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Wash. Rev. Code § 74.42.420

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Resident Record System

Nursing homes must establish an organized record system to house resident records. These records must include: (1) the resident’s identification information; (2) admission information (e.g. medical and social history); (3) a plan of care; (4) copies of periodic examinations, evaluations, and progress notes made by the facility and the department; (5) information regarding the treatments, services, and medications given to the resident during their time at the facility; (6) information regarding illnesses and injuries suffered by the patient; and (7) a discharge summary.

Only authorized department of social and health services employees and nursing home employees that work directly with the resident may access the resident’s records.

Current as of June 2015