reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart B - POLICIES › Section 225.1030 - Personnel Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a) An
				Alzheimer's Disease Management Center Model shall develop and maintain written
				personnel policies that are followed in the operation of the
				facility.
b) Employee Records
1) Each employee shall complete an employment
				application form, which shall be kept on file in the facility and shall be
				available for review by Department personnel.
2) Individual personnel files for each
				employee shall contain the employee's date of employment, date of birth, home
				address, educational background, and experience, including: types of
				employment; where the employee was previously employed; type of position
				employed to fill in this facility; last day employed (if no longer in present
				facility); and reasons for leaving.
3) Individual personnel files for each
				employee shall contain health records, including the initial health evaluation,
				and documentation of the tuberculin skin test.
4) Individual personnel records for each
				employee shall contain records of evaluation of performance.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart B - POLICIES › Section 225.1040 - Health Evaluations for Employees

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each employee shall have an initial health
				evaluation, which shall be used to ensure that employees are not placed in
				positions that would pose undue risk of infection to themselves, other
				employees, residents or visitors.
b) The initial health evaluation shall be
				performed by a physician Board Certified in Internal Medicine or Family
				Practice and shall be completed not more than 30 days prior to the employee's
				first day of employment.
c) The
				initial health evaluation shall include the following:
1) A health inventory from the employee,
				including an evaluation of the employee's immunization status.
2) A physical examination, which shall
				include:
A) Any procedures needed to detect
				any unusual susceptibility to infection and any conditions that would increase
				the likelihood of the transmission of disease to residents, other employees, or
				visitors;
B) Any procedures needed
				to determine that the employee appears to be physically able to perform the job
				functions that the Model intends to assign to the employee.
3) Tuberculin testing in
				accordance with the Control of Tuberculosis Code (77 Ill. Adm. Code 696), which
				shall be done at the time of the physical examination.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart B - POLICIES › Section 225.1050 - Health Care Worker Background Check

Current through Register Vol. 48, No. 28, July 12, 2024
A facility shall comply with the Health Care Worker
				  Background Check Act [225 ILCS 46 ] and the Health Care Worker Background Check
				  Code (77 Ill. Adm. Code 955).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart B - POLICIES › Section 225.1060 - Disaster Preparedness

Current through Register Vol. 48, No. 28, July 12, 2024
a) For
				the purpose of this Section only, "disaster" means an occurrence, as a result
				of a natural force or mechanical failure such as water, wind or fire, or a lack
				of essential resources such as electrical power, that poses a threat to the
				safety and welfare of residents, personnel, and others present in the
				facility.
b) The facility shall
				have policies covering disaster preparedness, including a written plan for
				staff, residents and others to follow. The plan shall include, but not be
				limited to, the following:
1) All personnel
				employed on the premises shall be properly instructed in the use of fire
				extinguishers.
2) A diagram of the
				evacuation route shall be posted and made familiar to all personnel employed on
				the premises.
3) A written plan
				shall be developed for moving residents to safe locations within the facility
				in the event of a tornado warning or severe thunderstorm warning.
4) There shall be an established means of
				facility notification when the National Weather Service issues a tornado or
				severe thunderstorm warning that covers the area in which the facility is
				located. The notification mechanism must be other than commercial radio or
				television. Approved notification measures include being within range of local
				tornado warning sirens, an operable National Oceanic and Atmospheric
				Administration weather radio in the facility or arrangements with local public
				safety agencies (police, fire, ESDA) to be notified if a warning is
				issued.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart B - POLICIES › Section 225.1070 - Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility
				shall have written policies controlling the use of physical restraints.
				Adaptive equipment is not considered a physical restraint. Wrist bands or
				devices on clothing that trigger electronic alarms to warn staff that a
				resident is leaving a room do not, in and of themselves, restrict freedom of
				movement and should not be considered as physical restraints. The policies
				shall be followed in the operation of the facility. These policies shall be
				developed by the medical director and by nursing and administrative
				personnel.
b) No physical
				restraints with locks shall be used.
c) Physical restraints shall not be used on a
				resident for the purpose of discipline or convenience.
d) The use of chemical restraints is
				prohibited.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart B - POLICIES › Section 225.1080 - Abuse and Neglect

