reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart H - MEDICATIONS › Section 300.1650 - Control of Medications

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall comply with all federal and State laws and State regulations
				relating to the procurement, storage, dispensing, administration, and disposal
				of medications.
b) All Schedule II
				controlled substances shall be stored so that two separate locks, using two
				different keys, must be unlocked to obtain these substances. This may be
				accomplished by several methods, such as locked cabinets within locked medicine
				rooms; separately locked, securely fastened boxes (or drawers) within a locked
				medicine cabinet; locked portable medication carts that are stored in locked
				medicine rooms when not in use; or portable medication carts containing a
				separate locked area within the locked medication cart, when such cart is made
				immobile.
c) All medications having
				an expiration date that has passed, and all medications of residents who have
				been discharged or who have died shall be disposed of in accordance with the
				written policies and procedures established by the facility in accordance with
				Section
				300.1610.
				Medications shall be transferred with a resident, upon the order of the
				resident's physician, when a resident transfers to another facility. All
				discontinued medications, with the exception of those products regulated and
				defined as controlled substances under Section 802 of the federal Controlled
				Substances Act (
				21
				USC 802 ), shall be returned to the
				dispensing pharmacy. Medications for any resident who has been temporarily
				transferred to a hospital shall be kept in the facility. Medications may be
				given to a discharged resident only upon the order of the licensed
				prescriber.
d) Inventory Controls
1) For all Schedule II controlled substances,
				a controlled substances record shall be maintained that lists on separate
				sheets, for each type and strength of Schedule II controlled substance, the
				following information: date, time administered, name of resident, dose,
				licensed prescriber's name, signature of person administering dose, and number
				of doses remaining.
2) The
				pharmaceutical advisory committee may also require that other medications shall
				be subject to such inventory records.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart I - RESIDENT AND FACILITY RECORDS › Section 300.1820 - Content of Medical Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) No
				later than the time of admission, the facility shall enter the following
				information onto the identification sheet or admission sheet for each resident:
1) Name, sex, date of birth and Social
				Security Number,
2) Marital Status,
				and the name of spouse (if there is one),
3) Whether the resident has been previously
				admitted to the facility,
4) Date
				of current admission to the facility,
5) State or country of birth,
6) Home address,
7) Religious affiliation (if any),
8) Name, address and telephone number of any
				referral agency, state hospital, zone center or hospital from which the
				resident has been transferred (if applicable),
9) Name and telephone number of the
				resident's personal physician,
10)
				Name and telephone number of the resident's next of kin or responsible
				relative.
11) Race and
				origin,
12) Most recent
				occupation,
13) Whether the
				resident or the resident's spouse is a veteran,
14) Father's name and mother's maiden
				name,
15) Name, address and
				telephone number of the resident's dentist, and
16) The diagnosis applicable at the time of
				admission.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart I - RESIDENT AND FACILITY RECORDS › Section 300.1830 - Records Pertaining to Residents' Property

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall maintain a record of
				any resident's belongings, including money, valuables and personal property,
				accepted by the facility for safekeeping. This record shall be initiated at the
				time of admission and shall be updated on an ongoing basis and made part of the
				resident's record.
b) When
				purchases are made for a resident from the resident's personal monies, receipts
				shall be obtained and retained that verify the date, amount, and items
				purchased.
c) A separate
				bookkeeping system shall be maintained by the facility which accounts for all
				transactions affecting each resident's account. Each individual resident, or
				the individual resident's representative, shall have access to the record of
				that individual resident's account.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart I - RESIDENT AND FACILITY RECORDS › Section 300.1840 - Retention and Transfer of Resident Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) Records of discharged residents shall be
				placed in an inactive file and retained as follows:
1) Records for any resident who is discharged
				prior to being 18 years old shall be retained at least until the resident
				reaches the age of 23.
2) Records
				of residents who are over 18 years old at the time of discharge shall be
				retained for a minimum of five years.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart I - RESIDENT AND FACILITY RECORDS › Section 300.1860 - Staff Responsibility for Medical Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each skilled nursing facility shall have a
				health information management consultant.
1)
				Each skilled nursing facility that has a full-time or part-time health
				information management consultant shall designate that employee as the person
				responsible for ensuring that the facility's medical records are completed,
				maintained and preserved in accordance with this Subpart.
2) Each skilled nursing facility that does
				not have a full-time or part-time health information management consultant
				shall designate an employee to be responsible for completing, maintaining and
				preserving the facility's medical records. This individual shall be trained by,
				and receive regular consultation from, a health information management
				consultant in order to meet the requirements of this Subpart.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart I - RESIDENT AND FACILITY RECORDS › Section 300.1870 - Retention of Facility Records

