reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1010 - Service Programs

Current through Register Vol. 48, No. 28, July 12, 2024
The facility shall provide, either directly or through
				  arrangements with an outside resource, as needed by the individual resident,
				  all resident living services, training and guidance necessary in the activities
				  of daily living and in the development of self-help skills for maximum
				  independence. These services shall consist of at a minimum the following:
				  (B)
a) Psychological Services (as
				defined in Section
				350.1020
				) (B)
b) Social Services (as
				defined in Section
				350.1030 )
				(B)
c) Speech Pathology and
				Audiology Services (as defined in Section
				350.1040
				) (B)
d) Organized Recreational
				Activities Services (as defined in Section
				350.1050
				) (B)
e) Training and Habilitation
				Services (as defined in Section
				350.1060 )
				(B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1020 - Psychological Services

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Psychological services shall be provided to residents, directly through contact
				with psychologists and indirectly through the psychologists' consultation with
				other persons involved in psychological testing of or behavior modification of
				residents. (B)
b) Psychologists
				shall participate, when appropriate, in the continuing interdisciplinary
				evaluation of individual residents for the purpose of initiating and monitoring
				individual habilitation programs.
c) The psychologist shall report and
				disseminate the evaluation results in such a manner that the information,
				useful to the staff working with the resident, will be promptly provided and
				that confidentiality will be maintained.
d) Psychologists shall participate, when
				appropriate, in the development of written, detailed, specific and
				individualized habilitation program plans, that provide for periodic review,
				follow-up and updating and that are designed to maximize each resident's
				development and acquisition of:
1) Perceptual
				skills
2) Sensorimotor
				skills
3) Self-help
				skills
4) Communication
				skills
5) Social skills
6) Self direction
7) Emotional stability
8) Effective use of time (including leisure
				time)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1030 - Social Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Social
				services, as part of an interdisciplinary spectrum of services, shall be
				provided to the residents through the use of social work methods directed
				toward: (B)
1) Maximizing the social
				functioning of each resident.
2)
				Enhancing the coping capacity of the resident or his family.
3) Asserting and safeguarding the human and
				civil rights of the developmentally disabled and their families, and fostering
				the human dignity and personal worth of each resident.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1040 - Speech Pathology and Audiology Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Speech pathology and audiology services
				shall be provided to meet the needs of the residents through the following: (B)
1) Direct contact between speech
				pathologists, audiologists and residents.
2) Working with other personnel, such as
				teachers and direct care staff, in implementing communication improvement
				programs.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1055 - Volunteer Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) If the
				facility has a volunteer or auxiliary program, a facility staff person shall
				direct the program. Community groups such as Boy 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 facility 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 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1060 - Training and Habilitation Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall provide training and
				habilitation services to facilitate the intellectual, sensorimotor, and
				effective development of each resident in the facility.
b) Each resident shall have individual
				evaluations that shall:
1) Be based upon the
				use of empirically reliable and valid instruments whenever the tools are
				available.
2) Provide the basis for
				prescribing an appropriate program of training experiences for the
				resident.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1070 - Training and Habilitation Staff

Current through Register Vol. 48, No. 28, July 12, 2024
Appropriately qualified staff shall be provided in sufficient
				  numbers to meet the training and habilitation needs of the residents. At a
				  minimum, staffing shall be provided as described in Section
				  350.810(b)
				  of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1080 - Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility
				shall have written policies controlling the use of physical restraints
				including, but not limited to, leg restraints, arm restraints, hand mitts, soft
				ties or vests, wheelchair safety bars and lap trays, and all facility practices
				that meet the definition of a restraint, such as tucking in a sheet so tightly
				that a bed-bound resident cannot move; bed rails used to keep a resident from
				getting out of bed; chairs that prevent rising; or placing a resident who uses
				a wheelchair so close to a wall that the wall prevents the resident from
				rising. 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 and shall comply with the
				Act and this Part.
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 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1082 - Nonemergency Use of Physical Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) Physical restraints shall only be used
				when required to treat the resident's medical symptoms or as a therapeutic
				intervention, as ordered by a physician, and based on:
1) the assessment of the resident's
				capabilities and an evaluation and trial of less restrictive alternatives that
				could prove effective;
2) the
				assessment of a specific physical condition or medical treatment that requires
				the use of physical restraints, and how the use of physical restraints will
				assist the resident in reaching his or her highest practicable physical, mental
				or psychosocial well being;
3)
				consultation with appropriate health professionals, such as rehabilitative
				nurses and occupational or physical therapists, which indicates that the use of
				less restrictive measures or therapeutic interventions has proven ineffective;
				and
4) demonstration by the care
				planning process that using a physical restraint as a therapeutic intervention
				will promote the care and services necessary for the resident to attain or
				maintain the highest practicable physical, mental or psychosocial well being.
				(Section 2-106(c) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1084 - Emergency Use of Physical Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) If a resident needs emergency care,
				physical restraints may be used for brief periods to permit treatment to
				proceed unless the facility has notice that the resident has previously made a
				valid refusal of the treatment in question. (Section 2-106(c) of the
				Act)
b) For this Section only,
				"emergency care" means the unforeseen need for immediate treatment inside or
				outside the facility that is necessary to:
1)
				save the resident's life;
2)
				prevent the resident from doing serious mental or physical harm to
				himself/herself; or
3) prevent the
				resident from injuring another individual.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1086 - Unnecessary, Psychotropic, and Antipsychotic Drugs