Current through Register Vol. 48, No. 28, July 12, 2024
a) An
				owner, licensee, employee or agent of a facility shall not abuse or neglect a
				resident.
b) A facility employee or
				agent who becomes aware of abuse or neglect of a resident shall immediately
				report the matter to the provost.
c) A provost who becomes aware of abuse or
				neglect of a resident shall immediately report the matter by telephone and in
				writing to the resident's representative.
d) A facility employee or agent who becomes
				aware of abuse or neglect of a resident shall also report the matter to the
				Department.
e) When an
				investigation of a report of suspected abuse of a resident indicates, based
				upon credible evidence, that an employee of the 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.
f) When an investigation
				of a report of suspected abuse of a resident indicates, based upon credible
				evidence, that another resident of the 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.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart C - PERSONNEL › Section 225.2000 - General Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall provide adequate, properly trained and supervised staff to meet
				each resident's comprehensive care. Services shall be provided by a coordinated
				care team.
b) The facility shall
				define, through job descriptions, necessary education and experience
				requirements for all regular staff, consultants, and contract staff providing
				services to the Alzheimer's Disease Management Center Model.
c) The facility shall provide an initial
				orientation and routine, pertinent training to all staff.
d) The facility shall designate a provost,
				whose minimum qualifications shall include:
1) Graduate education with degree, and with
				experience in health services administration, management, providing continuing
				education and in-service training, and the use of innovative assessment
				tools;
2) Knowledge of the diverse
				manifestations of brain illnesses, especially the Alzheimer's type;
				and
3) Knowledge of basic concepts
				to foster and develop harmonious relationships with understanding toward
				residents and personnel.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart C - PERSONNEL › Section 225.2010 - Staff Training

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				staff shall have necessary training to care for all stages of Alzheimer's
				Disease. (Section 35(5) of the Act) Programmed courses shall be
				provided.
b) All employees shall
				attend in-service training programs pertaining to their assigned duties at
				least annually. These in-service training programs shall include material
				regarding the facility's policies, skill training, and ongoing education
				carried out to enable all personnel to perform their duties effectively. The
				in-service training sessions regarding personal care, nursing and restorative
				services shall include material concerning prevention and treatment of
				decubitus ulcers. In-service training concerning dietary services shall include
				material concerning effects of diet in treatment of various diseases or medical
				conditions and the importance of laboratory test results in determining
				therapeutic diets. Written records of program content for each session and of
				personnel attending each session shall be kept. In-service training shall be
				held at three-month intervals.
c)
				In-service training may include demonstration, one-on-one training, small group
				exercises, or lectures. All training shall be documented with:
1) date,
2) starting and ending time,
3) instructors,
4) short description of content,
				and
5) staff member's written
				signature.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart C - PERSONNEL › Section 225.2020 - Nursing Assistants

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				facility shall not employ an individual as a nursing assistant unless the
				facility has inquired of the Department as to information in the Nurse Aide
				Registry concerning the individual.
b) The facility shall ensure that each
				nursing assistant is included on the Nurse Aide Registry as having met training
				or equivalency requirements and not having a disqualifying criminal
				conviction.
c) Each person employed
				by the facility as a nursing assistant shall meet each of the following
				requirements:
1) Be at least 18 years of age,
				of 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 prior employment or occupation, if any, and residence for two years
				prior to present employment as a nursing assistant; and
4) Have a valid high school diploma or
				equivalent.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart D - RESIDENT CARE SERVICES › Section 225.3000 - Resident Assessment

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall establish policies and procedures defining the assessment
				process.
b) Prior to admission,
				each prospective resident shall receive a complete physical examination with
				specific laboratory testing as follows:
1)
				Vitamin B12 and Folate levels;
2)
				Thyroid stimulating hormone level;
3) Complete blood count and blood
				parameters;
4) Electrocardiogram,
				12 lead;
5) Chest radiologic study;
				and
6) Magnetic Resonance Imaging
				(MRI) study of the brain, when possible.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart D - RESIDENT CARE SERVICES › Section 225.3010 - Resident Comprehensive Care Plan

