N.J. Admin. Code § 10:47-3.17 - Maintenance of records

Current through Register Vol. 54, No. 7, April 4, 2022

(a) The facility shall maintain a central record for each individual, which shall include social information, health care, programming, and educational data from the time of admission until the time the individual leaves the facility.
1. Records shall be retained for a minimum of 10 years after the death or most recent discharge of the person. In the case of a discharged minor, such records shall be kept for 10 years following the last date of discharge or until the minor reaches the age of 23 years, whichever is the longer period of time. In the case of a deceased minor, the record shall be kept for 10 years following the date of death.
2. All active records shall be maintained on the premises and shall be complete, current and readily available for review by authorized persons.
3. Individual records shall be conspicuously and appropriately identified and maintained in a central records file.
4. All entries in the record shall be current, legible, dated, and authenticated by the signature and title of the person making the entry.
5. The facility shall provide a legend to explain any symbol or abbreviation used in an individual's record.
(b) The facility shall protect and maintain the confidentiality of all records in accordance with N.J.A.C. 10:41-2.

Notes

N.J. Admin. Code § 10:47-3.17
Recodified from N.J.A.C. 10:47-3.18 by R.2007 d.72, effective 3/5/2007.
See: 38 N.J.R. 4352(a), 39 N.J.R. 777(a).
Former N.J.A.C. 10:47-3.17, Discharge record, recodified to N.J.A.C. 10:47-3.16.

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