2023 Illinois Compiled Statutes › Chapter 210 - HEALTH FACILITIES AND REGULATION › 210 ILCS 45/ - Nursing Home Care Act. › Article III - Licensing, Enforcement, Violations, Penalties And Remedies

(210 ILCS 45/Art. III heading)
ARTICLE III
LICENSING, ENFORCEMENT, VIOLATIONS, PENALTIES AND REMEDIES
(210 ILCS 45/Art. III Pt. 1 heading)
PART 1.  
		LICENSING
(210 ILCS 45/3-101) (from Ch. 111 1/2, par. 4153-101)
Sec. 3-101. 
		
		The Department shall establish a comprehensive system of
licensure for facilities in accordance with this Act for the purposes of:
(1) Protecting the health, welfare, and safety of residents; and
(2) Assuring the accountability for reimbursed care provided in certified
facilities participating in a federal or State health program.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-101.5)
Sec. 3-101.5. Illinois Veterans Homes. An Illinois Veterans Home licensed under this Act and operated by the Illinois Department of Veterans' Affairs is exempt from the license fee provisions of Section 3-103 of this Act and the provisions of Sections 3-104 through 3-106, 3-202.5, 3-208, 3-302, 3-303, and 3-503 through 3-517 of this Act. A monitor or receiver shall be placed in an Illinois Veterans Home only by court order or by agreement between the Director of Public Health, the Director of Veterans' Affairs, and the Secretary of the United States Department of Veterans Affairs.
(Source: P.A. 99-314, eff. 8-7-15.)
(210 ILCS 45/3-102) (from Ch. 111 1/2, par. 4153-102)
Sec. 3-102. 
		
		No person may establish, operate, maintain, offer or advertise
a facility within this State unless and until he obtains a valid license
therefor as hereinafter provided, which license remains unsuspended, unrevoked
and unexpired.  No public official or employee may place any person in,
or recommend that any person be placed in, or directly or indirectly cause
any person to be placed in any facility which is being operated without a valid license.
(Source: P.A. 81-223.)
(210 ILCS 45/3-102.1) (from Ch. 111 1/2, par. 4153-102.1)
Sec. 3-102.1. 
		
		If the Department is denied access to a private home,
institution, building, residence or any other place which it reasonably
believes is required to be licensed as a facility under this Act, it shall
request intervention of local, county or State law enforcement agencies to
seek an appropriate court order or warrant to examine or interview the
residents of such private home, institution, building, residence or place.
Any person or entity preventing the Department from carrying out its duties
under this Section shall be guilty of a violation of this Act and shall be
subject to such penalties related thereto.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-102.2)
Sec. 3-102.2. Supported congregate living arrangement demonstration. The
Illinois Department may grant no more than 3 waivers from the requirements of
this Act for facilities participating in the supported
congregate living arrangement demonstration.  A joint waiver request must be
made by an applicant and the Department on Aging.  If the Department on Aging
does not act upon an application within 60 days, the applicant may submit a
written waiver request on its own behalf.  The waiver request must include a
specific program plan describing the types of residents to be served and the
services that will be provided in the facility.  The Department shall conduct
an on-site review at each facility annually or as often as necessary to
ascertain compliance with the program plan, except that, during a statewide public health emergency, as defined in the Illinois Emergency Management Agency Act, the Department shall conduct on-site reviews and annual unannounced on-site visits to the extent feasible.  The Department may revoke the
waiver if it determines that the facility is not in compliance with the program
plan.  Nothing in this Section prohibits the Department from conducting
complaint investigations.
A facility granted a waiver under this Section is not subject to the
Illinois
Health Facilities Planning Act, unless it subsequently
applies for a
certificate
of need to convert to a nursing facility.  A facility applying for conversion
shall meet the licensure and
certificate of need requirements in effect as of the date of application,  and
this provision may not be waived.
(Source: P.A. 103-1, eff. 4-27-23.)
(210 ILCS 45/3-102.3)
Sec. 3-102.3. Religious and recreational activities; social isolation.
(a) In this Section:
"Assistive and supportive technology and devices" means computers, video conferencing equipment, distance based communication technology, or other technological equipment, accessories, or electronic licenses as may be necessary to ensure that residents are able to engage in face-to-face, verbal-based, or auditory-based contact, communication, religious activity, or recreational activity with other facility residents and with family members, friends, loved ones, caregivers, and other external support systems, through electronic means, in accordance with the provisions of paragraphs (2) and (3) of subsection (c).
"Religious and recreational activities" includes any religious, social, or recreational activity that is consistent with a resident's preferences and choosing, regardless of whether the activity is coordinated, offered, provided, or sponsored by facility staff or by an outside activities provider.
"Resident's representative" has the same meaning as provided in Section 1-123.
"Social isolation" means a state of isolation wherein a resident of a long-term care facility is unable to engage in social interactions and religious and recreational activities with other facility residents or with family members, friends, loved ones, caregivers and external support systems.
"Virtual visitation" means the use of face-to-face, verbal-based, or auditory-based contact through electronic means.
(b) The Department shall:
(1) require each long-term care facility in the State     to adopt and implement written policies, provide for the availability of assistive and supportive technology and devices to facility residents, and ensure that appropriate staff are in place to help prevent the social isolation of facility residents; and
(2) communicate regularly with the Department of     Healthcare and Family Services and the Department on Aging regarding intergovernmental cooperation concerning best practices for potential funding for facilities to mitigate the potential for racial disparities as an unintended consequence of this Act.
The virtual visitation policies  shall not be interpreted as a substitute for in-person visitation, but shall be wholly in addition to existing in-person visitation policies.
(c) The social isolation prevention policies adopted by each long-term care facility pursuant to subsection (b) shall be consistent with rights and privileges guaranteed to residents and constraints provided under Sections 2-108, 2-109, and 2-110 and shall include the following:
(1) authorization and inclusion of specific protocols     and procedures to encourage and enable residents of the facility to engage in in-person contact, communication, religious activity, and recreational activity with other facility residents and with family members, friends, loved ones, caregivers, and other external support systems, except when prohibited, restricted, or limited  by federal or State statute, rule, regulation, executive order, or guidance;
(2) authorization and inclusion of specific protocols     and procedures to encourage and enable residents to engage in face-to-face, verbal-based, or auditory-based contact, communication, religious activity, and recreational activity with other facility residents and with family members, friends, loved ones, caregivers, and other external support systems through the use of electronic or virtual means and methods, including, but not limited to, computer technology, the Internet, social media, videoconferencing, videophone, and other innovative technological means or methods, whenever the resident is subject to restrictions that limit his or her ability to engage in in-person contact, communication, religious activity, or recreational activity as authorized by paragraph (1) and when the technology requested is not being used by other residents in the event of a limited number of items of technology in a facility;
(3) a mechanism for residents of the facility or the     residents' representatives to request access to assistive and supportive technology and devices as may be necessary to facilitate the residents' engagement in face-to-face, verbal-based, or auditory-based contact, communication, religious activity, and recreational activity with other residents, family members, friends, and other external support systems, through electronic means, as provided by paragraph (2);
(4) specific administrative policies, procedures, and     protocols governing:
(A) the acquisition, maintenance, and replacement         of assistive and supportive technology and devices;
(B) the use of environmental barriers and other         controls when the assistive and supportive technology and devices acquired pursuant to subparagraph (A) are in use, especially in cases where the assistive and supportive technology and devices are likely to become contaminated with bodily substances, are touched frequently, or are difficult to clean; and
(C) the regular cleaning of the assistive and         supportive technology and devices acquired pursuant to subparagraph (A) and any environmental barriers or other physical controls used in association therewith;
(5) a requirement that (i) upon admission and (ii) at     the request of a resident or the resident's representative, appropriate staff shall develop and update an individualized virtual visitation schedule while taking into account the individual's requests and preferences with respect to the residents' participation in social interactions and religious and recreational activities;
(6) a requirement that appropriate staff, upon the     request of a resident or the resident's family members, guardian, or     representative, shall develop an individualized virtual visitation schedule for the resident, which shall:
(A) address the need for a virtual visitation         schedule and establish a virtual visitation schedule if deemed to be appropriate;
(B) identify the assessed needs and preferences         of        the resident and any preferences specified by the         resident's representative, unless a preference         specified by the resident conflicts with a preference         specified by the resident's representative, in which         case the resident's preference shall take priority;
(C) document the long-term care facility's         defined         virtual hours of visitation and inform the resident         and the resident's representative that virtual visitation         pursuant to paragraph (2) of subsection (c) will         adhere to the defined visitation hours;
(D) describe the location within the facility and         assistive and supportive technology and devices to be used in virtual visitation; and
(E)             describe the respective         responsibilities of         staff, visitors, and the resident when engaging in         virtual visitation pursuant to the individualized visitation         plan;
(7) a requirement (i) upon admission and (ii) at the     request of the resident or the resident's representative, to provide notification to the resident and the resident's representative that they have the right to request of facility staff the creation and review of a resident's individualized virtual visitation schedule;
(8) a requirement (i) upon admission and (ii) at the     request of the resident or resident's representative, to provide, in writing to the resident or resident's representative,  virtual visitation hours, how to schedule a virtual visitation, and how to request assistive and supportive technology and devices;
(9) specific policies, protocols, and     procedures     governing a resident's requisition, use, and return of assistive and supportive technology and devices maintained pursuant to     subparagraph (A) of paragraph (4), and require appropriate     staff to communicate those policies, protocols, and     procedures to residents; and
(10) the designation of at least one member of the     therapeutic recreation or activities department, or, if the facility does not have such a department, the designation of at least one senior staff member, as determined by facility management, to train other appropriate facility employees, including, but not limited to, activities professionals and volunteers, social workers, occupational therapists, and therapy assistants, to provide direct assistance to residents upon request and on an as-needed basis, as necessary to ensure that each resident is able to successfully access and use, for the purposes specified in paragraphs (2) and (3) of this subsection, the assistive and supportive technology and devices acquired pursuant to subparagraph (A) of paragraph (4).
(d) A long-term care facility may apply to the Department for civil monetary
penalty fund grants for assistive and supportive technology and devices and may request other available federal
and State funds.
(e) The Department shall determine whether a long-term
care facility is in compliance with the provisions of this
Section and the policies, protocols, and procedures adopted
pursuant to this Section in accordance with the Nursing Home Care Act for surveys and inspections.
In addition to any other applicable penalties provided by law, a long-term care facility that fails to comply with the provisions of this Section or properly implement the policies, protocols, and procedures adopted pursuant to subsection (b) shall be liable to pay an administrative penalty as a Type "C" violation, the amount of which shall be determined in accordance with a schedule established by the Department by rule. The schedule shall provide for an enhanced administrative penalty in the case of a repeat or ongoing violation. Implementation of an administrative penalty as a Type "C" violation under this subsection shall not be imposed prior to January 1, 2023.
(f) Whenever a complaint received by the Office of State Long Term Care Ombudsman discloses evidence that a long-term care facility has failed to comply with the provisions of this Section or to properly implement the policies, protocols, and procedures adopted pursuant to subsection (b), the Office of State Long Term Care Ombudsman shall refer the matter to the Department.
(g) This Section does not impact, limit, or constrict a resident's right to or usage of his or her personal property or electronic monitoring under Section 2-115.
(h) Specific protocols and procedures shall be developed to
    ensure that the quantity of assistive and supportive technology and devices maintained on-site at the facility remains sufficient, at all times, to meet the assessed social and activity needs and preferences of each facility resident. Residents' family members or caregivers should be considered, as appropriate, in the assessment and reassessment.
(i) Within 60 days after the effective date of this amendatory Act of the 102nd General Assembly, the Department shall file rules necessary to implement the provisions of this Section. The rules shall include, but need not be limited to, minimum standards for the social isolation prevention policies to be adopted pursuant to subsection (b), a penalty schedule to be used pursuant to subsection (e), and policies
regarding a long-term care facility's Internet access and
subsequent Internet barriers in relation to a resident's
virtual visitation plan pursuant to paragraph (2) of subsection (c).
(j) The Department's rules under subsection (i) shall take into account Internet bandwidth limitations outside of the control of a long-term care facility.
(k) Nothing in this Section shall be interpreted to mean that addressing the issues of social isolation shall take precedence over providing for the health and safety of the residents.
(Source: P.A. 102-640, eff. 8-27-21.)
(210 ILCS 45/3-103) (from Ch. 111 1/2, par. 4153-103)
Sec. 3-103. The procedure for obtaining a valid license shall be as follows:
(1) Application to operate a facility shall be made     to the Department on forms furnished by the Department.
(2) All license applications shall be accompanied     with an application fee. The fee for an annual license shall be $1,990. Facilities that pay a fee or assessment pursuant to Article V-C of the Illinois Public Aid Code shall be exempt from the license fee imposed under this item (2). The fee for a 2-year license shall be double the fee for the annual license. The fees collected shall be deposited with the State Treasurer into the Long Term Care Monitor/Receiver Fund, which has been created as a special fund in the State treasury. This special fund is to be used by the Department for expenses related to the appointment of monitors and receivers as contained in Sections 3-501 through 3-517 of this Act, for the enforcement of this Act, for expenses related to surveyor development, and for implementation of the Abuse Prevention Review Team Act. All federal moneys received as a result of expenditures from the Fund shall be deposited into the Fund. The Department may reduce or waive a penalty pursuant to Section 3-308 only if that action will not threaten the ability of the Department to meet the expenses required to be met by the Long Term Care Monitor/Receiver Fund. The application shall be under oath and the submission of false or misleading information shall be a Class A misdemeanor. The application shall contain the following information:
(a) The name and address of the applicant if an         individual, and if a firm, partnership, or association, of every member thereof, and in the case of a corporation, the name and address thereof and of its officers and its registered agent, and in the case of a unit of local government, the name and address of its chief executive officer;
(b) The name and location of the facility for         which a license is sought;
(c) The name of the person or persons under whose         management or supervision the facility will be conducted;
(d) The number and type of residents for which         maintenance, personal care, or nursing is to be provided; and
(e) Such information relating to the number,         experience, and training of the employees of the facility, any management agreements for the operation of the facility, and of the moral character of the applicant and employees as the Department may deem necessary.
(3) Each initial application shall be accompanied by     a financial statement setting forth the financial condition of the applicant and by a statement from the unit of local government having zoning jurisdiction over the facility's location stating that the location of the facility is not in violation of a zoning ordinance. An initial application for a new facility shall be accompanied by a permit as required by the "Illinois Health Facilities Planning Act". After the application is approved, the applicant shall advise the Department every 6 months of any changes in the information originally provided in the application.
(4) Other information necessary to determine the     identity and qualifications of an applicant to operate a facility in accordance with this Act shall be included in the application as required by the Department in regulations.
(Source: P.A. 96-758, eff. 8-25-09; 96-1372, eff. 7-29-10; 96-1504, eff. 1-27-11; 96-1530, eff. 2-16-11; 97-489, eff. 1-1-12.)
(210 ILCS 45/3-104) (from Ch. 111 1/2, par. 4153-104)
Sec. 3-104. 
		
		Any city, village or incorporated town may by ordinance
provide for the licensing and regulation of a facility or any
classification of such facility, as defined herein, within such
municipality, provided that the ordinance requires compliance with at
least the minimum requirements established by the Department under this
Act.  The licensing and enforcement provisions of the municipality shall
fully comply with this Act, and the municipality shall make available
information as required by this Act.  Such compliance shall be
determined by the Department subject to review as provided in Section
3-703.  Section 3-703 shall also be applicable to the judicial review of
final administrative decisions of the municipality under this Act.
(Source: P.A. 81-1349.)
(210 ILCS 45/3-105) (from Ch. 111 1/2, par. 4153-105)
Sec. 3-105. 
		
		Any city, village or incorporated town which has or may have
ordinances requiring the licensing and regulation of facilities with
at least the minimum
standards established by the Department under this Act, shall make such
periodic reports to the Department as the Department deems necessary.  This
report shall include a list of those facilities licensed by such municipality,
the number of beds of each facility and the date the license of each facility
is effective.
(Source: P.A. 81-223.)
(210 ILCS 45/3-106) (from Ch. 111 1/2, par. 4153-106)
Sec. 3-106. 
		
		(a) Upon receipt of notice and proof from an applicant or
licensee that he has received a license or renewal thereof from a city,
village or incorporated town, accompanied by the required license or renewal
fees, the Department shall
issue a license or renewal license to such person.  The Department shall
not issue a license hereunder to any person who has failed to qualify for
a municipal license.  If the issuance of a license by the
Department antedates regulatory action by a municipality, the municipality
shall issue a local license unless the standards and requirements under
its ordinance or resolution are greater than those prescribed under this Act.
(b) In the event that the standards and requirements under the ordinance
or resolution of the municipality are greater than those prescribed under
this Act, the license issued by the Department shall remain in effect pending
reasonable   opportunity provided by the municipality, which shall be not
less than 60 days, for the licensee to comply with the local requirements.
Upon notice by the municipality, or upon the Department's own determination
that the licensee has failed to qualify for a local license, the Department
shall revoke such license.
(Source: P.A. 81-223.)
(210 ILCS 45/3-107) (from Ch. 111 1/2, par. 4153-107)
Sec. 3-107. 
		
		The Department and the city, village or incorporated town shall
have the right at any time to visit and inspect the premises and personnel
of any facility for the purpose of determining whether the applicant or
licensee is in compliance with this Act or with the local ordinances which
govern the regulation of the facility.  The Department may survey any former
facility which once held a license to ensure that the facility is not again
operating without a license. Municipalities may charge a reasonable license
or renewal fee for the regulation of facilities, which fees shall be in
addition to the fees paid to the Department.
(Source: P.A. 81-223.)
(210 ILCS 45/3-107.1) (from Ch. 111 1/2, par. 4153-107.1)
Sec. 3-107.1. 
		
		Notwithstanding any other provision of this Act, the Attorney
General, the State's Attorneys and various law enforcement agencies of
this State and its political subdivisions shall have full and open access
to any facility pursuant to Article 108 of the Code of Criminal Procedure
of 1963 in the exercise of their investigatory and prosecutorial
powers in the enforcement of the criminal laws of this State. Furthermore,
the Attorney General, the State's Attorneys and law enforcement agencies
of this State shall inform the Department of any violations of this Act of
which they have knowledge. Disclosure of matters before a grand jury shall
be made in accordance with Section 112-6 of the Code of Criminal Procedure of 1963.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-108) (from Ch. 111 1/2, par. 4153-108)
Sec. 3-108. The Department shall coordinate the functions within State
government affecting facilities licensed under this Act and shall cooperate
with other State agencies which establish standards or requirements for
facilities to assure necessary, equitable, and consistent State supervision
of licensees without unnecessary duplication of survey, evaluation, and
consultation services or complaint investigations.  The Department shall
cooperate with the Department of Human Services in regard to facilities
containing more than 20%
of residents for whom the Department of Human Services has mandated
follow-up responsibilities under the Mental Health and Developmental
Disabilities
Administrative Act.
The Department shall cooperate with the Department of Healthcare and Family Services in regard
to facilities where recipients of public aid are residents.
The Department shall immediately refer to the Department of Professional
Regulation for investigation any credible evidence of which it has knowledge
that an individual licensed by that Department has violated this Act or any
rule issued under this Act.
The Department shall enter into agreements with other State Departments,
agencies or commissions to effectuate the purpose of this Section.
(Source: P.A. 95-331, eff. 8-21-07.)
(210 ILCS 45/3-108a)
Sec. 3-108a. 
		(Repealed).
(Source: P.A. 89-507, eff. 7-1-97.  Repealed by P.A. 91-798, eff. 7-9-00.)
(210 ILCS 45/3-109) (from Ch. 111 1/2, par. 4153-109)
Sec. 3-109. Upon receipt and review of an application for a license
made under this Article and inspection of the applicant facility under
this Article, the Director shall issue a license if he finds:
(1) that the individual applicant, or the     corporation, partnership or other entity if the applicant is not an individual, is a person responsible and suitable to operate or to direct or participate in the operation of a facility by virtue of financial capacity, appropriate business or professional experience, a record of compliance with lawful orders of the Department and lack of revocation of a license during the previous 5 years;
(2) that the facility is under the supervision of an     administrator who is licensed, if required, under the Nursing Home Administrators Licensing and Disciplinary Act, as now or hereafter amended; and
(3) that the facility is in substantial compliance     with this Act, and such other requirements for a license as the Department by rule may establish under this Act.
(Source: P.A. 95-331, eff. 8-21-07.)
(210 ILCS 45/3-110) (from Ch. 111 1/2, par. 4153-110)
Sec. 3-110. 
		
		(a) Any license granted by the Director shall state the
maximum
bed capacity  for which it is granted, the date the license was issued,
and the expiration date. Except as provided in subsection (b), such
licenses shall normally be issued for a
period of one year.  However, the Director may issue licenses or renewals
for periods of not less than 6 months nor more than 18 months for
facilities with annual licenses and not less than 18 months nor more than
30 months for facilities with 2-year licenses in order to
distribute the expiration dates of such licenses throughout the calendar
year, and fees for such licenses shall be prorated on the basis of the
portion of a year for which they are issued. Each license shall be issued
only for the premises and persons named in the application and shall not be
transferable or assignable.
The Department shall require the licensee to comply with the requirements
of a court order issued under Section 3-515, as a condition of licensing.
(b) A license for a period of 2 years shall be issued to a
facility if the facility:
(1) has not received a Type A violation within the     last 24 months;
(2) has not received a Type B violation within the     last 24 months;
(3) has not had an inspection, survey, or evaluation     that resulted in the issuance of 10 or more administrative warnings in the last 24 months;
(4) has not had an inspection, survey, or evaluation     that resulted in an administrative warning issued for a violation of Sections 3-401 through 3-413 in the last 24 months;
(5) has not been issued an order to reimburse a     resident for a violation of Article II under subsection (6) of Section 3-305 in the last 24 months; and
(6) has not been subject to sanctions or     decertification for violations in relation to patient care of a facility under Titles XVIII and XIX of the federal Social Security Act within the last 24 months.
If a facility with a 2-year license fails to meet the conditions
in items (1) through (6) of this subsection, in
addition to any other sanctions that may be applied by the Department
under this Act, the facility's 2-year license shall be replaced by a
one-year license until such time as the facility again meets the conditions in
items (1) through (6) of this subsection.
(Source: P.A. 87-549; 87-1102.)
(210 ILCS 45/3-111) (from Ch. 111 1/2, par. 4153-111)
Sec. 3-111. 
		
		The issuance or renewal of a license after notice of a violation
has been sent shall not constitute a waiver by the Department of its power
to rely on the violation as the basis for subsequent license revocation
or other enforcement action under this Act arising out of the notice of violation.
(Source: P.A. 81-223.)
(210 ILCS 45/3-112) (from Ch. 111 1/2, par. 4153-112)
Sec. 3-112. 
(a) Whenever ownership of a facility is transferred from the
person named in the license to any other person, the transferee must obtain
a new probationary license. The transferee shall notify the Department of
the transfer and apply for a new license at least 30 days prior to final transfer.
(b) The transferor shall notify the Department at least 30 days prior
to final transfer. The transferor shall remain responsible for the operation
of the facility until such time as a license is issued to the transferee.
(Source: P.A. 98-756, eff. 7-16-14.)
(210 ILCS 45/3-113) (from Ch. 111 1/2, par. 4153-113)
Sec. 3-113. The license granted to the transferee shall be subject to
the plan of correction submitted by the previous owner and approved by the
Department and any conditions contained in a conditional license issued
to the previous owner.  If there are outstanding violations and no approved
plan of correction has been implemented, the Department may issue a conditional
license and plan of correction as provided in Sections 3-311
through 3-317. The license granted to a transferee for a facility that is in receivership shall be subject to any contractual obligations assumed by a grantee under the Equity in Long-term Care Quality Act and to the plan submitted by the receiver for continuing and increasing adherence to best practices in providing high-quality nursing home care, unless the grant is repaid, under conditions to be determined by rule by the Department in its administration of the Equity in Long-term Care Quality Act.
(Source: P.A. 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-114) (from Ch. 111 1/2, par. 4153-114)
Sec. 3-114. 
		