Current through Register Vol. 48, No. 28, July 12, 2024
The facility shall retain the records referenced in this
				  Section for a minimum of three years. It is suggested that the administrator
				  check with legal counsel regarding the advisability of retaining records for a
				  longer period of time, and the procedures to be followed in the event the
				  facility ceases operation. The records for which this requirement applies are
				  as follows:
a) The annual financial
				statement described in Section
				300.210
				of this Part.
b) The minutes of
				resident advisory council meetings required by Section
				300.640(k)
				of this Part.
c) The records of
				in-service training required by Section
				300.650(b) (3)
				 of this Part.
d) Copies of reports of serious incidents or
				accidents involving residents required by Section
				300.690
				of this Part.
e) Records of the
				emergency medication kit review by the pharmaceutical advisory committee
				required by Section
				300.1610(i)(3)
				 of this Part.
f) The reports of findings and
				recommendations from consultants required in Section
				300.1880(a)
				of this Part.
g) Copies of the
				quarterly reports for all employees that are filed for Social Security and
				Unemployment Compensation as required by Section
				300.1880(d)
				of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart I - RESIDENT AND FACILITY RECORDS › Section 300.1880 - Other Facility Record Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall maintain a file of
				reports of findings and recommendations from consultants. Each report shall be
				dated and indicate each specific date and time the consultant was in the
				facility.
b) The facility shall
				complete the Illinois Department of Public Health Annual Long Term Care (LTC)
				Facility Survey.
c) The facility
				shall maintain a permanent chronological resident registry showing date of
				admission, name of resident and date of discharge or death.
d) The facility shall make available to the
				Department upon request copies of the quarterly reports for all employees that
				are filed for Social Security and Unemployment Compensation.
e) Rules located in other Sections of this
				Part that pertain to the content and maintenance of facility records are as
				follows:
1) The facility shall file an annual
				financial statement as described in Section
				300.210
				of this Part.
2) Records and daily
				time schedules shall be kept on each employee as set forth in Section
				300.650(a) and
				(b) of this Part.
3) The facility shall maintain a controlled
				substances record as described in Section
				300.1650(d)
				of this Part.
4) Menu and food
				purchase records shall be maintained as set forth in Section
				300.2080(d) and
				(f) of this Part.
5) The facility shall maintain a file of all
				reports of serious incidents or accidents involving residents as required by
				Section
				300.690
				of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2010 - Director of Food Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				full-time person, qualified by training and experience, shall be responsible
				for the total food and nutrition services of the facility. This person shall be
				on duty a minimum of 40 hours each week.
1)
				This person shall be either a dietitian or a dietetic service
				supervisor.
2) The person
				responsible for the food service may assume some cooking duties but only if
				these duties do not interfere with the responsibilities of management and
				supervision.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2020 - Dietary Staff in Addition to Director of Food Services

Current through Register Vol. 48, No. 28, July 12, 2024
There shall be sufficient number of food service personnel
				  employed and on duty to meet the dietary needs of all persons eating meals in
				  the facility. Their working hours shall be scheduled to meet the total dietary
				  needs of the residents. All dietary employees' time schedules and work
				  assignments shall be posted in the kitchen. Dietary duties and job procedures
				  shall be available in the dietary department for employees' knowledge and use.
				  (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2030 - Hygiene of Dietary Staff

