Section 0940-05-23-.04 - CLIENT RECORD REQUIREMENTS FOR INSTITUTIONAL HABILITATION 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 of 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 indicated 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;(k) Report of the use of restrictive behavior-management techniques;(l) A list of each individual article of each client's personal property valued at fifty dollars ($50) or more including its disposition, if no longer in use; and(m) Written accounts of all monies received and disbursed on behalf of the client.Tenn. Comp. R. & Regs. 0940-05-23-.04
Original rule filed May 26, 1988; effective July 11, 1988.Authority: T.C.A. § 33-2-504.