		The transferor shall remain liable for all penalties assessed
against the facility which are imposed for violations occurring prior to
transfer of ownership.
(Source: P.A. 81-223.)
(210 ILCS 45/3-115) (from Ch. 111 1/2, par. 4153-115)
Sec. 3-115. License renewal application. At least 120 days but not more
than 150 days prior to license
expiration, the licensee shall submit an application
for renewal of the license in such form and containing such information
as the Department requires. If the application is approved, the license
shall be renewed in accordance with Section 3-110 at the request of the licensee.
The renewal application for a sheltered care or long-term care facility shall
not be
approved unless the applicant has provided to the Department an accurate
disclosure document in accordance with the Alzheimer's Disease and Related Dementias Special Care
Disclosure
Act.
If application for renewal
is not timely filed, the Department shall so inform the licensee.
(Source: P.A. 96-990, eff. 7-2-10; 96-1275, eff. 7-26-10; 97-333, eff. 8-12-11.)
(210 ILCS 45/3-116) (from Ch. 111 1/2, par. 4153-116)
Sec. 3-116. 
If the applicant has not been previously licensed or if the
facility is not in operation at the time application is made, the Department
shall issue only a probationary license. A probationary license shall be
valid for 120 days unless sooner suspended or revoked under Section 3-119.
Within 30 days prior to the termination of a probationary license, the Department
shall fully and completely inspect the facility and, if the facility meets
the applicable requirements for licensure, shall issue a license under Section
3-109, except that, during a statewide public health emergency, as defined in the Illinois Emergency Management Agency Act, the Department shall fully and completely inspect the establishment within appropriate time frames to the extent feasible.  If the Department finds that the facility does not meet the requirements
for licensure but has made substantial progress toward meeting those requirements,
the license may be renewed once for a period not to exceed 120 days from
the expiration date of the initial probationary license.
(Source: P.A. 103-1, eff. 4-27-23.)
(210 ILCS 45/3-117) (from Ch. 111 1/2, par. 4153-117)
Sec. 3-117. An application for a license may be denied for any of the
following reasons:
(1) Failure to meet any of the minimum standards set     forth by this Act or by rules and regulations promulgated by the Department under this Act.
(2) Conviction of the applicant, or if the applicant     is a firm, partnership or association, of any of its members, or if a corporation, the conviction of the corporation or any of its officers or stockholders, or of the person designated to manage or supervise the facility, of a felony, or of 2 or more misdemeanors involving moral turpitude, during the previous 5 years as shown by a certified copy of the record of the court of conviction.
(3) Personnel insufficient in number or unqualified     by training or experience to properly care for the proposed number and type of residents.
(4) Insufficient financial or other resources to     operate and conduct the facility in accordance with standards promulgated by the Department under this Act and with contractual obligations assumed by a recipient of a grant under the Equity in Long-term Care Quality Act and the plan (if applicable) submitted by a grantee for continuing and increasing adherence to best practices in providing high-quality nursing home care.
(5) Revocation of a facility license during the     previous 5 years, if such prior license was issued to the individual applicant, a controlling owner or controlling combination of owners of the applicant; or any affiliate of the individual applicant or controlling owner of the applicant and such individual applicant, controlling owner of the applicant or affiliate of the applicant was a controlling owner of the prior license; provided, however, that the denial of an application for a license pursuant to this subsection must be supported by evidence that such prior revocation renders the applicant unqualified or incapable of meeting or maintaining a facility in accordance with the standards and rules promulgated by the Department under this Act.
(6) That the facility is not under the direct     supervision of a full-time administrator, as defined by regulation, who is licensed, if required, under the Nursing Home Administrators Licensing and Disciplinary Act.
(7) That the facility is in receivership and the     proposed licensee has not submitted a specific detailed plan to bring the facility into compliance with the requirements of this Act and with federal certification requirements, if the facility is certified, and to keep the facility in such compliance. (Source: P.A. 95-331, eff. 8-21-07; 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-118) (from Ch. 111 1/2, par. 4153-118)
Sec. 3-118. 
		
		Immediately upon the denial of any application or reapplication
for a license under this Article, the Department shall notify the applicant
in writing. Notice of denial shall include a clear and concise statement
of the violations of Section 3-117 on which denial is based and notice of
the opportunity for a hearing under Section 3-703.  If the applicant desires
to contest the denial of a license, it shall provide written notice to the
Department of a request for a hearing within 10 days after receipt of the
notice of denial. The Department shall commence the hearing under Section 3-703.
(Source: P.A. 81-223.)
(210 ILCS 45/3-119) (from Ch. 111 1/2, par. 4153-119)
Sec. 3-119. (a) The Department, after notice to the applicant or
licensee, may suspend, revoke or refuse to renew a license in any case
in which the  Department finds any of the following:
(1) There has been a substantial failure to comply     with this Act or the rules and regulations promulgated by the Department under this Act. A substantial failure by a facility shall include, but not be limited to, any of the following:
(A) termination of Medicare or Medicaid         certification by the Centers for Medicare and Medicaid Services; or
(B) a failure by the facility to pay any fine         assessed under this Act  after the Department has sent to the facility at least  2 notices of assessment that include a schedule of payments as determined by the Department, taking into account extenuating circumstances and financial hardships of the facility.
(2) Conviction of the licensee, or of the person     designated to manage or supervise the facility, of a felony, or of 2 or more misdemeanors involving moral turpitude, during the previous 5 years as shown by a certified copy of the record of the court of conviction.
(3) Personnel is insufficient in number or     unqualified by training or experience to properly care for the number and type of residents served by the facility.
(4) Financial or other resources are insufficient to     conduct and operate the facility in accordance with standards promulgated by the Department under this Act.
(5) The facility is not under the direct supervision     of a full-time administrator, as defined by regulation, who is licensed, if required, under the Nursing Home Administrators Licensing and Disciplinary Act.
(6) The facility has committed 2 Type "AA" violations     within a 2-year period.
(b) Notice under this Section shall include a clear and concise
statement of the violations on which the nonrenewal or revocation is
based, the statute or rule violated and notice of the opportunity for a
hearing under Section 3-703.
(c) If a facility desires to contest the nonrenewal or revocation of
a license, the facility shall, within 10 days after receipt of notice
under subsection (b) of this Section, notify the Department in writing
of its request for a hearing under Section 3-703.  Upon receipt of the
request the Department shall send notice to the facility and hold a
hearing as provided under Section 3-703.
(d) The effective date of nonrenewal or revocation of a license by
the Department shall be any of the following:
(1) Until otherwise ordered by the circuit court,     revocation is effective on the date set by the Department in the notice of revocation, or upon final action after hearing under Section 3-703, whichever is later.
(2) Until otherwise ordered by the circuit court,     nonrenewal is effective on the date of expiration of any existing license, or upon final action after hearing under Section 3-703, whichever is later; however, a license shall not be deemed to have expired if the Department fails to timely respond to a timely request for renewal under this Act or for a hearing to contest nonrenewal under paragraph (c).
(3) The Department may extend the effective date of     license revocation or expiration in any case in order to permit orderly removal and relocation of residents.
The Department may refuse to issue or may suspend the
license of any person who fails to file a return, or to pay the tax,
penalty or interest shown in a filed return, or to pay any final assessment
of tax, penalty or interest, as required by any tax Act administered by the
Illinois Department of Revenue, until such time as the requirements of any
such tax Act are satisfied.
(Source: P.A. 95-331, eff. 8-21-07; 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-120)
Sec. 3-120. Certification of behavioral management units.
(a) No later than January 1, 2022, the Department shall file with the Secretary of State's Office, pursuant to the Illinois Administrative Procedure Act, proposed rules or proposed amendments to existing rules   to certify nursing homes or distinct self-contained units within existing nursing homes for the behavioral management of persons with a high risk of aggression. The purpose of the certification program is to ensure that the safety of  residents, employees,  and the  public is preserved. No more than 3 facilities shall be certified in the first 3 years after the effective date of this amendatory Act of the 102nd General Assembly. Prior to the expansion of the number of certified facilities, the Department shall collaborate with stakeholders, including, but not limited to, organizations whose membership consists of congregate long-term care facilities, to evaluate the efficacy of the certification program.
(b) The Department's  rules shall, at a minimum, provide for the following:
(1) A security and safety assessment, completed     before  admission to a certified unit if an Identified Offender Report and Recommendation or other criminal risk analysis has not been completed, to identify existing or potential residents at risk of committing violent acts  and determine appropriate preventive action to be taken. The assessment  shall include, but need not be limited to, (i)  a measure of the frequency of, (ii)  an identification of the precipitating factors  for,  and (iii) the  consequences of, violent acts. The security and safety assessment shall be  in addition to any risk-of-harm assessment performed by a PAS screener, but may use the results of this or any other assessment.  The security and safety assessment shall be completed by the same licensed forensic psychologist who  prepares Identified Offender Reports and Recommendations for identified offenders.
(2) Development of an individualized treatment and      behavior management plan for each resident  to reduce overall and specific risks.
(3) Room selection and appropriateness of roommate     assignment.
(4) Protection of residents, employees, and members     of the public from aggression by residents.
(5) Supervision and monitoring.
(6) Staffing levels.
(7) Quality assurance and improvement.
(8) Staff training, conducted during orientation and     periodically thereafter, specific to each job description covering the following topics as appropriate:
(A) The violence escalation cycle.
(B) Violence predicting factors.
(C) Obtaining a history from a resident with a         history of violent behavior.
(D) Verbal and physical techniques to de-escalate         and minimize violent behavior.
(E) Strategies to avoid physical harm.
(F) Containment techniques, as permitted and         governed by law.
(G) Appropriate treatment to reduce violent         behavior.
(H) Documenting and reporting incidents of         violence.
(I) The process whereby employees affected by a         violent act may be debriefed or calmed down and the tension of the situation may be reduced.
(J) Any resources available to employees for         coping with violence.
(K) Any other topic deemed appropriate based on         job description and the needs of this population.
(9) Elimination or reduction of environmental factors     that affect resident  safety.
(10) Periodic independent reassessment of the     individual resident for appropriateness of continued placement on the certified unit. For the purposes of this paragraph (10), "independent" means that no professional or financial relationship exists between any person making the assessment and any community provider or long term care facility.
(11) A definition of a "person with high risk of     aggression". The definition shall not include any person with a serious mental illness who is eligible to receive services under the Specialized Mental Health Rehabilitation Act of 2013.
The Department shall develop the administrative rules under this subsection (b)  in collaboration with other relevant State agencies and in consultation with (i)  advocates for residents, (ii)  providers of nursing home services, and (iii) labor and employee-representation organizations.
(c) A long term care facility found to be out of compliance with the certification requirements under Section 3-120   may be subject to denial, revocation, or suspension of the behavioral management unit  certification or the imposition of sanctions and penalties, including the immediate suspension of new admissions. Hearings shall be conducted pursuant to Part 7 of Article III of this Act.
(d) The Department shall establish a certification fee schedule by rule, in consultation with advocates, nursing homes, and representatives of associations representing long term care facilities.
(Source: P.A. 102-647, eff. 8-27-21.)
(210 ILCS 45/Art. III Pt. 2 heading)
PART 2.  
		GENERAL PROVISIONS
(210 ILCS 45/3-201) (from Ch. 111 1/2, par. 4153-201)
Sec. 3-201. 
		
		The Department shall not prescribe the course of medical treatment
provided to an individual resident by the resident's physician in a facility.
(Source: P.A. 81-223.)
(210 ILCS 45/3-202) (from Ch. 111 1/2, par. 4153-202)
Sec. 3-202. The Department shall prescribe minimum standards for facilities. These standards shall regulate:
(1) Location and construction of the facility,     including plumbing, heating, lighting, ventilation, and other physical conditions which shall ensure the health, safety, and comfort of residents and their protection from fire hazard;
(2) Number and qualifications of all personnel,     including management and nursing personnel, having responsibility for any part of the care given to residents; specifically, the Department shall establish staffing ratios for facilities which shall specify the number of staff hours per resident of care that are needed for professional nursing care for various types of facilities or areas within facilities;
(3) All sanitary conditions within the facility and     its surroundings, including water supply, sewage disposal, food handling, and general hygiene, which shall ensure the health and comfort of residents;
(4) Diet related to the needs of each resident based     on good nutritional practice and on recommendations which may be made by the physicians attending the resident;
(5) Equipment essential to the health and welfare of     the residents;
(6) A program of habilitation and rehabilitation for     those residents who would benefit from such programs;
(7) A program for adequate maintenance of physical     plant and equipment;
(8) Adequate accommodations, staff and services for     the number and types of residents for whom the facility is licensed to care, including standards for temperature and relative humidity within comfort zones determined by the Department based upon a combination of air temperature, relative humidity and air movement.  Such standards shall also require facility plans that provide for health and comfort of residents at medical risk as determined by the attending physician whenever the temperature and relative humidity are outside such comfort zones established by the Department. The standards must include a requirement that areas of a nursing home used by residents of the nursing home be air conditioned and heated by means of operable air-conditioning and heating equipment. The areas subject to this air-conditioning and heating requirement include, without limitation, bedrooms or common areas such as sitting rooms, activity rooms, living rooms, community rooms, and dining rooms. No later than July 1, 2008, the Department shall submit a report to the General Assembly concerning the impact of the changes made by this amendatory Act of the 95th General Assembly;
(9) Development of evacuation and other appropriate     safety plans for use during weather, health, fire, physical plant, environmental and national defense emergencies; and
(10) Maintenance of minimum financial or other     resources necessary to meet the standards established under this Section, and to operate and conduct the facility in accordance with this Act.
(Source: P.A. 95-31, eff. 8-9-07.)
(210 ILCS 45/3-202.05)
Sec. 3-202.05. Staffing ratios effective July 1, 2010 and thereafter.
(a) For the purpose of computing staff to resident ratios, direct care staff shall include:
(1) registered nurses;
(2) licensed practical nurses;
(3) certified nurse assistants;
(4) psychiatric services rehabilitation aides;
(5) rehabilitation and therapy aides;
(6)  psychiatric services rehabilitation coordinators;
(7) assistant directors of nursing;
(8) 50% of the Director of Nurses' time; and
(9) 30% of the Social Services Directors' time.
The Department shall, by rule, allow certain facilities subject to 77 Ill. Adm. Code 300.4000 and following (Subpart S) to utilize specialized clinical staff, as defined in rules, to count towards the staffing ratios.
Within 120 days of June 14, 2012 (the effective date of Public Act 97-689), the Department shall promulgate rules specific to the staffing requirements for facilities federally defined as Institutions for Mental Disease.  These rules shall recognize the unique nature of individuals with chronic mental health conditions, shall include minimum requirements for specialized clinical staff, including clinical social workers, psychiatrists, psychologists, and direct care staff set forth in paragraphs (4) through (6) and any other specialized staff which may be utilized and deemed necessary to count toward staffing ratios.
Within 120 days of June 14, 2012 (the effective date of Public Act 97-689), the Department shall promulgate rules specific to the staffing requirements for facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013.  These rules shall recognize the unique nature of individuals with chronic mental health conditions, shall include minimum requirements for specialized clinical staff, including clinical social workers, psychiatrists, psychologists, and direct care staff set forth in paragraphs (4) through (6) and any other specialized staff which may be utilized and deemed necessary to count toward staffing ratios.
(b) (Blank).
(b-5) For purposes of the minimum staffing ratios in this Section, all residents shall be classified as requiring either skilled care or intermediate care.
As used in this subsection:
"Intermediate care" means basic nursing care and other restorative services under periodic medical direction.
"Skilled care" means skilled nursing care, continuous skilled nursing observations, restorative nursing, and other services under professional direction with frequent medical supervision.
(c) Facilities shall notify the Department within 60 days after July 29, 2010 (the effective date of Public Act 96-1372), in a form and manner prescribed by the Department, of the staffing ratios in effect on July 29, 2010 (the effective date of Public Act 96-1372) for both intermediate and skilled care and the number of residents receiving each level of care.
(d)(1) (Blank).
(2) (Blank).
(3) (Blank).
(4) (Blank).
(5) Effective January 1, 2014, the minimum staffing ratios shall be increased to 3.8 hours of nursing and personal care each day for a resident needing skilled care and 2.5 hours of nursing and personal care each day for a resident needing intermediate care.
(e) Ninety days after June 14, 2012 (the effective date of Public Act 97-689), a minimum of 25% of nursing and personal care time shall be provided by licensed nurses, with at least 10% of nursing and personal care time provided by registered nurses.  These minimum requirements shall remain in effect until an acuity based registered nurse requirement is promulgated by rule concurrent with the adoption of the Resource Utilization Group classification-based payment methodology, as provided in Section 5-5.2 of the Illinois Public Aid Code.  Registered nurses and licensed practical nurses employed by a facility in excess of these requirements may be used to satisfy the remaining 75% of the nursing and personal care time requirements. Notwithstanding this subsection, no staffing requirement in statute in effect on June 14, 2012 (the effective date of Public Act 97-689) shall be reduced on account of this subsection.
(f) The Department shall submit proposed rules for adoption by January 1, 2020 establishing a system for determining compliance with minimum staffing set forth in this Section and the requirements of 77 Ill. Adm. Code 300.1230 adjusted for any waivers granted under Section 3-303.1. Compliance shall be determined quarterly by comparing the number of hours provided per resident per day using the Centers for Medicare and Medicaid Services' payroll-based journal and the facility's daily census, broken down by intermediate and skilled care as self-reported by the facility to the Department on a quarterly basis. The Department shall use the quarterly payroll-based journal and the self-reported census to calculate the number of hours provided per resident per day and compare this ratio to the minimum staffing standards required under this Section, as impacted by any waivers granted under Section 3-303.1.  Discrepancies between job titles contained in this Section and the payroll-based journal shall be addressed by rule. The manner in which the Department requests payroll-based journal information to be submitted shall align with the federal Centers for Medicare and Medicaid Services' requirements that allow providers to submit the quarterly data in an aggregate manner.
(g) Monetary penalties for non-compliance. The Department shall submit proposed rules for adoption by January 1, 2020 establishing monetary penalties for facilities not in compliance with minimum staffing standards under this Section. Facilities shall be required to comply with the provisions of this subsection beginning January 1, 2025. No monetary penalty may be issued for noncompliance prior to the revised implementation date, which shall be January 1, 2025. If a facility is found to be noncompliant prior to the revised implementation date, the Department shall provide a written notice identifying the staffing deficiencies and require the facility to provide a sufficiently detailed correction plan that describes proposed and completed actions the facility will take or has taken, including hiring actions, to address the facility's failure to meet the statutory minimum staffing levels. Monetary penalties shall be imposed beginning no later than July 1, 2025, based on data for the quarter beginning January 1, 2025 through March 31, 2025 and quarterly thereafter. Monetary penalties shall be established based on a formula that calculates on a daily basis the cost of wages and benefits for the missing staffing hours. All notices of noncompliance shall include the computations used to determine noncompliance and establishing the variance between minimum staffing ratios and the Department's computations.  The penalty for the first offense shall be 125% of the cost of wages and benefits for the missing staffing hours.  The penalty shall increase to 150% of the cost of wages and benefits for the missing staffing hours for the second offense and 200% the cost of wages and benefits for the missing staffing hours for the third and all subsequent offenses. The penalty shall be imposed regardless of whether the facility has committed other violations of this Act during the same period that the staffing offense occurred. The penalty may not be waived, but the Department shall have the discretion to determine the gravity of the violation in situations where there is no more than a 10% deviation from the staffing requirements and make appropriate adjustments to the penalty. The Department is granted discretion to waive the penalty when unforeseen circumstances have occurred that resulted in call-offs of scheduled staff. This provision shall be applied no more than 6 times per quarter. Nothing in this Section diminishes a facility's right to appeal the imposition of a monetary penalty.  No facility may appeal a notice of noncompliance issued during the revised implementation period.
(Source: P.A. 101-10, eff. 6-5-19; 102-16, eff. 6-17-21; 102-1118, eff. 1-18-23.)
(210 ILCS 45/3-202.1) (from Ch. 111 1/2, par. 4153-202.1)
Sec. 3-202.1. 
		
