Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart F - NURSING AND PERSONAL CARE › Section 300.1220 - Supervision of Nursing Services

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Each facility shall have a director of nursing services (DON) who shall be a
				registered nurse.
1) This person shall have
				knowledge and training in nursing service administration and
				restorative/rehabilitative nursing. This person shall also have some knowledge
				and training in the care of the type of residents the facility cares for (e.g.,
				geriatric or psychiatric residents). This does not mean that the director of
				nursing must have completed a specific course or a specific number of hours of
				training in restorative/rehabilitative nursing unless this person is in charge
				of the restorative/rehabilitative nursing program. (See Section
				300.1210(a).)
2) This person shall be a full-time employee
				who is on duty a minimum of 36 hours, four days per week. At least 50 percent
				of this person's hours shall be regularly scheduled between 7 A.M. and 7 P.M.
A) A facility may, with written approval from
				the Department, have two registered nurses share the duties of this position if
				the facility is unable to obtain a full-time person. Such an arrangement will
				be approved only through written documentation that the facility was unable to
				obtain the full-time services of a qualified individual to fill this position.
				Such documentation shall include, but not be limited to: an advertisement that
				has appeared in a newspaper of general circulation in the area for at least
				three weeks; the names, addresses and phone numbers of all persons who applied
				for the position and the reasons why they were not acceptable or would not work
				full time; and information about the numbers and availability of licensed
				nurses in the area. The Department will grant approval only when such
				documentation indicates that there were no qualified applicants who were
				willing to accept the job on a full-time basis, and the pool of nurses
				available in the area cannot be expected to produce, in the near future, a
				qualified person who is willing to work full time.
B) In facilities with a capacity of fewer
				than 50 beds, this person may also provide direct patient care, and this
				person's time may be included in meeting the staff-to-resident ratio
				requirements.
3) In
				skilled nursing facilities of l00 or more occupied beds, there shall be an
				assistant director of nursing (ADON) who is a registered nurse. This person
				shall also meet the qualifications specified in subsection (a)(1) of this
				Section for the director of nursing service.
4) In intermediate care facilities of 150 or
				more occupied beds, a licensed nurse shall be designated as the ADON. The
				assistant may provide direct patient care and be included in staff-to-resident
				ratio calculations.
5) The
				assistant shall be a full-time employee who is on duty a minimum of 36 hours,
				four days per week. The assistant may be assigned to work hours any time of the
				day or night.
6) The assistant
				shall assist the DON in carrying out his/her responsibilities.
7) If other duties interfere with the proper
				performance of the DON's or ADON's duties, another nurse shall be assigned to
				perform the duties of the DON or assistant for that period of time.