Current through Register Vol. 48, No. 28, July 12, 2024
a) A resident shall not be given unnecessary
				drugs in accordance with Section 350.Appendix E. In addition, an unnecessary
				drug is any drug used:
1) in an excessive
				dose, including in duplicative therapy;
2) for excessive duration;
3) without adequate monitoring;
4) without adequate indications for its use;
				or
5) in the presence of adverse
				consequences that indicate the drugs should be reduced or discontinued.
				(Section 2-106.1(a) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart E - RESIDENT LIVING SERVICES › Section 350.1088 - Language Assistance Services

Current through Register Vol. 48, No. 28, July 12, 2024
A facility shall provide language assistance services in
				  accordance with the Language Assistance Services Act [210 ILCS 87 ] and the
				  Language Assistance Services Code (77 Ill. Adm. Code 940).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1210 - Health Services

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 resident's 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, mental health, psychosocial, and habilitation
				needs that are identified in the resident's comprehensive assessment that
				allows 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 resident's representative, as applicable
. (Section
				3-202.2a of the Act)
b) The
				facility shall provide all services necessary to maintain each resident in good
				physical health. These services include, but are not limited to, the following:
1) Physician services, including a complete
				physical examination at least annually and formal arrangements to provide for
				medical emergencies on a 24-hour, seven-day-a-week basis.
2) Nursing services to provide immediate
				supervision of the health needs of each resident by a registered professional
				nurse or a licensed practical nurse.
3) Dental services to provide evaluation,
				diagnosis, treatment, and annual review, including care for dental emergencies,
				administered by or under the supervision of a dentist.
4) Physical and occupational therapy services
				for purposes of initiating, monitoring and follow-up of individualized
				treatment programs rendered by or under the supervision of a physician with
				special training or experience in the specialty or a physical therapist or an
				occupational therapist.
5) Other
				professional consulting services as identified in the comprehensive functional
				assessment including, but not limited to, psychiatry, gynecology, and other
				services as specified in the individual program plan.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1223 - Communicable Disease Policies