		The Department shall develop and implement a system of
alerting and educating facilities and their personnel as to the existence
or possibility of weather or other hazardous circumstances which may
endanger resident health or safety and designating any precautions to
prevent or minimize such danger. The Department may assist any facility
experiencing difficulty in dealing with such emergencies. The Department
may provide for announcement to the public of the dangers posed to facility
residents by such existing or potential weather or hazardous circumstances.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-202.2)
Sec. 3-202.2. 
		Rules; residents with mental illness. 
		No later than January 1, 2001, the Department of Public Health shall file with
the Joint Committee on Administrative Rules, pursuant to the Illinois
Administrative Procedure Act, a proposed rule, or a proposed amendment to
an existing rule, regarding the provision of services, including
assessment, care planning, discharge planning, and treatment, by nursing
facilities to residents who have a serious mental illness.
(Source: P.A. 91-799, eff. 6-13-00.)
(210 ILCS 45/3-202.2a)
Sec. 3-202.2a. Comprehensive resident care plan. A facility, with the participation of the resident and the resident's guardian or representative, as applicable, must develop and implement a comprehensive care plan for each resident that includes measurable objectives and timetables to meet the resident's medical, nursing, and mental and psychosocial needs that are identified in the resident's comprehensive assessment, which  allow the resident to attain or maintain the highest practicable level of independent functioning, and provide for discharge planning to the least restrictive setting based on the resident's care needs. The assessment shall be developed with the active participation of the resident and the resident's guardian or representative, as applicable.
(Source: P.A. 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-202.2b)
Sec. 3-202.2b. Certification of psychiatric rehabilitation program.
(a) No later than January 1, 2011, the Department shall file with the Joint Committee on Administrative Rules, pursuant to the Illinois Administrative Procedure Act, proposed rules or proposed amendments to existing rules  to establish a special certification program for compliance with 77 Ill. Adm. Code 300.4000 and following (Subpart S), which provides for psychiatric rehabilitation services that  are required to be offered by a long-term care facility licensed under this Act that serves residents with serious mental illness. Compliance with standards promulgated pursuant to this Section must be demonstrated before a long-term care facility licensed under this Act is eligible to become certified under this Section and annually thereafter.
(b) No long-term care facility shall establish, operate, maintain, or  offer psychiatric rehabilitation services, or admit, retain, or seek referrals of  a resident with a serious mental illness diagnosis, unless and until a valid certification, which remains unsuspended, unrevoked, and unexpired, has been issued.
(c) A facility that currently serves a resident with serious mental illness may continue to admit such residents until the Department performs a certification review and determines that the facility does not meet the requirements for certification. The Department, at its discretion, may provide an additional 90-day period for the facility to meet the requirements for certification if it finds that the facility has made a good faith effort to comply with all certification requirements and will achieve total compliance with the requirements before the end of the 90-day period. The facility shall be prohibited from admitting residents with serious mental illness until the Department certifies the facility to be in compliance with the requirements of this Section.
(d) A facility currently serving residents with serious mental illness that  elects to terminate provision of services to this population must immediately notify the Department of its intent, cease to admit new residents with serious mental illness, and give notice to all existing residents with serious mental illness of their  impending discharge. These residents shall be accorded all rights and assistance provided to a resident being involuntarily discharged and those provided under Section 2-201.5. The facility shall continue to adhere to all requirements of 77 Ill. Adm. Code 300.4000 until all residents with serious mental illness have been discharged.
(e) A long-term care facility found to be out of compliance with the certification requirements under this Section  may be subject to denial, revocation, or suspension of the psychiatric rehabilitation services  certification or the imposition of sanctions and penalties, including the immediate suspension of new admissions.  Hearings shall be conducted pursuant to Article III, Part 7 of this Act.
(f) The Department shall indicate, on its list of licensed long-term care facilities, which facilities are certified under this Section and shall distribute this list to the appropriate State agencies charged with administering and implementing the State's program of pre-admission screening and resident review, hospital discharge planners, Area Agencies on Aging, Case Coordination Units, and others upon request.
(g) No public official, agent, or employee of the State, or any subcontractor of the State, may refer or arrange for the placement of a person with serious mental illness in a long-term care facility that is not certified under this Section. No public official, agent, or employee of the State, or any subcontractor of the State, may place the name of a long-term care facility on a list of facilities serving the seriously mentally ill for distribution to the general public or to professionals arranging for placements or making referrals unless the facility is certified under this Section.
(h) Certification requirements.  The Department shall establish requirements for certification that augment current quality of care standards for long-term care facilities serving residents with serious mental illness, which shall include admission, discharge planning, psychiatric rehabilitation services, development of age-group appropriate treatment plan goals and services, behavior management services, coordination with community mental health services, staff qualifications and training, clinical consultation, resident access to the outside community, and appropriate environment and space for resident programs, recreation, privacy, and any other issue deemed appropriate by the Department.  The augmented standards shall at a minimum include, but need not be limited to, the following:
(1) Staff sufficient in number and qualifications     necessary to meet the scheduled and unscheduled needs of the residents on a 24-hour basis. The Department shall establish by rule  the minimum number of psychiatric services rehabilitation coordinators in relation to the number of residents with serious mental illness residing in the facility.
(2) The number and qualifications of consultants     required to be contracted with to provide continuing education and training, and to assist with program development.
(3) Training for all new employees specific to the     care needs of residents with a serious mental illness diagnosis during their orientation period and annually thereafter. Training shall be independent of the Department and overseen by an agency designated by the Governor to determine the content of all facility employee training and to  provide training for all trainers of facility employees.  Training of employees shall at minimum include, but need not be limited to, (i) the impact of a serious mental illness diagnosis, (ii) the recovery paradigm and the role of psychiatric rehabilitation, (iii) preventive strategies for managing aggression and crisis prevention, (iv) basic psychiatric rehabilitation techniques and service delivery, (v) resident rights, (vi) abuse prevention, (vii) appropriate interaction between staff and residents, and (viii) any other topic deemed by the Department to be important to ensuring quality of care.
(4) Quality assessment and improvement requirements,     in addition to those contained in this Act on July 29, 2010 (the effective date of Public Act 96-1372), specific to a facility's residential psychiatric rehabilitation services, which shall be made available to the Department upon request.  A facility shall be required at a minimum to develop and maintain policies  and procedures that include, but need not be limited to, evaluation of the appropriateness of resident admissions based on the facility's capacity to meet specific needs, resident assessments, development and implementation of care plans, and discharge planning.
(5) Room selection and appropriateness of roommate     assignment.
(6) Comprehensive quarterly review of all treatment     plans for residents with serious mental illness by the resident's interdisciplinary team, which takes into account, at a minimum, the resident's progress, prior assessments, and treatment plan.
(7) Substance abuse screening and management and     documented referral relationships with certified substance abuse treatment providers.
(8) Administration of psychotropic medications to a     resident with serious mental illness who is incapable of giving informed consent, in compliance with the applicable provisions of the Mental Health and Developmental Disabilities Code.
(i) The Department shall establish a certification fee schedule by rule, in consultation with advocates, nursing homes, and representatives of associations representing long-term care facilities.
(j) The Director or her or his designee shall seek input from the Long-Term Care Facility Advisory Board before filing rules to implement this Section.
Rules proposed no later than January 1, 2011 under this Section shall take effect 180 days after being approved by the Joint Committee on Administrative Rules.
(Source: P.A. 103-154, eff. 6-30-23.)
(210 ILCS 45/3-202.3)
Sec. 3-202.3. (Repealed).
(Source: P.A. 94-163, eff. 7-11-05. Repealed by P.A. 94-752, eff. 5-10-06.)
(210 ILCS 45/3-202.4)
Sec. 3-202.4. (Repealed).
(Source: P.A. 94-163, eff. 7-11-05. Repealed by P.A. 94-752, eff. 5-10-06.)
(210 ILCS 45/3-202.5)
Sec. 3-202.5. Facility plan review; fees.
(a) Before commencing construction of a new facility or specified types of
alteration or additions to an existing long term care facility involving
major construction, as defined by rule by the Department, with an
estimated cost greater than $100,000, architectural
drawings and specifications for the facility shall be submitted to the
Department for review and approval.
A facility may submit architectural drawings and specifications for other
construction projects for Department review according to subsection (b) that
shall not be subject to fees under subsection (d).
Review of drawings and specifications shall be conducted by an employee of the
Department meeting the qualifications established by the Department of Central
Management Services class specifications for such an individual's position or
by a person contracting with the Department who meets those class
specifications.  Final approval of the drawings and specifications for
compliance with design and construction standards shall be obtained from the
Department before the alteration, addition, or new construction is begun.
(b) The Department shall inform an applicant in writing within 10 working
days after receiving drawings and specifications and the required fee, if any,
from the applicant whether the applicant's submission is complete or
incomplete.  Failure to provide the applicant with this notice within 10
working days shall result in the submission being deemed complete for purposes
of initiating the 60-day review period under this Section.  If the submission
is incomplete, the Department shall inform the applicant of the deficiencies
with the submission in writing.  If the submission is complete the required
fee, if any, has been paid,
the Department shall approve or disapprove drawings and specifications
submitted to the Department no later than 60 days following receipt by the
Department.  The drawings and specifications shall be of sufficient detail, as
provided by Department rule, to
enable the Department to
render a determination of compliance with design and construction standards
under this Act.
If the Department finds that the drawings are not of sufficient detail for it
to render a determination of compliance, the plans shall be determined to be
incomplete and shall not be considered for purposes of initiating the 60-day 
review period.
If a submission of drawings and specifications is incomplete, the applicant
may submit additional information.  The 60-day review period shall not commence
until the Department determines that a submission of drawings and
specifications is complete or the submission is deemed complete.
If the Department has not approved or disapproved the
drawings and specifications within 60 days, the construction, major alteration,
or addition shall be deemed approved.  If the drawings and specifications are
disapproved, the Department shall state in writing, with specificity, the
reasons for the disapproval.  The entity submitting the drawings and
specifications may submit additional information in response to the written
comments from the Department or request a reconsideration of the disapproval.
A final decision of approval or disapproval shall be made within 45 days of the
receipt of the additional information or reconsideration request.  If denied,
the Department shall state the specific reasons for the denial.
(c) The Department shall provide written approval for occupancy pursuant
to subsection (g) and shall not issue a violation to a facility as a result
of
a licensure or complaint survey based upon the facility's physical structure
if:
(1) the Department reviewed and approved or deemed     approved the drawings and specifications for compliance with design and construction standards;
(2) the construction, major alteration, or addition     was built as submitted;
(3) the law or rules have not been amended since the     original approval; and
(4) the conditions at the facility indicate that     there is a reasonable degree of safety provided for the residents.
(d) The Department shall charge the following fees in connection with its
reviews conducted before June 30, 2004 under this Section:
(1) (Blank).
(2) (Blank).
(3) If the estimated dollar value of the alteration,     addition, or new construction is $100,000 or more but less than $500,000, the fee shall be the greater of $2,400 or 1.2% of that value.
(4) If the estimated dollar value of the alteration,     addition, or new construction is $500,000 or more but less than $1,000,000, the fee shall be the greater of $6,000 or 0.96% of that value.
(5) If the estimated dollar value of the alteration,     addition, or new construction is $1,000,000 or more but less than $5,000,000, the fee shall be the greater of $9,600 or 0.22% of that value.
(6) If the estimated dollar value of the alteration,     addition, or new construction is $5,000,000 or more, the fee shall be the greater of $11,000 or 0.11% of that value, but shall not exceed $40,000.
The fees provided in this subsection (d) shall not apply to major
construction projects involving facility changes that are required by
Department rule amendments.
The fees provided in this subsection (d) shall also not apply to major
construction projects if 51% or more of the estimated cost of the project is
attributed to capital equipment.  For major construction projects where 51% or
more of the estimated cost of the project is attributed to capital equipment,
the Department shall by rule establish a fee that is reasonably related to the
cost of reviewing the project.
The Department shall not commence the facility plan review process under this
Section until
the applicable fee has been paid.
(e) All fees received by the Department under this Section shall be
deposited into the Health Facility Plan Review Fund, a special fund created in
the State Treasury.
All fees paid by long-term care facilities under subsection (d) shall be used
only to cover the costs relating to the Department's review of long-term care
facility projects under this Section.
Moneys shall be appropriated from that Fund to the
Department only to pay the costs of conducting reviews under this Section or under Section 3-202.5 of the ID/DD Community Care Act or Section 3-202.5 of the MC/DD Act.
None of the moneys in the Health Facility Plan Review Fund shall be used to
reduce the amount of General Revenue Fund moneys appropriated to the Department
for facility plan reviews conducted pursuant to this Section.
(f)(1) The provisions of this amendatory Act of 1997 concerning drawings
and specifications shall apply only to drawings and specifications submitted to
the Department on or after October 1, 1997.
(2) On and after the effective date of this amendatory Act of 1997 and
before October 1, 1997, an applicant may submit or resubmit drawings and
specifications to the Department and pay the fees provided in subsection (d).
If an applicant pays the fees provided in subsection (d) under this paragraph
(2), the provisions of subsection (b) shall apply with regard to those drawings
and specifications.
(g) The Department shall conduct an on-site inspection of the completed
project no later than 30 days after notification from the applicant that the
project has been completed and all certifications required by the Department
have been received and accepted by the Department, except that, during a statewide public health emergency, as defined in the Illinois Emergency Management Agency Act, the Department shall conduct an on-site inspection of the completed project to the extent feasible.  The Department shall
provide written approval for occupancy to the applicant within 5 working days
of the Department's final inspection, provided the applicant has demonstrated
substantial compliance as defined by Department rule.
Occupancy of new major construction is
prohibited until Department approval is received, unless the Department has
not acted within the time frames provided in this subsection (g), in which case
the construction shall be deemed approved.  Occupancy shall be authorized after any required health inspection by the Department has been
conducted.
(h) The Department shall establish, by rule, a procedure to conduct interim
on-site review of large or complex construction projects.
(i) The Department shall establish, by rule, an expedited process for
emergency repairs or replacement of like equipment.
(j) Nothing in this Section shall be construed to apply to maintenance,
upkeep, or renovation that does not affect the structural integrity of the
building, does not add beds or services over the number for which the
long-term care facility is licensed, and provides a reasonable degree of safety
for the residents.
(Source: P.A. 103-1, eff. 4-27-23.)
(210 ILCS 45/3-202.6)
Sec. 3-202.6. Department of Veterans' Affairs facility
 plan  review.
(a) Before commencing construction of a new facility or  specified types of alteration or additions to an existing long-term care facility involving major construction, as  defined by rule by the Department, with an estimated cost greater than $100,000, architectural drawings and specifications for the facility shall be submitted to the Department for review. A facility may submit architectural drawings and specifications for other construction projects for Department review according to subsection (b) of this Section. Review of drawings and specifications  shall  be conducted by an employee of the Department meeting the qualifications established by the Department of Central  Management Services class specifications for such an individual's position or by a person contracting with the Department  who  meets  those  class specifications.
(b)  The  Department  shall  inform  an  applicant  in  writing
within 15 working days after receiving drawings and specifications from the applicant whether the applicant's submission  is  complete  or incomplete. Failure to provide the applicant with this notice within 15 working days after receiving drawings and specifications from the applicant shall result in the submission being deemed complete for purposes of initiating the 60-working-day review period under this  Section.  If  the submission is incomplete, the Department shall inform the applicant of the deficiencies with  the  submission in  writing.
If the submission is complete, the Department shall  approve  or disapprove drawings and specifications submitted to the
Department no later than 60 working days following receipt by the  Department. The drawings and specifications shall be of sufficient  detail, as provided by Department rule, to enable the Department to render a determination of compliance with design and construction standards under this Act. If the Department finds that the drawings are not of  sufficient  detail for it to render a determination of compliance, the  plans  shall be determined to be incomplete and shall not be  considered  for purposes of initiating the 60-working-day review period. If a submission  of drawings and specifications is incomplete, the applicant may submit additional information. The 60-working-day  review period shall not commence until the Department  determines  that a submission of drawings and specifications is  complete  or  the submission is deemed complete. If the Department has not approved or disapproved the drawings and specifications  within 60 working days  after  receipt by the Department, the construction, major alteration, or addition shall be deemed  approved. If the
drawings and specifications are disapproved, the Department
shall state in writing, with specificity, the reasons for the disapproval. The entity submitting the drawings and specifications  may submit additional information in response to the written comments from the Department or request a reconsideration of the disapproval. A final decision of approval or disapproval shall be made within 45 working days after the receipt of the additional information or reconsideration request.  If denied, the Department shall state the specific reasons  for  the  denial.
(c) The Department shall provide written approval for occupancy pursuant to subsection (e) of this Section  and  shall not issue a violation to a facility as a result of a licensure or complaint survey based upon the facility's physical structure  if:
(1)  the  Department reviewed and  approved or  is      deemed to have approved the drawings and specifications for compliance with  design  and  construction  standards;
(2)  the construction, major alteration, or addition     was  built  as  submitted;
(3)  the law or rules have not been amended since the     original  approval; and
(4) the conditions at the facility indicate that     there is a    reasonable degree of safety provided for the residents.
(d)  The Department shall not charge a fee in connection with its reviews to the Department of Veterans'  Affairs.
(e)  The  Department shall conduct an  on-site  inspection  of
the completed project no later than 45 working days after  notification from the applicant that the project has been  completed  and  all certifications required  by  the Department  have  been  received and  accepted  by  the Department, except that, during a statewide public health emergency, as defined in the Illinois Emergency Management Agency Act, the Department shall conduct an on-site inspection of the completed project to the extent feasible. The Department may extend this deadline if a federally mandated survey time frame takes precedence. The  Department  shall  provide written approval for occupancy to the applicant within 7  working days after the Department's final inspection,  provided  the applicant has demonstrated substantial compliance as defined by Department rule. Occupancy of new major construction is prohibited until Department approval is received, unless the Department has not acted within the time frames provided in this subsection (e), in which case the construction shall be deemed approved. Occupancy shall be authorized after any required health inspection by the Department has been conducted.
(f)  The  Department shall establish, by  rule, an  expedited
process for emergency repairs or replacement of like equipment.
(g) Nothing in this Section shall be construed to  apply  to
maintenance,  upkeep,  or  renovation  that  does  not  affect  the structural  integrity or fire or life safety of the  building, does not add beds or services over the number for which the long-term care  facility is licensed, and provides a reasonable degree of  safety  for  the residents.
(h) If the number of licensed facilities increases or the number of beds for the currently licensed facilities increases, the Department has the right to reassess the mandated time frames listed in this Section.
(Source: P.A. 103-1, eff. 4-27-23.)
(210 ILCS 45/3-203) (from Ch. 111 1/2, par. 4153-203)
Sec. 3-203. 
In licensing any facility for persons suffering from emotional or behavioral disorders, the
Department shall consult with the Department of Human Services in developing
minimum standards for
such persons.
(Source: P.A. 97-52, eff. 6-28-11.)
(210 ILCS 45/3-204) (from Ch. 111 1/2, par. 4153-204)
Sec. 3-204. 
		
		In addition to the authority to prescribe minimum standards,
the Department may adopt license classifications of facilities according
to the levels of service, and if license classification is adopted the applicable
minimum standards shall define the classification.  In adopting classification
of the license of facilities, the Department may give recognition to the
classification of services defined or prescribed by federal statute or federal
rule or regulation. More than one classification of the license may be issued
to the same facility when the prescribed minimum standards and regulations are met.
(Source: P.A. 81-223.)
(210 ILCS 45/3-205) (from Ch. 111 1/2, par. 4153-205)
Sec. 3-205. 
		
		Where licensing responsibilities are performed by a city,
village or incorporated town, the municipality shall use the same classifications
as the Department; and a facility may not be licensed for a different classification
by the Department than by the municipality.
(Source: P.A. 81-223.)
(210 ILCS 45/3-206) (from Ch. 111 1/2, par. 4153-206)
Sec. 3-206. 
The Department shall prescribe a curriculum for training
nursing assistants, habilitation aides, and child care aides.
(a) No person, except a volunteer who receives no compensation from a
facility and is not included for the purpose of meeting any staffing
requirements set forth by the Department, shall act as a nursing assistant,
habilitation aide, or child care aide in a facility, nor shall any person, under any
other title, not licensed, certified, or registered to render medical care
by the Department of Financial and Professional Regulation,  assist  with  the
personal, medical, or nursing care of residents in a facility, unless such
person meets the following requirements:
(1) Be at least 16 years of age, of temperate habits     and good moral character, honest, reliable and trustworthy.
(2) Be able to speak and understand the English     language or a language understood by a substantial percentage of the facility's residents.
(3) Provide evidence of employment or occupation, if     any, and residence for 2 years prior to his present employment.
(4) Have completed at least 8 years of grade school     or provide proof of equivalent knowledge.
(5) Begin a current course of training for nursing     assistants, habilitation aides, or child care aides, approved by the Department, within 45 days of initial employment in the capacity of a nursing assistant, habilitation aide, or child care aide at any facility.  Such courses of training shall be successfully completed within 120 days of initial employment in the capacity of nursing assistant, habilitation aide, or child care aide at a facility. Nursing assistants, habilitation aides, and child care aides who are enrolled in approved courses in community colleges or other educational institutions on a term, semester, or trimester basis, shall be exempt from the 120-day completion time limit.  During a statewide public health emergency, as defined in the Illinois Emergency Management Agency Act, all nursing assistants, habilitation aides, and child care aides shall, to the extent feasible, complete the training. The Department shall adopt rules for such courses of training. These rules shall include procedures for facilities to carry on an approved course of training within the facility. The Department shall allow an individual to satisfy the supervised clinical experience requirement for placement on the Health Care Worker Registry under 77 Ill. Adm. Code 300.663 through supervised clinical experience at an assisted living establishment licensed under the Assisted Living and Shared Housing Act. The Department shall adopt rules requiring that the Health Care Worker Registry include information identifying where an individual on the Health Care Worker Registry received his or her clinical training.
The Department may accept comparable training in lieu     of the 120-hour course for student nurses, foreign nurses, military personnel, or employees of the Department of Human Services.
The Department shall accept on-the-job experience in     lieu of clinical training from any individual who participated in the temporary nursing assistant program during the COVID-19 pandemic before the end date of the temporary nursing assistant program and left the program in good standing, and the Department shall notify all approved certified nurse assistant training programs in the State of this requirement. The individual shall receive one hour of credit for every hour employed as a temporary nursing assistant, up to 40 total hours, and shall be permitted 90 days after the end date of the temporary nursing assistant program to enroll in an approved certified nursing assistant training program and 240 days to successfully complete the certified nursing assistant training program. Temporary nursing assistants who enroll in a certified nursing assistant training program within 90 days of the end of the temporary nursing assistant program may continue to work as a nursing assistant for up to 240 days after enrollment in the certified nursing assistant training program.  As used in this Section, "temporary nursing assistant program" means the program implemented by the Department of Public Health by emergency rule, as listed in 44 Ill. Reg. 7936, effective April 21, 2020.
The facility shall develop and implement procedures,     which shall be approved by the Department, for an ongoing review process, which shall take place within the facility, for nursing assistants, habilitation aides, and child care aides.
At the time of each regularly scheduled licensure     survey, or at the time of a complaint investigation, the Department may require any nursing assistant, habilitation aide, or child care aide to demonstrate, either through written examination or action, or both, sufficient knowledge in all areas of required training.  If such knowledge is inadequate the Department shall require the nursing assistant, habilitation aide, or child care aide to complete inservice training and review in the facility until the nursing assistant, habilitation aide, or child care aide demonstrates to the Department, either through written examination or action, or both, sufficient knowledge in all areas of required training.
(6) Be familiar with and have general skills related     to resident care.
(a-0.5) An educational entity, other than a secondary school, conducting a
nursing assistant, habilitation aide, or child care aide
training program
shall initiate a criminal history record check in accordance with the Health Care Worker Background Check Act prior to entry of an
individual into the training program.
A secondary school may initiate a criminal history record check in accordance with the Health Care Worker Background Check Act at any time during or after a training program.
(a-1) Nursing assistants, habilitation aides, or child care aides seeking to be included on the Health Care Worker Registry under the Health Care Worker Background Check Act on or
after January 1, 1996 must authorize the Department of Public Health or its
designee
to request a criminal history record check in accordance with the Health Care Worker Background Check Act and submit all necessary
information. An individual may not newly be included  on the Health Care Worker Registry unless a criminal history record check has been conducted with respect to the individual.
(b) Persons subject to this Section shall perform their duties under the
supervision of a licensed nurse.
(c) It is unlawful for any facility to employ any person in the capacity
of nursing assistant, habilitation aide, or child care aide, or under any other title, not
licensed by the State of Illinois to assist in the personal, medical, or
nursing care of residents in such facility unless such person has complied
with this Section.
(d) Proof of compliance by each employee with the requirements set out
in this Section shall be maintained for each such employee by each facility
in the individual personnel folder of the employee. Proof of training shall be obtained only from the Health Care Worker Registry.
(e) Each facility shall obtain access to the Health Care Worker Registry's web application, maintain the employment and demographic information relating to each employee, and verify by the category and type of employment that
each employee subject to this Section meets all the requirements of this
Section.
(f) Any facility that is operated under Section 3-803 shall be
exempt
from the requirements of this Section.
(g) Each skilled nursing and intermediate care facility that
admits
persons who are diagnosed as having Alzheimer's disease or related
dementias shall require all nursing assistants, habilitation aides, or child
care aides, who did not receive 12 hours of training in the care and
treatment of such residents during the training required under paragraph
(5) of subsection (a), to obtain 12 hours of in-house training in the care
and treatment of such residents.  If the facility does not provide the
training in-house, the training shall be obtained from other facilities,
community colleges or other educational institutions that have a
recognized course for such training.  The Department shall, by rule,
establish a recognized course for such training.  The Department's rules shall provide that such
training may be conducted in-house at each facility subject to the
requirements of this subsection, in which case such training shall be
monitored by the Department.
The Department's rules shall also provide for circumstances and procedures
whereby any person who has received training that meets
the
requirements of this subsection shall not be required to undergo additional
training if he or she is transferred to or obtains employment at a
different facility or a facility other than a long-term care facility but remains continuously employed for pay as a nursing assistant,
habilitation aide, or child care aide. Individuals
who have performed no nursing or nursing-related services
for a period of 24 consecutive months shall be listed as "inactive"
and as such do not meet the requirements of this Section.  Licensed sheltered care facilities
shall be
exempt from the requirements of this Section.
An individual employed during the COVID-19 pandemic as a nursing assistant in accordance with any Executive Orders, emergency rules, or policy memoranda related to COVID-19 shall be assumed to meet competency standards and may continue to be employed as a certified nurse assistant when the pandemic ends and the Executive Orders or emergency rules lapse. Such individuals shall be listed on the Department's Health Care Worker Registry website as "active".
(Source: P.A. 103-1, eff. 4-27-23.)
(210 ILCS 45/3-206.01) (from Ch. 111 1/2, par. 4153-206.01)
Sec. 3-206.01. Health Care Worker Registry.
(a)   A facility shall not employ an individual as a nursing
assistant, habilitation aide, home health aide, psychiatric services  rehabilitation aide, or child care aide, or newly hired  as an individual who may have access to a resident, a resident's living quarters, or a resident's personal, financial, or medical records,
unless the facility has inquired of the Department's Health Care Worker Registry and the individual is listed on the Health Care Worker Registry as eligible to work for a health care employer. The facility shall not employ an individual as a nursing assistant, habilitation aide, or child care aide if that individual  is not on the Health Care Worker Registry
 unless the individual is enrolled in a training program under
paragraph (5) of subsection (a) of Section 3-206 of this Act. The Department may also maintain a publicly
accessible registry.
(a-5) The Health Care Worker Registry maintained by the Department exclusive
to health care employers, as defined in the Health Care Worker Background Check Act, shall clearly indicate whether an
applicant or employee is eligible for employment and shall
include the following:
(1) information about the individual, including the         individual's name, his or her current address, Social Security number, the date and location of the training course completed by the individual, whether the individual has any of the disqualifying convictions listed in Section 25 of the Health Care Worker Background Check Act from the date of the individual's last criminal record check, whether the individual has a waiver pending under Section 40 of the Health Care Worker Background Check Act, and whether the individual has received a waiver under Section 40 of that  Act;
(2) the following language:
"A waiver granted by the Department of Public         Health is a determination that the applicant or employee is eligible to work in a health care facility.         The Equal Employment Opportunity Commission provides guidance about federal law regarding hiring of individuals with criminal records."; and
(3) a link to Equal Employment Opportunity Commission     guidance regarding hiring of individuals with criminal records.
(a-10) After January 1, 2017, the publicly accessible
registry maintained by the Department shall report that an individual is ineligible to work if he or she has a disqualifying offense under Section 25 of the Health Care
Worker Background Check Act and has not received a waiver under
Section 40 of that Act. If an applicant or employee has
received a waiver for one or more disqualifying offenses under
Section 40 of the Health Care Worker Background Check Act and he or she is otherwise eligible to work, the Department of
Public Health shall report on the public registry that the
applicant or employee is eligible to work. The Department,
however, shall not report information regarding the waiver on
the public registry.
(a-15) (Blank).
(b) (Blank).
(Source: P.A. 99-78, eff. 7-20-15; 99-872, eff. 1-1-17; 100-432, eff. 8-25-17.)
(210 ILCS 45/3-206.02)
Sec. 3-206.02. (Repealed).
(Source: P.A. 96-1372, eff. 7-29-10. Repealed by P.A. 100-432, eff. 8-25-17.)
(210 ILCS 45/3-206.03)
Sec. 3-206.03. 
		Resident attendants.
(a) As used in this Section, "resident attendant" means an individual who
assists residents in a facility with the following activities:
(1) eating and drinking; and
(2) personal hygiene limited to washing a resident's     hands and face, brushing and combing a resident's hair, oral hygiene, shaving residents with an electric razor, and applying makeup.
The term "resident attendant" does not include an individual who:
(1) is a licensed health professional or a registered     dietitian;
(2) volunteers without monetary compensation;
(3) is a nurse assistant; or
(4) performs any nursing or nursing-related services     for residents of a facility.
(b) A facility may employ resident attendants to
assist the nurse aides with the activities authorized under
subsection (a). The resident attendants shall not count
in the minimum staffing requirements under rules implementing this Act.
(c) A facility may not use on a full-time or other paid basis any individual
as a resident attendant
in the facility unless the individual:
(1) has completed a training and competency     evaluation program encompassing the tasks the individual provides; and
(2) is competent to provide feeding, hydration, and     personal hygiene services.
(d) The training and competency evaluation program may be facility-based.
It may include one or more of the following units:
(1) A feeding unit that is a maximum of 5 hours in     length.
(2) A hydration unit that is a maximum of 3 hours in     length.
(3) A personal hygiene unit that is a maximum of 5     hours in length.
These programs must be reviewed and approved
by the Department
every 2 years.
(f) A person seeking employment as a resident attendant is subject to the
Health Care Worker Background Check Act.
(Source: P.A. 91-461, eff. 8-6-99.)
(210 ILCS 45/3-206.04)
Sec. 3-206.04. 
		Certified Nurse Assistant Career Ladders Program. 
		The Department shall convene a task force to determine the feasibility and
curriculum for a Certified Nurse Assistant
Career Ladders Program.  Any such program shall articulate with licensed
practical
nurse education.  The task force shall be
comprised of 2 members from Illinois public community college faculty, one of
whom shall be a registered professional nurse,
2 members from the nursing home community, one of whom shall be a registered
professional nurse, one member who is a
Certified Nurse Assistant Educator, and representatives from the Department.
The task
force shall report its findings and recommendations to the General Assembly on
or before January 1, 2002.
(Source: P.A. 92-190, eff. 8-1-01.)
(210 ILCS 45/3-206.05)
Sec. 3-206.05. Safe resident handling policy.
(a) In this Section:
"Health care worker" means an individual providing direct resident care services who may be required to lift, transfer, reposition, or move a resident.
"Nurse" means an advanced practice registered nurse, a registered nurse, or a licensed practical nurse licensed under the Nurse Practice Act.
"Safe lifting equipment and accessories" means mechanical
equipment designed to lift, move, reposition, and transfer
residents, including, but not limited to, fixed and portable
ceiling lifts, sit-to-stand lifts, slide sheets and boards,
slings, and repositioning and turning sheets.
"Safe lifting team" means at least 2 individuals who are
trained and proficient in the use of both safe lifting techniques and safe
lifting equipment and accessories.
"Adjustable equipment" means products and devices that may be adapted for use by individuals with physical and other disabilities in order to optimize accessibility.  Adjustable equipment includes, but is not limited to, the following:
(1) Wheelchairs with adjustable footrest height and     seat width and depth.
(2)  Height-adjustable, drop-arm commode chairs and     height-adjustable shower gurneys or shower benches to enable individuals with mobility disabilities to use a toilet and to shower safely and with increased comfort.
(3) Accessible weight scales that accommodate     wheelchair users.
(4) Height-adjustable beds that can be lowered to     accommodate individuals with mobility disabilities in getting in and out of bed and that utilize drop-down side railings for stability and positioning support.
(5) Universally designed or adaptable call buttons     and motorized bed position and height controls that can be operated by persons with limited or no reach range, fine motor ability, or vision.
(6) Height-adjustable platform tables for physical     therapy with drop-down side railings for stability and positioning support.
(7) Therapeutic rehabilitation and exercise machines     with foot straps to secure the user's feet to the pedals and with cuffs or splints to augment the user's grip strength on handles.
(b) A facility must adopt and ensure implementation of a policy to identify, assess, and develop strategies to control risk of injury to residents and nurses and other health care workers associated with the lifting, transferring, repositioning, or movement of a resident. The policy shall establish a process that, at a minimum, includes all of the following:
(1) Analysis of the risk of injury to residents and     nurses and other health care workers taking into account the resident handling needs of the resident populations served by the facility and the physical environment in which the resident handling and movement occurs.
(2) Education and training of nurses and other direct     resident care providers in the identification, assessment, and control of risks of injury to residents and nurses and other health care workers during resident handling and on safe lifting policies and techniques and current lifting equipment.
(3) Evaluation of alternative ways to reduce risks     associated with resident handling, including evaluation of equipment and the environment.
(4) Restriction, to the extent feasible with existing     equipment and aids, of manual resident handling or movement of all or most of a resident's weight except for emergency, life-threatening, or otherwise exceptional circumstances.
(5) Procedures for a nurse to refuse to perform or be     involved in resident handling or movement that the nurse in good faith believes will expose a resident or nurse or other health care worker to an unacceptable risk of injury.
(6) Development of strategies to control risk of     injury to residents and nurses and other health care workers associated with the lifting, transferring, repositioning, or movement of a resident.
(7) In developing architectural plans for     construction or remodeling of a facility or unit of a facility in which resident handling and movement occurs, consideration of the feasibility of incorporating resident handling equipment or the physical space and construction design needed to incorporate that equipment.
(8) Fostering and maintaining resident safety,     dignity, self-determination, and choice, including the following policies, strategies, and procedures:
(A) The existence and availability of a trained         safe lifting team.
(B) A policy of advising residents of a range of         transfer and lift options, including adjustable diagnostic and treatment equipment, mechanical lifts, and provision of a trained safe lifting team.
(C) The right of a competent resident, or the         guardian of a resident adjudicated incompetent, to choose among the range of transfer and lift options consistent with the procedures set forth under subdivision (b)(5) and the policies set forth under this paragraph (8), subject to the provisions of subparagraph (E) of this paragraph (8).
(D) Procedures for documenting, upon admission         and as status changes, a mobility assessment and plan for lifting, transferring, repositioning, or movement of a resident, including the choice of the resident or the resident's guardian among the range of transfer and lift options.
(E) Incorporation of such safe lifting         procedures, techniques, and equipment as are consistent with applicable federal law.
(c) Safe lifting teams must receive specialized, in-depth training that includes, but need not be limited to, the following:
(1) Types and operation of equipment.
(2) Safe manual lifting and moving techniques.
(3) Ergonomic principles in the assessment of risk     both to nurses and other workers and to residents.
(4) The selection, safe use, location, and condition     of appropriate pieces of equipment individualized to each resident's medical and physical conditions and preferences.
(5) Procedures for advising residents of the full     range of transfer and lift options and for documenting individualized lifting plans that include resident choice.
Specialized, in-depth training may rely on federal standards and guidelines such as the United States Department of Labor Guidelines for Nursing Homes, supplemented by federal requirements for barrier removal, independent access, and means of accommodation optimizing independent movement and transfer.
(Source: P.A. 100-513, eff. 1-1-18.)
(210 ILCS 45/3-206.06)
Sec. 3-206.06. Testing for Legionella bacteria. A facility shall develop a policy for testing its water supply for Legionella bacteria. The policy shall include the frequency with which testing is conducted. The policy and the results of any tests shall be made available to the Department upon request.
(Source: P.A. 102-4, eff. 4-27-21.)
(210 ILCS 45/3-206.1) (from Ch. 111 1/2, par. 4153-206.1)
Sec. 3-206.1. 
		