Current through Register Vol. 48, No. 28, July 12, 2024
Food service personnel shall be in good health, shall
				  practice hygienic food handling techniques, and good personal grooming.
				  (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2040 - Diet Orders

Current through Register Vol. 48, No. 28, July 12, 2024
a) Two or more
				copies of a current diet manual shall be available and in use. One copy shall
				be located in the kitchen for use by dietary personnel. Other copies shall be
				located at each nurses' station for use by physicians or dietitians when
				writing diet orders.
b) Physicians
				shall write a diet order, for each resident, indicating whether the resident is
				to have a general or a therapeutic diet. The attending physician may delegate
				writing a diet order to the dietitian.
1) The
				resident's diet order shall be included in the medical record.
2) The diet shall be served as
				ordered.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2050 - Meal Planning

Current through Register Vol. 48, No. 28, July 12, 2024
Each resident shall be served food to meet the resident's
				  needs and to meet physician's orders. The facility shall use this Section to
				  plan menus and purchase food in accordance with the following Recommended
				  Dietary Allowances of the Food and Nutrition Board of the National Research
				  Council, National Academy of Sciences.
a) Milk and Milk Products Group: 16 ounces or
				more of Grade A whole or low fat pasteurized milk where milk is used for fluid
				consumption. Calcium equivalents for eight ounces of milk:
1) 11/2 ounces natural cheese,
2) Two ounces processed cheese,
3) One cup yogurt, or one cup frozen
				yogurt,
4) One cup cottage cheese,
				or
5) 11/2 cups ice cream or ice
				milk.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2070 - Scheduling Meals

Current through Register Vol. 48, No. 28, July 12, 2024
a) A minimum of
				three meals or their equivalent shall be served daily at regular times with no
				more than a l4 hour span between a substantial evening meal and breakfast. The
				l4 hour span shall not apply to facilities using the "four or five meal-a-day"
				plan, provided the evening meal is substantial and includes, but is not limited
				to, a good quality protein, bread or bread substitute, butter or margarine, a
				dessert and a nourishing beverage.
b) Bedtime snacks of nourishing quality shall
				be offered. Snacks of nourishing quality shall be offered between meals when
				there is a time span of four or more hours between the ending of one meal and
				the serving of the next, or as otherwise indicated in the resident's plan of
				care.
c) If a resident refuses food
				served, reasonable and nutritionally appropriate substitutes shall be
				served.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2080 - Menus and Food Records

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Menus, including menus for "sack" lunches and between meal or bedtime snacks,
				shall be planned at least one week in advance. Food sufficient to meet the
				nutritional needs of all the residents shall be prepared for each meal. When
				changes in the menu are necessary, substitutions shall provide equal nutritive
				value and shall be recorded on the original menu, or in a notebook marked
				"Substitutions", that is kept in the kitchen. If a notebook is used to document
				substitutions, it shall include the date of the substitution; the meal at which
				the substitution was made; the menu as originally written; and the menu as
				actually served.
b) The menu for
				the current week shall be dated and available in the kitchen. Upon the request
				of the Department, sample menus shall be submitted for evaluation.
c) Menus shall be different for the same day
				of consecutive weeks and adjusted for seasonal differences.
d) All menus as actually served shall be kept
				on file at the facility for not less than 30 days.
e) Food label information for purchased
				prepared food listing food composition and, when available, nutrient content
				shall be kept on file in the facility for the current menu cycle.
f) Supplies of staple foods for a minimum of
				a one week period and of perishable foods for a minimum of a two day period
				shall be maintained on the premises. These supplies shall be appropriate to
				meet the requirements of the menu.
g) Records of all food purchased shall be
				kept on file for not less than 30 days.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2090 - Food Preparation and Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Foods shall be prepared by appropriate
				methods that will conserve their nutritive value, enhance their flavor and
				appearance. They shall be prepared according to standardized recipes and a file
				of such recipes shall be available for the cook's use.
b) Foods shall be attractively served at the
				proper temperatures and in a form to meet individual needs. (B)
c) All residents shall be served in a dining
				room or multi-purpose room except for an individual with a temporary illness,
				who is too ill, or for other valid reasons.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2100 - Food Handling Sanitation