Current through Register Vol. 48, No. 28, July 12, 2024
a) An Alzheimer's Disease Management Center
				shall develop and implement an ongoing treatment plan for each resident. The
				treatment plan shall have defined goals. (Section 35(5) of the Act)
b) The comprehensive care plan shall be
				implemented within 24 hours after the resident's admission to the facility
				based on the pre-admission assessment.
c) The comprehensive care plan shall be
				revised as needed based on assessments conducted in accordance with Section
				225.3000 of
				this Part.
d) The comprehensive
				care plan shall include, at a minimum:
1)
				Staging of the resident based on cognitive study;
2) Assignment to a care manager;
3) Dietary prescription; and
4) Activities provided throughout the day and
				evening.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart D - RESIDENT CARE SERVICES › Section 225.3020 - Resident Care and Treatment Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Alzheimer's Disease Management Center
				shall treat behavioral problems and mood disorders using nonpharmacologic
				approaches such as:
1) environmental
				modification;
2) task
				simplification; and
3) other
				appropriate activities. (Section 35(5) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart D - RESIDENT CARE SERVICES › Section 225.3030 - Activity Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall provide an ongoing program of activities to meet the interests
				and preferences and the physical, mental and psychosocial well-being of each
				resident, in accordance with the resident's comprehensive assessment. The
				activities shall be coordinated with other services and programs to make use of
				both community and facility resources and to benefit the residents.
b) Activity personnel shall be provided to
				meet the needs of the residents and the program.
1) Activity staff time each week shall total
				not less than 45 minutes multiplied by the number of residents in the facility.
				This time shall be spent in providing activity programming as well as planning
				and directing the program. The time spent in the performance of other duties
				not related to the activity program shall not be counted as part of the
				required activity staff time.
2)
				Activity personnel shall have the background and education necessary to be able
				to implement drama, music, and art therapeutic technique.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart D - RESIDENT CARE SERVICES › Section 225.3040 - Volunteer Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) If the
				facility has a volunteer or auxiliary program, a staff person shall direct the
				program. Community groups such as Boy Scouts and Girl Scouts, church groups and
				civic organizations that may occasionally present programs, activities, or
				entertainment in the facility shall not be considered volunteers for the
				purposes of this Section.
b)
				Volunteers shall complete a standard orientation program, in accordance with
				their responsibilities and with the facility's policies and procedures
				governing the volunteer program. The orientation shall include, but not be
				limited to:
1) Residents' rights;
2) Confidentiality;
3) Disaster preparedness (i.e., fire,
				tornado);
4) Emergency response
				procedures;
5) Safety
				procedures/precautions;
6)
				Infection control; and
7) Body
				mechanics.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart D - RESIDENT CARE SERVICES › Section 225.3050 - Residential Services

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Twenty-four hour supervision shall be provided in each living environment. At
				least one staff member shall be present in each living environment at all times
				when residents are present.
b) An
				emergency response system shall be provided.
c) Twenty-four hour access to assistance
				shall be provided in each environment.
d) The facility shall have policies and
				procedures in place to guide decisions regarding the necessary level of
				supervision each resident requires in the facility.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart D - RESIDENT CARE SERVICES › Section 225.3060 - Medication Administration

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Except for medications allowed in subsection (c) of this Section, the only
				medications allowed in the facility are those for particular individual
				residents. The medication of each resident shall be kept and stored in the
				original container received from the pharmacy or as packaged by the nurse, when
				preparing unit dose packages from multidose containers.
1) Each multidose medication container shall
				indicate the resident's name; physician's name; prescription number, name,
				strength and quantity of drug; date the container was last filled; the initials
				of the pharmacist filling the prescription; the identity of the pharmacy; the
				refill date; and any necessary special instructions.
2) Each single unit or unit dose package
				shall contain the proprietary and nonproprietary name of the drug and the
				strength of the dose. The name of the resident and the physician do not have to
				be on the label of the package, but they must be identified with the package in
				such a manner as to assure that the drug is administered to the correct
				resident.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart E - RESIDENTS' RIGHTS › Section 225.4000 - Residents' Rights

