Tenn. Comp. R. & Regs. 0720-38-.02 - LICENSURE AND RENEWAL
(1) Licensure. An
applicant for a TBI residential home license shall submit the following to the
Board office:
(a) A completed application on a
form approved by the Board;
(b)
Nonrefundable application fee;
(c)
The requirements contained in T.C.A. §
68-11-206(a)(1) and
(2);
(d) Demonstration of the ability to meet the
financial obligations of the TBI residential home with a financial statement
prepared by a certified public accountant;
(e) A copy of a local business license (if
one is required by the locality);
(f) A copy of any and all documents
demonstrating the legal status of the business organization that owns the TBI
residential home. If the applicant is a corporation or a limited liability
company the applicant must submit a certificate of good standing;
(g) Proof of liability insurance;
and
(h) Any other documents or
information requested by the Board.
(2) Before a license is granted, the
applicant shall cause to be submitted to the Board's administrative office
directly from the vendor identified in the Board's licensure application
materials, the result of a criminal background check.
(3) Before a license is granted, the
applicant shall submit to an inspection conducted by Department of Health
inspectors to ensure compliance with all applicable laws and rules.
(4) If the Board determines that a license
for a TBI residential home shall not be granted, it shall notify the applicant.
The decision of the board shall be final.
(5) The applicant shall not use subterfuge or
other evasive means to obtain a license, such as filing for a license through a
second party when an applicant has been denied a license or has had a license
disciplined or has attempted to avoid the survey and review process.
(6) Renewal. TBI residential home licenses
expire annually on the anniversary date of their original issuance and must be
renewed by that date.
(a) In order to
successfully renew a license, a licensee shall submit a completed renewal
application with the applicable fee to the Board office. Department inspectors
will periodically inspect each TBI residential home to determine its compliance
with these rules and regulations. If the inspectors find deficiencies, the
licensee shall submit an acceptable corrective action plan and shall remedy the
deficiencies.
(b) Should the
licensee fail to renew its license prior to the expiration date, yet within
sixty (60) days after the expiration date, the licensee shall pay the licensure
renewal fee and a late renewal penalty fee of one hundred dollars ($100.00) per
month for each month or fraction of a month that renewal is late; provided that
the late renewal penalty fee shall not exceed twice the licensure renewal
fee.
(c) In the event that a
licensee fails to renew its license within the sixty (60) day grace period
following the license expiration date, the licensee shall reapply for a license
by submitting the following to the Board office:
1. A completed application for licensure;
and
2. The license fee provided in
Rule 0720-38-.03(1).
(d) Upon reapplication, the
licensee shall submit to an inspection of the TBI residential home by
Department of Health inspectors.
(7) The Board shall issue a license only for
the licensee and the location designated on the license application. If a TBI
residential home moves to a new location, it shall obtain a new license and
submit to an inspection of the new building before admitting
residents.
(8) A separate license
shall be required for each TBI residential home when more than one TBI
residential home is operated by a TBI residential home provider.
(9) Change of Ownership.
(a) A change of ownership occurs whenever the
ultimate legal authority for the responsibility of the TBI residential home's
operation is transferred, including a change in the legal structure by which
the TBI residential home is owned and operated and/or ownership of the
preceding or succeeding entity changes.
(b) A licensee shall notify the Board's
administrative office of a proposed change of ownership at least thirty (30)
days prior to its occurrence by submitting the following to the Board office:
1. A completed change of ownership
application on a form approved by the Board which includes all information
required by Rule
0720-38-.02(1)(a);
2. Nonrefundable application fee;
3. Demonstration of ability to meet the
financial obligations of the TBI residential home with a financial statement
prepared by a certified public accountant;
4. A copy of a local business license (if one
is required by the locality);
5. A
copy of any and all documents demonstrating the formation of the business
organization that owns the TBI residential home;
6. The bill of sale and/or closing documents
indicating the transfer of operations of the business entity;
7. Comprehensive business plan for the first
two years of operation;
8. Proof of
liability insurance; and
9. Any
other documents or information requested by the Board.
(c) Transactions constituting a change of
ownership include, but are not limited to, the following:
1. Transfer of the TBI residential home's
legal title;
2. Lease of the TBI
residential home's operations;
3.
