Tenn. Comp. R. & Regs. 0465-02-21-.04
Personnel and Staffing
Effective Feb 16, 2026Authority: T.C.A. §§ 4-4-103, 52-1-104, 52-1-105, 52-1-107, 52-2-301, 52-2-302, 52-2-403, 52-2-404, 52- 2-406, 52-2-407, and 68-11-201.Tennessee Department of Intellectual and Developmental Disabilities/, Disability and Aging
(1) Each Home for the Aged shall:
- (a) Have an identified responsible attendant and a sufficient number of employees to meet the needs of the residents. The responsible attendant must be at least eighteen (18) years of age and able to comply with these rules;
- (b) Maintain documentation of the background and registry checks described in 0465-02- 06-.04 and as required by T.C.A. § 52-2-1002 prior to hiring any employee;
- (c) Ensure employees and providers are trained in First Aid and Cardiopulmonary Resuscitation (CPR);
- (d) A personnel record must be maintained which verifies that each employee meets the respective employment requirements for the staff position held, in accordance with 0465- 02-06-.04; and
- (e) Training and development activities, which are appropriate in assisting the staff in meeting the needs of the residents, must be provided for each staff member. The provision of such activities must be evidenced by documentation in the personnel records.
Authority: T.C.A. §§ 4-4-103, 52-1-104, 52-1-105, 52-1-107, 52-2-301, 52-2-302, 52-2-403, 52-2-404, 52- 2-406, 52-2-407, and 68-11-201. Administrative History: Emergency rules filed August 22, 2025; effective through February 18, 2026. New rules filed November 18, 2025; effective February 16, 2026.