reglab/housing_qa huggingface dataset:
TN Code § 68-11-254 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-254. Information Required to Be Posted in Nursing Homes

  All nursing homes are required to post the following in the main public entrance to the facility:  The name of the administrator of the facility, and the names, addresses, and telephone numbers of any entity or company under contract to manage the facility, the state survey and certification agency, the state licensure office, the state ombudsman for the region where the facility is located, the protection and advocacy network, the statewide toll-free number of the division of adult protective services, and the state Medicaid fraud control unit;   A statement that the resident may file a complaint concerning abuse, neglect, exploitation, misappropriation of resident property in the facility, and noncompliance with the advance directives requirements with the state survey and certification agency; and that a resident may also seek assistance or file a complaint with the division of adult protective services;    A statement that the facility does not have:   A fire suppression sprinkler system throughout the facility;   A smoke detector or alarm in each patient room; or   Neither a fire suppression sprinkler system throughout the facility nor a smoke detector or alarm in each patient room;     Such signs shall be printed in not less than twenty-four-point type and, in addition to being displayed at the main public entrance, shall be prominently displayed at all entrances to the facility.   The requirements of this subdivision (a)(3) shall not apply to any nursing home that is fully sprinklered as of April 17, 2004; and     A statement indicating whether the facility has liability insurance and the identity of the primary insurance carrier. If the facility is self-insured, the statement shall reflect that fact and indicate the corporate entity responsible for payment of any claims.     The information listed in subsection (a) shall be posted on a sign no smaller than eleven inches (11") in width and seventeen inches (17") in height.
TN Code § 68-11-257 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-257. Preadmission or Precontract Disclosures

   In addition to any other disclosure required by this part, prior to the admission of a resident to an assisted-care living facility or residential home for the aged regulated pursuant to this chapter or prior to the execution of a contract for the care of a resident in such a facility, whichever occurs first, the facility shall disclose in writing to the resident or to the resident's guardian, conservator or representative, if any, that the facility does not have:  A fire suppression sprinkler system throughout the facility;   A smoke detector or alarm in each patient room; or   Neither a fire suppression sprinkler system throughout the facility nor a smoke detector or alarm in each patient room.     The disclosure shall be made on a form separate from the contract for the care of the resident and shall be printed in bold type and in no less than twelve-point font. The form must be signed by the resident or the resident's guardian, conservator or representative, if any, and the signature must be witnessed. If the resident cannot read, the form shall be read aloud to the resident. If the facility maintains an Internet web site, the disclosure shall also be made on that Internet web site.      All assisted-care living facilities and residential homes for the aged regulated pursuant to this chapter shall post a statement, if applicable, that the facility does not have:  A fire suppression sprinkler system throughout the facility;   A smoke detector or alarm in each resident or patient room; or   Neither a fire suppression sprinkler system throughout the facility nor a smoke detector or alarm in each resident or patient room.     Such signs shall be printed in not less than twenty-four-point type and in addition to being displayed at the main public entrance shall be prominently displayed at all entrances to the facility.     The requirements of subsections (a) and (b) shall not apply to any assisted-care living facility or residential home for the aged that is fully sprinklered as of April 17, 2004.    In addition to any other disclosure required by this part, prior to the admission of a resident to an assisted-care living facility or residential home for the aged regulated pursuant to this chapter, or prior to the execution of a contract for the care of a resident in such a facility, whichever occurs first, the facility shall disclose in writing to the resident or to the resident's guardian, conservator or representative, if any, whether the facility has liability insurance and the identity of the primary insurance carrier. If the facility is self-insured, the facility's statement shall reflect that fact and indicate the corporate entity responsible for payment of any claims.   The information required to be disclosed in subdivision (d)(1) shall be posted on a sign no smaller than eleven inches (11") in width and seventeen inches (17") in height and displayed at the main public entrance.
TN Code § 68-11-258 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-258. Internet Posting of Facilities and Whether Facilities Have Sprinklers, Smoke Detectors, or Alarms

 The board shall post on the official state of Tennessee web site on the Internet (http://www.state.tn.us) the names of every nursing home, residential home for the aged and assisted-care living facility regulated pursuant to this chapter and indicate whether the facility has a fire suppression sprinkler system throughout the facility or a smoke detector or alarm in each patient room.
TN Code § 68-11-259 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-259. Establishment and Maintenance of a Trauma Registry — Compliance — Confidentiality