Dissolution of any partnership that owns, or owns a controlling interest in,
the TBI residential home;
4. The
removal, addition or substitution of a partner;
5. Removal of the general partner or general
partners, if the TBI residential home is owned by a limited
partnership;
6. Merger of a TBI
residential home owner (a corporation) into another corporation where, after
the merger, the owner's shares of capital stock are canceled;
7. The consolidation of a corporate TBI
residential home owner with one or more corporations; or
8. Transfers between levels of
government.
(d)
Transactions which do not constitute a change of ownership include, but are not
limited to, the following:
1. Changes in the
membership of a corporate board of directors or board of trustees;
2. Merger of two (2) or more corporations
where one of the originally-licensed corporations survives;
3. Changes in the membership of a non-profit
corporation;
4. Transfers between
departments of the same level of government;
5. Corporate stock transfers or sales, even
when a controlling interest;
6.
Sale/lease-back agreements if the lease involves the TBI residential home' s
entire real and personal property and if the identity of the lessee, who shall
continue the operation, retains the same legal form as the former owner;
or
7. Management agreements if the
owner continues to retain ultimate authority for the operation of the TBI
residential home; however, if the ultimate authority is surrendered and
transferred from the owner to a new manager, then a change of ownership has
occurred.
(10) Qualification and Training Requirements.
(a) Qualifications for a TBI residential home
provider serving residents suffering from the effects of a traumatic brain
injury.
1. A TBI residential home provider
serving residents with traumatic brain injury shall hold national certification
by the Academy of Certified Brain Injury Specialists as a Certified Brain
Injury Specialist (CBIS) or hold a current license as a physician, nurse
practitioner, registered nurse, licensed rehabilitation professional or
licensed mental health professional trained and experienced in the care and
rehabilitation of residents with traumatic brain injury, or shall employ an
Administrator who meets the qualifications specified in Rule
0720-38-.02(11)(a)
2.
2. An Administrator for a TBI
residential home serving residents with traumatic brain injury shall hold
national certification by the Academy of Certified Brain Injury Specialists as
a Certified Brain Injury Specialist (CBIS) or hold a current license as a
physician, nurse practitioner, registered nurse, licensed rehabilitation
professional or licensed mental health professional trained and experienced in
the care and rehabilitation of residents with traumatic brain injury.
3. Staff members providing overnight care
and/or supervision of residents in a TBI residential home shall hold national
certification by the Academy of Certified Brain Injury Specialists as a
Certified Brain Injury Specialist (CBIS) or hold a current license as a
physician, nurse practitioner, registered nurse, licensed rehabilitation
professional or licensed mental health professional trained and experienced in
the care and rehabilitation of residents with traumatic brain injury and shall
demonstrate competency in caring for persons with traumatic brain
injury.
(b) Training.
The TBI residential home provider is responsible for the supervision, training
and overall conduct of the Administrator and TBI residential home staff as it
relates to their job performance and responsibilities. The TBI residential home
provider shall:
1. Train all staff to meet the
routine and emergency needs of residents;
2. Orient all staff to the home including the
location of any fire extinguishers; demonstration of evacuation procedures;
location of residents' records; location of telephone numbers for the
residents' physicians and other emergency contacts; location of medications and
keys for medication cabinets, if applicable; instructions for caring for each
resident; and delegation by a registered nurse for nursing tasks, if
applicable.
3. Train the
Administrator and TBI residential home staff on the health care tasks that can
be administered through self-administration.
(11) Continuing Education.
(a) All TBI residential home providers and
Administrators shall complete annually twelve (12) hours of continuing
education related to the following topics:
1.
Care of elderly persons;
2. Care of
persons with disabilities;
3.
Business operations of TBI residential homes; and
4. State rules and regulations for TBI
residential homes.
(b)
Continuing education hours offered by and/or approved by the Academy of
Certified Brain Injury Specialists regarding care of elderly persons, care of
persons with disabilities, and business operations of TBI residential homes
will be accepted towards the twelve (12) hour continuing education
requirement.
(12) The
licensee shall immediately notify the Board's administrative office in the
event of an absence or change of Administrator due to serious illness,
incapacity, death or resignation of its named Administrator.
Notes
Authority: T.C.A. §§ 68-11-201, 68-11-202, 68-11-206, 68-11-209, 68-11-210, 68-11-270, and 68-11273.
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