1. (1) The record of each person supported must contain the following information:

   1. (a) A recent photograph and a description of the person supported;
   2. (b) The social security number of the person supported;
   3. (c) The legal competency status of the person supported;
   4. (d) The sources of financial support of the person supported, including social security, veteran’s benefits and insurance;
   5. (e) The sources of coverage for medical care costs of the person supported;
   6. (f) The name, address and telephone number of the physician or healthcare agency providing medical services of the person supported;
   7. (g) Documentation of all drugs/medications prescribed or administered by the licensee to the person supported, which indicates the date prescribed, type, dosage, frequency, amount, and reason for prescription;
   8. (h) A discharge summary of the person supported, which states the date of discharge, reasons for discharge, and referral for other services, if appropriate;
   9. (i) Report of medical problems, accidents, seizures and illnesses, and treatments for such medical problems, accidents, seizures and illnesses for the person supported;
   10. (j) Report of significant behavior incidents and of actions taken for the person supported; and
   11. (k) Report of the use of restrictive behavior management techniques for the person supported.

Authority: T.C.A. §§ 4-4-103, 4-5-202, 33-1-201, 33-1-302, 33-1-303, 33-1-305, 33-1-309, 33-2-301, 33- 2-302, 33-2-404, and 33-2-407. Administrative History: New rules filed July 6, 2016; effective October 4, 2016.