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				The facility shall comply with the Control of Communicable Diseases Code (77
				Ill. Adm. Code 690).
b) The
				facility shall not knowingly admit a person with a communicable, contagious or
				infectious disease, as defined in the Control of Communicable Diseases Code,
				except as allowed in subsection (d) of this Section. A resident who is
				suspected of or diagnosed as having any such disease shall be placed in
				isolation, if required, in accordance with the Control of Communicable Diseases
				Code. If the facility believes that it cannot provide the necessary infection
				control measures, it must initiate an involuntary transfer and discharge
				pursuant to Article III, Part 4 of the Act and Section
				350.630
				of this Part. In determining whether a transfer or discharge is necessary, the
				burden of proof rests on the facility.
c) All illnesses required to be reported
				under the Control of Communicable Diseases Code and Control of Sexually
				Transmissible Diseases Code (77 Ill. Adm. Code 693) shall be reported
				immediately to the local health department and to the Department. The facility
				shall furnish all pertinent information relating to such occurrences. In
				addition, the facility shall also inform the Department of all incidents of
				scabies and other skin infestations.
d) Persons with communicable, contagious, or
				infectious diseases may be admitted under the following conditions:
1) When a person's infectious condition is
				directly related to one or more chronic pressure sores, from which laboratory
				tests have proven the presence of a pathogenic organism. Such a person may be
				admitted if the facility is capable of implementing appropriate treatment and
				isolation techniques to avoid secondary spread of infection.
2) When a person's condition is communicable,
				contagious, or infectious only through blood or other body fluid contact, such
				as hepatitis, acquired immunodeficiency syndrome (AIDS), or human
				immunodeficiency virus (HIV) infection.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1225 - Tuberculin Skin Test Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
Tuberculin skin tests for employees and residents shall be
				  conducted in accordance with the Control of Tuberculosis Code (77 Ill. Adm.
				  Code 696).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1230 - Nursing Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each
				facility shall have a full-time director of nursing services (DON) who is a
				registered nurse (RN) and whose only responsibility is the immediate
				supervision of the facility's health services. This person shall be on duty a
				minimum of 36 hours, four days per week. At least 50 percent of this person's
				hours shall be regularly scheduled between 7 A.M. and 7 P.M.
1) A registered nurse or licensed practical
				nurse shall be on duty 24 hours per day and seven days per week in charge of
				health services at all times when the director of nursing services is not on
				duty. The nurse shall be a registered nurse when required by the medical and/or
				nursing needs of the residents.
2)
				A facility may, with written approval from the Department, have two registered
				nurses share the duties of this position if the facility is unable to obtain a
				full-time person. Such an arrangement will be granted approval only through
				written documentation that the facility was unable to obtain the full-time
				services of a qualified individual to fill this position. Such documentation
				shall include, but not be limited to: an advertisement that has appeared in a
				newspaper of general circulation in the area for at least three weeks; the
				names, addresses and phone numbers of all persons who applied for the position
				and the reasons why they were not acceptable or would not work full time; and
				information about the number and availability of registered nurses in the area.
				The Department will grant approval only when such documentation indicates that
				there were no qualified applicants who were willing to accept the job on a
				full-time basis, and the pool of registered nurses available in the area cannot
				be expected to produce, in the near future, a qualified person who is willing
				to work full time.
3) In facilities
				with a capacity of fewer than 50 beds, this person (or these persons) may also
				provide direct patient care, and this person's time may be included in meeting
				the staff to resident ratio requirements.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1235 - Life-Sustaining Treatments

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every
				facility shall respect the residents' right to make decisions relating to their
				own medical treatment, including the right to accept, reject, or limit
				life-sustaining treatment. Every facility shall establish a policy concerning
				the implementation of those rights. This policy shall include:
1) Implementation of Living Wills or Powers
				of Attorney for Health Care in accordance with the Living Will Act and the
				Powers of Attorney for Health Care Law;
2)
The implementation of physician
				orders limiting resuscitation such as those commonly referred to as "Do Not
				Resuscitate" orders. This policy may only prescribe the format, method of
				documentation and duration of any physician orders limiting resuscitation. Any
				orders under this policy shall be honored by the facility.
(Section
				2-104.2 of the Act);
3) Procedures
				for providing life-sustaining treatments available to residents at the
				facility;
4) Procedures detailing
				staff's responsibility with respect to the provision of life-sustaining
				treatment when a resident has chosen to accept, reject, or limit
				life-sustaining treatment, or when a resident has not made or has not yet been
				given the opportunity to make these choices; and
5) Procedures for educating both direct and
				indirect care staff in the application of those specific provisions of the
				policy for which they are responsible.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1236 - Care and Treatment of Sexual Assault Survivors