Current through Register Vol. 48, No. 28, July 12, 2024
Every facility shall comply with the Department's rules
				  entitled "Food Service Sanitation" (77 Ill. Adm. Code 750).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart J - FOOD SERVICE › Section 300.2110 - Kitchen Equipment, Utensils, and Supplies

Current through Register Vol. 48, No. 28, July 12, 2024
Each facility shall provide an adequate number of dishes,
				  glassware, and silverware of a satisfactory type to serve all the residents in
				  the facility at each meal.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart K - MAINTENANCE, HOUSEKEEPING, AND LAUNDRY › Section 300.2210 - Maintenance

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every facility
				shall have an effective written plan for maintenance, including sufficient
				staff, appropriate equipment, and adequate supplies.
b) Each facility shall: (B)
1) Maintain the building in good repair, safe
				and free of the following: cracks in floors, walls, or ceilings; peeling
				wallpaper or paint; warped or loose boards; warped, broken, loose, or cracked
				floor covering, such as tile or linoleum; loose handrails or railings; loose or
				broken window panes; and any other similar hazards. (B)
2) Maintain all electrical, signaling,
				mechanical, water supply, heating, fire protection, and sewage disposal systems
				in safe, clean and functioning condition. This shall include regular
				inspections of these systems. (A, B)
3) Maintain all electrical cords and
				appliances in a safe and functioning condition. (B)
4) Maintain the interior and exterior
				finishes of the building as needed to keep it attractive and clean and safe
				(painting, washing, and other types of maintenance).
5) Maintain all furniture and furnishings in
				a clean, attractive, and safely repaired condition.
6) Maintain the grounds and other buildings
				on the grounds in a safe, sanitary and presentable condition. (B)
7) Maintain the grounds free from refuse,
				litter, insect and rodent breeding areas.
8) The building and grounds shall be kept
				free of any possible infestations of insects and rodents by eliminating sites
				of breeding and harborage inside and outside the building; eliminating sites of
				entry into the building with screens of not less than 16 mesh screen to the
				inch and repair of any breaks in construction. (B)
9) Maintain all plumbing fixtures and piping
				in good repair and properly functioning. (B)
10) Protect the potable water supply from
				contamination by providing and properly installing adequate, backflow
				protection devices or providing adequate air gaps on all fixtures that may be
				subject to backflow or back siphonage.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart K - MAINTENANCE, HOUSEKEEPING, AND LAUNDRY › Section 300.2220 - Housekeeping

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every facility
				shall have an effective plan for housekeeping including sufficient staff,
				appropriate equipment, and adequate supplies. Each facility shall: (B)
1) Keep the building in a clean, safe, and
				orderly condition. This includes all rooms, corridors, attics, basements, and
				storage areas. (B)
2) Keep floors
				clean, as nonslip as possible, and free from tripping hazards including throw
				or scatter rugs.
3) Control odors
				within the housekeeping staff's areas of responsibility by effective cleaning
				procedures and by the proper use of ventilation systems. Deodorants shall not
				be used to cover up persistent odors caused by unsanitary conditions or poor
				housekeeping practices.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart K - MAINTENANCE, HOUSEKEEPING, AND LAUNDRY › Section 300.2230 - Laundry Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every
				facility shall have an effective means of supplying an adequate amount of clean
				linen for operation, either through an in-house laundry or a contract with an
				outside service.
1) An adequate supply of
				clean linen shall be defined as the three sets of sheets, draw sheets, and
				pillow cases required to provide for the residents' needs. Additional changes
				of linen may be required in consideration of the time involved for laundering
				and transporting soiled linens.
2)
				If an in-house laundry service is provided then the following conditions shall
				exist:
A) The laundry area shall be
				maintained and operated in a clean, safe and sanitary manner. No part of the
				laundry shall be used as a smoking or dining area.
B) Written operating procedures shall be
				developed, posted and implemented which provide for the handling, transport and
				storage of clean and soiled linens.
C) Laundry personnel must be in good health
				and practice good personal grooming. Employees must thoroughly wash their hands
				and exposed portions of their arms with soap and warm water before starting
				work, during work as often as necessary to keep them clean and after smoking,
				eating, drinking, using the toilet and handling soiled linens.
D) Clean linen shall be protected from
				contamination during handling, transport and storage.
E) Soiled linen shall be handled, transported
				and stored in a manner that protects facility residents and
				personnel.
F) If supplies and
				equipment not directly connected with the operation of the laundry are stored
				in the laundry or its accessory storage and handling areas, they shall be
				protected from contamination by the soiled linens and shall not contribute to
				contamination of the clean linens.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart L - FURNISHINGS, EQUIPMENT, AND SUPPLIES › Section 300.2410 - Furnishings

