The completeness of medical record document becomes an important component in the accreditation assessment of puskesmas. Accreditation has a close relationship with the quality of health service facility services, so accredited status can be said as an effort to maintain the quality of health services. The better the status of the accreditation value, the higher the quality of service, including the quality of medical records at the puskesmas. This study aims to determine the differences in the completeness of medical record recording based on accreditation status at Gilingan Community Health Center with plenary accreditation status, Puskesmas Sangkrah with main accreditation status, Gambirsari Public Health Center with accreditation status and Puskesmas Pucangsawit with basic accreditation status in Surakarta City. The type of this research is qualitative quantitative combination research (mix methodology) with cross sectional research design. The population in this study were all active medical records used for patient service during the first quarter of 2018 and taken 379 medical records at Gilingan, Sangkrah, Gambirsari and Pucangsawit Public Health Centers in Surakarta City as the study sample. Meanwhile, the respondents of this study were a medical recorder, doctors and nurses at each of these puskesmas. Data analysis using Kruskal-Wallis Test. The results showed that there was a significant difference in the completeness of medical record data (p-value = 0.001) between the completeness of medical record in Gilingan Community Health Center, Sangkrah, Gambirsari and Pucangsawit. Meanwhile, the completion of medical record with the highest average rating is in Sangkrah Public Health Center and the lowest average rating is in Gilingan Community Health Center (Puskesmas Gilingan). Factor of incomplete filling of medical record at Puskesmas Gilingan, Sangkrah, Gambirsari and Pucangsawit seen from side man that is the lack of staff accuracy, the age of the officers, the time to accelerate the service, the exhaustion of the officers in serving the many patients, and the lack of knowledge of the officers, from the material side of the medical record form is less supportive, from the side of the machine is the limitation and the use of the stamp of the doctor's name is less than the maximum and the absence of the form of deficiency sheet and from the side of the method that is not yet the existence of SOP regarding the assessment of medical record completeness, not yet the implementation of the assessment of medical record completeness in medical record staff jobdes, not yet the assessment of medical record completeness and less maximal audit of medical record done