		Whenever ownership of a private facility is transferred to
another private owner following a final order for a suspension or
revocation of the facility's license, the Department shall discuss with the
new owner all noted problems associated with the facility and shall
determine what additional training, if any, is needed for the direct care
staff.
(Source: P.A. 86-1013.)
(210 ILCS 45/3-207) (from Ch. 111 1/2, par. 4153-207)
Sec. 3-207. 
		
		(a) As a condition of the issuance or renewal of the license of
any facility, the applicant shall file a statement of ownership. The applicant
shall update the information required in the statement of ownership
within 10 days of any change.
(b) The statement of ownership shall include the following:
(1) The name, address, telephone number, occupation or business activity,
business address and business telephone number of the person who is the
owner of the facility and every person who owns the building in which the
facility is located, if other than the owner of the facility, which is the
subject of the application or license; and if the owner is a partnership or
corporation, the name of every partner and stockholder of the owner;
(2) The name and address of any facility, wherever located, any
financial interest in which is owned by the applicant, if the facility were
required to be licensed if it were located in this State;
(3) Other information necessary to determine the identity and
qualifications of an applicant or licensee to operate a facility in
accordance with this Act as required by the Department in regulations.
(c) The information in the statement of ownership shall be public
information and shall be available from the Department.
(Source: P.A. 85-1183.)
(210 ILCS 45/3-208) (from Ch. 111 1/2, par. 4153-208)
Sec. 3-208. (a) Each licensee shall file annually, or more often as
the Director shall by rule prescribe, an attested financial statement.
The Director may order an audited financial statement
of a particular facility by an auditor of the Director's choice, provided
the cost of such audit is paid by the Department.
(b) No public funds shall be expended for the maintenance of any
resident in a facility which has failed to file the financial statement
required under this Section and no public funds shall be paid to or on
behalf of a facility which has failed to file a statement.
(c) The Director of Public Health and the Director of Healthcare and Family Services

shall promulgate under Sections 3-801 and 3-802, one set of regulations
for the filing of these financial statements, and shall provide in these
regulations for forms, required information, intervals and dates of
filing and such other provisions as they may deem necessary.
(c-5) A facility which is owned by a chain organization as defined by the Centers for Medicare and Medicaid Services shall submit annually to the Department a copy of the Home Office Cost Statement required to be submitted by the home office of the chain to the United States Department of Health and Human Services.  This Home Office Cost Statement contains proprietary, privileged, and confidential information that shall not be placed on the World Wide Web.  Any request from the public received by any public agency to disclose this Home Office Cost Statement shall be subject to the provisions of the Freedom of Information Act.
(d) The Director of Public Health and the Director of Healthcare and Family Services

shall seek the advice and comments of other State and federal agencies
which require the submission of financial data from facilities licensed
under this Act and shall incorporate the information requirements of
these agencies so as to impose the least possible burden on licensees.
No other State agency may require submission of financial data except as
expressly authorized by law or as necessary to meet requirements of
federal statutes or regulations. Information obtained under this Section
shall be made available, upon request, by the Department to any other
State agency or legislative commission to which such information is
necessary for investigations or required for the purposes of State or
federal law or regulation.
(Source: P.A. 98-505, eff. 1-1-14.)
(210 ILCS 45/3-209) (from Ch. 111 1/2, par. 4153-209)
Sec. 3-209. Required posting of information.
(a) Every facility shall conspicuously post for display in an
area of its offices accessible to residents, employees, and visitors the
following:
(1) Its current license;
(2) A description, provided by the Department, of     complaint procedures established under this Act and the name, address, and telephone number of a person authorized by the Department to receive complaints;
(3) A copy of any order pertaining to the  facility     issued by the Department or a court;
(4) A list of the material available for public     inspection under Section 3-210;
(5)  Phone numbers and websites for rights protection     services must be posted in common areas and at the main entrance and provided upon entry and at the request of residents or the  resident's representative in accordance with  42 CFR 483.10(j)(4); and
(6) The statement "The Illinois Long-Term Care     Ombudsman Program is a free resident advocacy service available to the public.".
In accordance with F574 of the State Operations Manual for Long-Term Care Facilities, the administrator shall post for all residents and at the main entrance the name, address, and telephone number of the appropriate State governmental office where complaints may be lodged in language the resident can understand, which must include notice of the grievance procedure of the facility or program as well as addresses and phone numbers for the Office of Health Care Regulation and the Long-Term Care Ombudsman Program and a website showing the information of a facility's ownership. The facility shall include a link to the Long-Term Care Ombudsman Program's website on the home page of the facility's website.
(b) A facility that has received a notice of violation for a violation of the minimum staffing requirements under Section 3-202.05 shall display, during the period of time the facility is out of compliance, a notice stating in Calibri (body) font and 26-point type in black letters on an 8.5 by 11 inch white paper the following:
"Notice Dated:   ...................
This facility does not currently meet the minimum staffing ratios required by law. Posted at the direction of the Illinois
Department of Public Health.".
The notice must be posted, at a minimum, at all publicly used exterior entryways into the facility, inside the main entrance lobby, and next to any registration desk for easily accessible viewing. The notice must also be posted on the main page of the facility's website. The Department shall have the discretion to determine the gravity of any violation and, taking into account mitigating and aggravating circumstances and facts, may reduce the requirement of, and amount of time for, posting the notice.
(Source: P.A. 101-10, eff. 6-5-19; 102-1080, eff. 1-1-23.)
(210 ILCS 45/3-210) (from Ch. 111 1/2, par. 4153-210)
Sec. 3-210. A facility shall retain the following for public inspection:
(1) a complete copy of every inspection report of the     facility received from the Department during the past 5 years;
(2) a copy of every order pertaining to the facility     issued by the Department or a court during the past 5 years;
(3) a description of the services provided by the     facility and the rates charged for those services and items for which a resident may be separately charged;
(4) a copy of the statement of ownership required by     Section 3-207;
(5) a record of personnel employed or retained by the     facility who are licensed, certified or registered by the Department of Professional Regulation;
(6) a complete copy of the most recent inspection     report of the facility received from the Department; and
(7) a copy of the current Consumer Choice Information     Report required by Section 2-214. (Source: P.A. 95-823, eff. 1-1-09; 96-328, eff. 8-11-09.)
(210 ILCS 45/3-211) (from Ch. 111 1/2, par. 4153-211)
Sec. 3-211. 
		
		No State or federal funds which are appropriated by the General
Assembly or which pass through the General Revenue Fund or any special fund
in the State Treasury, shall be paid to a facility not having a license
issued under this Act.
(Source: P.A. 81-223.)
(210 ILCS 45/3-212) (from Ch. 111 1/2, par. 4153-212)
Sec. 3-212. Inspection.
(a) The Department, whenever it deems necessary in
accordance with subsection (b), shall inspect, survey and evaluate every
facility to determine compliance with applicable licensure requirements and
standards. Submission of a facility's current Consumer Choice Information Report required by Section 2-214 shall be verified at time of inspection.  An inspection should occur within 120 days prior
to license renewal.  The Department may periodically visit a facility for the
purpose of consultation.  An inspection, survey, or evaluation, other than
an inspection of financial records, shall be conducted without prior notice
to the facility.  A visit for the sole purpose of consultation may be
announced.
The Department shall provide training to surveyors about the appropriate
assessment, care planning, and care of persons with mental illness (other than
Alzheimer's disease or related disorders) to enable its surveyors to
determine whether a facility is complying with State and federal requirements
about the assessment, care planning, and care of those persons.
(a-1) An employee of a State or unit of local government agency
charged with inspecting, surveying, and evaluating facilities who directly
or indirectly gives prior notice of an inspection, survey, or evaluation,
other than an inspection of financial records, to a facility or to an
employee of a facility is guilty of a Class A misdemeanor.
An inspector or an employee of the Department who intentionally prenotifies
a facility,
orally or in writing, of a pending complaint investigation or inspection shall
be guilty of a Class A misdemeanor.
Superiors of persons who have prenotified a facility shall be subject to the
same penalties, if they have knowingly allowed the prenotification.  A person
found guilty of prenotifying a facility shall be subject to disciplinary action
by his or her employer.
If the Department has a good faith belief, based upon information that comes
to its attention, that a violation of this subsection has occurred, it must
file a complaint with the Attorney General or the State's Attorney in the
county where the violation
took place within 30 days after discovery of the information.
(a-2) An employee of a State or unit of local government agency charged with
inspecting, surveying, or evaluating facilities who willfully profits from
violating the confidentiality of the inspection, survey, or evaluation
process shall be guilty of a Class 4 felony and that conduct shall be deemed
unprofessional conduct that may subject a person to loss of his or her
professional license. An action to prosecute a person for violating this
subsection (a-2) may be brought by either the Attorney General or the State's
Attorney in the county where the violation took place.
(a-3) The Department shall, by rule, establish guidelines for required continuing education of all employees who inspect, survey, or evaluate a facility. The Department shall offer continuing education opportunities at least quarterly. Employees of a State agency charged with inspecting, surveying, or evaluating a facility are required to complete at least 10 hours of continuing education annually on topics that support the survey process, including, but not limited to, trauma-informed care, infection control, abuse and neglect, and civil monetary penalties. Qualifying hours of continuing education intended to fulfill the requirements of this subsection shall only be offered by the Department. Content presented during the continuing education shall be consistent throughout the State, regardless of survey region. At least 5 of the 10 hours of continuing education required under this subsection shall be separate and distinct from any continuing education hours required for any license that the employee holds. Any continuing education hours provided by the Department in addition to the 10 hours of continuing education required under this subsection may count towards continuing education hours required for any license that the employee holds.
(b) In determining whether to make more than the required number of
unannounced inspections, surveys and evaluations of a facility the
Department shall consider one or more of the following: previous inspection
reports; the facility's history of compliance with standards, rules and
regulations promulgated under this Act and correction of violations,
penalties or other enforcement actions; the number and severity of
complaints received about the facility; any allegations of resident abuse
or neglect; weather conditions; health emergencies; other reasonable belief
that deficiencies exist.
(b-1) The Department shall not be required to determine whether a
facility certified to participate in the Medicare program under Title XVIII of
the Social Security Act, or the Medicaid program under Title XIX of the Social
Security Act, and which the Department determines by inspection under this
Section or under Section 3-702 of this Act to be in compliance with the
certification requirements of Title XVIII or XIX, is in compliance with any
requirement of this Act that is less stringent than or duplicates a federal
certification requirement.  In accordance with subsection (a) of this Section
or subsection (d) of Section 3-702, the Department shall determine whether a
certified facility is in
compliance with requirements of this Act that exceed federal certification
requirements.  If a certified facility is found to be out of compliance with
federal certification requirements, the results of an inspection conducted
pursuant to Title XVIII or XIX of the Social Security Act may be used as the
basis for enforcement remedies authorized and commenced, with the Department's discretion to evaluate whether penalties are warranted, under this Act.
Enforcement of this Act against a certified facility shall be commenced
pursuant to the requirements of this Act, unless enforcement remedies sought
pursuant to Title XVIII or XIX of the Social Security Act exceed those
authorized by this Act.  As used in this subsection, "enforcement remedy"
means a sanction for violating a federal certification requirement or this
Act.
(c) Upon completion of each inspection, survey and evaluation, the
appropriate Department personnel who conducted the inspection, survey or
evaluation shall submit a physical or electronic copy of their report to the licensee upon exiting
the facility, and shall submit the actual report to the appropriate
regional office of the Department.  Such report and any recommendations for
action by the Department under this Act shall be transmitted to the
appropriate offices of the associate director of the Department, together
with related comments or documentation provided by the licensee which may
refute findings in the report, which explain extenuating circumstances that
the facility could not reasonably have prevented, or which indicate methods
and timetables for correction of deficiencies described in the report.
Without affecting the application of subsection (a) of Section 3-303, any
documentation or comments of the licensee shall be provided within 10
days of receipt of the copy of the report.  Such report shall recommend to
the Director appropriate action under this Act with respect to findings
against a facility.  The Director shall then determine whether the report's
findings constitute a violation or violations of which the facility must be
given notice.  Such determination shall be based upon the severity of the
finding, the danger posed to resident health and safety, the comments and
documentation provided by the facility, the diligence and efforts to
correct deficiencies, correction of the reported deficiencies, the
frequency and duration of similar findings in previous reports and the
facility's general inspection history.  Violations shall be determined
under this subsection no later than 75 days after completion of each
inspection, survey and evaluation.
(d) The Department shall maintain all inspection, survey and evaluation
reports for at least 5 years in a manner accessible to and understandable
by the public.
(e) Revisit surveys. The Department shall conduct a revisit to its licensure and certification surveys, consistent with federal regulations and guidelines.
(f) Notwithstanding any other provision of this Act, the Department shall, no later than 180 days after the effective date of this amendatory Act of the 98th General Assembly, implement a single survey process that encompasses federal certification and State licensure requirements, health and life safety requirements, and an enhanced complaint investigation initiative.
(1) To meet the requirement of a single survey     process, the portions of the health and life safety survey associated with federal certification and State licensure surveys must be started within 7 working days of each other. Nothing in this paragraph (1) of subsection (f) of this Section applies to a complaint investigation.
(2) The enhanced complaint and incident report     investigation initiative shall permit the facility to challenge the amount of the fine due to the excessive length of the investigation which results in one or more of the following conditions:
(A) prohibits the timely development and         implementation of a plan of correction;
(B) creates undue financial hardship impacting         the quality of care delivered to the resident;
(C) delays initiation of corrective training; and
(D) negatively impacts quality assurance and         patient improvement standards.
This paragraph (2) does not apply to complaint     investigations exited within 14 working days or a situation that triggers an extended survey.(Source: P.A. 102-947, eff. 1-1-23.)
(210 ILCS 45/3-213) (from Ch. 111 1/2, par. 4153-213)
Sec. 3-213. 
		
		The Department shall require periodic reports and shall have
access to and may reproduce or photocopy at its cost any books, records,
and other documents maintained by the facility to the extent necessary to
carry out this Act and the rules promulgated under this Act. The Department
shall not divulge or disclose the contents of a record under this Section
in violation of Section 2-206 or as otherwise prohibited by this Act.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-214) (from Ch. 111 1/2, par. 4153-214)
Sec. 3-214. 
		
		Any holder of a license or applicant for a license shall be
deemed to have given consent to any authorized officer, employee or agent
of the Department to enter and inspect the facility in accordance with this
Article.  Refusal to permit such entry or inspection shall constitute grounds
for denial, nonrenewal or revocation of a license as provided in Sections
3-117 or 3-119 of this Act.
(Source: P.A. 81-223.)
(210 ILCS 45/3-215) (from Ch. 111 1/2, par. 4153-215)
Sec. 3-215. 
		
		The Department shall make at least one report on each facility
in the State annually, unless the facility has been issued a 2-year
license under subsection (b) of Section 3-110 for which the report shall be
made every 2 years.  All conditions and practices not in compliance with
applicable standards within the report period shall be
specifically stated.
If a violation is corrected or is subject to an approved plan of correction,
the same shall be specified in the report.  The Department shall
send a copy to any person on receiving a written request.  The Department
may charge a reasonable fee to cover copying costs.
(Source: P.A. 87-1102.)
(210 ILCS 45/Art. III Pt. 3 heading)
PART 3.  
		VIOLATIONS AND PENALTIES
(210 ILCS 45/3-301) (from Ch. 111 1/2, par. 4153-301)
Sec. 3-301. Determination of violation; notice; review
team.
(a) If after receiving the report specified in subsection (c)
of Section 3-212 the Director or his designee determines that a facility is
in violation of this Act or of any rule promulgated thereunder, he shall
serve a notice of violation upon the licensee within 10 days thereafter.
Each notice of violation shall be prepared in
writing and shall specify the nature of the violation, and the statutory
provision or rule alleged to have been violated.  The notice shall
inform the licensee of any action the Department may take under the Act,
including the requirement of a facility plan of correction under Section
3-303; placement of the facility on a list prepared under Section 3-304;
assessment of a penalty under Section 3-305;  a conditional license
under Sections 3-311 through 3-317; or license suspension or revocation
under Section 3-119.  The Director or his designee shall
also inform the licensee of rights to a hearing under Section 3-703.
(b) The Department shall perform an audit of all Type "AA" or Type "A" violations between January 1, 2014 and January 1, 2015.  The purpose of the audit is to determine the consistency of assigning Type "AA" and Type "A" violations. The audit shall be completed and a report submitted to the Long Term Care Advisory Committee by April 1, 2015 for comment.  The report shall include recommendations for increasing the consistency of assignment of violations.  The Committee may offer additional recommendations to be incorporated into the report.  The final report shall be filed with the General Assembly by June 30, 2015.
(Source: P.A. 98-104, eff. 7-22-13.)
(210 ILCS 45/3-302) (from Ch. 111 1/2, par. 4153-302)
Sec. 3-302. 
		
