1. (1) The Commission shall send a Notice of Intent to Place on the Registry when it receives information that an individual has abused, neglected, or misappropriated the property of a vulnerable person. The Commission shall also send such a notice if it receives documentation from the TBI or other federal, state or local law enforcement agency or any court or criminal justice agency, substantiating that an offense against a vulnerable person has been committed by an individual whose name has not already been placed on the Registry.

2. (2) The Notice of Intent to Place sent by the Commission shall contain:

   1. (a) The allegations supporting the determination that the individual has abused, neglected, or misappropriated the property of a vulnerable person;
   2. (b) Notification that the individual may, within thirty (30) days of the date of the notice, request an administrative hearing by submitting a written request to the Tennessee Health Facilities Commission;
   3. (c) Notice that the hearing will be a contested case hearing which will be conducted by an Administrative Law Judge or Hearing Officer pursuant to the Tennessee Administrative Procedures Act, set forth in T.C.A. Title 4, Chapter 5, Section 3 and Tenn. Comp. R. & Regs. 1360-04-01-.01 et seq., and that the individual may be represented by an attorney at his or her own expense; and
   4. (d) Notice that if the individual fails to request a hearing within thirty (30) days, the individual’s name shall be placed on the Registry by default. NEGLECTED, MISAPPROPRIATED, OR EXPLOITED THE PROPERTY OF VULNERABLE INDIVIDUALS
3. (3) If the placement on the Registry is based on a referral from another State Government Agency, then the individual being placed will not be entitled or given opportunity to contest or dispute prior hearing conclusions, the content or terms of any prior criminal disposition, or the factual findings upon which the conclusion or disposition are based. Any hearing offered by the Commission shall be limited to the accuracy of the report that the criminal disposition occurred, hearing conclusions were made, or any fact issue related to the correct identity of the individual. No such hearing will be given unless such challenge is made within sixty (60) days of notification of inclusion on the Registry.

4. (4) Appeals in contested cases by the Commission.

   1. (a) All appeals in contested cases shall be conducted in accordance with the Uniform Administrative Procedures Act and rules of the Administrative Procedures Division.

   2. (b) Initial Order. If an Administrative Law Judge orders an individual placed on the Registry via Initial Order, the Initial Order becomes a Final Order within fifteen (15) days after entry of the Initial Order, unless:

      1. 1. The individual files a petition for appeal to the Executive Director or the Executive Director’s designee stating the basis for the appeal within fifteen (15) days after the entry of the Initial Order. A Final Order will not be issued until the Executive Director or designee has reviewed the Initial Order. A petition for appeal to the Commission must be filed with the Administrative Procedures Division of the Secretary of State; or
      2. 2. A party files a petition for reconsideration of this Initial Order, stating the specific reasons why the Initial Order was in error, within fifteen (15) days after the Initial Order’s entry. This petition must also be filed with the Administrative Procedures Division as listed above.
      3. 3. A petition for reconsideration is deemed denied if no action is taken within twenty

5. (20) days of filing.

   1. 4. A new fifteen (15) day period for the filing of an appeal with the Commission starts to run from the entry date of an order disposition of a petition for reconsideration, or from the twentieth (20th) day after filing of the petition, if no order is issued.
   2. 5. A party may petition the Commission for a stay of the Initial Order within seven

6. (7) days after the entry of the Initial Order.

   1. (c) Final Order.

      1. 1. Within fifteen (15) days after the Initial Order becomes a Final Order, a party may file a petition for reconsideration of the Final Order with the Executive Director of the Commission, or designee, in which the petitioner shall state the specific reasons why the Initial Order was in error.
      2. 2. If no action is taken by the Executive Director or designee within twenty (20) days of filing of the petition, it is deemed denied.

   2. (d) Judicial Review. NEGLECTED, MISAPPROPRIATED, OR EXPLOITED THE PROPERTY OF VULNERABLE INDIVIDUALS

      1. 1. If the individual is aggrieved with the outcome of a contested case hearing, the individual may seek judicial review of the Final Order by filing a petition for review in Chancery Court within sixty (60) days after the entry of a Final Order, or if a petition for reconsideration is granted, within sixty (60) days of the entry date of the Final Order disposing of the petition.
      2. 2. The filing of a petition for reconsideration does not extend the sixty (60) day period for judicial review, if the petition for reconsideration is not granted.
7. (5) A letter notifying the individual that the individual has been placed on the Registry will be sent to the individual’s last known mailing address by United States Postal Service First Class mail and by Certified Mail.

Authority: T.C.A. §§ 4-5-301, et seq., 4-5-315, 4-5-316, 4-5-317, 4-5-322, and 68-11-1003; T.C.A. Title 4, Chapter 5, Part 3; Tenn. Comp. R. & Regs. 1360-04-01-.01, et seq; and 42 C.F.R. § 488.335(d). Administrative History: Original rules filed September 28, 2016; effective December 27, 2016. Transferred from chapter 1200-08-38 pursuant to Public Chapter 1119 of 2022 effective July 1, 2022. Amendments filed May 5, 2025; effective August 3, 2025.