  The board shall establish and maintain a central registry of persons who are treated for trauma at designated trauma centers or comprehensive regional pediatric centers (CRPCs). To further the purpose of this section, the board has the authority to collect injury incidence information, including medical records and patient-identifying information, from designated trauma centers and CRPCs, analyze the information, and conduct special studies regarding the causes and consequences of traumatic injury. The board also has the authority to promulgate rules and regulations in accordance with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5, to administer the registry and its activities, which regulations may require the reporting trauma centers and CRPCs to use a particular form approved by the board, and which regulations may prescribe penalties to be imposed for failure to abide by reporting requirements.   A hospital holding a trauma center or CRPC designation shall complete and submit the reports required by this section as a condition of continuing the designation.   No information contained in the trauma registry that reasonably could be expected to reveal the identity of any patient may be made available to the public, and no information contained in the trauma registry that reasonably could be expected to disclose the identity or identities of specific reporting facilities may be made available to the public. The information submitted to the board pursuant to this section shall be used solely for the purpose of analyzing causes and medical consequences of serious trauma and promoting the continuum of care that provides timely and appropriate delivery of emergency medical treatment for people with acute traumatic injury; provided, however, that the specific information required by this section that pertains to health care professionals licensed under title 63 or this title, or health care facilities licensed under this title, shall be confidential, shall not be subject to public inspection, and shall not be used to initiate disciplinary complaints nor be admissible in any administrative proceeding for licensure discipline. The board shall prescribe conditions under which the processed and verified data can be made available to the public.   No person or entity may be held liable in any civil action with respect to any report or disclosure of information made under this section, unless the person or entity has knowledge of any falsity of the information reported or disclosed.
TN Code § 68-11-260 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-260. Electronic Transmission of Physician Orders

 A licensed home care organization is authorized to receive and appropriately act on a written order for a plan of care for a patient concerning a home health service signed by a physician that is transmitted to the licensed home care organization by electronically signed electronic mail. The order that is transmitted by electronic mail shall be deemed to meet any requirement for written documentation imposed by rule pursuant to this part.
TN Code § 68-11-261 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-261. Emergency Keyed Lock Boxes Next to Functioning Elevators

  Each hospital, recuperation center, nursing home, residential hospice, home for the aged, residential HIV supportive living facility, assisted-care living facility or ambulatory surgical treatment center licensed under this chapter, except those operated by the United States government, must ensure that an emergency keyed lock box is installed next to each bank of functioning elevators located on the main level. The lock boxes shall be permanently mounted seventy-two inches (72") from the floor to the center of the box, be operable by a universal key, no matter where the box is located, and shall contain only fire service keys and drop keys for the appropriate elevators. General standards for the design of such boxes shall be approved by the department of labor and workforce development; provided, however, that the standards must be consistent with all applicable building and life safety standards governing the facility.   Failure to comply with this section shall be a Class C misdemeanor, and shall be punishable by a fine only of not more than two hundred fifty dollars ($250).
TN Code § 68-11-262 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-262. Limit on Amount of Charges for Services to an Uninsured Patient

  Each healthcare facility licensed under this chapter shall be prohibited from requiring an uninsured patient to pay for services in an amount that exceeds one hundred seventy-five percent (175%) of the cost for the services provided, calculated using the cost to charge ratio in the most recent joint annual report.   As used in this section, the following terms shall have the meaning indicated:  “Cost to charge ratio” means the ratio of a specific healthcare facility's total expenses to its grand total gross patient charges as reported in its joint annual report submitted annually to the department of health;   “Healthcare facility” means a hospital, ambulatory surgery center, or outpatient diagnostic center; and   “Uninsured patient” means a person with no public or private source of payment for medical services, including, but not limited to, medicare, TennCare, a contract of insurance, an employer-sponsored health plan, or other enforceable obligation under which a person is responsible for payment for healthcare services provided to the patient.     Information obtained by the department of health as to the amounts billed for services by a healthcare facility, pursuant to this section, shall be maintained on a confidential basis.
TN Code § 68-11-263 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-263. National Nosocomial Infection Surveillance/national Healthcare Safety Network (Nnis/nhsn)

  Each facility regulated under this chapter with an annual average daily census of at least twenty-five (25) inpatients based on the most recent JAR public data, where applicable, or an outpatient facility that performs an annual average of twenty-five (25) procedures per day shall join the centers for disease control’s national nosocomial infection surveillance/national healthcare safety network (NNIS/NHSN) surveillance system within one hundred twenty (120) days of when it becomes open to the facility's type of license in order to unify reporting systems and to benchmark against a national standard. Facilities shall meet data reporting timeframes as required by NHSN and shall utilize standard methods, including healthcare acquired case-finding techniques, CDC infection definitions and other relevant terms, and NHSN software for data collection and reporting. Data submitted by the reporting facility shall be reported without any patient identifiers.    Facilities shall grant the department of health access to the NHSN database on:  Central line associated bloodstream infections (CLABSI) in intensive care units for hospital specific reporting on the department of health's web site. CLABSIs for burn units and Level 1 trauma units are excluded. The department shall disseminate the public reports based on data compiled for a period of twelve (12) months, no sooner than six (6) months but not later than eight (8) months following the month the facility reports the data. The reports shall be updated every six (6) months with the most recent four (4) quarters of data. The department shall only display facility specific rates for facilities with greater than thirty (30) central line insertions per year; and   Surgical site infections for coronary artery bypass grafts (CABG). On surgical site infections for CABG data, all facility identifiers shall be confidential and may not be released by the department. The department shall report only aggregate statewide performance on CABG surgical infection rates.     The department shall maintain the confidentiality of all medical record information abstracted by or reported to the agency. The department shall be granted initial access one (1) year after NHSN becomes open to facilities. Every six (6) months the department shall update information posted on the department's web site received from the NHSN database authorized for public review.
TN Code § 68-11-264 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-264. Task Force to Clarify the Interpretive Guidelines for Reporting Unusual Events With Regard to Class I and Class Ii Surgical Site Infections — Hospital-Acquired Infections