		Each day the violation exists after the date upon which a
notice of violation is served under Section 3-301 shall constitute a
separate violation for purposes of assessing penalties or fines under
Section 3-305.  The submission of a plan of correction pursuant to
subsection (b) of Section 3-303 does not prohibit or preclude the
Department from assessing penalties or fines pursuant to Section 3-305 for
those violations found to be valid except as provided under Section 3-308
in relation to Type "B" violations.  No penalty or fine may be
assessed for a condition for which the facility has received a variance or
waiver of a standard.
(Source: P.A. 85-1378.)
(210 ILCS 45/3-303) (from Ch. 111 1/2, par. 4153-303)
Sec. 3-303. 
(a) The situation, condition or practice constituting a Type "AA" violation or a Type
"A" violation shall be abated or eliminated immediately unless a fixed period
of time, not exceeding 15 days, as determined by the Department and specified
in the notice of violation, is required for correction.
(b) At the time of issuance of a notice of a Type "B" violation,
the Department shall request a plan of correction which is subject to the
Department's approval.  The facility shall have 10 days after receipt of
notice of violation in which to prepare and submit a plan of correction.
The Department may extend this period up to 30 days where correction involves
substantial capital improvement.  The plan shall include a fixed time period
not in excess of 90 days within which violations are to be corrected.  If
the Department rejects a plan of correction, it shall send notice of the
rejection and the reason for the rejection to the facility.  The facility
shall have 10 days after receipt of the notice of rejection in which to
submit a modified plan.  If the modified plan is not timely submitted, or
if the modified plan is rejected, the facility shall follow an approved
plan of correction imposed by the Department.
(c) If the violation has been corrected prior to submission and approval
of a plan of correction, the facility may submit a report of correction
in place of a plan of correction.  Such report shall be signed by the
administrator under oath.
(d) Upon a licensee's petition, the Department shall determine whether
to grant a licensee's request for an extended correction time.  Such petition
shall be served on the Department prior to expiration of the correction
time originally approved.  The burden of proof is on the petitioning facility
to show good cause for not being able to comply with the original correction
time approved.
(e) If a facility desires to contest any Department action under this
Section it shall send a written request for a hearing under Section 3-703
to the Department within 10 days of receipt of notice of the contested action.
The Department shall commence the hearing as provided under Section 3-703.
Whenever possible, all action of the Department under this Section arising
out of a violation shall be contested and determined at a single hearing.
Issues decided after a hearing may not be reheard at subsequent hearings
under this Section.
(Source: P.A. 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-303.1) (from Ch. 111 1/2, par. 4153-303.1)
Sec. 3-303.1. Waiver of requirements.
(a) Upon application by a facility, the Director may grant
or renew the waiver of the facility's compliance with a rule or standard
for a period not to exceed the duration of the current license or, in the
case of an application for license renewal, the duration of the renewal
period.  The waiver may be conditioned upon the
facility taking action
prescribed by the Director as a measure equivalent to compliance.
In determining whether to grant or renew a waiver, the Director shall consider
the duration and basis for any current waiver with respect to the same rule
or standard and the validity and effect upon patient health and safety of
extending it on the same basis, the effect upon the health and safety of
residents, the quality of resident
care, the facility's history of compliance with the rules and standards
of this Act, and the facility's attempts to comply
with the particular rule or standard in question.
(b) The Department may
provide, by rule, for the automatic renewal of waivers concerning physical
plant requirements upon the renewal of a license. The Department shall
renew waivers relating to physical plant standards issued pursuant to this
Section at the time of the indicated reviews, unless it can show why such
waivers should not be extended for the following reasons:
(1) the condition of the physical plant has     deteriorated or its use substantially changed so that the basis upon which the waiver was issued is materially different; or
(2) the facility is renovated or substantially     remodeled in such a way as to permit compliance with the applicable rules and standards without substantial increase in cost.
(c) Upon application by a facility, the Director may grant or renew a waiver, in whole or in part, of the registered nurse staffing requirements contained in subsection (e) of Section 3-202.05, considering the criteria in subsection (a) of this Section, if the facility demonstrates to the Director's satisfaction that the facility is unable, despite diligent efforts, including offering wages at a competitive rate for registered nurses in the community, to employ the required number of registered nurses and that the waivers will not endanger the health or safety of residents of the facility. A facility in compliance with the terms of a waiver granted under this subsection shall not be subject to fines or penalties imposed by the Department for violating the registered nurse staffing requirements of subsection (e) of Section 3-202.05. Nothing in this subsection (c) allows the Director to grant or renew a waiver of the minimum registered nurse staffing requirements contained in 42 CFR 483.35(b) to a facility that is Medicare-certified or to a facility that is both Medicare-certified and Medicaid-certified. Waivers granted under this subsection (c) shall be reviewed quarterly by the Department, including requiring a demonstration by the facility that it has continued to make diligent efforts to employ the required number of registered nurses, and shall be revoked for noncompliance with any of the following requirements:
(1) For periods in which the number of registered     nurses required by law is not in the facility, a physician or registered nurse shall respond immediately to a telephone call from the facility.
(2) The facility shall notify the following of the     waiver: the Office of the State Long Term Care Ombudsman, the residents of the facility, the residents' guardians, and the residents' representatives.
(d) A copy of each waiver application and each waiver granted or renewed shall
be on file with the Department and available for public inspection.  The
Director shall annually review such file and recommend to the Long-Term 
Care Facility Advisory Board any modification in rules or standards suggested
by the number and nature of waivers requested and granted and the difficulties
faced in compliance by similarly situated facilities.
(Source: P.A. 100-201, eff. 8-18-17; 100-217, eff. 8-18-17.)
(210 ILCS 45/3-303.2) (from Ch. 111 1/2, par. 4153-303.2)
Sec. 3-303.2. 
(a) If the Department finds a situation, condition or
practice which violates this Act or any rule promulgated thereunder which
does not constitute a Type "AA", Type "A", Type "B", or Type "C" violation, the
Department shall issue an administrative warning.  Any administrative
warning shall be served upon the facility in the same manner as the notice
of violation under Section 3-301.  The facility shall be responsible for
correcting the situation, condition or practice; however, no written plan
of correction need be submitted for an administrative warning, except for
violations of Sections 3-401 through 3-413 or the rules promulgated
thereunder.  A written plan of correction is required to be filed for an
administrative warning issued for violations of Sections 3-401 through
3-413 or the rules promulgated thereunder.
(b) If, however, the situation, condition or practice which resulted in
the issuance of an administrative warning, with the exception of
administrative warnings issued pursuant to Sections 3-401 through 3-413 or
the rules promulgated thereunder, is not corrected by the next
on-site inspection by the Department which occurs no earlier than 90 days
from the issuance of the administrative warning, a written plan of
correction must be submitted in the same manner as provided in subsection
(b) of Section 3-303.
(Source: P.A. 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-304) (from Ch. 111 1/2, par. 4153-304)
Sec. 3-304. (a) The Department shall prepare on a quarterly basis a
list containing the names and addresses of all facilities against which
the Department during the previous quarter has:
(1) sent a notice under Section 3-307 regarding a     penalty assessment under subsection (1) of Section 3-305;
(2) sent a notice of license revocation under Section     3-119;
(3) sent a notice refusing renewal of a license under     Section 3-119;
(4) sent a notice to suspend a license under Section     3-119;
(5) issued a conditional license for violations that     have not been corrected under Section 3-303 or penalties or fines described under Section 3-305 have been assessed under Section 3-307 or 3-308;
(6) placed a monitor under subsections (a), (b) and     (c) of Section 3-501 and under subsection (d) of such Section where license revocation or nonrenewal notices have also been issued;
(7) initiated an action to appoint a receiver;
(8) recommended to the Director of Healthcare and     Family Services (formerly Director of the Department of Public Aid), or the Secretary of the United States Department of Health and Human Services, the decertification for violations in relation to patient care of a facility pursuant to Titles XVIII and XIX of the federal Social Security Act.
(b) In addition to the name and address of the facility, the list shall
include the name and address of the person or licensee against whom the
action has been initiated, a self-explanatory summary of the facts which
warranted the initiation of each action, the type of action initiated, the
date of the initiation of the action, the amount of the penalty sought to
be assessed, if any, and the final disposition of the action, if completed.
(c) The list shall be available to any member of the public upon oral
or written request without charge.
(Source: P.A. 95-331, eff. 8-21-07.)
(210 ILCS 45/3-304.1)
Sec. 3-304.1. Public computer access to information.
(a) The Department must make information regarding nursing homes in the
State
available to the public in electronic form on the World Wide Web, including all
of the
following information:
(1) who regulates nursing homes;
(2) information in the possession of the Department     that is listed in Sections 3-210 and 3-304;
(3) deficiencies and plans of correction;
(4) enforcement remedies;
(5) penalty letters;
(6) designation of penalty monies;
(7) the U.S. Department of Health and Human Services'     Health Care Financing Administration special projects or federally required inspections;
(8) advisory standards;
(9) deficiency-free surveys;
(10) enforcement actions and enforcement summaries;
(11) distressed facilities;
(12) the report submitted under Section 3-518;
(13) a link to the most recent facility cost report     filed with the Department of Healthcare and Family Services;
(14) a link to the most recent Consumer Choice     Information Report filed with the Department on Aging;
(15) whether the facility is part of a chain;  the     facility shall be deemed part of a chain if it  meets criteria established by the United States Department of Health and Human Services that identify it as owned by a chain organization;
(16) whether the facility is a for-profit or     not-for-profit facility; and
(17) whether the facility is or is part of a     continuing care retirement community.
(b) No fee or other charge may be imposed by the Department as a condition
of accessing the information.
(c) The electronic public access provided through the World Wide Web shall
be
in addition to any other electronic or print distribution of the information.
(d) The information shall be made available as provided in this Section in
the
shortest practicable time after it is publicly available in any other form.
(Source: P.A. 98-85, eff. 7-15-13; 98-505, eff. 1-1-14; 98-756, eff. 7-16-14.)
(210 ILCS 45/3-304.2)
Sec. 3-304.2. Designation of distressed facilities.
(a) (Blank).
(b) (Blank).
(b-5) The Department shall, by rule, adopt criteria to identify distressed facilities and shall publish a

list of distressed facilities quarterly. The Department shall, by rule, create a timeframe and a procedure on how a facility can be removed from the list. No facility shall be identified as a distressed facility unless it has committed a violation or deficiency that has harmed a resident.
(c) The Department shall, by  rule, adopt criteria to identify non-Medicaid-certified facilities that are distressed and shall publish this list quarterly. The list may not contain more than 40 facilities per quarter.
(d) The Department shall notify each facility of its distressed designation, and of the calculation on

which it is based. A facility has the right to appeal a designation, and the procedure for appealing shall be outlined in rule.
(e) A distressed facility may contract with an independent consultant meeting criteria established by

the Department.  If the distressed facility does not seek the assistance of an independent

consultant, the Department shall place a monitor in the facility, depending

on the Department's assessment of the condition of the facility.
(f)  A facility that has been designated a distressed facility may

contract with an independent consultant to develop and assist in the

implementation of a plan of improvement to bring and keep

the facility in compliance with this Act and, if applicable, with federal certification

requirements.  A facility that contracts with an independent consultant

shall have 90 days to develop a plan of improvement and demonstrate a

good faith effort at implementation, and another 90 days to achieve compliance

and take whatever additional actions are called for in the improvement plan

to maintain compliance.  A facility that the Department determines has a plan

of improvement likely to bring and keep the facility in compliance

and that  has demonstrated good faith efforts at implementation

within the first 90 days may be eligible to receive a grant under  the Equity

in Long-term Care Quality Act to assist it in achieving and maintaining compliance.

In this subsection, "independent" consultant means an individual who has no professional or

financial relationship with the facility, any person with a reportable ownership

interest in the facility, or any related parties.  In this subsection, "related parties" has the

meaning attributed to it in the instructions for completing Medicaid cost reports.
(f-5)  A distressed facility that does not contract with a consultant shall be assigned a monitor at the Department's discretion.  The monitor may apply to the Equity in Long-term Care Quality  Fund on behalf of the facility for grant funds to implement the plan of improvement.
(g) The Department shall, by rule, establish a mentor program for owners and operators of distressed facilities. The mentor program shall provide technical assistance and guidance to facilities.
(h) The Department shall by rule establish sanctions (in addition to those authorized elsewhere in this Article)  against distressed facilities that are not in compliance with this Act and (if applicable) with federal certification requirements.  Criteria for imposing sanctions shall take into account a facility's actions to address the violations and deficiencies that  caused its designation as a distressed facility, and its compliance with this Act and with federal certification requirements (if applicable), subsequent to its designation as a distressed facility, including mandatory revocations if criteria can be agreed upon by the Department, resident advocates, and representatives of the nursing home profession.  By February 1, 2011, the Department shall report to the General Assembly  on the results of negotiations about creating criteria for mandatory license revocations of distressed facilities and make recommendations about any statutory changes it believes are appropriate to protect the health, safety, and welfare of nursing home residents.
(i) The Department may establish, by rule,  criteria for restricting an owner of a facility from acquiring additional nursing facilities if the facility was placed on the distressed list while it was owned by that owner. The Department may not prohibit an owner who acquires ownership of a facility that is already on the distressed facility list before the owner's acquisition of the facility from acquiring additional skilled nursing facilities.
(j) This Section does not apply to homes, institutions, or other places operated by or under the authority of the Illinois Department of Veterans' Affairs as these facilities are certified by the United States Department of Veterans Affairs and not the Centers for Medicare and Medicaid Services.
(Source: P.A. 103-139, eff. 1-1-24.)
(210 ILCS 45/3-305) (from Ch. 111 1/2, par. 4153-305)
Sec. 3-305. 
The license of a facility which is in violation of this Act
or any rule adopted thereunder may be subject to the penalties or fines
levied by the Department as specified in this Section.
(1) A licensee who commits a Type "AA" violation as defined in Section 1-128.5
 is automatically issued a conditional license for a period of 6 months
to coincide with an acceptable plan of correction and assessed a fine up to $25,000 per violation.
(1.5) A licensee who commits a Type "A" violation as defined in Section 1-129 is automatically issued a conditional license for a period of 6 months to coincide with an acceptable plan of correction and assessed a fine of up to $12,500 per violation.
(2) A licensee who commits a Type "B" violation as defined in Section 1-130 shall be assessed a fine of up to $1,100 per violation.
(2.5) A licensee who commits 10 or more Type "C" violations, as defined in Section 1-132, in a single survey shall be assessed a fine of up to $250 per violation. A licensee who commits one or more Type "C" violations with a high risk designation, as defined by rule, shall be assessed a fine of up to $500 per violation.
(3) A licensee who commits a Type "AA" or Type "A" violation as defined in Section 1-128.5 or
1-129 which continues beyond the time specified in paragraph (a) of Section
3-303 which is cited as a repeat violation shall have its license revoked
and shall be assessed a fine of 3 times the fine computed per resident per
day under subsection (1).
(4) A licensee who fails to satisfactorily comply with an accepted
plan of correction for a Type "B" violation or an administrative warning
issued pursuant to Sections 3-401 through 3-413 or the rules promulgated
thereunder shall be automatically issued a conditional license for a period
of not less than 6 months. A second or subsequent acceptable plan of
correction shall be filed. A fine shall be assessed in accordance with
subsection (2) when cited for the repeat violation. This fine shall be
computed for all days of the violation, including the duration of the first
plan of correction compliance time.
(5) For the purpose of computing a penalty under subsections (2) through
(4), the number of residents per day shall be based on the average number
of residents in the facility during the 30 days preceding the discovery
of the violation.
(6) When the Department finds that a provision of Article II has been
violated with regard to a particular resident, the Department shall issue
an order requiring the facility to reimburse the resident for injuries
incurred, or $100, whichever is greater. In the case of a violation
involving any action other than theft of money belonging to a resident,
reimbursement shall be ordered only if a provision of Article II has been
violated with regard to that or any other resident of the facility within
the 2 years immediately preceding the violation in question.
(7) For purposes of assessing fines under this Section, a repeat
violation shall be a violation which has been cited during one inspection
of the facility for which an accepted plan of correction was not complied
with or a new citation of the same rule if the licensee is not substantially addressing the issue routinely
throughout the facility.
(7.5) If an occurrence results in  more than one type of violation as defined in this Act (that is, a Type "AA", Type "A", Type "B", or Type "C" violation), the Department shall assess only one fine, which shall not exceed the maximum fine that may be assessed for the most serious type of violation charged. For purposes of the preceding sentence, a Type "AA" violation is the most serious type of violation that may be charged, followed by a Type "A", Type "B", or Type "C" violation, in that order.
(8) The minimum and maximum fines that may be assessed pursuant to this Section shall be twice those otherwise specified for any facility that willfully makes a misstatement of fact to the Department, or willfully fails to make a required notification to the Department, if that misstatement or failure delays the start of a surveyor or impedes a survey.
(9) High risk designation. If the Department finds that a facility has violated a provision of the Illinois Administrative Code  that has a high risk designation, or that a facility has violated the same provision of the Illinois Administrative  Code  3 or more times in the previous 12 months, the Department may assess a fine of up to 2 times the maximum fine otherwise  allowed.
(10) If a licensee has paid a civil monetary penalty imposed pursuant to the Medicare and Medicaid Certification Program for the equivalent federal violation  giving rise to a fine under this Section, the Department shall offset the fine by the amount of the civil monetary penalty.  The offset may not reduce the fine by more than 75% of the original fine, however.
(Source: P.A. 98-104, eff. 7-22-13.)
(210 ILCS 45/3-305.5)
Sec. 3-305.5. Violation of the Nurse Practice Act.  A facility that fails to submit any  required report under Section 80-10 of the Nurse Practice Act is subject to discipline under this Article.
(Source: P.A. 98-990, eff. 8-18-14.)
(210 ILCS 45/3-305.8)
Sec. 3-305.8. Database of nursing home quarterly reports and citations.
(a) The Department shall publish the quarterly reports of facilities in violation of this Act in an easily searchable, comprehensive, and downloadable electronic database on the Department's website in language that is easily understood. The database shall include quarterly reports of all facilities that have violated this Act starting from 2005 and shall continue indefinitely. The database shall be in an electronic format with active hyperlinks to individual facility citations. The database shall be updated quarterly and shall be electronically searchable using a facility's name and address and the facility owner's name and address.
(b) In lieu of the database under subsection (a), the Department may elect to publish the list mandated under Section 3-304 in an easily searchable, comprehensive, and downloadable electronic database on the Department's website in plain language.  The database shall include the information from all such lists since 2005 and shall continue indefinitely. The database shall be in an electronic format with active hyperlinks to individual facility citations. The database shall be updated quarterly and shall be electronically searchable using a facility's name and address and the facility owner's name and address.
(Source: P.A. 101-10, eff. 6-5-19.)
(210 ILCS 45/3-306) (from Ch. 111 1/2, par. 4153-306)
Sec. 3-306. 
In determining whether a penalty is to be imposed and in determining
the amount of the penalty to be imposed, if any, for a violation,
the Director shall consider the following factors:
(1) the gravity of the violation, including the     probability that death or serious physical or mental harm to a resident will result or has resulted; the severity of the actual or potential harm, and the extent to which the provisions of the applicable statutes or regulations were violated;
(2) the reasonable diligence exercised by the     licensee and efforts to correct violations;
(3) any previous violations committed by the     licensee; and
(4) the financial benefit to the facility of     committing or continuing the violation.
(Source: P.A. 100-201, eff. 8-18-17.)
(210 ILCS 45/3-307) (from Ch. 111 1/2, par. 4153-307)
Sec. 3-307. 
The Director may directly assess penalties provided for under
Section 3-305 of this Act.  If the Director determines that a penalty should
be assessed for a particular violation or for failure to correct it, he
shall send a notice to the facility.  The notice shall
specify the amount of the penalty assessed, the violation, and the statute or
rule alleged to have been violated, and shall inform the licensee of the
right to hearing under Section 3-703 of this Act. The notice must contain a detailed computation showing how the amount of the penalty was derived, including the number of days and the number of residents on which the penalty was based. If the violation is
continuing,
the notice shall specify the amount of additional assessment per day for
the continuing violation.
(Source: P.A. 96-729, eff. 8-25-09.)
(210 ILCS 45/3-308) (from Ch. 111 1/2, par. 4153-308)
Sec. 3-308. 
In the case of a Type "A" violation, a penalty may be assessed
from the date on which the violation is discovered. In the case of a Type
"B" or Type "C" violation or an administrative warning issued pursuant to
Sections 3-401 through 3-413 or the rules promulgated thereunder, the
facility shall submit a plan of correction as
provided in Section 3-303.
In the case of a Type "B" violation or an administrative warning issued
pursuant to Sections 3-401 through 3-413 or the rules promulgated
thereunder, a penalty shall be assessed on the
date of notice of the violation, but the Director may reduce the amount or
waive such payment for any of the following reasons:
(a) The facility submits a true report of correction     within 10 days;
(b) The facility submits a plan of correction within     10 days and subsequently submits a true report of correction within 15 days thereafter;
(c) The facility submits a plan of correction within     10 days which provides for a correction time that is less than or equal to 30 days and the Department approves such plan; or
(d) The facility submits a plan of correction for     violations involving substantial capital improvements which provides for correction within the initial 90 day limit provided under Section 3-303.
The Director or his or her designee may reallocate the amount of a penalty assessed pursuant to Section 3-305.  A facility shall submit to the Director a written request for a penalty reduction, in a form prescribed by the Department, which includes an accounting of all costs for goods and services purchased in correcting the violation. The amount by which a penalty is reduced may not be greater than the amount of the costs reported by the facility.  A facility that accepts a penalty reallocation under this Section waives its right to dispute a notice of violation and any remaining fine or penalty in an administrative hearing. The Director shall consider the following factors:
(1) The violation has not caused actual harm to a     resident.
(2) The facility has made a diligent effort to     correct the violation and to prevent its recurrence.
(3) The facility has no record of a pervasive pattern     of the same or similar violations.
(4) The facility did not benefit financially from     committing or continuing the violation.
At least annually, and upon request, the Department shall provide a list of all reallocations and the reasons for those reallocations.
If a plan of correction is approved and carried out for a Type "C"
violation, the fine provided under Section 3-305 shall be suspended for the
time period specified in the approved plan of correction.  If a plan of
correction is approved and carried out for a Type "B" violation or an
administrative warning issued pursuant to Sections 3-401 through 3-413 or
the rules promulgated thereunder, with respect to a violation that
continues after the date of notice of violation, the fine provided under
Section 3-305 shall be suspended for the time period specified in the
approved plan of correction.
If a good faith plan of correction is not received within the time
provided by Section 3-303, a penalty may be assessed from the date of the
notice of the Type "B" or "C" violation or an administrative warning
issued pursuant to Sections 3-401 through 3-413 or the rules promulgated
thereunder served under Section 3-301 until the date of the receipt of a
good faith plan of correction, or until the date the violation is
corrected, whichever is earlier. If a violation is not corrected within the
time specified by an approved plan of correction  or any lawful extension
thereof, a penalty may be assessed from the date of notice of the
violation, until the date the violation is corrected.
(Source: P.A. 96-758, eff. 8-25-09.)
(210 ILCS 45/3-308.5)
Sec. 3-308.5. Facilities operated by Department of Veterans' Affairs; penalty offset.
(a) In the case of a veterans home, institution, or other place operated by or under the authority of the Illinois Department of Veterans' Affairs, the amount of any penalty or fine shall be offset by the cost of the plan of correction, capital improvements, or physical plant repairs. For purposes of this Section only, "offset" means that the amount that the Illinois Department of Veterans' Affairs expends to pay for the cost of a plan of correction shall be deemed by the Illinois Department of Public Health to fully satisfy any monetary penalty or fine imposed by the Department of Public Health.  Once a fine or monetary penalty is offset pursuant to this Section, in no case may the Department of Public Health, with respect to the offense for which the fine or penalty was levied, continue to purport to impose a fine or monetary penalty upon the Department of Veterans' Affairs for that violation.
(b) The Director of Public Health shall issue a Declaration to the Director of Veterans' Affairs confirming the citation of each Type "A" violation and request that immediate action be taken to protect the health and safety of the veterans in the facility.
(Source: P.A. 96-703, eff. 8-25-09.)
(210 ILCS 45/3-309) (from Ch. 111 1/2, par. 4153-309)
Sec. 3-309. 
A facility may contest an assessment of a penalty by sending
a written request to the Department for hearing under Section 3-703.  Upon
receipt of the request the Department shall hold a hearing as provided under
Section 3-703. Instead of requesting a hearing pursuant to Section 3-703, a facility may, within 10 business days after receipt of the notice of violation and fine assessment, transmit to the Department  65% of the amount assessed for each violation specified in the penalty assessment.
(Source: P.A. 96-1372, eff. 7-29-10; 97-870, eff. 7-30-12.)
(210 ILCS 45/3-310) (from Ch. 111 1/2, par. 4153-310)
Sec. 3-310. 
All penalties shall be paid to the Department within 10 days
of receipt of notice of assessment or, if the penalty is contested under
Section 3-309, within 10 days of receipt of the final decision, unless the
decision is appealed and the order is stayed by court order under Section
3-713. A facility choosing to waive the right to a hearing under Section 3-309 shall submit a payment totaling 65% of the original fine amount along with the written waiver.  A penalty assessed under this Act shall be collected by the
Department and shall be deposited with the State Treasurer into the Long
Term Care Monitor/Receiver Fund. If the person or facility against whom a
penalty has been assessed does not comply with a written demand for payment
within 30 days, the Director shall issue an order to do any of the following:
(1) Direct the State Treasurer or Comptroller to     deduct the amount of the fine from amounts otherwise due from the State for the penalty and remit that amount to the Department;
(2) Add the amount of the penalty to the facility's     licensing fee; if the licensee refuses to make the payment at the time of application for renewal of its license, the license shall not be renewed; or
(3) Bring an action in circuit court to recover the     amount of the penalty.
With the approval of the federal centers for Medicaid and Medicare
services,
the Director of Public Health shall set aside 50% of the federal civil monetary
penalties collected each year to be used to
award
grants under the Equity in Long-term Care Quality
Act.
(Source: P.A. 99-933, eff. 1-27-17.)
(210 ILCS 45/3-311) (from Ch. 111 1/2, par. 4153-311)
Sec. 3-311. 
		
		In addition to the right to assess penalties under this Act,
the Director may issue a conditional license under Section 3-305 to any
facility if the Director finds that either a Type "A" or Type "B" violation
exists in such facility. The issuance of a conditional license shall revoke
any license held by the facility.
(Source: P.A. 85-1378.)
(210 ILCS 45/3-312) (from Ch. 111 1/2, par. 4153-312)
Sec. 3-312. 
		
		Prior to the issuance of a conditional license, the Department
shall review and approve a written plan of correction.  The Department shall
specify the violations which prevent full licensure and shall establish
a time schedule for correction of the deficiencies.  Retention of the license
shall be conditional on the timely correction of the deficiencies in
accordance with the plan of correction.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-313) (from Ch. 111 1/2, par. 4153-313)
Sec. 3-313. 
		
		Written notice of the decision to issue a conditional license
shall be sent to the applicant or licensee together with the
specification of all violations of this Act and the rules promulgated
thereunder which prevent full licensure and which form the basis for the
Department's decision to issue a conditional license and the
required plan of correction. The notice shall inform the applicant or
licensee of its right to a full hearing under Section 3-315 to contest the
issuance of the conditional license.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-315) (from Ch. 111 1/2, par. 4153-315)
Sec. 3-315. 
		