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the purposes of this Section, the
				following definitions shall apply:
1)
				Ambulance Provider - an individual or entity that owns and operates a business
				or service using ambulances or emergency medical services vehicles to transport
				emergency patients.
2) Sexual
				Assault - an act of nonconsensual sexual conduct or sexual penetration, as
				defined in Section 11-0.1 of the Criminal Code of 2012, including, without
				limitation, acts prohibited under Sections 11-1.20 through 11-1.60 of the
				Criminal Code of 2012.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1240 - Dental Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) There
				shall be comprehensive diagnostic services for all residents which include a
				complete extra and intra oral examination utilizing all diagnostic aides
				necessary to properly evaluate the resident's oral condition, within a period
				of one month following admission unless such an examination was done within six
				months of admission, and the results are received and reviewed by the facility
				and are entered in the resident's record. (B)
b) There shall be comprehensive treatment
				services for all residents which include, but are not limited to, the
				following: (B)
1) Provision for dental
				treatment.
2) Provision for
				emergency treatment on a 24 hour, seven days a week basis, by a qualified
				dentist.
3) A recall system that
				will assure that each resident is reexamined at specified intervals in
				accordance with his needs, but at least annually.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1250 - Physical and Occupational Therapy Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) Physical and occupational therapy services
				shall be provided as needed by the residents through personal contact of the
				therapists directly with the residents or indirectly with persons involved with
				the residents.
b) Physical therapy
				and occupational therapy by the facility or by arrangements with an outside
				resource shall provide treatment training programs that are designed to
				preserve and improve abilities for independent function, such as range of
				motion, strength, tolerance, coordination, and activities of daily living; and
				to prevent, insofar as possible, irreducible or progressive disabilities,
				through means such as the use of orthotic and prosthetic appliances, assistive
				and adaptive devices, positioning, behavior, adaptation, and sensory
				stimulation.
c) The therapist shall
				function closely with the resident's primary physician and with other medical
				specialists and treatment training progress shall be recorded regularly,
				evaluated periodically, and used as the basis for continuation or change of the
				resident's program.
d) Evaluation
				results, treatment objectives, plans, procedures, and continuing observations
				of treatment progress shall be recorded accurately, summarized, communicated,
				and included in the resident's record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart F - HEALTH SERVICES › Section 350.1260 - Vaccinations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A
				facility shall annually administer or arrange for a vaccination against
				influenza to each resident, in accordance with the recommendations of the
				Advisory Committee on Immunization Practices of the Centers for Disease Control
				and Prevention that are most recent to the time of vaccination, unless the
				vaccination is medically contraindicated or the resident has refused the
				vaccine. Influenza vaccinations for all residents age 65 and over shall be
				completed by November 30 of each year or as soon as practicable if vaccine
				supplies are not available before November 1. Residents admitted after November
				30, during the flu season, and until February 1 shall, as medically
				appropriate, receive an influenza vaccination prior to or upon admission or as
				soon as practicable if vaccine supplies are not available at the time of the
				admission, unless the vaccine is medically contraindicated or the resident has
				refused the vaccine.
(Section 2-213 of the Act)
b)
A facility shall document in the
				resident's medical record that an annual vaccination against influenza was
				administered, refused or medically contraindicated
. (Section 2-213 of
				the Act)
c)
A facility
				shall provide or arrange for administration of a pneumococcal vaccination to
				each resident in accordance with the recommendations of the Advisory Committee
				on Immunization Practices of the Centers for Disease Control and Prevention,
				who has not received this immunization prior to or upon admission to the
				facility unless the resident refuses the offer for vaccination or the
				vaccination is medically contraindicated
. (Section 2-213 of the
				Act)
d)
A facility shall
				document in each resident's medical record that a vaccination against
				pneumococcal pneumonia was offered and administered, refused, or medically
				contraindicated
. (Section 2-213 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 350.1420 - Compliance with Licensed Prescriber's Orders

Current through Register Vol. 48, No. 28, July 12, 2024
a) All medications shall be given only upon
				the written, facsimile or electronic order of a licensed prescriber. The
				facsimile or electronic order of a licensed prescriber shall be authenticated
				by the licensed prescriber within 10 calendar days, in accordance with Section
				350.1610.
				All such orders shall have the handwritten signature (or unique identifier) of
				the licensed prescriber. (Rubber stamp signatures are not acceptable.) These
				medications shall be administered as ordered by the licensed prescriber and at
				the designated time.
b) Telephone
				orders may be taken by a registered nurse, licensed practical nurse or licensed
				pharmacist. All such orders shall be immediately written on the resident's
				clinical record or a telephone order form and signed by the nurse or pharmacist
				taking the order. These orders shall be countersigned by the licensed
				prescriber within ten calender days.
c) The staff pharmacist or consultant
				pharmacist shall review the medical record, including licensed prescriber's
				orders and laboratory test results, at least monthly and, based on their
				clinical experience and judgment, and Section 350.Appendix E, determine if
				there are irregularities that would cause adverse reactions, allergies,
				contraindications, medication errors or ineffectiveness. This review shall be
				done at the facility and shall be documented in the clinical record. Any
				irregularities noted shall be reported to the attending physician, the advisory
				physician, the director of nursing and the administrator and shall be acted
				upon.
d) A medication order not
				specifically limiting the time or number of doses shall be automatically
				stopped in accordance with written policy approved by the pharmaceutical
				advisory committee.
e) The
				resident's licensed prescriber shall be notified of medications about to be
				stopped so that the licensed prescriber may promptly renew such orders to avoid
				interruption of the resident's therapeutic regimen.
f) The licensed prescriber shall approve the
				release of any medications to the resident, or person responsible for the
				resident's care, at the time of discharge or when the resident is going to be
				temporarily out of the facility at medication time. Disposition of the
				medications shall be noted in the resident's clinical record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 350.1430 - Administration of Medication

