Legal & EthicalQuestion 169 of 200

Why is the documentation principle 'not documented = not done' important?

a.Because supervisors enjoy reading charts
b.Because residents demand it
c.Because documentation is optional
d.Because the legal medical record is the primary evidence of the care provided; if a treatment is not documented, courts, surveyors, and Medicare may treat it as if it never occurred

Explanation

Under 42 CFR §483.70(i) and Title 22 CCR §72543, facilities must maintain complete, accurate, accessible records on each resident. The medical record is a legal document. If care is not documented (or is documented late, falsely, or vaguely), it cannot be defended in court, audits, or surveys — and the facility/CNA may face citations, civil liability, and disciplinary action. CNAs must chart promptly, factually, in the resident's own words when quoted, and never document a task before performing it. Late entries are made as 'late entry' with current date/time.

Law Reference: 42 CFR §483.70(i); Title 22 CCR §72543

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