Current through Register Vol. 48, No. 28, July 12, 2024
a) No resident
				shall be deprived of any rights, benefits, or privileges guaranteed by law
				based on his/her status as a resident of the Model.
b) A resident has the right to be free from
				abuse, neglect or restraint.
c) A
				resident shall be permitted to retain and use or wear personal property in
				his/her immediate living quarters, unless deemed medically inappropriate by a
				physician and so documented in the resident's clinical record.
d) If clothing is provided to the resident by
				the facility it shall be of a proper fit.
e) The facility shall provide adequate and
				convenient storage space for the personal property of the resident.
f) The facility shall make reasonable efforts
				to prevent loss and theft of residents' property. Those efforts may include,
				but are not limited to, staff training and monitoring, labeling property, and
				frequent property inventories.
g)
				The facility shall develop procedures for investigating complaints concerning
				theft of residents' property and shall promptly investigate all such
				complaints.
h) The provost shall
				ensure that married residents residing in the facility are allowed to reside in
				the same room unless there is no room available or it is deemed medically
				inadvisable by the residents' attending physician and so documented in the
				residents' medical records.
i) A
				resident's room shall not be used as access to any other area of the
				building.
j) Children under 16
				years of age who are related to employees or owners of a facility shall be
				restricted to quarters reserved for family or employee use except during times
				when such children are part of a group visiting the facility as part of a
				planned program, or similar activity.
k) A resident shall be permitted the free
				exercise of religion. Upon a resident's request, and if necessary at his/her
				expense, the administrator shall make arrangements for a resident's attendance
				at religious services of the resident's choice. However, no religious beliefs
				or practices, or attendance at religious services, may be imposed upon any
				resident.
l) The facility shall
				immediately notify the resident's next of kin, representative and physician of
				the resident's death or when the resident's death appears to be
				imminent.
m) The facility shall
				also immediately notify the resident's family, guardian, representative,
				conservator and any private or public agency financially responsible for the
				resident's care whenever unusual circumstances, such as accidents, sudden
				illness, disease, unexplained absences, extraordinary resident charges,
				billings, or related administrative matters, arise.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart F - RESIDENT RECORDS › Section 225.5000 - Resident Record Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
The facility shall maintain resident records that are
				  accessible to service providers. Confidentiality of residents' medical records
				  shall be ensured. Records shall include, but are not limited to:
a) Medical records;
b) Preadmission screening results;
c) Resident initial and ongoing assessment
				results;
d) Records pertaining to
				residents' property; and
e)
				Comprehensive care plan.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart G - FOOD SERVICE › Section 225.6000 - 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 services of the facility. This person shall be on duty a
				minimum of 40 hours each week.
1) This person
				shall be either a dietician 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 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart G - FOOD SERVICE › Section 225.6010 - 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 and the Dietary
				  Guidelines for Americans of the U.S. Department of Agriculture:
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) 2 ounces processed cheese;
3) 1 cup yogurt, or one cup frozen
				yogurt;
4) 1 cup cottage cheese;
				or
5) 11/2 cups ice cream or ice
				milk.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart G - FOOD SERVICE › Section 225.6020 - 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", which 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 in the facility for not less than 30 days.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart G - FOOD SERVICE › Section 225.6030 - 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 when prescribing
				diets.
b) Physicians shall write a
				diet order, in the medical record, for each resident indicating whether the
				resident is to have a general or a therapeutic diet. The diet shall be served
				as ordered.
c) A written diet order
				shall be sent to the food service department when each resident is admitted and
				each time that the resident's diet is changed. Each change shall be ordered by
				the physician. The diet order shall include, at a minimum, the following
				information: name of resident, room and bed number, type of diet, consistency
				if other than regular consistency, date diet order is sent to the dietary
				department, name of physician ordering the diet, and the signature of the
				person transmitting the order to the food service department.
d) The resident shall be observed to
				determine acceptance of the diet, and these observations shall be recorded in
				the medical record.
e) A
				therapeutic diet means a diet ordered by the physician as part of a treatment
				for a disease or clinical condition, to eliminate or decrease certain
				substances in the diet (e.g., sodium) or to increase certain substances in the
				diet (e.g., potassium), or to provide food in a form that the resident is able
				to eat (e.g., mechanically altered diet).
f) All therapeutic diets shall be medically
				prescribed and shall be planned or approved by a dietician.
g) The kinds and variations of prescribed
				therapeutic diets shall be available in the kitchen. If separate menus are not
				planned for each specific diet, diet information for each specific type, in a
				form easily understood by staff, shall be available in a convenient location in
				the kitchen.
h) All oral liquid
				diets shall be reviewed every 48 hours. Medical soft diets, sometimes known as
				transitional diets, shall be reviewed every three weeks. All other therapeutic
				and mechanically altered diets, including commercially prepared formulas that
				are in liquid form and blenderized liquid diets, shall be reviewed as needed,
				or at least every three months.
i)
				The resident's physician, the food service director, the charge nurse, and the
				nursing assistants shall be made aware of any resident's feeding
				difficulties.
j) Each resident
				shall be weighed every two weeks, and the resident's weight shall be recorded
				in the medical chart.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart H - PHYSICAL PLANT › Section 225.7000 - Codes and Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall comply with the applicable provisions of the following codes and
				standards. Incorporations in this Section refer to the codes and standards on
				the dates specified in Section
				225.200 of this Part.
1) State of Illinois rules
A) Illinois Plumbing Code (77 Ill. Adm. Code
				890), Department of Public Health
B) Illinois Accessibility Code (77 Ill. Adm.
				Code 400), Capital Development Board
C) Food Service Sanitation Code (77 Ill. Adm.
				Code 750), Department of Public Health
D) Boiler and Pressure Vessel Safety Code (41
				Ill. Adm. Code 120), Office of the State Fire Marshal
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart H - PHYSICAL PLANT › Section 225.7010 - Site