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each resident
				shall be provided with a separate bed suitable to meet the needs of the
				resident. Each bed shall be at least 36 inches wide, have a headboard, be of
				sturdy construction and in good repair. A double bed shall be provided for
				married couples, if they request this arrangement, and there are no medical
				contraindications.
b) Each bed
				shall be provided with satisfactory type springs in good repair and a clean,
				firm, comfortable mattress of appropriate size for the bed.
c) Each bedroom shall have window shades, or
				equivalent, in good repair.
d) A
				satisfactory reading lamp, or equivalent, shall be provided for each
				bed.
e) Pillows
1) Each bed shall be provided with a minimum
				of one clean, comfortable pillow.
2) There shall be additional pillows
				available in the home to satisfactorily serve the needs of the
				residents.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart L - FURNISHINGS, EQUIPMENT, AND SUPPLIES › Section 300.2420 - Equipment and Supplies

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Equipment
1) The facility shall have a supply
				of thermometers, emesis basins, ice bags, hot water bottles or equivalent,
				bedpans, urinals, and sets of enema equipment, sufficient to meet the needs of
				its residents. (B)
2) If the
				facility has residents who need the services of a suction machine, a sufficient
				quantity of such machines shall be provided to meet the needs of all such
				residents. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart L - FURNISHINGS, EQUIPMENT, AND SUPPLIES › Section 300.2430 - Sterilization of Equipment and Supplies

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every facility shall follow an acceptable
				plan to provide for sterile equipment and supplies, such as needles, syringes,
				catheters, and dressing. There shall be an autoclave available for sterilizing
				this type of equipment and supplies. The autoclave should be located in a
				central sterilization area, or clean utility area. It may be located at the
				nurses' station. An autoclave will not be required in a facility when other
				acceptable arrangements have been made, such as: (A, B)
1) Use of individually wrapped sterile
				dressings, disposable syringes, needles, catheters, and gloves which shall be
				disposed of after a single use.
2)
				Formal plan with another facility for the autoclaving of equipment and
				supplies.
3) Other alternative
				methods when approved on an individual basis in writing from the Department
				based on a written request from the facility giving in detail the method
				proposed to be used and which method meets equivalent criteria for proper
				sterilization for these items to be sterilized.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart M - WATER SUPPLY AND SEWAGE DISPOSAL › Section 300.2610 - Codes

Current through Register Vol. 48, No. 28, July 12, 2024
Water supply, sewage disposal and plumbing systems shall
				  comply with all applicable State and local codes and ordinances.
				  (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart M - WATER SUPPLY AND SEWAGE DISPOSAL › Section 300.2620 - Water Supply

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				facility shall be served by water from a municipal public water supply when
				available. (B)
b) When a municipal
				public water supply is not available, the water supply shall comply with the
				Department's rules entitled "Drinking Water Systems" (77 Ill. Adm. Code 900).
				(B)
c) If water is supplied by a
				well that is not part of a municipal system, the well shall be constructed and
				maintained in accordance with the Department's rules entitled "Illinois Water
				Well Construction Code" (77 Ill. Adm. Code 920) and "Water Well Pump
				Installation Code" (77 Ill. Adm. Code 925).
d) Each facility shall have a written
				agreement with a water company, dairy, or other water purveyor to provide an
				emergency supply of potable water for drinking and culinary purposes.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart M - WATER SUPPLY AND SEWAGE DISPOSAL › Section 300.2630 - Sewage Disposal

