Fla. Stat. 400.145
Copies of records of care and treatment of resident


(1)

Upon receipt of a written request that complies with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) and this section, a nursing home facility shall furnish to a competent resident, or to a representative of that resident who is authorized to make requests for the resident’s records under HIPAA or subsection (2), copies of the resident’s paper and electronic records that are in possession of the facility. Such records must include any medical records and records concerning the care and treatment of the resident performed by the facility, except for progress notes and consultation report sections of a psychiatric nature. The facility shall provide the requested records within 14 working days after receipt of a request relating to a current resident or within 30 working days after receipt of a request relating to a former resident.

(2)

Requests for a deceased resident’s medical records under this section may be made by:A person appointed by a court to act as the personal representative, executor, administrator, curator, or temporary administrator of the deceased resident’s estate;If a judicial appointment has not been made as provided in paragraph (a), a person designated by the resident to act as his or her personal representative in a last will that is self-proved under s. 732.503; orIf no judicial appointment has been made as provided in paragraph (a) or no person has been designated by the resident in a last will as provided in paragraph (b), only the following individuals:
A surviving spouse.
If there is no surviving spouse, a surviving child of the resident.
If there is no surviving spouse or child, a parent of the resident.

(a)

A person appointed by a court to act as the personal representative, executor, administrator, curator, or temporary administrator of the deceased resident’s estate;

(b)

If a judicial appointment has not been made as provided in paragraph (a), a person designated by the resident to act as his or her personal representative in a last will that is self-proved under s. 732.503; or

(c)

If no judicial appointment has been made as provided in paragraph (a) or no person has been designated by the resident in a last will as provided in paragraph (b), only the following individuals:A surviving spouse.If there is no surviving spouse, a surviving child of the resident.If there is no surviving spouse or child, a parent of the resident.
1. A surviving spouse.
2. If there is no surviving spouse, a surviving child of the resident.
3. If there is no surviving spouse or child, a parent of the resident.

(3)

All requests for a deceased resident’s records made by a person authorized under:Paragraph (2)(a) must include a copy of the letter of administration and a copy of the court order appointing such person as the representative of the resident’s estate.Paragraph (2)(b) must include a copy of the self-proved last will designating the person as the resident’s representative.Paragraph (2)(c) must be accompanied by a letter from the person’s attorney verifying the person’s relationship to the resident and the absence of a court-appointed representative and self-proved last will.

(a)

Paragraph (2)(a) must include a copy of the letter of administration and a copy of the court order appointing such person as the representative of the resident’s estate.

(b)

Paragraph (2)(b) must include a copy of the self-proved last will designating the person as the resident’s representative.

(c)

Paragraph (2)(c) must be accompanied by a letter from the person’s attorney verifying the person’s relationship to the resident and the absence of a court-appointed representative and self-proved last will.

(4)

A nursing home facility may charge a reasonable fee for the copying of resident records. Such fee may not exceed $1 per page for the first 25 pages and 25 cents per page for each additional page. The facility shall allow a person who is authorized to act on behalf of the resident to examine the original records, microfilms, or other suitable reproductions of the records in its possession upon any reasonable terms imposed by the facility to ensure that the records are not damaged, destroyed, or altered.

(5)

If a nursing home facility determines that disclosure of the records to the resident would be detrimental to the physical or mental health of the resident, the facility may refuse to furnish the record directly to the resident; however, upon such refusal, the resident’s records shall, upon written request by the resident, be furnished to any other medical provider designated by the resident.

(6)

A nursing home facility that in good faith and in reliance upon this section releases copies of records shall be indemnified by the party who requested the records pursuant to subsection (2) for any damages resulting from such release, and may not be found to have violated any criminal or civil laws, and is not civilly liable to the resident, the resident’s estate, or any other person for any damages resulting from such release.

(7)

A nursing home facility is not required to provide copies of a resident’s records requested pursuant to this section more than once per month, except that copies of physician reports in the resident’s records must be provided as often as necessary to allow the effective monitoring of the resident’s condition.

(8)

A nursing home facility may not be cited by the agency through the survey process for any alleged or actual noncompliance with any of the requirements of this section.

(9)

This section does not limit any right to obtain records by subpoena or other court process.

Source: Section 400.145 — Copies of records of care and treatment of resident, https://www.­flsenate.­gov/Laws/Statutes/2024/0400.­145 (accessed Aug. 7, 2025).

400.011
Purpose
400.17
Bribes, kickbacks, certain solicitations prohibited
400.18
Closing of nursing facility
400.19
Right of entry and inspection
400.20
Licensed nursing home administrator required
400.021
Definitions
400.022
Residents’ rights
400.23
Rules
400.023
Civil enforcement
400.024
Failure to satisfy a judgment or settlement agreement
400.25
Educational program authorized
400.33
Legislative intent
400.051
Homes or institutions exempt from the provisions of this part
400.062
License required
400.063
Resident protection
400.071
Application for license
400.102
Action by agency against licensee
400.111
Disclosure of controlling interest
400.118
Quality assurance
400.119
Confidentiality of records and meetings of risk management and quality assurance committees
400.121
Denial, suspension, revocation of license
400.126
Receivership proceedings
400.141
Administration and management of nursing home facilities
400.142
Emergency medication kits
400.143
Institutional formularies established by nursing home facilities
400.145
Copies of records of care and treatment of resident
400.147
Internal risk management and quality assurance program
400.148
Medicaid “Up-or-Out” Quality of Care Contract Management Program
400.151
Contracts
400.162
Property and personal affairs of residents
400.165
Itemized resident billing, form and content prescribed by the agency
400.172
Respite care provided in nursing home facilities
400.175
Patients with Alzheimer’s disease or other related disorders
400.176
Rebates prohibited
400.179
Liability for Medicaid underpayments and overpayments
400.191
Availability, distribution, and posting of reports and records
400.211
Persons employed as nursing assistants
400.215
Personnel screening requirement
400.232
Review and approval of plans
400.0233
Presuit notice
400.0234
Availability of facility records for investigation of resident’s rights violations and defenses
400.0235
Certain provisions not applicable to actions under this part
400.235
Nursing home quality and licensure status
400.0236
Statute of limitations
400.0237
Punitive damages
400.0238
Punitive damages
400.0239
Quality of Long-Term Care Facility Improvement Trust Fund
400.241
Prohibited acts
400.0255
Resident transfer or discharge
400.275
Agency duties
400.332
Funds received not revenues for purpose of Medicaid program
400.334
Activity relating to unions by nursing home employees
400.0625
Minimum standards for clinical laboratory test results and diagnostic X-ray results
400.0712
Application for inactive license
400.1183
Resident grievance procedures
400.1413
Volunteers in nursing homes
400.1415
Patient records
400.1755
Care for persons with Alzheimer’s disease or related disorders

Current through Fall 2025

§ 400.145. Copies of records of care & treatment of resident's source at flsenate​.gov