Tennessee survey readiness
What Tennessee Department of Health — Health Care Facilities can ask you for, each line cited — and the ones you can't yet produce.
29 of the outstanding items are the ones a survey opens with.
What Tennessee requires
- Your fire and evacuation drill records for the period. Drills at the required frequency: Fire drills at least quarterly for each work shift, for personnel in EACH SEPARATE BUILDING, with one drill per quarter held during sleeping hours. Each drill needs a written report evaluating it and naming the action recommended or taken for any deficiency found. Tenn. Comp. R. & Regs. 1200-08-25; Tenn. Code §68-11-236 (fire safety in assisted-care living facilities)
- Records going back as far as the rule requires. Records documenting and evaluating drills maintained for at least 3 years. Tenn. Comp. R. & Regs. 1200-08-25; Tenn. Code §68-11-236 (fire safety in assisted-care living facilities)
- The fire department watches one drill a year. At least once a year the facility must coordinate a fire drill with its local fire department, and the fire department observes the drill and gives the facility input on its fire safety. This is a scheduled outside inspection of your response, not just a filing. Tenn. Comp. R. & Regs. 1200-08-25
The evidence, and where it comes from
Every item above needs something you can hand over. The Tennessee fire drill log produces the drill record at the frequency this state sets, the emergency plan builder writes the plan itself from the same research, and the compliance calendar puts the life-safety tests on dates. Anything you record against the building shows up on the checklist already ticked.
A self-assessment against published rules, not a compliance determination. CompliMaint issues nothing — Tennessee Department of Health — Health Care Facilities and your authority having jurisdiction do. Requirements we could not verify are absent rather than guessed at.