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				sewage and liquid wastes shall be discharged into a public sewage system when
				available. (B)
b) When a public
				sewage system is not available, sewage and liquid wastes shall be collected,
				treated, and disposed of in a private sewage disposal system. The design,
				construction, maintenance, and operation of the system shall comply with the
				Department's rules entitled "Private Sewage Disposal Code" (77 Ill. Adm. Code
				905). (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart M - WATER SUPPLY AND SEWAGE DISPOSAL › Section 300.2640 - Plumbing

Current through Register Vol. 48, No. 28, July 12, 2024
Each plumbing system shall comply with the Department's rules
				  entitled "Illinois Plumbing Code" (77 Ill. Adm. Code 890) effective at the time
				  of construction or approved acceptance by the Department.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2810 - Applicability of this Subpart N

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Applicability of New Construction Requirements
This Subpart N shall apply to all new facilities and major
				  alterations and additions to existing facilities. (Major alterations are those
				  that are not defined as minor alterations in subsection (h).) Facilities
				  contemplating construction shall contact the Health Facilities and Services
				  Review Board for information concerning the current requirements.
b)
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
in subsection (h)
, architectural drawings and
				specifications for the facility
shall comply with Section
				300.2830 and
shall be
				submitted to the Department for review and approval
. The Department
				will not assess a plan review fee on projects with an estimated construction
				cost of $100,000 or less. (Section 3-202.5(a) of the Act)
c) The drawings and specifications shall be
				submitted to the Department for review and approval prior to beginning of
				construction. For final approval to remain valid, contracts shall be signed
				within one year after the date of final approval.
1)
The Department
will
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
will
result in the submission being deemed complete for purposes of
				initiating the 60-day review period under
the Act and
this
Part.
2)
If the submission is complete
and
the required fee, if
				any, has been paid, the Department
will
approve or disapprove
				drawings and specifications submitted to the Department no later than 60 days
				following receipt by the Department
. (Section 3-202.5(b) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2820 - Compliance with Local Codes and Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a) In addition to compliance with the
				standards set forth in this Part, all building codes, ordinances and
				regulations that are enforced by city, county or other local jurisdictions in
				which the facility is, or will be, located shall be observed.
b) If no local building code exists, the
				recommendations of the International Building Code shall apply.
c) The local building code or the
				recommendations of the International Building Code shall apply insofar as its
				recommendations are not in conflict with the standards set forth in this Part,
				or with the NFPA 101.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2830 - Preparation of Drawings and Specifications

Current through Register Vol. 48, No. 28, July 12, 2024
a) The preparation of drawings and
				specifications shall be executed by or be under the immediate supervision of an
				architect registered in the State of Illinois:
b) The first submission shall be the design
				development drawings indicating in detail the assignment of all spaces, size or
				areas and rooms, and indicating in outline, the fixed and movable equipment and
				furniture, and the outline specifications.
c) The plans shall be drawn at a scale
				sufficiently large to clearly present the proposed design.
d) The drawings shall include:
1) a plan of each floor including the
				basement or ground floor,
2) roof
				plan,
3) plot plan showing roads,
				parking areas, and sidewalks,
4)
				elevations of all facades,
5)
				sections through the building,
6)
				identification of all fire and smoke compartmentation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2840 - Site

