Tenn. Comp. R. & Regs. 0940-05-20-.04 - CLIENT RECORD REQUIREMENTS FOR ADULT HABILITATION DAY FACILITIES

(1) Each client record must contain the following information:

(a) A recent photograph and a description of the client;

(b) The client's social security number;

(c) The client's legal competency status;

(d) The client's sources of financial support including social security, veteran's benefits and insurance;

(e) The sources of coverage for medical care costs;

(f) The name, address and telephone number of the physician or health agency providing medical services;

(g) Documentation of all drugs prescribed or administered by the facility which indicates date prescribed, type, dosage, frequency, amount and reason;

(h) A discharge summary which states the date of discharge, reasons for discharge and referral for other services, if appropriate;

(i) Report of medical problems, accidents, seizures and illnesses and treatments for such medical problems, accidents, seizures and illnesses;

(j) Report of significant behavior incidents and of actions taken; and

(k) Report of the use of restrictive behavior management techniques.

Notes

Tenn. Comp. R. & Regs. 0940-05-20-.04

Original rule filed May 26, 1988; effective July 11, 1988.

Authority: T.C.A. § 33-2-504.