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Tenn. Comp. R. & Regs. 0720-35-.06 — Basic Agency Functions (Professional Support Services)

TennesseeregulationTennessee Health Facilities Commission· effective 2022-07-01

What this rule requires your agency to do

  • 1When skilled nursing is provided, provide it by or under the supervision of a registered nurse (no current disciplinary action) available during operating hours, performing the enumerated RN duties including initial evaluation, plan-of-care revision, and drug-interaction evaluation (0720-35-.06(4)(a),(b)).(Tenn. Comp. R. & Regs. 0720-35-.06 — Basic Agency Functions (Professional Support Services))
  • 2Develop a written plan of care covering all pertinent diagnoses, services, frequency, medications/treatments, safety measures, and discharge/referral instructions, and have plans for acute/episodic illness reviewed and signed/dated by the attending physician at least annually (Comprehensive Nursing Assessment plans reviewed per the physical-status review schedule) (0720-35-.06(2)(a),(b)).(Tenn. Comp. R. & Regs. 0720-35-.06 — Basic Agency Functions (Professional Support Services))
  • 3Have drugs and treatments administered only by appropriately licensed personnel within their scope, with orders signed and dated by the physician (0720-35-.06(3)).(Tenn. Comp. R. & Regs. 0720-35-.06 — Basic Agency Functions (Professional Support Services))
  • 4Maintain an active infection-control performance-improvement program including an annual influenza vaccination program with no-cost offer, signed declinations, employee education, and annual evaluation, and adopt standard (CDC) precautions (0720-35-.06(7)(a),(c),(f)).(Tenn. Comp. R. & Regs. 0720-35-.06 — Basic Agency Functions (Professional Support Services))
  • 5Maintain a medical record for every consumer with required content and signed/dated clinical notes written the day service is rendered (incorporated at least weekly), retain records at least ten (10) years (longer for minors/mental disability), and require written consumer consent for release not otherwise authorized by law (0720-35-.06(8)(a),(b),(d)).(Tenn. Comp. R. & Regs. 0720-35-.06 — Basic Agency Functions (Professional Support Services))
  • 6Maintain a committee or mechanism reviewing professional support services (including contract services) at least annually against a written plan (0720-35-.06(6)(a)).(Tenn. Comp. R. & Regs. 0720-35-.06 — Basic Agency Functions (Professional Support Services))
  • 7Provide therapy services planned/delegated/supervised or provided by a qualified therapist per the plan of care, with speech therapy only by or under a qualified speech language pathologist or a Clinical Fellow (0720-35-.06(5)(a),(b)).(Tenn. Comp. R. & Regs. 0720-35-.06 — Basic Agency Functions (Professional Support Services))
  • 8Ensure personnel efforts complement other services, are integrated into the consumer's daily routine, and support the individual support plan; provide a written progress report to the consumer's support coordinator/case manager monthly and a written summary report to the attending physician at least annually (0720-35-.06(1)).(Tenn. Comp. R. & Regs. 0720-35-.06 — Basic Agency Functions (Professional Support Services))

Applies to: personal care

Core clinical operations rule for professional support services agencies: integration into the individual support plan with monthly progress reports to the support coordinator/case manager and at-least-annual physician summary; plan-of-care content and physician review; skilled nursing and RN/LPN duties; therapy services; an annual performance-improvement review; infection control including an annual influenza vaccination program; and medical-records content with 10-year retention. Framework topic: Service Delivery / Records & QAPI (IDD).

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.