute admission or agreement by the provider of the truths or facts alleged or conclusions set forth in the statement of deficiencies. The plan of correction is prepared and/or executed in accordance with federal and state law requirements. Resident R1 was sent the requested medical records. NHA/Designee will audit medical record requests for the last 30 days to ensure timely release of records. RDO will reeducate administrative staff on the regulation of releasing records timely. NHA/Designee will audit the release of medical records from requests weekly x 3 and then monthly x 3. Results will be shared at QAPI monthly until substantial compliance is met.