Current through Register Vol. 48, No. 28, July 12, 2024
a) 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
				location 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.
b) The facility shall be
				served by a potable water supply in compliance with the Drinking Water Systems
				Code.
c) 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.
d) 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.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart H - PHYSICAL PLANT › Section 225.7020 - Administration and Public Areas

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Facilities for persons with physical disabilities (public, staff and residents)
				shall be provided in administration and public areas as well as in resident
				areas.
b) The lobby shall include a
				reception and information counter or desk, waiting space, and public
				telephones. Drinking fountains and toilet facilities for staff and visitors
				shall be provided in accordance with the Illinois Plumbing Code.
c) The offices shall have sufficient space to
				accommodate the following functions: Administrative, Business/Financial
				Transactions, Professional Staff (Supervisory Nurse, Food Service Supervisor,
				Activity Director, Social Service Director), and Professional Consultants
				(Medical Director, Pharmacist, Dietician, Social Worker).
d) A multipurpose room shall be provided for
				conferences, meetings, interviews, and educational purposes.
e) Adequate space for recording, reviewing
				and storing resident records shall be provided.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart H - PHYSICAL PLANT › Section 225.7030 - Nursing Units

Current through Register Vol. 48, No. 28, July 12, 2024
a) The number
				of resident beds in a nursing unit shall not exceed 20 beds.
1) All of the resident beds shall be in one-
				or two-bed rooms.
2) Not less than
				40 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 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart H - PHYSICAL PLANT › Section 225.7040 - Dining, Living, and 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) A minimum of one dining room with at least
				20 square feet per resident bed shall be provided. Facilities to allow
				individual feeding of residents shall be provided in the nursing unit if they
				are not able to feed themselves. Dining area provided for this function may be
				included in the required area.
c) A
				comfortably furnished living room shall be provided, with a total window area
				of at least one-tenth of the floor area.
d) An activities room shall be provided based
				on program requirements.
e) Dining,
				living, and activities rooms shall be located so that they are not an entrance
				vestibule from the outside.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart H - PHYSICAL PLANT › Section 225.7050 - Therapy and Personal Care Rooms

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Physical and occupational therapy facilities shall be provided as may be
				required.
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 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart I - FACILITY DESIGN AND CONSTRUCTION › Section 225.8000 - Applicability

