Tenn. Comp. R. & Regs. 0940-05-38-.09 - Service Recipient Record Requirements

Licensed personal support services providers must ensure that each service recipient’s record includes the following information:

•         Identifying information about the patient, including gender and date of birth;
•         Date of service enrollment;
•         A written fee agreement between the service recipient and personal support services provider, if the provider charges for personal support services;
•         A written service plan based on a needs assessment;
•         Consent for services by the recipient or authorized representative;
•         Record of services actually delivered;
•         Documentation of medical problems, illnesses and treatments, accidents, seizures, adverse incidents and follow-up; and
•         Written semi-annual evaluation by the recipient of the quality of services received.