		If the applicant or licensee desires to contest the basis
for issuance of a conditional license, or the terms of the plan of
correction, the applicant or licensee shall send a written request for
hearing to the Department within 10 days after receipt by the applicant or
licensee of the Department's notice and decision to issue a conditional
license.  The Department shall hold the hearing as provided under Section 3-703.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-316) (from Ch. 111 1/2, par. 4153-316)
Sec. 3-316. 
		
		A conditional license shall be issued for a period specified
by the Department, but in no event for more than one year.  The Department
shall periodically inspect any facility operating under a conditional license.
If the Department finds substantial failure by the facility to timely
correct the violations which prevented full licensure and formed the basis
for the Department's decision to issue a conditional license in accordance
with the required plan of correction, the conditional license may be revoked
as provided under Section 3-119.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-318) (from Ch. 111 1/2, par. 4153-318)
Sec. 3-318. (a) No person shall:
(1) Intentionally fail to correct or interfere with     the correction of a Type "AA", Type "A", or Type "B" violation within the time specified on the notice or approved plan of correction under this Act as the maximum period given for correction, unless an extension is granted and the corrections are made before expiration of extension;
(2) Intentionally prevent, interfere with, or attempt     to impede in any way any duly authorized investigation and enforcement of this Act;
(3) Intentionally prevent or attempt to prevent any     examination of any relevant books or records pertinent to investigations and enforcement of this Act;
(4) Intentionally prevent or interfere with the     preservation of evidence pertaining to any violation of this Act or the rules promulgated under this Act;
(5) Intentionally retaliate or discriminate against     any resident or employee for contacting or providing information to any state official, or for initiating, participating in, or testifying in an action for any remedy authorized under this Act;
(6) Wilfully file any false, incomplete or     intentionally misleading information required to be filed under this Act, or wilfully fail or refuse to file any required information;
(7) Open or operate a facility without a license;
(8) Intentionally retaliate or discriminate against     any resident for consenting to authorized electronic monitoring under the Authorized Electronic Monitoring in Long-Term Care Facilities Act; or
(9) Prevent the installation or use of an electronic     monitoring device by a resident who has provided the facility with notice and consent as required in Section 20 of the Authorized Electronic Monitoring in Long-Term Care Facilities Act.
(b) A violation of this Section is a business offense, punishable by a
fine not to exceed $10,000, except as otherwise provided in subsection (2)
of Section 3-103 as to submission of false or misleading information in
a license application.
(c) The State's Attorney of the county in which the  facility is
located, or the Attorney General, shall be notified by the Director
of any violations of this Section.
(Source: P.A. 99-430, eff. 1-1-16.)
(210 ILCS 45/3-320) (from Ch. 111 1/2, par. 4153-320)
Sec. 3-320. 
		
		All final administrative decisions of the Department under
this Act are subject to judicial review under the Administrative Review
Law, as now or hereafter amended, and the rules adopted pursuant thereto.
The term "administrative decision" is defined as in Section 3-101 of the
Code of Civil Procedure.
(Source: P.A. 83-1530.)
(210 ILCS 45/Art. III Pt. 4 heading)
PART 4.  
		DISCHARGE AND TRANSFER
(210 ILCS 45/3-401) (from Ch. 111 1/2, par. 4153-401)
Sec. 3-401. 
		
		A facility may involuntarily transfer or discharge a resident
only for one or more of the following reasons:
(a) for medical reasons;
(b) for the resident's physical safety;
(c) for the physical safety of other residents, the     facility staff or facility visitors; or
(d) for either late payment or nonpayment for the     resident's stay, except as prohibited by Titles XVIII and XIX of the federal Social Security Act.  For purposes of this Section, "late payment" means non-receipt of payment after submission of a bill.  If payment is not received within 45 days after submission of a bill, a facility may send a notice to the resident and responsible party requesting payment within 30 days.  If payment is not received within such 30 days, the facility may thereupon institute transfer or discharge proceedings by sending a notice of transfer or discharge to the resident and responsible party by registered or certified mail.  The notice shall state, in addition to the requirements of Section 3-403 of this Act, that the responsible party has the right to pay the amount of the bill in full up to the date the transfer or discharge is to be made and then the resident shall have the right to remain in the facility.  Such payment shall terminate the transfer or discharge proceedings.  This subsection does not apply to those residents whose care is provided for under the Illinois Public Aid Code. The Department shall adopt rules setting forth the criteria and procedures to be applied in cases of involuntary transfer or discharge permitted under this Section.
(Source: P.A. 91-357, eff. 7-29-99.)
(210 ILCS 45/3-401.1) (from Ch. 111 1/2, par. 4153-401.1)
Sec. 3-401.1. (a) A facility participating in the Medical Assistance
Program is prohibited from failing or refusing to retain as a resident any
person because he or she is a recipient of or an applicant for the Medical
Assistance Program.
(a-5) After the effective date of this amendatory Act of 1997, a facility
of which only a distinct part is certified to participate in the Medical
Assistance Program may refuse to retain as a resident any person who resides in
a part of the facility that does not participate in the Medical Assistance
Program and who is unable to pay for his or her care in the facility without
Medical Assistance only if:
(1) the facility, no later than at the time of     admission and at the time of the resident's contract renewal, explains to the resident (unless he or she is incompetent), and to the resident's representative, and to the person making payment on behalf of the resident for the resident's stay, in writing, that the facility may discharge the resident if the resident is no longer able to pay for his or her care in the facility without Medical Assistance;
(2) the resident (unless he or she is incompetent),     the resident's representative, and the person making payment on behalf of the resident for the resident's stay, acknowledge in writing that they have received the written explanation.
(a-10) For the purposes of this Section, a recipient or
applicant shall be considered a resident in the facility during any
hospital stay totaling 10 days or less following a hospital admission.
The Department of Healthcare and Family Services shall recoup funds from a facility
when, as a result of the facility's refusal to readmit a recipient after
hospitalization for 10 days or less, the recipient incurs hospital bills in
an amount greater than the amount that would have been paid by that
Department (formerly the Illinois Department of Public Aid) for care of the recipient in the facility. The amount of the
recoupment shall be the difference between the Department of Healthcare and Family Services' (formerly the Illinois Department of
Public Aid's) payment for hospital care and the amount that Department
would have paid for care in the facility.
(b) A facility which violates this Section shall be guilty of a business
offense and fined not less than $500 nor more than $1,000 for the first
offense and not less than $1,000 nor more than $5,000 for each subsequent
offense.
(Source: P.A. 95-331, eff. 8-21-07.)
(210 ILCS 45/3-402) (from Ch. 111 1/2, par. 4153-402)
Sec. 3-402. Involuntary transfer or discharge of a resident from a facility
shall be preceded by the discussion required under Section 3-408 and by
a minimum written notice
of 21 days, except in one of the following instances:
(a) When an emergency transfer or discharge is ordered
by the resident's attending physician because of the resident's health
care needs. The State Long Term Care Ombudsman shall be notified at the time of the  emergency transfer or discharge.
(b) When the transfer or discharge is mandated by the physical safety of
other residents, the facility staff, or facility visitors, as
documented in the clinical record.
The Department and the State Long Term Care Ombudsman shall be notified prior to any such involuntary transfer
or discharge.  The Department shall immediately offer transfer, or discharge
and relocation assistance to residents transferred or discharged under this
subparagraph (b), and the Department may place relocation teams as
provided in Section 3-419 of this Act.
(c) When an identified offender is within the provisional admission period defined in Section 1-120.3. If the Identified Offender  Report and Recommendation  prepared under Section 2-201.6 shows that the identified offender poses a serious threat or danger to the physical safety of other residents, the facility staff, or facility visitors  in the admitting facility and the facility determines that it is unable to provide a safe environment for the other residents, the facility staff, or facility visitors,  the facility shall transfer or discharge the identified offender within 3 days  after  its receipt of  the Identified Offender  Report and Recommendation.
(Source: P.A. 103-320, eff. 1-1-24.)
(210 ILCS 45/3-403) (from Ch. 111 1/2, par. 4153-403)
Sec. 3-403. 
The notice required by Section 3-402 shall be on a form
prescribed by the Department and shall contain all of the following:
(a) The stated reason for the proposed transfer or discharge;
(b) The effective date of the proposed transfer or discharge;
(c) A statement in not less than 12-point type, which reads: "You
have a right to appeal the facility's decision to transfer or discharge
you.  If you think you should not have to leave this facility, you may
file a request for a hearing with the Department of Public Health within
10 days after receiving this notice.  If you request a hearing, it will
be held not later than 10 days after your request, and you generally will
not be transferred or discharged during that time.  If the decision
following the hearing is not in your favor, you generally will not be
transferred or discharged prior to the expiration of 30 days following
receipt of the original notice of the transfer or discharge.  A form to
appeal the facility's decision and to request a hearing is attached.  If
you have any questions, call the Department of Public Health or the State Long Term Care Ombudsman at the
telephone numbers listed below.";
(d) A hearing request form, together with a postage paid,
preaddressed envelope to the Department; and
(e) The name, address, and telephone number of the person charged
with the responsibility of supervising the transfer or discharge.
(Source: P.A. 103-320, eff. 1-1-24.)
(210 ILCS 45/3-404) (from Ch. 111 1/2, par. 4153-404)
Sec. 3-404. 
		
		A request for a hearing made under Section 3-403 shall stay
a transfer pending a hearing or appeal of the decision, unless a condition
which would have allowed transfer or discharge in less than 21 days as described
under paragraphs (a) and (b) of Section 3-402 develops in the interim.
(Source: P.A. 81-223.)
(210 ILCS 45/3-405) (from Ch. 111 1/2, par. 4153-405)
Sec. 3-405. A copy of the notice required by Section 3-402 shall be placed
in the resident's clinical record and a copy shall be transmitted to the
Department, the State Long Term Care Ombudsman, the resident, and the resident's representative.
(Source: P.A. 103-320, eff. 1-1-24.)
(210 ILCS 45/3-406) (from Ch. 111 1/2, par. 4153-406)
Sec. 3-406. When the basis for an involuntary transfer or discharge is
the result of an action by the Department of Healthcare and Family Services (formerly Department of Public Aid) with
respect to a recipient of Title XIX and a hearing request is filed with
the Department of Healthcare and Family Services (formerly Department of Public Aid), the 21-day written notice period shall not
begin until a final decision in the matter is rendered by the Department of Healthcare and Family Services (formerly Department
of Public Aid) or a court of competent jurisdiction and notice of that final
decision is received by the resident and the facility.
(Source: P.A. 95-331, eff. 8-21-07.)
(210 ILCS 45/3-407) (from Ch. 111 1/2, par. 4153-407)
Sec. 3-407. 
		
		When nonpayment is the basis for involuntary transfer or discharge,
the resident shall have the right to redeem up to the date that the discharge
or transfer is to be made and then shall have the right to
remain in the facility.
(Source: P.A. 81-223.)
(210 ILCS 45/3-408) (from Ch. 111 1/2, par. 4153-408)
Sec. 3-408. 
		
		The planned involuntary transfer or discharge shall be discussed
with the resident, the resident's representative and person or agency responsible
for the resident's placement, maintenance, and care in the facility.  The
explanation and discussion of the reasons for involuntary
transfer or discharge shall include the facility administrator or other
appropriate facility representative as the administrator's designee.  The
content of the discussion and explanation shall be summarized in writing
and shall include the names of the individuals
involved in the discussions and made a part of the resident's clinical record.
(Source: P.A. 81-223.)
(210 ILCS 45/3-409) (from Ch. 111 1/2, par. 4153-409)
Sec. 3-409. 
		
		The facility shall offer the resident counseling services
before the transfer or discharge of the resident.
(Source: P.A. 81-223.)
(210 ILCS 45/3-410) (from Ch. 111 1/2, par. 4153-410)
Sec. 3-410. 
		
		A resident subject to involuntary transfer or discharge from
a facility, the resident's guardian or if the resident is a minor, his parent
shall have the opportunity to file a request for a hearing with the Department
within 10 days following receipt of the written notice
of the involuntary transfer or discharge by the facility.
(Source: P.A. 81-223.)
(210 ILCS 45/3-411) (from Ch. 111 1/2, par. 4153-411)
Sec. 3-411. The Department of Public Health, when the basis for
involuntary transfer or discharge is other than action by the Department of Healthcare and Family Services (formerly
						Department
of Public Aid) with respect to the Title XIX Medicaid recipient, shall
hold a hearing at the resident's facility not later than 10 days after a
hearing request is filed, and render a decision within 14 days after the
filing of the hearing request.
(Source: P.A. 95-331, eff. 8-21-07.)
(210 ILCS 45/3-412) (from Ch. 111 1/2, par. 4153-412)
Sec. 3-412. 
		
		The hearing before the Department provided under Section 3-411
shall be conducted as prescribed under Section 3-703. In determining whether
a transfer or discharge is authorized, the burden of proof in this hearing
rests on the person requesting the transfer or discharge.
(Source: P.A. 81-223.)
(210 ILCS 45/3-413) (from Ch. 111 1/2, par. 4153-413)
Sec. 3-413. 
		
		If the Department determines that a transfer or discharge
is authorized under Section 3-401, the resident shall not be required to
leave the facility before the 34th day following receipt of the notice required
under Section 3-402, or the 10th day following receipt of the Department's
decision, whichever is later, unless a condition which would have allowed
transfer or discharge in less than 21 days as described under paragraphs
(a) and (b) of Section 3-402 develops in the interim.
(Source: P.A. 81-223.)
(210 ILCS 45/3-414) (from Ch. 111 1/2, par. 4153-414)
Sec. 3-414. The Department of Healthcare and Family Services shall continue Title XIX Medicaid
funding during the appeal, transfer, or discharge period for those residents
who are Title XIX recipients affected by Section 3-401.
(Source: P.A. 95-331, eff. 8-21-07.)
(210 ILCS 45/3-415) (from Ch. 111 1/2, par. 4153-415)
Sec. 3-415. 
		
		The Department may transfer or discharge any resident from
any facility required to be licensed under this Act when any of the following
conditions exist:
(a) Such facility is operating without a license;
(b) The Department has suspended, revoked or refused to renew the license
of the facility as provided under Section 3-119;
(c) The facility has requested the aid of the Department in the transfer
or discharge of the resident and the Department finds that the resident
consents to transfer or discharge;
(d) The facility is closing or intends to close and adequate arrangement
for relocation of the resident has not been made at least 30 days prior to closure; or
(e) The Department determines that an emergency exists which requires
immediate transfer or discharge of the resident.
(Source: P.A. 81-223.)
(210 ILCS 45/3-416) (from Ch. 111 1/2, par. 4153-416)
Sec. 3-416. 
		
		In deciding to transfer or discharge a resident from a facility
under Section 3-415, the Department shall consider the likelihood
of serious harm which may result if the resident remains in the facility.
(Source: P.A. 81-223.)
(210 ILCS 45/3-417) (from Ch. 111 1/2, par. 4153-417)
Sec. 3-417. Transfer or discharge; alternative placements. The Department shall offer transfer or discharge and relocation
assistance to residents transferred or discharged under Sections 3-401 through
3-415, including information on available alternative placements.  Residents
shall be involved in planning the transfer or discharge and shall choose
among the available alternative placements, except that where an emergency
makes prior resident involvement impossible the Department may make a temporary
placement until a final placement can be arranged.  Residents may choose
their final alternative placement and shall be given assistance in transferring
to such place.  No resident may be forced to remain in a temporary or permanent
placement.  Where the Department makes or participates
in making the relocation decision, consideration shall be given to proximity
to the resident's relatives and friends. The resident shall be allowed 3
visits to potential alternative placements prior to removal, except where
medically contraindicated or where the need for immediate transfer or discharge
requires reduction in the number of visits.
When the Department provides information on available alternative placements in community-based settings for individuals being discharged or transferred from facilities licensed under this Act, the information must include a comprehensive list of a range of appropriate, client-oriented services and the name of and contact information for the ADA coordinator in the relocation locale. The comprehensive list must include the name and contact information for each agency or organization providing those services and a summary of the services provided by each agency or organization. A hotline or similar crisis telephone number must also be provided to individuals relocating into the community.
(Source: P.A. 96-477, eff. 8-14-09.)
(210 ILCS 45/3-418) (from Ch. 111 1/2, par. 4153-418)
Sec. 3-418. 
		
		The Department shall prepare resident transfer or discharge
plans to assure safe and orderly removals and protect residents' health,
safety, welfare and rights.  In nonemergencies, and where possible in emergencies,
the Department shall design and implement such plans in advance of transfer
or discharge.
(Source: P.A. 81-223.)
(210 ILCS 45/3-419) (from Ch. 111 1/2, par. 4153-419)
Sec. 3-419. 
		
		The Department may place relocation teams in any facility from
which residents are being discharged or transferred for any reason, for
the purpose of implementing transfer or discharge plans.
(Source: P.A. 81-223.)
(210 ILCS 45/3-420) (from Ch. 111 1/2, par. 4153-420)
Sec. 3-420. 
		
		In any transfer or discharge conducted under Sections 3-415
through 3-418 the Department shall:
(a) Provide written notice to the facility prior to the transfer or
discharge. The notice shall state the basis for the order of transfer or
discharge and shall inform the facility of its right to an informal conference
prior to transfer or discharge under this Section, and its right to a
subsequent hearing under Section 3-422.  If a facility desires to contest a
nonemergency transfer or discharge, prior to transfer or discharge it shall,
within 4 working days after receipt of the notice, send a written request for
an informal conference to the Department.  The Department shall, within 4
working days from the receipt of the request, hold an informal conference in
the county in which the facility is located.  Following this conference,
the Department may affirm, modify or overrule its previous decision. Except
in an emergency, transfer or discharge may not begin until the period for
requesting a conference has passed or, if a conference is requested, until
after a conference has been held; and
(b) Provide written notice to any resident to be removed, to the resident's
representative, if any, and to a member of the resident's family, where
practicable, prior to the removal.  The notice shall state the reason for
which transfer or discharge is ordered and shall inform the resident of
the resident's right to challenge the transfer or discharge under Section
3-422.  The Department shall hold an informal conference with the resident
or the resident's representative prior to transfer or discharge at which
the resident or the representative may present any objections to the proposed
transfer or discharge plan or alternative placement.
(Source: P.A. 81-223.)
(210 ILCS 45/3-421) (from Ch. 111 1/2, par. 4153-421)
Sec. 3-421. In any transfer or discharge conducted under subsection (e)
of Section 3-415, the Department shall notify the facility and any resident
to be removed that an emergency has been found to exist and removal
has been ordered, and shall involve the residents in removal planning if
possible. With the consent of the resident or his or her representative, the facility must inform the resident's designated case coordination unit, as defined in 89 Ill. Adm. Code 240.260, of the resident's pending discharge and must provide the resident or his or her representative with the case coordination unit's telephone number and other contact information. Following emergency removal, the Department shall provide written
notice to the facility, to the resident, to the resident's representative,
if any, and to a member of the resident's family, where practicable, of
the basis for the finding that an emergency existed and of the right to
challenge removal under Section 3-422.
(Source: P.A. 94-767, eff. 5-12-06.)
(210 ILCS 45/3-422) (from Ch. 111 1/2, par. 4153-422)
Sec. 3-422. 
		
		Within 10 days following transfer or discharge, the facility
or any resident transferred or discharged may send a written request to
the Department for a hearing under Section 3-703 to challenge the transfer
or discharge. The Department shall hold the hearing within 30 days of receipt
of the request. The hearing shall be held at the facility from which the
resident is being transferred or discharged, unless the resident or
resident's representative, requests an alternative hearing site.  If the
facility prevails, it may file a claim against the State under the "Court
of Claims Act" for payments lost less expenses saved as a result of the
transfer or discharge. No resident transferred or discharged may be held
liable for the charge for care which would have been made had the resident
remained in the facility. If a resident prevails,
the resident may file a claim against the State under the "Court of Claims
Act" for any excess expenses directly caused by the order to transfer or
discharge.  The Department shall assist the resident in returning to the
facility if assistance is requested.
(Source: P.A. 85-1378.)
(210 ILCS 45/3-423) (from Ch. 111 1/2, par. 4153-423)
Sec. 3-423. 
The administrator of a facility licensed under this Act shall give 60
 days notice prior to voluntarily closing a facility or closing any part
of a facility, or prior to closing any part of a facility if closing such
part will require the transfer or discharge of more than 10% of the residents.
Such notice shall be given to the Department, to the Office of State Long Term Care Ombudsman, to any resident who must be
transferred or discharged, to the resident's representative, and to a member
of the resident's family, where practicable. If the Department suspends, revokes, or denies renewal of the facility's license, then notice shall be given no later than the date specified by the Department. Notice shall state the proposed
date of closing and the reason for closing. The facility shall submit a closure plan to the Department for approval which shall address the process for the safe and orderly transfer of residents. The approved plan shall be included in the notice.
The facility shall offer to assist the resident in securing an alternative
placement and shall advise the resident on available alternatives. Where
the resident is unable to choose an alternate placement and is not under
guardianship, the Department shall be notified of the need for relocation
assistance. A facility closing in its entirety shall not admit any new residents on or after the date written notice is submitted to the Department under this Section. The facility shall comply with all applicable laws and regulations until
the date of closing, including those related to transfer or discharge of
residents. The Department may place a relocation team in the facility as
provided under Section 3-419.
(Source: P.A. 98-834, eff. 8-1-14.)
(210 ILCS 45/Art. III Pt. 5 heading)
PART 5.  
		MONITORS AND RECEIVERSHIP
(210 ILCS 45/3-501) (from Ch. 111 1/2, par. 4153-501)
Sec. 3-501. The Department may place an employee or agent to serve as a
monitor in a facility or may petition the circuit court for appointment of a
receiver for a facility, or both, when any of the following conditions exist:
(a) The facility is operating without a license;
(b) The Department has suspended, revoked or refused     to renew the existing license of the facility;
(c) The facility is closing or has informed the     Department that it intends to close and adequate arrangements for relocation of residents have not been made at least 30 days prior to closure;
(d) The Department determines that an emergency     exists, whether or not it has initiated revocation or nonrenewal procedures, if because of the unwillingness or inability of the licensee to remedy the emergency the Department believes a monitor or receiver is necessary;
(e) The Department is notified that the facility is     terminated or will not be renewed for participation in the federal reimbursement program under either Title XVIII or Title XIX of the Social Security Act; or
(f)  The facility has been designated a distressed     facility by the Department and does not have a consultant employed pursuant to subsection (f) of  Section 3-304.2 and an acceptable plan of improvement, or the Department has reason to believe the facility is not complying with the plan of improvement.  Nothing in this paragraph (f)  shall preclude the Department from placing a monitor in a facility if otherwise justified by law.
As used in subsection (d) and Section 3-503, "emergency" means a threat
to the health, safety or welfare of a resident that the facility is
unwilling or unable to correct.
(Source: P.A. 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-502) (from Ch. 111 1/2, par. 4153-502)
Sec. 3-502. 
		
		In any situation described in Section 3-501, the Department
may place a qualified person to act as monitor in the facility. The monitor
shall observe operation of the facility, assist the facility by advising
it on how to comply with the State regulations, and shall report periodically
to the Department on the operation of the facility.
(Source: P.A. 81-223.)
(210 ILCS 45/3-503) (from Ch. 111 1/2, par. 4153-503)
Sec. 3-503. 
		
		Where a resident, a resident's representative or a resident's
next of kin believes that an emergency exists each of them, collectively
or separately, may file a verified petition to the circuit court for the
county in which the facility is located for an order placing the facility
under the control of a receiver.
(Source: P.A. 81-223.)
(210 ILCS 45/3-504) (from Ch. 111 1/2, par. 4153-504)
Sec. 3-504. The court shall hold a hearing within 5 days of the filing
of the petition. The petition and notice of the hearing shall be served
on the owner, administrator or designated agent of the facility as provided
under the Civil Practice Law, or the petition and notice of
hearing shall be posted in a conspicuous place in the facility not later
than 3 days before the time specified for the hearing, unless a different
period is fixed by order of the court. The court shall appoint a receiver
 if it finds that:
(a) The facility is operating without a license;
(b) The Department has suspended, revoked or refused     to renew the existing license of a facility;
(c) The facility is closing or has informed the     Department that it intends to close and adequate arrangements for relocation of residents have not been made at least 30 days prior to closure; or
(d) An emergency exists, whether or not the     Department has initiated revocation or nonrenewal procedures, if because of the unwillingness or inability of the licensee to remedy the emergency the appointment of a receiver is necessary.(Source: P.A. 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-505) (from Ch. 111 1/2, par. 4153-505)
Sec. 3-505. 
		
		If a petition filed under Section 3-503 alleges that the conditions
set out in subsection 3-504 (d) exist within a facility, the court may set
the matter for hearing at the earliest possible time. The petitioner shall
notify the licensee, administrator of the facility, or registered agent
of the licensee prior to the hearing. Any form of written notice may be
used. A receivership shall not be established ex parte unless the court
determines that the conditions set out in subsection 3-504 (d) exist in
a facility; that the licensee cannot be found; and that the petitioner has
exhausted all reasonable means of
locating and notifying the licensee, administrator or registered agent.
(Source: P.A. 81-223.)
(210 ILCS 45/3-506) (from Ch. 111 1/2, par. 4153-506)
Sec. 3-506. 
		