  The commissioner of health shall establish a task force in order to clarify the interpretive guidelines for reporting unusual events with regard to Class I and Class II surgical site infections. The commissioner shall make appropriate appointments, including a chair, to the task force. The task force shall report to the commissioner on its progress no later than one (1) year after its appointment.    The committee established by the department of health to report in response to chapter 323 of the Public Acts of 2005 shall continue to meet at least biannually in order to evaluate the reporting of healthcare acquired infections and make recommendations to the department and the Tennessee improving patient safety coalition (TIPS) for improvements in patient safety efforts. The department shall consult with the committee and other bodies and individuals with recognized expertise to determine the manner in which data collected from healthcare facilities in the state shall be publicly reported. The database shall be organized and presented in a manner such that consumers, healthcare organizations, healthcare professionals, purchasers and payers may examine an individual facility's reporting of healthcare associated infection trends, and, where available, compare the information to statewide or national benchmarks. As national consensus standards for infection reporting are developed and published, the committee shall review these consensus standards and make additional recommendations. The department shall report to the Tennessee general assembly regarding recommendations for improvement on healthcare acquired infections and reporting requirements adopted by the subcommittee on infections and the TIPS committee. The report shall include the department's response.   The department of health is authorized to promulgate rules and regulations to update reporting requirements as recommended by the committee.
TN Code § 68-11-265 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-265. Use of Information Obtained by the Department

 Information obtained by the department from hospitals and other healthcare providers under §§ 68-11-263 and 68-11-264 shall not be public information. Reports and studies prepared by the department based upon the information shall be public information and may identify individual healthcare entities. The department shall not release any patient level data. Data collected and reported pursuant to  §§ 68-11-263 and 68-11-264 shall not be deemed to have established a standard of care for any purposes of civil litigation in Tennessee, nor shall data reported pursuant to  §§ 68-11-263 and 68-11-264 by a specific healthcare facility be utilized in any civil litigation brought in Tennessee against the reporting facility.
TN Code § 68-11-266 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-266. Offering of Immunization for Influenza and Pneumococcal Diseases to Inpatients Sixty-Five (65) or Older

 In accordance with the latest recommendations of the advisory committee on immunization practices of the centers for disease control, and subject to the availability of vaccine, each year from October 1 through March 1, prior to discharging any inpatient who is sixty-five (65) years of age or older, a hospital shall offer the inpatient immunization for influenza and pneumococcal diseases.
TN Code § 68-11-267 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-267. Report on Antibiotic Resistant Infections

  The committee established by the department of health in response to chapter 323 of the Public Acts of 2005, known as the infections taskforce, shall continue to meet at least semiannually to focus on strategies and recommendations for the prevention and control of antibiotic resistant infections including methicillin resistant staphylococcus aureus (MRSA). The taskforce, in collaboration with the division of communicable and environmental diseases of the department of health, shall review aggregate data on incidence and trends for invasive MRSA in Tennessee as reported to the department of health in accordance with § 68-1-104 in formulating their reports and recommendations.   The department of health and the infections taskforce shall collectively issue a progress report on MRSA to the general assembly each year for three (3) years beginning in 2008.
TN Code § 68-11-268 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-268. Charity Case Policy

 Each healthcare facility licensed under this chapter shall develop a concise statement of its charity care policies for use by members of the public so as to permit individuals to more accurately assess the potential cost for services provided at each institution. Every healthcare facility shall post this statement in a place accessible to the public.
TN Code § 68-11-269 (2021)
2021 Tennessee Code|Title 68 - Health, Safety and Environmental Protection|Chapter 11 - Health Facilities and Resources|Part 2 - Regulation of Health and Related Facilities|§ 68-11-269. Comprehensive Infection Control Program — Admission or Transfer of Patients

  Health care facilities, as part of their infection control program, shall perform a local risk assessment for methicillin resistant staphylococcus aureus (MRSA) in the facility. In those facilities where current interventions have not resulted in reduction in MRSA infections, implementation of a comprehensive program to reduce such infections should occur.   A health care facility's comprehensive infection control program may include, but is not limited to:  Implementation of a hand hygiene education and monitoring program;   The use of contact precautions for patients colonized or infected with MRSA;   The effective cleaning of patient care equipment and the patients' environment;   Consideration of use of active surveillance testing for high risk groups identified through a facility's local risk assessment to identify persons colonized with MRSA;   Feedback of surveillance data to key stakeholders, including senior facility leadership, physicians, nursing staff and other clinicians;   Education of healthcare personnel about epidemiologically significant organisms; and   Education of patients and families about prevention of healthcare-associated infections.     Hospitals, nursing homes and other health care facilities should communicate MRSA status of patients transferred or admitted to other facilities; however, facilities should not delay the admission or transfer of patients colonized with MRSA.