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility
				shall be located on a reasonably flat or rolling, well drained site that is not
				subject to flooding; reasonably free from sources of excessive noise, noxious
				or hazardous smoke or fumes; not in deteriorated, unpleasant, or potentially
				hazardous area; and not near uncontrolled sources of insect and rodent
				breeding.
b) The facility shall be
				located so that the building or buildings can comply with all applicable local
				zoning ordinances, building restrictions and fire safety requirements. The
				Department may have additional requirements if the proposed locations of the
				building or buildings on the site would result in a hazard to or be detrimental
				to the health, welfare, or safety of the residents in the facility. These
				additional requirements shall include, but are not limited to fences, stairs,
				and other types of barriers to prevent residents from injury.
c) The facility shall be served by a potable
				water supply with water pressure and volume that is acceptable to the
				Department. (B)
d) The distance
				from the fire station, the accessibility of the facility, and capability of the
				fire department must be approved in writing by the Office of the State Fire
				Marshal. (B)
e) The facility shall
				have at least one municipal or private fire hydrant, located within 300 feet of
				every point on the perimeter of the building and satisfactory for use by the
				equipment of the fire department serving the building, or have an acceptable
				equivalent. Additional hydrants may be required if needed to properly protect
				the residents from fire hazards. Evaluation and written approval must be
				obtained from the Office of the State Fire Marshal. (B)
f) Plans showing the proposed building
				location must be submitted to the Illinois Department of Transportation,
				Division of Water Resources to determine compliance with the State Flood Plain
				Regulations and Executive Order IV, l979.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2850 - Administration and Public Areas

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Facilities for the physically handicapped (public, staff and residents) shall
				be provided in administration and public areas as well as in resident
				areas.
b) Lobby shall include a
				reception and information counter or desk, waiting space, and public
				telephones. See Illinois Plumbing Code for drinking fountains and toilet
				facilities requirements for staff and visitors.
c) General or Individual Office shall have
				sufficient space to accommodate the following functions: Administrative,
				Business/Financial Transactions, Professional Staff (Director of Nursing, Food
				Service Supervisor, Activity Director, Social Service Director), and
				Professional Consultants (Medical Director, Pharmacist, Dietitian, Social
				Worker).
d) Multipurpose room shall
				be provided for conferences, meetings, interviews, and educational
				purposes.
e) Provide adequate space
				for recording, reviewing and storing resident records.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2860 - Nursing Unit

Current through Register Vol. 48, No. 28, July 12, 2024
a) The number
				of resident beds in a nursing unit shall not exceed 75 beds.
1) Not less than 60 percent of the resident
				beds shall be in one or two bed rooms.
2) Not less than three percent of the total
				number of the beds in the facility shall be located in single bed rooms with a
				private bath, water closet and lavatory.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2870 - Dining, Living, Activities Rooms

Current through Register Vol. 48, No. 28, July 12, 2024
a) The combined area of these rooms shall not
				be less than 25 square feet per resident bed.
b) Provide a minimum of one dining room with
				at least ten square feet per resident bed. Provide facilities to allow
				individual feeding of residents on their sleeping floor if they are not able to
				feed themselves. Dining area provided for this function may be included in the
				required area.
c) Provide a minimum
				of one comfortably furnished living room on each floor in multiple story
				buildings having a total window area of at least one-tenth the floor
				area.
d) Provide activities room
				based on program requirements. This room may be combined with the living or
				dining room.
e) Locate these rooms
				so that they are not an entrance vestibule from the outside.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2880 - Therapy and Personal Care

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Physical and occupational therapy facilities shall be provided as may be
				required by Section
				300.1420.
b) A separate room shall be provided with
				appropriate equipment for hair care and grooming needs of the
				residents.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2900 - General Building Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Elevators
1) Have a minimum of one elevator in all
				buildings of two or more stories in height. The basement shall be considered as
				one story if it is used by residents. (B)
2) If 80 to 200 beds are located above the
				first floor, at least one additional elevator shall be provided.
3) For facilities with more than 200 beds,
				the number of elevators shall be determined from a study of the use
				requirements and the estimated vertical transportation requirements.
4) A minimum of one car shall be of
				institutional type having inside dimensions that will accommodate a stretcher
				and attendants and shall be at least five feet by seven feet, six inches. The
				car door shall have a clear opening of not less than three feet, eight
				inches.
5) Elevators shall be
				equipped with an automatic leveling device of the two-way automatic maintaining
				type.
6) Elevator controls, alarm
				buttons, and telephones shall be accessible to physically handicapped in
				accordance with Capital Development Board rules entitled "Illinois
				Accessibility Code" (77 Ill. Adm. Code 400).
7) Elevator call buttons, controls, and door
				safety stops shall be of a type that will not be activated by heat or smoke.
				(B)
8) Elevators, except freight
				elevators, shall be equipped with a two-way special service key operated switch
				to permit cars to bypass all landing button calls and be dispatched directly to
				any floor. (B)
9) Fireman's
				emergency operations shall be furnished in accordance with American National
				Standards Institute Standard A17.1 Elevator Safety Code. (B)
10) Inspections and tests shall be made and
				written certification be furnished that the installation meets the requirements
				set forth in this section and all applicable safety regulations and codes.
				(B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2910 - Structural