		The court may appoint any qualified person as a receiver, except
it shall not appoint any owner or affiliate of the facility which is in
receivership as its receiver.  The Department shall maintain a list of such
persons to operate facilities which the court may consider. The court shall
give preference to licensed nursing home administrators in appointing a receiver.
(Source: P.A. 81-1349.)
(210 ILCS 45/3-507) (from Ch. 111 1/2, par. 4153-507)
Sec. 3-507. 
		
		The receiver shall make provisions for the continued health,
safety and welfare of all residents of the facility.
(Source: P.A. 81-223.)
(210 ILCS 45/3-508) (from Ch. 111 1/2, par. 4153-508)
Sec. 3-508. A receiver appointed under this Act:
(a) Shall exercise those powers and shall perform     those duties set out by the court.
(b) Shall operate the facility in such a manner as to     assure safety and adequate health care for the residents.
(c) Shall have the same rights to possession of the     building in which the facility is located and of all goods and fixtures in the building at the time the petition for receivership is filed as the owner would have had if the receiver had not been appointed, and of all assets of the facility. The receiver shall take such action as is reasonably necessary to protect or conserve the assets or property of which the receiver takes possession, or the proceeds from any transfer thereof, and may use them only in the performance of the powers and duties set forth in this Section and by order of the court.
(d) May use the building, fixtures, furnishings and     any accompanying consumable goods in the provision of care and services to residents and to any other persons receiving services from the facility at the time the petition for receivership was filed. The receiver shall collect payments for all goods and services provided to residents or others during the period of the receivership at the same rate of payment charged by the owners at the time the petition for receivership was filed.
(e) May correct or eliminate any deficiency in the     structure or furnishings of the facility which endangers the safety or health of residents while they remain in the facility, provided the total cost of correction does not exceed   $3,000.  The court may order expenditures for this purpose in excess of $3,000 on application from the receiver after notice to the owner and hearing.
(f) May let contracts and hire agents and employees     to carry out the powers and duties of the receiver under this Section.
(g) Except as specified in Section 3-510, shall honor     all leases, mortgages and secured transactions governing the building in which the facility is located and all goods and fixtures in the building of which the receiver has taken possession, but only to the extent of payments which, in the case of a rental agreement, are for the use of the property during the period of the receivership, or which, in the case of a purchase agreement, come due during the period of the receivership.
(h) Shall have full power to direct and manage and to     discharge employees of the facility, subject to any contract rights they may have.  The receiver shall pay employees at the same rate of compensation, including benefits, that the employees would have received from the owner. Receivership does not relieve the owner of any obligation to   employees not carried out by the receiver.
(i) Shall, if any resident is transferred or     discharged, follow the procedures set forth in Part 4 of this Article.
(j) Shall be entitled to and shall take possession of     all property or assets of residents which are in the possession of a facility or its owner.  The receiver shall preserve all property, assets and records of residents of which the receiver takes possession and shall provide for the prompt transfer of the property, assets and records to the new placement of any transferred resident.
(k) Shall report to the court on any actions he has     taken to bring the facility into compliance with this Act or with Title XVIII or XIX of the Social Security Act that he believes should be continued when the receivership is terminated in order to protect the health, safety or welfare of the residents.
(Source: P.A. 95-331, eff. 8-21-07.)
(210 ILCS 45/3-509) (from Ch. 111 1/2, par. 4153-509)
Sec. 3-509. 
		
		(a) A person who is served with notice of an order of the
court appointing a receiver and of the receiver's name and address shall
be liable to pay the receiver for any goods or services provided by the
receiver after the date of the order if the person would have been liable
for the goods or services as supplied by the owner.  The receiver shall
give a receipt for each payment and shall keep a copy of each receipt on
file.  The receiver shall deposit amounts received in a separate account
and shall use this account for all disbursements.
(b) The receiver may bring an action to enforce the liability created
by subsection (a) of this Section.
(c) A payment to the receiver of any sum owing to the facility or its
owner shall discharge any obligation to the facility to the extent of the payment.
(Source: P.A. 81-223.)
(210 ILCS 45/3-510) (from Ch. 111 1/2, par. 4153-510)
Sec. 3-510. 
		
		(a) A receiver may petition the court that he not be required
to honor any lease, mortgage, secured transaction or other wholly or partially
executory contract entered into by the owner of the facility if the rent,
price or rate of interest required to be paid under the agreement was substantially
in excess of a reasonable rent, price or rate of interest at the time the
contract was entered into, or if any material provision of the agreement
was unreasonable.
(b) If the receiver is in possession of real estate or goods subject to
a lease, mortgage or security interest which the receiver has obtained a
court order to avoid under subsection (a) of this Section, and if the real
estate or goods are necessary for the continued operation of the facility
under this Section, the receiver may apply to the court to set a reasonable
rental, price or
rate of interest to be paid by the receiver during the duration of the receivership.
The court shall hold a hearing on the application within 15 days.  The receiver
shall send notice of the application to any known persons who own the property
involved at least 10 days prior to the hearing.  Payment by the receiver
of the amount determined by the court to be reasonable is a defense to any
action against the receiver for payment or for possession of the goods or
real estate subject to the lease, security interest or mortgage involved
by any person who received such notice, but the payment does not relieve
the owner of the facility of any liability for the difference between the
amount paid by the receiver and the amount due under the original lease,
security interest or mortgage involved.
(Source: P.A. 81-223.)
(210 ILCS 45/3-511) (from Ch. 111 1/2, par. 4153-511)
Sec. 3-511. 
If funds collected under Sections 3-508 and 3-509 are
insufficient to meet the expenses of performing the powers and duties
conferred on the receiver or the monitor, or if there are insufficient funds on hand to
meet those expenses, the Department may reimburse the receiver or the monitor for those
expenses from funds appropriated for its ordinary and contingent expenses
by the General Assembly after funds contained in the Long Term Care
Monitor/Receiver Fund, not allocated for the costs associated with hiring and maintaining of surveyors, have  been exhausted.
(Source: P.A. 98-765, eff. 7-16-14.)
(210 ILCS 45/3-512) (from Ch. 111 1/2, par. 4153-512)
Sec. 3-512. 
		
		The court shall set the compensation of the receiver, which
will be considered a necessary expense of a receivership under Section 3-516.
(Source: P.A. 81-223.)
(210 ILCS 45/3-513) (from Ch. 111 1/2, par. 4153-513)
Sec. 3-513. 
		
		(a) In any action or special proceeding brought against a receiver
in the receiver's official capacity for acts committed while carrying out
powers and duties under this Article, the receiver shall be considered a
public employee under the "Local Governmental and Governmental Employees
Tort Immunity Act", as now or hereafter amended.
(b) A receiver may be held liable in a personal capacity only for the
receiver's own gross negligence, intentional acts or breach of fiduciary duty.
(c) The court may require a receiver to post a bond.
(Source: P.A. 81-223.)
(210 ILCS 45/3-514) (from Ch. 111 1/2, par. 4153-514)
Sec. 3-514. 
		
		Other provisions of this Act notwithstanding, the Department
may issue a license to a facility placed in receivership.  The duration
of a license issued under this Section is limited to the duration of the receivership.
(Source: P.A. 81-223.)
(210 ILCS 45/3-515) (from Ch. 111 1/2, par. 4153-515)
Sec. 3-515. 
		The court may terminate a receivership:
(a) If the time period specified in the order     appointing the receiver elapses and is not extended;
(b) If the court determines that the receivership is     no longer necessary because the conditions which gave rise to the receivership no longer exist; or the Department grants the facility a new license, whether the structure of the facility, the right to operate the facility, or the land on which it is located is under the same or different ownership; or
(c) If all of the residents in the facility have been     transferred or discharged.
Before terminating a receivership, the court may order the Department
to require any licensee to comply with the recommendations of the receiver
made under subsection (k) of Section 3-508.  A licensee may petition the
court to be relieved of this requirement.
(Source: P.A. 87-549.)
(210 ILCS 45/3-516) (from Ch. 111 1/2, par. 4153-516)
Sec. 3-516. 
		
		(a) Within 30 days after termination, the receiver shall give
the court a complete accounting of all property of which the receiver has
taken possession, of all funds collected, and of the expenses of the receivership.
(b) If the operating funds collected by the receiver under Sections 3-508
and 3-509 exceed the reasonable expenses of the receivership, the court
shall order payment of the surplus to the owner, after reimbursement of
funds drawn from the contingency fund under Section 3-511.  If the operating
funds are insufficient to cover the reasonable expenses of the receivership,
the owner shall be liable for the deficiency.  Payment recovered from the
owner shall be used to reimburse the contingency fund for amounts drawn
by the receiver under Section 3-511.
(c) The Department shall have a lien for any payment made under Section
3-511 upon any beneficial interest, direct or indirect, of any owner in
the following property:
(1) The building in which the facility is located;
(2) Any fixtures, equipment or goods used in the operation of the facility;
(3) The land on which the facility is located; or
(4) The proceeds from any conveyance of property described in subparagraphs
 (1), (2) or (3) above, made by the owner within
one year prior to the filing of the petition for receivership.
(d) The lien provided by this Section is prior to any lien or other interest
which originates subsequent to the filing of a petition for receivership
under this Article, except for a construction or mechanic's lien arising
out of work performed with the express consent of the receiver.
(e) The receiver shall, within 60 days after termination of the receivership,
file a notice of any lien created under this Section.  If the lien is on
real property, the notice shall be filed with the recorder.  If the lien
is on personal property, the lien shall be filed with
the Secretary of State.  The notice shall specify the name of the person
against whom the lien is claimed, the name of the receiver, the dates of
the petition for receivership and the termination of receivership, a description of the
property involved and the amount claimed.  No lien shall exist under this
Article against any person, on any property, or for any amount not specified
in the notice filed under this subsection (e).
(Source: P.A. 83-358.)
(210 ILCS 45/3-517) (from Ch. 111 1/2, par. 4153-517)
Sec. 3-517. 
		
		Nothing in this Act shall be deemed to relieve any owner,
administrator or employee of a facility placed in receivership of any civil
or criminal liability incurred, or any duty imposed by law, by reason of
acts or omissions of the owner, administrator, or employee prior to the
appointment of a receiver; nor shall anything contained in this Act be construed
to suspend during the receivership any obligation of the owner, administrator,
or employee for payment of taxes or other operating and maintenance expenses
of the facility nor of the owner, administrator, employee or any other person
for the payment of mortgages or liens. The owner shall retain the right
to sell or mortgage any facility under receivership, subject to approval
of the court which ordered the receivership.
(Source: P.A. 81-223.)
(210 ILCS 45/3-518)
Sec. 3-518. Fines. Beginning January 15, 2014, and each January 15 thereafter, the Department shall submit to the General Assembly, the Department's Long-Term Care Facility Advisory Board, and the State Ombudsman an accounting of all federal and State fines received by the Department in the preceding fiscal year by the fund in which they have been deposited.  For each fund, the report shall show the source of all moneys that are deposited into each fund and the purpose and amount of all expenditures from each fund.
(Source: P.A. 98-85, eff. 7-15-13.)
(210 ILCS 45/Art. III Pt. 6 heading)
PART 6.  
		DUTIES
(210 ILCS 45/3-601) (from Ch. 111 1/2, par. 4153-601)
Sec. 3-601. 
		
		The owner and licensee are liable to a resident for any intentional
or negligent act or omission of their agents or employees which injures the resident.
(Source: P.A. 81-223.)
(210 ILCS 45/3-602) (from Ch. 111 1/2, par. 4153-602)
Sec. 3-602. 
		
		The licensee shall pay the actual damages and costs and
attorney's fees to a facility
resident
whose rights, as specified in Part 1 of Article II of this Act, are violated.
(Source: P.A. 89-197, eff. 7-21-95.)
(210 ILCS 45/3-603) (from Ch. 111 1/2, par. 4153-603)
Sec. 3-603. 
		
		A resident may maintain an action under this Act for any other
type of relief, including injunctive and declaratory relief, permitted by law.
(Source: P.A. 81-223.)
(210 ILCS 45/3-604) (from Ch. 111 1/2, par. 4153-604)
Sec. 3-604. 
		
		Any damages recoverable under Sections 3-601 through 3-607,
including minimum damages as provided by these Sections, may be recovered
in any action which a court may authorize to be brought as a class action
pursuant to the Civil Practice Law.  The remedies provided in
Sections 3-601 through 3-607, are in addition to and cumulative with any
other legal remedies available to a resident.  Exhaustion of any available
administrative remedies shall not be required prior to commencement of suit
hereunder.
(Source: P.A. 82-783.)
(210 ILCS 45/3-605) (from Ch. 111 1/2, par. 4153-605)
Sec. 3-605. 
		
		The amount of damages recovered by a resident in an action
brought under Sections 3-601 through 3-607 shall be exempt for purposes
of determining initial or continuing eligibility for medical assistance
under "The Illinois Public Aid Code", as now or hereafter amended, and shall
neither be taken into consideration nor required to be applied toward the
payment or partial payment of the cost of medical care or services available
under "The Illinois Public Aid Code".
(Source: P.A. 81-223.)
(210 ILCS 45/3-606) (from Ch. 111 1/2, par. 4153-606)
Sec. 3-606. 
		
		Any waiver by a resident or his legal representative of the
right to commence an action under Sections 3-601 through 3-607, whether
oral or in writing, shall be null and void, and without legal force or effect.
(Source: P.A. 81-223.)
(210 ILCS 45/3-607) (from Ch. 111 1/2, par. 4153-607)
Sec. 3-607. 
		
		Any party to an action brought under Sections 3-601 through
3-607 shall be entitled to a trial by jury and any waiver of the right to
a trial by a jury, whether oral or in writing, prior to the commencement
of an action, shall be null and void, and without legal force or effect.
(Source: P.A. 81-223.)
(210 ILCS 45/3-608) (from Ch. 111 1/2, par. 4153-608)
Sec. 3-608. 
		
		A licensee or its agents or employees shall not transfer,
discharge, evict, harass, dismiss, or retaliate against a resident, a resident's
representative, or an employee or agent who makes a report under Section
2-107, brings or testifies in an action under Sections 3-601 through 3-607,
or files a complaint under Section 3-702, because of the report, testimony,
or complaint.
(Source: P.A. 81-223.)
(210 ILCS 45/3-609) (from Ch. 111 1/2, par. 4153-609)
Sec. 3-609. 
		
		Any person, institution or agency, under this Act, participating
in good faith in the making of a report, or in the investigation of such
a report shall not be deemed to have violated any privileged communication
and shall have immunity from any liability, civil, criminal or any other
proceedings, civil or criminal as a consequence of making such report.
The good faith of any persons required to report, or permitted to report,
cases of suspected resident abuse or neglect under this Act, shall be presumed.
(Source: P.A. 81-223.)
(210 ILCS 45/3-610) (from Ch. 111 1/2, par. 4153-610)
Sec. 3-610. Duty to report violations.
(a) A facility employee or agent who becomes aware of abuse or
neglect of a resident prohibited by Section 2-107 shall immediately report
the matter to the Department and to the facility administrator.  A facility
administrator who becomes aware of abuse or neglect of a resident prohibited
by Section 2-107 shall immediately report the matter by telephone and in
writing to the resident's representative, and to the Department.  Any person
may report a violation of Section 2-107 to the Department.
(b) A facility employee or agent who becomes aware of another facility employee or agent's theft or misappropriation of a resident's property must immediately report the matter to the facility administrator.  A facility administrator who becomes aware of a facility employee or agent's theft or misappropriation of a resident's property must immediately report the matter by telephone and in writing to the resident's representative, to the Department, and to the local law enforcement agency.  Neither a licensee nor its employees or agents may dismiss or otherwise retaliate against a facility employee or agent who reports the theft or misappropriation of a resident's property under this subsection.
(Source: P.A. 94-26, eff. 1-1-06.)
(210 ILCS 45/3-611) (from Ch. 111 1/2, par. 4153-611)
Sec. 3-611. 
		Employee as perpetrator of abuse. 
		When an investigation
of a report of suspected abuse of a recipient indicates, based upon
credible evidence, that an employee of a long term care facility is the
perpetrator of the abuse, that employee shall immediately be barred from
any further contact with residents of the facility, pending the outcome of
any further investigation, prosecution or disciplinary action against the employee.
(Source: P.A. 86-1013.)
(210 ILCS 45/3-612) (from Ch. 111 1/2, par. 4153-612)
Sec. 3-612. 
		Resident as perpetrator of abuse. 
		When an investigation
of a report of suspected abuse of a resident indicates, based upon credible
evidence, that another resident of the long term care facility is the
perpetrator of the abuse, that resident's condition shall be immediately
evaluated to determine the most suitable therapy and placement for the
resident, considering the safety of that resident as well as the safety of
other residents and employees of the facility.
(Source: P.A. 86-1013.)
(210 ILCS 45/3-613)
Sec. 3-613. Facility employee assistance programs. A facility shall ensure that nurses employed by the facility are aware of employee assistance programs or other like programs available for the physical and mental well-being of the employee.  The facility shall provide information on these programs, no less than at the time of employment and during any benefit open enrollment period, by an information form about the respective programs that a nurse must sign during onboarding at the facility.  The signed information form shall be added to the nurse's personnel file.  The facility may provide this information to nurses electronically.
(Source: P.A. 102-1007, eff. 1-1-23; 103-154, eff. 6-30-23.)
(210 ILCS 45/3-614)
Sec. 3-614. Certified nursing assistant interns.
(a) A certified nursing assistant intern shall report to a
facility's charge nurse or nursing supervisor and may only be
assigned duties authorized in Section 2310-434 of the
Department of Public Health Powers and Duties Law of the Civil
Administrative Code of Illinois by a supervising nurse.
(b) A facility shall notify its certified and licensed
staff members, in writing, that a certified nursing assistant
intern may only provide the services and perform the
procedures permitted under Section 2310-434 of the Department
of Public Health Powers and Duties Law of the Civil
Administrative Code of Illinois. The notification shall detail
which duties may be delegated to a certified nursing assistant
intern. The facility shall establish a policy describing the authorized duties, supervision, and evaluation of certified nursing assistant interns available upon request of the Department and any surveyor.
(c) If a facility learns that a certified nursing
assistant intern is performing work outside the scope of
the Certified Nursing Assistant Intern Program's training, the facility shall:
(1) stop the certified nursing assistant intern from     performing the work;
(2) inspect the work and correct mistakes, if the     work performed was done improperly;
(3) assign the work to the appropriate personnel; and
(4) ensure that a thorough assessment of any resident     involved in the work performed is completed by a registered nurse.
(d) A facility that employs a certified nursing assistant intern in violation of this Section shall be subject to civil penalties or fines under Section 3-305.
(e) A minimum of 50% of nursing and personal care time  shall be provided by a certified nursing assistant, but no more than 15% of nursing and personal care time may be provided by a certified nursing assistant intern.
(Source: P.A. 102-1037, eff. 6-2-22; 103-154, eff. 6-30-23.)
(210 ILCS 45/Art. III Pt. 7 heading)
PART 7.  
		COMPLAINT, HEARING AND APPEAL
(210 ILCS 45/3-615)
Sec. 3-615. Posting of Long Term Care Ombudsman Program information.
(a) Except as provided under subsection (b), all licensed facilities shall post on the home page of the facility's website the following:
(1) The Long Term Care Ombudsman Program's statewide     toll-free telephone number.
(2) A link to the Long Term Care Ombudsman Program's     website.
(b) A facility:
(1) may comply with this Section by posting the     required information on the website of the facility's parent company if the facility does not maintain a unique website;
(2) is not required to comply with this Section if     the facility and any parent company do not maintain a website; and
(3) is not required to comply with this Section in     instances where the parent company operates in multiple states and the facility does not maintain a unique website. (Source: P.A. 103-119, eff. 1-1-24.)
(210 ILCS 45/3-701) (from Ch. 111 1/2, par. 4153-701)
Sec. 3-701. 
		
		The operation or maintenance of a facility in violation of
this Act, or of the rules and regulations promulgated by the Department,
is declared a public nuisance inimical to the public welfare. The Director
in the name of the people of the State, through the Attorney General, or
the State's Attorney of the county in which the facility is located, or
in respect to any city, village or incorporated town which provides for
the licensing and regulation of any or all such facilities, the Director
or the mayor or president of the Board of Trustees, as the case may require,
of the city, village or incorporated town, in the name of the people of
the State, through the Attorney General or State's attorney of the county
in which the facility is located, may, in addition to other remedies herein
provided, bring action for an injunction to restrain such violation or to
enjoin the future operation or maintenance of any such facility.
(Source: P.A. 81-223.)
(210 ILCS 45/3-702) (from Ch. 111 1/2, par. 4153-702)
Sec. 3-702. 
(a) A person who believes that this Act or a rule promulgated
under this Act may have been violated may request an investigation. The
request may be submitted to the Department in writing, by telephone, by electronic means, or by
personal visit. An oral complaint shall be reduced to writing by the
Department. The Department shall make available, through its website and upon request, information regarding the oral and phone intake processes and the list of questions that will be asked of the complainant. The Department shall request information identifying the
complainant, including the name, address, and telephone number, to help
enable appropriate follow-up. The Department shall act on such complaints
via on-site visits or other methods deemed appropriate to handle the
complaints with or without such identifying information, as otherwise
provided under this Section. The complainant shall be informed that
compliance with such request is not required to satisfy the procedures for
filing a complaint under this Act. The Department must notify complainants that complaints with less information provided are far more difficult to respond to and investigate.
(b) The substance of the complaint shall be provided in writing to the
licensee, owner, or administrator no earlier than at the commencement of an
on-site inspection of the facility which takes place pursuant to the complaint.
(c) The Department shall not disclose the name of the complainant unless
the complainant consents in writing to the disclosure or the investigation
results in a judicial proceeding, or unless disclosure is essential to the
investigation. The complainant shall be given the opportunity to withdraw
the complaint before disclosure. Upon the request of the complainant, the
Department may permit the complainant or a representative of the complainant
to accompany the person making the on-site inspection of the facility.
(d) Upon receipt of a complaint, the Department shall determine whether this
Act or a rule promulgated under this Act has been or is being violated. The
Department shall investigate all complaints alleging abuse or neglect within
7 days after the receipt of the complaint except that complaints of abuse
or neglect which indicate that a resident's life or safety is in imminent
danger shall be investigated within 24 hours after receipt of the
complaint.  All other complaints shall be investigated within 30 days after
the receipt of the complaint, except that, during a statewide public health emergency, as defined in the Illinois Emergency Management Agency Act, all other complaints shall be investigated within appropriate time frames to the extent feasible. The Department employees investigating a
complaint shall conduct a brief, informal exit conference with the facility
to alert its administration of any suspected serious deficiency that poses
a direct threat to the health, safety, or welfare of a resident to enable an
immediate correction for the alleviation or elimination of such threat.
Such information and findings discussed in the brief exit conference shall
become a part of the investigating record but shall not in any way
constitute an official or final notice of violation as provided under
Section 3-301. All complaints shall be classified as
"an invalid report", "a valid report", or "an undetermined
report". For any complaint classified as "a valid report", the
Department must determine within 30 working days after any Department employee enters a facility to begin an on-site inspection
if any rule or provision of this Act has been or is being violated.
(d-1) The Department shall, whenever possible, combine an on-site
investigation of a complaint in a facility with other inspections in order
to avoid duplication of inspections.
(e) In all cases, the Department shall inform the complainant of its
findings within 10 days of its determination unless otherwise indicated
by the complainant, and the complainant may direct the Department to
send a copy of such findings to another person. The Department's findings
may include comments or documentation provided by either the complainant
or the licensee pertaining to the complaint. The Department shall also
notify the facility of such findings within 10 days of the determination,
but the name of the complainant or residents shall not be disclosed in this
notice to the facility. The notice of such
findings shall include a copy of the written determination; the
correction order, if any; the warning notice, if any; the inspection
report; or the State licensure form on which the violation is listed.
(f) A written determination, correction order, or warning notice
concerning a complaint, together with the facility's response, shall be
available for public inspection, but the name of the complainant or
resident shall not be disclosed without his consent.
(g) A complainant who is dissatisfied with the determination or
investigation by the Department may request a hearing under Section
3-703. The facility shall be given notice of any such
hearing and may participate in the hearing as a party.  If a facility
requests a hearing under Section 3-703 which
concerns a matter covered by a complaint, the complainant shall be given
notice and may participate in the hearing as a party.  A request
for a hearing by either a complainant or a facility shall be
submitted in writing to the Department within 30 days after the mailing
of the Department's findings as described in subsection (e) of this
Section.  Upon receipt of the request the Department shall conduct a hearing
as provided under Section 3-703.
(g-5) The Department shall conduct an annual review of all survey activity from the preceding fiscal year and make a report concerning the complaint and survey process. The report shall include, but not be limited to:
(1) the total number of complaints received;
(2) the breakdown of 24-hour, 7-day, and 30-day     complaints;
(3) the breakdown of anonymous and non-anonymous     complaints;
(4) the number of complaints that were substantiated     versus unsubstantiated;
(5) the total number of substantiated complaints that     were completed in the time frame determined under subsection (d);
(6) the total number of informal dispute resolutions     requested;
(7) the total number of informal dispute resolution     requests approved;
(8) the total number of informal dispute resolutions     that were overturned or reduced in severity;
(9) the total number of nurse surveyors hired during     the calendar year;
(10) the total number of nurse surveyors who left     Department employment;
(11) the average length of tenure for nurse surveyors     employed by the Department at the time the report is created;
(12) the total number of times the Department imposed     discretionary denial of payment within 15 days of notice and within 2 days of notice as well as the number of times the discretionary denial of payment took effect; and
(13) any other complaint information requested by the     Long-Term Care Facility Advisory Board created under Section 2-204 of this Act or the Illinois Long-Term Care Council created under Section 4.04a of the Illinois Act on the Aging.
This report shall be provided to the Long-Term Care Facility Advisory Board, the Illinois Long-Term Care Council, and the General Assembly.  The Long-Term Care Facility Advisory Board and the Illinois Long-Term Care Council shall review the report and suggest any changes deemed necessary to the Department for review and action, including how to investigate and substantiate anonymous complaints.
(h) Any person who knowingly transmits a false report to the
Department commits the offense of disorderly conduct under subsection
(a)(8) of Section 26-1 of the Criminal Code of 2012.
(Source: P.A. 102-432, eff. 8-20-21; 102-947, eff. 1-1-23; 103-1, eff. 4-27-23; 103-154, eff. 6-30-23.)
(210 ILCS 45/3-703) (from Ch. 111 1/2, par. 4153-703)
Sec. 3-703. 
		
