Tenn. Comp. R. & Regs. 0465-02-21-.05
Resident Rights
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
Each resident has at least the following rights:
- (1) To privacy in treatment and personal care;
- (2) To be free from mental and physical abuse. Should this right be violated, the facility must notify the Office of Licensure within five (5) working days of each instance. The Tennessee Department of Human Services, Adult Protective Services shall be notified immediately;
- (3) To refuse treatments as outlined in Rule 0465-02-21-.03. The resident must be informed of the consequences of that decision, and the refusal and its reason must be reported to the physician and documented in the resident’s record;
- (4) To have his or her file kept confidential and private. Written consent by the resident must be obtained prior to release of information except to persons authorized by law;
- (5) To be fully informed of the Resident’s Rights, of any policies and procedures governing resident conduct, any services available in the home, and the schedule of all fees for all services; FOR THE AGED
- (6) To participate in drawing up the terms of the admission agreement, including providing for the resident’s preferences for physician care, hospitalization, assisted living facility care, nursing home care, acquisition of medication, emergency plans and funeral arrangements;
- (7) To be given thirty (30) days written notice prior to transfer or discharge, except when ordered by any physician because a higher level of care is required;
- (8) To voice grievances and recommend changes in policies and services of the home with freedom from restraint, interference, coercion, discrimination or reprisal. The residents shall be informed of procedures for registering complaints confidentially and to voice grievances;
- (9) To manage his or her personal financial affairs, including the right to keep and spend his or her own money. If the resident requests assistance from the home in managing his or her personal financial affairs, the request may be verbal or in writing and may be terminated by the resident at any time. If the resident makes a verbal request the request must be documented in writing and signed by the resident or signed by two (2) witnesses. The home must separate such monies from the home’s operating funds and all other deposits or expenditures, submit a written accounting to the resident at least quarterly, and immediately return the balance upon transfer or discharge. A current copy of this report shall be maintained in the resident’s file maintained by the licensee;
- (10) To have free access to day rooms, dining and other group living or common and to come and go from the home, unless such access infringes upon the rights of other residents;
- (11) To be treated with consideration, respect and full recognition of his or her dignity and individuality;
- (12) To be accorded privacy for sleeping and for storage space for personal belongings;
- (13) To wear his or her own clothes, to keep and use his or her own toilet articles and personal possessions;
- (14) To send and receive unopened mail;
- (15) To associate and communicate privately with persons of his or her choice, including receiving visitors at any time unless such access infringes upon the rights of other residents; and,
- (16) To participate or to refuse to participate in community activities, including cultural, educational, religious, community services, vocational and recreational activities.
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.