Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart F - NURSING AND PERSONAL CARE › Section 300.1210 - General Requirements for Nursing and Personal Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) 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. (Section 3-202.2a of the Act)
b) The facility shall provide the necessary
				care and services to attain or maintain the highest practicable physical,
				mental, and psychological well-being of the resident, in accordance with each
				resident's comprehensive resident care plan. Adequate and properly supervised
				nursing care and personal care shall be provided to each resident to meet the
				total nursing and personal care needs of the resident. Restorative measures
				shall include, at a minimum, the following procedures:
1) The licensed nurse in charge of the
				restorative/rehabilitative nursing program shall have successfully completed a
				course or other training program that includes at least 60 hours of
				classroom/lab training in restorative/rehabilitative nursing as evidenced by a
				transcript, certificate, diploma, or other written documentation from an
				accredited school or recognized accrediting agency such as a State or National
				organization of nurses or a State licensing authority. Such training shall
				address each of the measures outlined in subsections (b)(2) through (5) of this
				Section. This person may be the Director of Nursing, Assistant Director of
				Nursing or another nurse designated by the Director of Nursing to be in charge
				of the restorative/rehabilitative nursing program.
2) All nursing personnel shall assist and
				encourage residents so that a resident who enters the facility without a
				limited range of motion does not experience reduction in range of motion unless
				the resident's clinical condition demonstrates that a reduction in range of
				motion is unavoidable. All nursing personnel shall assist and encourage
				residents so that a resident with a limited range of motion receives
				appropriate treatment and services to increase range of motion and/or to
				prevent further decrease in range of motion.
3) All nursing personnel shall assist and
				encourage residents so that a resident who is incontinent of bowel and/or
				bladder receives the appropriate treatment and services to prevent urinary
				tract infections and to restore as much normal bladder function as possible.
				All nursing personnel shall assist residents so that a resident who enters the
				facility without an indwelling catheter is not catheterized unless the
				resident's clinical condition demonstrates that catheterization was
				necessary.
4) All nursing personnel
				shall assist and encourage residents so that a resident's abilities in
				activities of daily living do not diminish unless circumstances of the
				individual's clinical condition demonstrate that diminution was unavoidable.
				This includes the resident's abilities to bathe, dress, and groom; transfer and
				ambulate; toilet; eat; and use speech, language, or other functional
				communication systems. A resident who is unable to carry out activities of
				daily living shall receive the services necessary to maintain good nutrition,
				grooming, and personal hygiene.
5)
				All nursing personnel shall assist and encourage residents with ambulation and
				safe transfer activities as often as necessary in an effort to help them retain
				or maintain their highest practicable level of functioning.