Current through Register Vol. 48, No. 28, July 12, 2024
a) When
				construction is contemplated, either for new buildings or additions or major
				alterations (those that are not defined as minor alterations in subsection (e)
				of this Section) to existing buildings coming within the scope of these
				standards, design development drawings and outline specifications shall be
				submitted to the Department for review. Approval will be based on compliance
				with this Part. Approval of design development drawings and specifications
				shall be obtained from the Department prior to starting final working drawings
				and specifications. Comments or approval will be provided within 30 days after
				receipt by the Department.
b) The
				final working 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 must be signed within one year after the date of
				final approval. Alternate methods of design development and construction such
				as fast track shall be acceptable if equivalency can be proved. Comments or
				approval will be provided within 30 days after receipt by the
				Department.
c) Any contract
				modifications that affect or change the function, design, or purpose of a
				facility shall be submitted to the Department for approval prior to authorizing
				the modifications. Comments or approval will be provided within 30 days after
				receipt by the Department.
d) The
				facility shall notify the Department at least 30 days before construction has
				been completed. The Department will then complete a final inspection.
				Deficiencies noted during the final inspection must be corrected before
				occupancy will be allowed.
e) Minor
				alterations or remodeling changes that do not affect the structural integrity
				of the building, that do not change functional operation, that do not affect
				fire safety, and that do not add beds or facilities over those for which the
				Model is licensed need not be submitted for drawing approval.
f) No system of water supply, plumbing,
				sewage, garbage or refuse disposal shall be installed, nor any such existing
				system materially altered or extended until complete plans and specifications
				for the installation, alteration or extension have been submitted to the
				Department and have been reviewed and approved.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart I - FACILITY DESIGN AND CONSTRUCTION › Section 225.8010 - General Building Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Chair Rails and Grab Bars
1) Wooden chair rails shall be provided on
				both sides of all hallways and ramps used by residents.
2) Wooden chair rails on stairs used by
				residents shall be provided on both sides of the stairs, including the
				platforms and landings.
3) Chair
				rail dimensions and details shall conform to the Illinois Accessibility Code
				(71 Ill. Adm. Code 400). It is recommended that chair rails be installed at a
				height of 32 inches measured vertically from the floor surface.
4) Grab bars shall be provided for all
				resident use toilets, showers, and tubs.
5) The ends of chair rails and grab bars
				shall return to the wall.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart I - FACILITY DESIGN AND CONSTRUCTION › Section 225.8020 - Structural Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				General Design
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.
2) Special provision shall be made for loads
				that have a greater load than the specified minimum live load, including
				partitions that are subject to change of location.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart I - FACILITY DESIGN AND CONSTRUCTION › Section 225.8030 - 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
				Part.
2) Upon the completion of the
				contract, the owner shall be furnished with a complete set of manufacturer's
				operating and preventative maintenance instructions, 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
				as required.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart I - FACILITY DESIGN AND CONSTRUCTION › Section 225.8040 - Plumbing Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) 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) 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 by nursing staff and for food handlers'
				hand washing shall be mounted so that its discharge point is a minimum distance
				of five inches above the rim of the fixture.
3) Hand-washing lavatories used by nursing
				staff and food handlers shall be trimmed with valves that 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 pot-washing sink shall be a three
				compartment sink with one compartment at least l4 inches deep.
6) Shower bases and tub bottoms shall be
				designed with nonslip surfaces.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart I - FACILITY DESIGN AND CONSTRUCTION › Section 225.8050 - 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 this Part. All
				materials shall be listed as complying with the 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 the standards specified in subsection
				(a)(1).
3) The installation shall
				meet all the requirements of the National Fire Protection Association Standard
				101.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart J - QUALITY ASSESSMENT AND IMPROVEMENT › Section 225.9000 - Quality Assessment and Improvement

Current through Register Vol. 48, No. 28, July 12, 2024
a) The licensee shall develop and implement a
				quality assessment and improvement program designed to meet at least the
				following goals:
1) Ongoing monitoring and
				evaluation of the quality of services provided by the program, including but
				not limited to:
A) Accomplishment of outcome
				goals;
B) Accomplishment of program
				goals;
C) Resident satisfaction;
				and
D) Quality of life.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 225 - ALZHEIMER'S DISEASE MANAGEMENT CENTER DEMONSTRATION PROGRAM CODE › Subpart J - QUALITY ASSESSMENT AND IMPROVEMENT › Table A - Heat Index Table/Apparent Temperature

