Records And Reports

(1) A yearly statistical report, the “Joint Annual Report” shall be submitted to the department. The forms are mailed to each residential hospice by the department each year. The forms must be completed and returned to the department as requested. (2) The residential hospice shall report each case of communicable disease to the local county health officer in the manner provided by existing regulations. Failure to report a communicable disease may result in disciplinary action, including revocation of the facility’s license. (3) The residential hospice shall report all incidents of abuse, neglect, and misappropriation to the Department of Health in accordance with T.C.A. § 68-11-211. (4) The residential hospice shall report the following incidents to the Department of Health in accordance with T.C.A. § 68-11-211. (a) Strike by staff at the facility; STANDARDS FOR RESIDENTIAL HOSPICES CHAPTER 0720-23 (b) External disasters impacting the facility; (c) Disruption of any service vital to the continued safe operation of the residential hospice or to the health and safety of its patients and personnel; and (d) Fires at the residential hospice that disrupt the provision of patient care services or cause harm to the patients or staff, or that are reported by the facility to any entity, including but not limited to a fire department charged with preventing fires. (5) The residential hospice shall retain legible copies of the following records and reports for thirty-six (36) months following their issuance. They shall be maintained in a single file, and shall be made available for inspection during normal business hours to any person who requests to view them: (a) Local fire safety inspections; (b) Local building code inspections, if any; (c) Fire marshal reports; (d) Department licensure and fire safety inspections and surveys; (e) Federal Health Care Financing Administration surveys and inspections, if any; (f) Orders of the Commissioner or Board, if any; (g) Comptroller of the Treasury’s audit reports and finding, if any; and, (h) Maintenance records of all safety equipment.