		Any person requesting a hearing pursuant to Sections 2-110,
3-115, 3-118, 3-119, 3-301, 3-303, 3-309, 3-410, 3-422 or 3-702 to contest
a decision rendered in a particular case may have such decision reviewed in
accordance with Sections 3-703 through 3-712.
(Source: P.A. 83-1530.)
(210 ILCS 45/3-704) (from Ch. 111 1/2, par. 4153-704)
Sec. 3-704. 
		
		A request for a hearing by aggrieved persons shall be
taken to the Department as follows:
(a) Upon the receipt of a request in writing for a hearing, the
Director or a person designated in writing by the Director to act as a
hearing officer shall conduct a hearing to review the decision.
(b) Before the hearing is held notice of the hearing shall be sent
by the Department to the person making the request for the hearing and
to the person making the decision which is being reviewed.  In the
notice the Department shall specify the date, time and place of the
hearing which shall be held not less than 10 days after the notice is
mailed or delivered. The notice shall designate the decision being
reviewed. The notice may be served by delivering it personally to the
parties or their representatives or by mailing it by certified
mail to the parties' addresses.
(c) The Department shall commence the hearing within 30 days of the
receipt of request for hearing. The hearing shall proceed as
expeditiously as practicable, but in all cases shall conclude within 90
days of commencement.
(Source: P.A. 85-1183.)
(210 ILCS 45/3-705) (from Ch. 111 1/2, par. 4153-705)
Sec. 3-705. 
		
		The Director or hearing officer may compel by subpoena or subpoena
duces tecum the attendance and testimony of witnesses and the production
of books and papers, and administer oaths to witnesses.
(Source: P.A. 81-223.)
(210 ILCS 45/3-706) (from Ch. 111 1/2, par. 4153-706)
Sec. 3-706. 
		
		The Director or hearing officer shall permit any party
to appear in person and to be represented by
counsel at the hearing, at which time the applicant or licensee shall be
afforded an opportunity to present all relevant matter in support of his
position. In the event of the inability of any party or the Department to
procure the attendance of witnesses to
give testimony or produce books and papers, any party or the Department
may take the deposition of witnesses in
accordance with the provisions of the laws of this State. All testimony
taken at a hearing shall be reduced to writing, and all such testimony
and other evidence introduced at the hearing shall be a part of the
record of the hearing.
(Source: P.A. 81-1349.)
(210 ILCS 45/3-707) (from Ch. 111 1/2, par. 4153-707)
Sec. 3-707. 
		
		The Director or hearing officer shall make findings of fact
in such hearing, and the Director shall render his decision within 30 days
after the termination of the hearing, unless additional time not to exceed
90 days is required by him for a proper disposition of the matter. When
the hearing has been conducted by a hearing officer, the Director shall
review the record and findings of fact before rendering a decision. All
decisions rendered by the Director shall be binding upon and complied with
by the Department, the facility or the persons involved in the hearing,
as appropriate to each case.
(Source: P.A. 81-223.)
(210 ILCS 45/3-708) (from Ch. 111 1/2, par. 4153-708)
Sec. 3-708. 
		
		The Director or hearing officer shall not be bound by common
law or statutory rules of evidence, or by technical or formal rules of procedure,
but shall conduct hearings in the manner best calculated to result in substantial
justice.
(Source: P.A. 81-223.)
(210 ILCS 45/3-709) (from Ch. 111 1/2, par. 4153-709)
Sec. 3-709. 
		
		All subpoenas issued by the Director or hearing officer may
be served as provided for in civil actions. The fees of witnesses for attendance
and travel shall be the same as the fees for witnesses before the circuit
court and shall be paid by the party to such proceeding at whose request
the subpoena is issued. If such subpoena is issued at the request of the
Department or by a person proceeding in forma pauperis the witness fee shall
be paid by the Department as an administrative expense.
(Source: P.A. 81-223.)
(210 ILCS 45/3-710) (from Ch. 111 1/2, par. 4153-710)
Sec. 3-710. 
		
		In cases of refusal of a witness to attend or testify or to
produce books or papers, concerning any matter upon which he might be
lawfully examined, the circuit court of the county wherein the hearing is
held, upon application of any party to the proceeding, may compel obedience
by a proceeding for contempt as in cases of a like refusal to obey a similar
order of the court.
(Source: P.A. 81-223.)
(210 ILCS 45/3-711) (from Ch. 111 1/2, par. 4153-711)
Sec. 3-711. 
		
		The Department, at its expense, shall provide a stenographer
to take the testimony, or otherwise record the testimony,  and preserve
a record of all proceedings under this Section. The notice of hearing, the
complaint and all other documents in the nature of pleadings and written
motions filed in the proceedings, the transcript of testimony, and the findings
and decision shall be the record of the proceedings. The Department shall
furnish a transcript of such record to any person interested in such hearing
upon payment therefor of 70 cents per page for each original transcript
and 25 cents per page for each certified copy thereof. However, the charge
for any part of such transcript ordered and paid for previous to the writing
of the original record shall be 25 cents per page.
(Source: P.A. 81-223.)
(210 ILCS 45/3-712) (from Ch. 111 1/2, par. 4153-712)
Sec. 3-712. 
		
		The Department shall not be required to certify any record
or file any answer or otherwise appear in any proceeding for judicial review
under Section 3-713 of this Act unless the party filing the complaint deposits
with the clerk of the court the sum of 95 cents per page, representing the
costs of such certification. Failure on the part of the plaintiff to make
such deposit shall be grounds for dismissal of the action; provided, however,
that persons proceeding in forma pauperis with the approval of the circuit
court shall not be required to pay these fees.
(Source: P.A. 81-223.)
(210 ILCS 45/3-713) (from Ch. 111 1/2, par. 4153-713)
Sec. 3-713. 
		
		(a)  Final administrative decisions after hearing shall be
subject to judicial review exclusively as provided in the Administrative
Review Law, as now or hereafter amended, except that any petition for judicial
review of Department action under this Act shall be filed within 15 days
after receipt of notice of the final agency determination.  The term "administrative
decision" has the meaning ascribed to it in Section 3-101 of the Code of
Civil Procedure.
(b) The court may stay enforcement of the Department's final decision
or toll the continuing accrual of a penalty under Section 3-305 if a showing
is made that there is a substantial probability that the party seeking review
will prevail on the merits and will suffer irreparable harm if a stay is
not granted, and that the facility will meet the requirements of this Act
and the rules promulgated under this Act during such stay. Where
a stay is granted the court may impose such conditions on the granting of
the stay as may be necessary to safeguard the lives, health, rights, safety
and welfare of residents, and to assure compliance by the facility with
the requirements of this Act, including an order for transfer or discharge
of residents under Sections 3-401 through 3-423 or for appointment of a
receiver under Sections 3-501 through 3-517.
(c) Actions brought under this Act shall be set for trial
at the earliest possible date and shall take precedence on the court calendar
over all other cases except matters to which equal or superior precedence
is specifically granted by law.
(Source: P.A. 82-783.)
(210 ILCS 45/3-713.5)
Sec. 3-713.5. Informal dispute resolution. Pursuant to the requirements of subsection (c) of Section 3-212 of this Act, when a facility submits comments refuting licensure findings, it shall be considered an informal dispute resolution if the same findings were not submitted for an informal dispute resolution pursuant to protocols for federal certification deficiencies established by the federal Centers for Medicare and Medicaid Services. The Department shall review documentation submitted as the basis for an informal dispute resolution. If the Department determines that the submitted evidence or arguments were insufficient to refute the findings, then the Department shall provide a written explanation of the reason or reasons why the evidence or arguments were insufficient to refute the finding. If the Department fails to provide a written explanation of the reason or reasons why the evidence or arguments were insufficient to refute the informal dispute resolution findings within 60 days of receipt, the alleged, disputed licensure violation shall be cited, but no penalty shall be imposed.
(Source: P.A. 99-555, eff. 1-1-17.)
(210 ILCS 45/3-714) (from Ch. 111 1/2, par. 4153-714)
Sec. 3-714. 
		
		The remedies provided by this Act are cumulative and shall
not be construed as restricting any party from seeking any remedy, provisional
or otherwise, provided by law for the benefit of the party, from obtaining
additional relief based upon the same facts.
(Source: P.A. 81-223.)
(210 ILCS 45/Art. III Pt. 8 heading)
PART 8.  
		MISCELLANEOUS PROVISIONS
(210 ILCS 45/3-801) (from Ch. 111 1/2, par. 4153-801)
Sec. 3-801. 
		
		The Department shall have the power to adopt rules and regulations
to carry out the purpose of this Act.
(Source: P.A. 81-223.)
(210 ILCS 45/3-801.1) (from Ch. 111 1/2, par. 4153-801.1)
Sec. 3-801.1. 
		
		Notwithstanding the other provisions of this Act to the
contrary, the agency designated by the Governor under Section 1 of "An Act in
relation to the protection and advocacy of the rights of persons with
developmental disabilities, and amending Acts therein named", enacted by the
84th General Assembly, shall have access to the records of a person with
developmental disabilities who resides in a facility, subject to the
limitations of this Act. The agency shall also have access for the purpose of
inspection and copying, to the records of a person with developmental
disabilities who resides in any such facility if (1) a complaint is received by
such agency from or on behalf of the person with a developmental disability,
and (2) such person does not have a guardian or the State or the designee of
the State is the guardian of such person. The designated agency shall provide
written notice to the person with developmental disabilities and the State
guardian of the nature of the complaint based upon which the designated agency
has gained access to the records. No record or the contents of any record shall
be redisclosed by the designated agency unless the person with developmental
disabilities and the State guardian are provided 7 days advance written notice,
except in emergency situations, of the designated agency's intent to redisclose
such record, during which time the person with developmental disabilities or
the State guardian may seek to judicially enjoin the designated agency's
redisclosure of such record on the grounds that such redisclosure is contrary
to the interests of the person with developmental disabilities. If a person
with developmental disabilities resides in such a facility and has a guardian
other than the State or the designee of the State, the facility director shall
disclose the guardian's name, address, and telephone number to the designated
agency at the agency's request.
Upon request, the designated agency shall be entitled to inspect and copy
any records or other materials which may further the agency's investigation
of problems affecting numbers of persons with developmental disabilities. When
required by law any personally identifiable information of persons with a
developmental disability shall be removed from the records. However, the
designated agency may not inspect or copy any records or other materials when
the removal of personally identifiable information imposes an unreasonable
burden on the facility.
For the purposes of this Section, "developmental disability" means a
severe, chronic disability of a person which -
(A) is attributable to a mental or physical impairment or combination of
mental and physical impairments;
(B) is manifested before the person attains age 22;
(C) is likely to continue indefinitely;
(D) results in substantial functional limitations in 3 or more of the
following areas of major life activity: (i) self-care, (ii) receptive and
expressive language, (iii) learning, (iv) mobility, (v) self-direction,
(vi) capacity for independent living, and (vii) economic self-sufficiency; and
(E) reflects the person's need for combination and sequence of special,
interdisciplinary or generic care, treatment or other services which are of
lifelong or extended duration and are individually planned and coordinated.
(Source: P.A. 88-380.)
(210 ILCS 45/3-801.2)
Sec. 3-801.2. Closed captioning required. A facility licensed under this Act must make reasonable efforts to have activated at all times the closed captioning feature on a television in a common area provided for use by the general public or in a resident's room, or enable the closed captioning feature when requested to do so by a member of the general public or a resident, if the television includes a closed captioning feature.
It is not a violation of this Section if the closed captioning feature is deactivated by a member of the facility's staff after such feature is enabled in a common area or in a resident's room unless the deactivation of the closed captioning feature is knowing or intentional. It is not a violation of this Section if the closed captioning feature is deactivated by a member of the general public, a resident, or a member of the facility's staff at the request of a resident of a facility licensed under this Act.
If a facility licensed under this Act does not have a television in a common area that includes a closed captioning feature, then the facility licensed under this Act must ensure that all televisions obtained for common areas after the effective date of this amendatory Act of the 101st General Assembly include a closed captioning feature. This Section does not affect any other provision of law relating to disability discrimination or providing reasonable accommodations or diminish the rights of a person with a disability under any other law. Nothing in this Section shall apply to televisions that are privately owned by a resident or third party and not owned by the facility.
As used in this Section, "closed captioning" means a text display of spoken words presented on a television that allows a deaf or hard of hearing viewer to follow the dialogue and the action of a program simultaneously.
(Source: P.A. 101-116, eff. 1-1-20.)
(210 ILCS 45/3-802) (from Ch. 111 1/2, par. 4153-802)
Sec. 3-802. 
		
		The provisions of "The Illinois Administrative Procedure Act",
approved September 22, 1975, as now or hereafter amended, are hereby expressly
adopted and shall apply to all administrative rules and procedures of the
Department under this Act.
(Source: P.A. 81-223.)
(210 ILCS 45/3-803) (from Ch. 111 1/2, par. 4153-803)
Sec. 3-803. 
		
		Nothing in this Act or the rules and regulations adopted pursuant
thereto shall be construed as authorizing the medical supervision,
regulation, or control of the remedial care or treatment of residents in
any facility conducted for those who rely upon treatment by prayer or spiritual
means in accordance with the creed or tenets of any well recognized church
or religious denomination.
(Source: P.A. 86-130.)
(210 ILCS 45/3-804) (from Ch. 111 1/2, par. 4153-804)
Sec. 3-804. 
The Department shall report to the General Assembly by July
 1 of each year upon the performance of its inspection, survey and
evaluation duties under this Act, including the number and needs of the
Department personnel engaged in such activities. The report shall also
describe the Department's actions in enforcement of this Act, including
the number and needs of personnel so engaged.
The report shall also include the number of valid and invalid complaints filed with
the Department within the last calendar year.
(Source: P.A. 97-135, eff. 7-14-11.)
(210 ILCS 45/3-805) (from Ch. 111 1/2, par. 4153-805)
Sec. 3-805. (a) The Department shall conduct a pilot project to
examine, study and contrast the Joint Commission on the Accreditation of
Health Care Organizations ("Commission") accreditation review process with
the current regulations and licensure surveys process conducted by the
Department for long-term care facilities.  This pilot project will enable
qualified facilities to apply for participation in the project, in which
surveys completed by the Commission are accepted by the Department in lieu of
inspections required by this Act, as provided in subsection (b) of this
Section.  It is intended that this pilot project shall commence on January 1,
1990, and shall conclude on December 31, 2000, with a final report
to be
submitted to the Governor and the General Assembly by June 30, 2001.
(b) (1) In lieu of conducting an inspection for license renewal under
this Act, the Department may accept from a facility that is accredited
by the Commission under the Commission's long-term care standards the
facility's most recent annual accreditation review by the Commission.  In
addition to such review, the facility shall submit any fee or other license
renewal report or information required by law.  The Department may accept
such review for so long as the Commission maintains an annual inspection or
review program.  If the Commission does not conduct an on-site annual
inspection or review, the Department shall conduct an inspection as
otherwise required by this Act.  If the Department determines that an
annual on-site inspection or review conducted by the Commission does not
meet minimum standards set by the Department, the Department shall not
accept the Commission's accreditation review and shall conduct an
inspection as otherwise required by this Act.
The Department shall establish procedures applicable to the pilot project
conducted pursuant to this Section.  The procedures shall provide for a
review of the Commission's survey findings that may be Type "A" or Type
"B" violations under this Act requiring immediate correction, the taking of
necessary and appropriate action to determine whether such violations
exist, and steps to effect corrective action in cooperation with the
Commission, or otherwise under this Act, as may be necessary.  The
Department shall also establish procedures to require the Commission to
immediately report to the Department any survey finding that constitutes a
condition or occurrence relating to the operation and maintenance of a
facility which presents a substantial probability that death or serious
mental or physical harm to a resident will result therefrom, so as to
enable the Department to take necessary and appropriate action under this Act.
(2) This subsection (b) does not limit the Department in performing any
inspections or other duties authorized by this Act, or under any contract
relating to the medical assistance program administered by the 
Department of Healthcare and Family Services, or under Title XVIII or Title XIX of the Social
Security Act.
(3) No facility shall be required to obtain accreditation from the
Commission.
(c) Participation in the pilot project shall be limited to facilities
selected at random by the Director, provided that:
(1) facilities shall apply to the Director for     selection to participate;
(2) facilities which are currently accredited by the     Commission may apply to participate;
(3) any facility not accredited by the Commission at     the time of application to participate in the pilot project shall apply for such accreditation;
(4) the number of facilities so selected shall be no     greater than 15% of the total number of long-term care facilities licensed under this Act;
(5) the number of facilities so selected shall be     divided equally between facilities having fewer than 100 beds and facilities having 100 or more beds;
(6) facilities so selected shall have been licensed     for more than 2 years and shall not have been issued a conditional license within 2 years before applying for participation in the pilot project; and
(7) no facilities so selected shall have been issued     a notice of a Type "A" violation within one year before applying for participation in the pilot project.
(d) Inspections and surveys conducted by the Commission under
the pilot project for initial or continued accreditation shall not be
announced in advance to the facility being inspected or surveyed, and shall
provide for participation in the inspection or survey process by residents
of the facility and the public.
(e) With respect to any facility accredited by the Commission, the
Commission shall submit to the Department copies of:
(1) the accreditation award letter;
(2) the accreditation report, including     recommendations and comments by the Commission; and
(3) any correspondence directly related to the     accreditation.
(f) No facility which is denied initial or continued accreditation by
the Commission shall participate in the pilot project.
(g) The Director shall meet at least once every 6 months with the
director of the Commission's long-term care facility accreditation program
to review, coordinate and modify as necessary the services performed by the
Commission under the pilot project.  On or before June 30, 1993, the
Director shall submit to the Governor and to the General Assembly a report
evaluating the pilot project and making any recommendations deemed necessary.
(h) This Section does not limit the Department in performing any
inspections or other duties authorized by this Act, or under any contract
relating to the medical assistance program administered by the 
Department of Healthcare and Family Services, or under Title XVIII or Title XIX of the Social
Security Act.
(Source: P.A. 95-331, eff. 8-21-07.)
(210 ILCS 45/3-807)
Sec. 3-807. Review of shelter care licensure standards. On or before
March 1, 1994, the Department shall submit to the Governor and the General
Assembly a report concerning the necessity of revising the current statutory
and regulatory standards of licensure under the category of shelter care.  The
Department shall conduct a review of those standards for that category, taking
into consideration the Department on Aging's report on board and care homes
prepared pursuant to Section 4.02a of the Illinois Act on the Aging.  The
Department's report shall include recommendations for statutory or regulatory
changes necessary to address the regulation of facilities providing room,
board, and personal care to older persons and persons with disabilities.
(Source: P.A. 99-143, eff. 7-27-15.)
(210 ILCS 45/3-808)
Sec. 3-808. Protocol for sexual assault victims; nursing home. The Department shall develop a protocol for the care and treatment of residents who have been sexually assaulted in a long term care facility or elsewhere.
(Source: P.A. 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-808.5)
Sec. 3-808.5. Nursing home fraud, abuse, and neglect prevention and reporting.
(a) Every licensed long term care facility that receives Medicaid funding shall prominently display in its lobby, in its dining areas, and on each floor of the facility information approved by the Illinois Medicaid Fraud Control Unit on how to report fraud, abuse, and neglect.  In addition, information regarding the reporting of fraud, abuse, and neglect shall be provided to each resident at the time of admission and to the resident's family members or emergency contacts, or to both the resident's family members and his or her emergency contacts.
(b) Any owner or licensee of a long term care facility licensed under this Act shall be responsible for the collection and maintenance of any and all records required to be maintained under this Section and any other applicable provisions of this Act, and as a provider under the Illinois Public Aid Code, and shall be responsible for compliance with all of the disclosure requirements under this Section. All books and records and other papers and documents that are required to be kept, and all records showing compliance with all of the disclosure requirements to be made pursuant to this Section, shall be kept at the facility and shall, at all times during business hours, be subject to inspection by any law enforcement or health oversight agency or its duly authorized agents or employees.
(c) Any report of abuse and neglect of residents made by any individual in whatever manner, including, but not limited to, reports made under Sections 2-107 and 3-610 of this Act, or as provided under the Abused and Neglected Long Term Care Facility Residents Reporting Act, that is made to an administrator, a director of nursing, or any other person with management responsibility at a long term care facility must be disclosed to the owners and licensee of the facility within 24 hours of the report. The owners and licensee of a long term care facility shall maintain all records necessary to show compliance with this disclosure requirement.
(d) Any person with an ownership interest in a long term care facility licensed by the Department must, within 30 days of the effective date of this amendatory Act of the 96th General Assembly, disclose the existence of any ownership interest in any vendor who does business with the facility. The disclosures required by this subsection shall be made in the form and manner prescribed by the Department.  Licensed long term care facilities who receive Medicaid funding shall submit a copy of the disclosures required by this subsection to the Illinois Medicaid Fraud Control Unit.  The owners and licensee of a long term care facility shall maintain all records necessary to show compliance with this disclosure requirement.
(e) Notwithstanding the provisions of Section 3-318 of this Act, and in addition thereto, any person, owner, or licensee who willfully fails to keep and maintain, or willfully fails to produce for inspection, books and records, or willfully fails to make the disclosures  required by this Section,  is guilty of a Class A misdemeanor.  A second or subsequent violation of this Section shall be punishable as a Class 4 felony.
(f) Any owner or licensee who willfully files or willfully causes to be filed a document with false information with the  Department, the Department of Healthcare and Family Services, or the Illinois Medicaid Fraud Control Unit or any other law enforcement agency, is guilty of a Class A misdemeanor.
(Source: P.A. 96-1373, eff. 7-29-10.)
(210 ILCS 45/3-809)
Sec. 3-809. Rules to implement changes. In developing rules and regulations to implement changes made by this amendatory Act of the 96th General Assembly, the Department shall seek the input of advocates for long term care facility residents, representatives of associations representing long term care facilities, and  representatives of associations representing employees of long term care facilities.
(Source: P.A. 96-1372, eff. 7-29-10.)
(210 ILCS 45/3-810)
Sec. 3-810. Whistleblower protection.
(a) In this Section, "retaliatory action" means the reprimand, discharge, suspension, demotion, denial of promotion or transfer, or change in the terms and conditions of employment of any employee of a facility that is taken in retaliation for the employee's involvement in a protected activity as set forth in paragraphs (1) through (3) of subsection (b).
(b) A facility shall not take any retaliatory action against an employee of the facility, including a nursing home administrator, because the employee does any of the following:
(1) Discloses or threatens to disclose to a     supervisor or to a public body an activity, inaction, policy, or practice implemented by a facility that the employee reasonably believes is in violation of a law, rule, or regulation.
(2) Provides information to or testifies before any     public body conducting an investigation, hearing, or inquiry into any violation of a law, rule, or regulation by a nursing home administrator.
(3) Assists or participates in a proceeding to     enforce the provisions of this Act.
(c) A  violation of this Section may be established only upon a finding that (i) the employee of the  facility engaged in conduct described in subsection (b) of this Section and (ii) this conduct was a contributing factor in the retaliatory action alleged by the employee. There is no violation of this Section, however, if the facility demonstrates by clear and convincing evidence that it would have taken the same unfavorable personnel action in the absence of that conduct.
(d) The employee of the facility may be awarded all remedies necessary to make the employee whole and to prevent future violations of this Section. Remedies imposed by the court may include, but are not limited to, all of the following:
(1) Reinstatement of the employee to either the same     position held before the retaliatory action or to an equivalent position.
(2) Two times the amount of back pay.
(3) Interest on the back pay.
(4) Reinstatement of full fringe benefits and     seniority rights.
(5) Payment of reasonable costs and attorney's fees.
(e) Nothing in this Section shall be deemed to diminish the rights, privileges, or remedies of an employee of a facility under any other federal or State law, rule, or regulation or under any employment contract.
(Source: P.A. 96-1372, eff. 7-29-10.)