Current through Register Vol. 48, No. 28, July 12, 2024
70
75
80
85
90
95
100
105
110
115
120
125
130
135
5
64
69
74
79
84
88
93
97
102
107
111
116
122
128
10
65
70
75
80
85
90
95
100
105
111
116
123
131
15
65
71
76
81
86
91
97
102
108
115
123
131
20
66
72
77
82
87
93
99
105
112
120
130
141
25
66
72
77
83
88
94
101
109
117
127
139
30
67
73
78
84
90
96
104
113
123
135
148
35
67
73
79
85
91
98
107
118
130
143
40
68
74
79
86
93
101
110
123
137
151
45
68
74
80
87
95
104
115
129
143
50
69
75
81
88
96
107
120
135
150
55
69
75
81
89
98
110
126
142
60
70
76
82
90
100
114
132
149
65
70
76
83
91
102
119
138
70
70
77
85
93
106
124
144
75
70
77
86
95
109
130
80
71
78
83
97
113
136
85
71
78
87
99
117
90
71
79
88
102
122
95
71
79
89
105
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 230 - HEALTH CARE FACILITY AND PROGRAM INITIAL CERTIFICATION FEE CODE › Section 230.100 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
The following terms shall have the meanings ascribed to them
				here whenever the term is used in this Part.
Act - the Civil Administrative Code of Illinois.
Applicant - the health care facility or program applying for
				initial Medicare or Medicaid certification.
Department - the Illinois Department of Public Health.
Health care facility or program - an entity applying to be
				certified to participate in the Medicare program under Title XVIII of the
				federal Social Security Act or in the Medicaid program under Title XIX of the
				federal Social Security Act. (Section 55.82 of the Civil Administrative Code of
				Illinois [20 ILCS 2310/55.82 ])
Inspection or survey - the examination, by the Department, of
				compliance with requirements for participation in the Medicare or Medicaid
				program.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 230 - HEALTH CARE FACILITY AND PROGRAM INITIAL CERTIFICATION FEE CODE › Section 230.200 - Costs and Fees

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
			 Department may charge a fee to any health care facility or program applying to
			 be certified to participate in the Medicare program or in the Medicaid program
			 to cover the costs associated with the application, inspection and survey of
			 the facility or program and processing of the application, including personnel
			 costs. The Department's decision to charge a fee will be based on whether the
			 inspection and survey and processing costs are reimbursed to the State by the
			 federal government. (Section 55.82 of the Act)
b) The costs associated with conducting
			 health care facility or program initial certification inspections shall be
			 calculated based on the following:
1) Number
			 of hours to conduct survey for facility or program type, i.e., long-term care
			 facility, home health agency, rural health clinic, end-stage renal dialysis
			 center, hospice program, hospital, physical or occupational therapist in
			 independent practice, occupational therapy, speech therapy, outpatient physical
			 therapy, ambulatory surgical treatment center, portable x-ray unit;
2) Personnel costs (i.e., average salaries of
			 surveyors and retirement, insurance, and social security benefits);
3) Travel costs;
4) Processing of the application. (Section
			 55.82 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 230 - HEALTH CARE FACILITY AND PROGRAM INITIAL CERTIFICATION FEE CODE › Section 230.300 - Application Processing

Current through Register Vol. 48, No. 28, July 12, 2024
a) An
			 application for initial Medicare or Medicaid certification shall be submitted
			 to the Department in accordance with instructions from the Health Care
			 Financing Administration (HCFA), if required. Information requested may
			 include, but is not limited to:
1) Applicant
			 information, including whether the applicant is an individual or organization,
			 Board Certification, and professional licensure;
2) Location information, including billing
			 address and location of patient records;
3) Exclusion/sanction information;
4) Prior practice information;
5) Managing/directing employee
			 information;
6) Ownership
			 information;
7) Chain organization
			 information;
8) Parent/joint
			 venture/subsidiary information;
9)
			 Contractor information;
10)
			 Electronic submission information.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 230 - HEALTH CARE FACILITY AND PROGRAM INITIAL CERTIFICATION FEE CODE › Section 230.400 - Health Care Facility and Program Survey Fund

Current through Register Vol. 48, No. 28, July 12, 2024
The fees received by the Department under this Part shall be
				deposited into the Health Care Facility and Program Survey Fund in the State
				Treasury. (Section 55.82 of the Act)