Form Cms-360 - Corf Survey Report Page 11
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15Name of Facility
CODE
YES
NO
N/A
EXPLANATORY STATEMENT
I-561
(1) The initial assessment and subsequent reassessments
of the patient’s needs;
I-562
(2) Current plan of treatment;
I-563
(3) Identification data and consent or authorization forms;
I-564
(4) Pertinent medical history, past and present;
I-565
(5) A report of pertinent physical examinations if any;
I-566
(6) Progress notes or other documentation that reflect
patient reaction to treatment, tests, or injury, or the
need to change the established plan of treatment;
and
I-567
(7) Upon discharge, a discharge summary including
patient status relative to goal achievement, prognosis,
and future treatment considerations.
I-568
(b) Standard: Protection of clinical record information.
The facility must safeguard clinical record information
against loss, destruction, or unauthorized use. The facility
must have procedures that govern the use and removal of
records and the conditions for release of information. The
facility must obtain the patient’s written consent before
releasing information not required to be released by law.
I-569
(c) Standard: Retention and preservation.
The facility must retain clinical record information for 5
years after patient discharge and must make provision for
the maintenance of such records in the event that it is no
longer able to treat patients.
I-570
§485.62 Condition of Participation: Physical environment.
The facility must provide a physical environment that
protects the health and safety of patients, personnel, and
the public.
I-571
(a) Standard: Safety and comfort of patients.
The physical premises of the facility and those areas of its
surrounding physical structure that are used by the patients
(including at least all stairwells, corridors and passageways)
must meet the following requirements:
11
Form CMS-360 (12/08)
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