# Which records should I upload for a nursing home case?

> The facility, hospital and ambulance records to upload to a Nursing Home Neglect case in Medrecords AI: MDS, care plan, MAR, TAR and CNA flowsheets.

Canonical page: https://medrecords.ai/help/case-types/nursing-home/records/

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MEDRECORDS AI HELP

## Which records should I upload for a nursing home case?

For a nursing home case, upload the full facility chart, the hospital records and the ambulance run sheets. The facility chart matters most: the MDS assessments, the care plan, the medication and treatment records, and the aide flowsheets. Medrecords AI reads what you upload and cites each page. It does not fetch records for you.

Last checked 2026-10-24 — ·Written by Ahmed Jemaa

**Help center contents26 articles**
Start here

- [Choose the right case type](https://medrecords.ai/help/tasks/choose-case-type/)
- [Which files can you upload?](https://medrecords.ai/help/tasks/file-types-limits/)
- [Confirm the case details, key date and focus](https://medrecords.ai/help/tasks/confirm-case/)
- [Fix a failed upload or a stuck case](https://medrecords.ai/help/tasks/troubleshooting/)

Work with the records

- [Read the medical chronology](https://medrecords.ai/help/tasks/chronology/)
- [Check any fact against its source page](https://medrecords.ai/help/tasks/verify-source/)
- [Search your records with exact text or keywords](https://medrecords.ai/help/tasks/search/)
- [Filter and group the documents index](https://medrecords.ai/help/tasks/documents-index/)
- [Add flags, highlights and notes to records](https://medrecords.ai/help/tasks/annotations/)
- [How duplicate pages are found and removed](https://medrecords.ai/help/tasks/deduplication/)
- [Work through the missing records list](https://medrecords.ai/help/tasks/missing-records/)
- [Add records to an existing case](https://medrecords.ai/help/tasks/add-records-later/)

Write and share

- [Edit the chronological narrative](https://medrecords.ai/help/tasks/narrative/)
- [Create a report in Report Studio](https://medrecords.ai/help/tasks/report-studio/)
- [Set up report templates](https://medrecords.ai/help/tasks/templates/)
- [Export your work](https://medrecords.ai/help/tasks/export/)

Account and trust

- [Set your role](https://medrecords.ai/help/tasks/roles/)
- [Is Medrecords AI HIPAA compliant, and who can see my cases?](https://medrecords.ai/help/tasks/security-hipaa/)
- [How accurate is Medrecords AI, and what are its limits?](https://medrecords.ai/help/tasks/accuracy-limits/)
- [Glossary of terms](https://medrecords.ai/help/glossary/)

Case type playbooks

- [Work a birth injury case](https://medrecords.ai/help/case-types/birth-injury/)
- [Work a nursing home neglect case](https://medrecords.ai/help/case-types/nursing-home/)
- [Work a VA disability case](https://medrecords.ai/help/case-types/va-disability/)
- [Work a mass tort case](https://medrecords.ai/help/case-types/mass-tort/)
- [Work a medical malpractice case](https://medrecords.ai/help/case-types/medical-malpractice/)
- [Work a personal injury or car crash case](https://medrecords.ai/help/case-types/personal-injury/)

[See every topic on the help center home](https://medrecords.ai/help/)

### The facility chart

These are the records most cases turn on. The table explains each term in plain words.

| Record | What it is |
| --- | --- |
| Admission packet | Forms signed at move-in. It can hold the BIMS score (a short memory test) and any arbitration agreement |
| MDS | The Minimum Data Set. A long resident assessment done at admission and on a set schedule after |
| Care plan | What staff promised to do, such as turning every 2 hours or weekly weights |
| MAR | Medication administration record. Each dose given, held or refused |
| TAR | Treatment administration record. Wound care, creams and other treatments |
| CNA flowsheets | Aide records of turning, meals, fluids, toileting and bathing. Also called ADL records |
| Nurse notes | Shift notes and notes on any change in condition |
| Skin and wound records | Skin checks, wound measurements and Braden scores (a scale for bed sore risk) |
| Weight and intake records | Weights, meal percentages and fluid intake |
| Fall records | Fall risk scores, post-fall notes and alarm or bed-check logs |
| Physician orders and progress notes | Orders, order changes and doctor visits |
| Dietitian and therapy notes | Diet changes, supplements and therapy progress |

### Records from outside the facility

- **Hospital records.** Every hospital stay. The emergency room note often gives the first outside view of a wound, a fracture or weight loss.
- **Ambulance run sheets.** They show the resident's state when they left the facility.
- **Wound clinic or outside doctor records** , if any.
- **Death certificate and autopsy** , in a death case. See our guide on [nursing home wrongful death records](https://medrecords.ai/guides/nursing-home-wrongful-death-records/).

### Inspection reports and staffing data

Medrecords AI does not pull state inspection reports or PBJ staffing data (the payroll-based staffing reports nursing homes send in). If you have a CMS-2567 inspection report as a PDF, you can upload it. It is read like any other PDF. The app does not treat it in a special way. Our guide to [the MDS and the CMS-2567](https://medrecords.ai/guides/nursing-home-records-mds-cms-2567/) explains what those forms hold.

### How to upload

1. Upload PDFs, images, Word files or text files. ZIP files unpack in your browser.
2. Save TIFF, GIF or HEIC files as PDF or JPG first. The app does not read them.
3. Upload the whole chart, even if it repeats. Duplicate pages are removed for you. See [how duplicate pages are handled](https://medrecords.ai/help/tasks/deduplication/).

See [which files you can upload](https://medrecords.ai/help/tasks/file-types-limits/) for the full list.

### Handwritten flowsheets

Many aide flowsheets are filled in by hand, with check marks and initials. Handwriting and faint scans are where reading mistakes are most likely. Open the source page for any flowsheet entry you plan to rely on. See [check any fact against its source page](https://medrecords.ai/help/tasks/verify-source/).

### Records that come in later

Production often comes in pieces. You can add records to a case at any time. See [add records to an existing case](https://medrecords.ai/help/tasks/add-records-later/). Then check what is still missing. See [check whether the MDS, care plans and flowsheets are there](https://medrecords.ai/help/case-types/nursing-home/missing/).

Medrecords AI organizes and cites the records. Its output is not a medical or legal opinion and does not replace your expert.

### Related help

- [Review a nursing home neglect case](https://medrecords.ai/help/case-types/nursing-home/)
- [Set up a nursing home case](https://medrecords.ai/help/case-types/nursing-home/setup/)
- [Which files can you upload?](https://medrecords.ai/help/tasks/file-types-limits/)
- Read our guide on [records for a nursing home fall case](https://medrecords.ai/guides/nursing-home-fall-lawsuit-records/).

Facts checked against the Medrecords AI app code on 2026-10-24.

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