Current through Register Vol. 48, No. 28, July 12, 2024
a) General Design
				Requirements
1) The buildings and all parts
				thereof shall be of sufficient strength to support all dead, live, and lateral
				loads without exceeding the working stresses permitted for the materials of
				their construction in generally accepted good engineering practice.
				(B)
2) Special provision shall be
				made for loads which have a greater load than the specified minimum live load,
				including partitions which are subject to change of location. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2920 - Mechanical Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
				Requirements
1) Mechanical systems shall be
				tested, balanced, and operated to demonstrate that the installation and
				performance of these systems conform to the requirements of this
				Section.
2) Upon the completion of
				the contract, the owner shall be furnished with a complete set of
				manufacturer's operating and preventative maintenance instructions, a parts
				list with numbers and descriptions for each piece of equipment, and a copy of
				the air-balance report. A complete set of these documents shall be kept on the
				premises.
3) The owner shall be
				provided with instructions in the operational use of the systems and
				equipment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2930 - Plumbing Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
				Requirements. All plumbing systems shall be designed and installed in
				accordance with the requirements of the Illinois Plumbing Code (77 Ill. Adm.
				Code 890) except that the number of resident required water closets,
				lavatories, bathtubs, showers, and other fixtures shall be as required by this
				Part and the facility program. (B)
b) Plumbing Fixtures
1) Plumbing fixtures shall be of
				non-absorptive acid-resistant materials.
2) The water supply spout for lavatories and
				sinks required for filling pitchers for nursing staff and food handlers'
				handwashing, shall be mounted so that its discharge point is a minimum distance
				of five inches above the rim of the fixture. (B)
3) Handwashing lavatories used by nursing
				staff and food handlers shall be trimmed with valves which can be operated
				without the use of hands. When blade handles are used for this purpose, the
				blade handles shall not exceed four and one half inches in length, except the
				handles on clinical sinks shall not be less than six inches in
				length.
4) Clinical rim flush sinks
				shall have an integral trap in which the upper portion of the trap seal
				provides a visible water surface.
5) The potwashing sink shall be a three
				compartment sink with one compartment at least 14 inches deep.
6) Shower bases and tub bottoms shall be
				designed with nonslip surfaces. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart N - DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.2940 - Electrical Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
				Requirements
1) All material including
				equipment, conductors, controls, and signaling devices shall be installed to
				provide a complete electrical system with the necessary characteristics and
				capacity to supply the electrical facilities required by these standards. All
				materials shall be listed as complying with the applicable standards of
				Underwriters' Laboratories, Inc. or other similarly established
				standards.
2) All electrical
				installations and systems shall be tested to show that the equipment is
				installed and operates as planned or specified and be in accordance with these
				standards.
3) The installation
				shall meet all the requirements of NFPA 70, NFPA 99, and NFPA 110, as
				applicable.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3010 - Applicability

Current through Register Vol. 48, No. 28, July 12, 2024
a) These standards
				shall apply to all existing Long-Term Care Facilities and all minor alterations
				or remodeling changes to existing facilities. See Subpart N for New
				Construction and Major Additions and Alterations.
b) Minor alterations or remodeling changes
				which do not affect the structural integrity of the building, which do not
				change functional operations, which do not affect fire safety, and which do not
				add beds or facilities over those for which the Long-Term Care Facility is
				licensed need not be submitted for drawing approval. However, the Health
				Facilities Planning Board Requirements must be met for all alteration and
				remodeling projects.