This regulation requires nursing facilities to file signed and dated reports of radiologic and other diagnostic services in each resident's clinical record. Surveyors will cite noncompliance if reports are missing from the clinical record or lack required signatures and dates. Facilities with broader medical record concerns should also refer to §483.70(h).
View official sourceF779 (Rev. 225; Issued: 08-08-24; Effective: 08-08-24; Implementation: 08-08-24) §483.50(b)(2)(iv) File in the resident's clinical record signed and dated reports of radiologic and other diagnostic services. PROCEDURES Review resident clinical records to determine if reports of radiologic and other diagnostic services reports are filed and that they are signed and dated. If there are other medical record documentation concerns, refer to §483.70(h) - Medical Records. KEY ELEMENTS OF NONCOMPLIANCE To cite deficient practice at F779, the surveyor’s investigation will generally show that the facility failed to do any one or more of the following: • Have reports filed in the resident’s clinical record; OR • Reports were not dated or signed.