The Abuse Registry was implemented in 2002, but the 2003 audit exposed more incompetence and deceit from The Division of TN Heath Dep't
and the facilities.
http://www.comptroller1.state.tn.us/rep ... a02082.pdf THE ABUSE REGISTRY HAS BEEN IMPROVED, BUT WEAKNESSES STILL EXISThe December 1998 performance audit of the board identified several weaknesses in the state’s abuse registry. Since that time, the registry has been improved by expanding its scope. A few weaknesses remain, however.
The 1998 audit found that the abuse registry did not comply with state law because instead of listing the names of anyone found to have abused or intentionally neglected elderly or vulnerable individuals, it only listed the names of certified nurse aides. Now, however, Tennessee’s Abuse Registry lists the names of all individuals who have been found to have abused or intentionally neglected elderly or vulnerable individuals, in accordance with both state 4 and federal regulations. As of June 6, 2003, the Abuse Registry listed 861 individuals. The chart below illustrates the various professions now listed on the registry.
Profession Number on Abuse RegistryNurse Aide 639
Unknown 79
Developmental Technician 36
Nurse Technician 22
Licensed Practical Nurse 16
Housekeeper 14
Residential Technician 13
Nursing Home Employee 12
Community Living Specialist 7
Companion 7
Janitor 3
Locational Trainer 3
Psychiatric Technician 3
Registered Nurse 3
Community Living Assistant 1
Group Home Employee 1
Maid 1
Orderly 1
Total 861[/list]
The 1998 audit also reported that certified nursing homes were the only health care facilities required to check the abuse registry before hiring an individual to provide care to vulnerable persons. Legislation passed in 1999 corrected this problem by expanding the
requirement to all facilities licensed by the board. According to Division of Health Care Facilities personnel, however, the division’s surveyors are not required, as part of a facility’s annual survey, to check personnel records for evidence of abuse registry matching. Therefore, the division has no way of knowing if facilities are complying with the new legislation. The weaknesses described in the 1998 audit regarding the sharing of abuse registry information among states appear to have changed little. According to division staff, there is still no national abuse registry, and there is little sharing of abuse registry data among states. As a result, an individual found to have abused in one state could move to another state and continue working with elderly or vulnerable individuals. The ability to share information with other states would be especially beneficial in Tennessee, where we are within easy driving distance of eight states (Alabama, Arkansas, Georgia, Kentucky, Mississippi, Missouri, North Carolina, and Virginia). For example, a facility located in Clarksville, Tennessee, could check to see if a potential employee had a substantiated case of abuse on record in Kentucky as well as in Tennessee.[/i]