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				medications shall be administered only by personnel who are licensed to
				administer medications, in accordance with their respective licensing
				requirements. Licensed practical nurses shall have successfully completed a
				course in pharmacology or have at least one year's full-time supervised
				experience in administering medications in a health care setting if their
				duties include administering medications to residents.
1) Medications shall be administered as soon
				as possible after doses are prepared at the facility and shall be administered
				by the same person who prepared the doses for administration, except under
				single unit dose packaged distribution systems.
2) Each dose administered shall be properly
				recorded in the clinical record by the person who administered the dose. (See
				Section
				350.1620.)
3) Self-administration of medication shall be
				permitted only upon the written order of the licensed prescriber.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 350.1440 - Labeling and Storage of Medications

Current through Register Vol. 48, No. 28, July 12, 2024
a) All medications for all residents shall be
				properly labeled and stored at or near the nurses' station in a locked cabinet,
				in a locked medication room, or in one or more locked mobile medication carts
				of satisfactory design for such storage. (See subsections (f) and (g) of this
				Section.)
1) These cabinets, rooms, or carts
				shall be well lighted and of sufficient size to permit storage without
				crowding.
2) All mobile medication
				carts shall be under the visual control of the responsible nurse at all times
				when not stored safely and securely.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart G - MEDICATIONS › Section 350.1450 - 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 that have been established by the facility in
				accordance with Section
				350.1410.
				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) 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 perscriber's name, signature of person administering
				dose, and number of doses remaining. 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 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 350.1620 - 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,
				Social Security numbers, mother's birthplace and parents' marital
				status.
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 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 350.1630 - Confidentiality of Resident's Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) All information contained in a resident's
				record, including any information contained in an automated data bank, shall be
				considered confidential. The facility shall permit the appropriate State and
				federal agencies (such as Illinios Departments of Public Aid, Public Health and
				Mental Health and Developmental Disabilities, and the U.S. Department of Health
				and Human Services) to have access to resident records.
b) The facility shall develop and implement
				written policies governing access to, duplication of and dissemination of
				information from medical records.
c) The facility shall obtain written consent
				of the resident, or, if a guardian, the resident's guardian, prior to any
				release of any resident record information to persons not authorized to receive
				the information.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 350.1640 - 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 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 350.1650 - 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 discharge
				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 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 350.1670 - Staff Responsibility for Medical Records

Current through Register Vol. 48, No. 28, July 12, 2024
The facility shall designate a staff member who is skilled in
				  record maintenance and preservation to be responsible for maintaining and
				  preserving medical records. If the designated person is not a health
				  information management consultant as defined in Section
				  350.330,
				  then the designated person shall receive consultation from a health information
				  management consultant in order to meet the medical record requirements of this
				  Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 350.1680 - 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
				350.210 of
				this Part.
b) The minutes of
				resident advisory council meetings required by Section
				350.650(j)
				of this Part.
c) The records of
				in-service training required by Section
				350.670(b)(3)
				of this Part.
d) Copies of reports
				of serious incidents or accidents involving residents required by Section
				350.700
				of this Part.
e) Records of the
				emergency medication kit review by the pharmaceutical advisory committee
				required by Section
				350.1410(i)(3)
				 of this Part.
f) The reports of findings and
				recommendations from consultants required in Section
				350.1690(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
				350.1690(d)
				of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart H - RESIDENT AND FACILITY RECORDS › Section 350.1690 - 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
				350.210 of
				this Part.
2) Records and daily
				time schedules shall be kept on each employee as set forth in Section
				350.670(a) and
				(b) of this Part.
3) The facility shall maintain a controlled
				substances record as described in Section
				350.1450(d)
				of this Part.
4) Menu and food
				purchase records shall be maintained as set forth in Section
				350.1880(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
				350.700
				of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 350.1810 - 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 for 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 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 350.1820 - 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 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 350.1830 - Hygiene of Dietary Staff

Current through Register Vol. 48, No. 28, July 12, 2024
Food service personnel shall be in good health. Food service
				  personnel shall practice hygienic food handling techniques and good personal
				  grooming. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 350.1840 - 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
				the task of 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 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 350.1850 - 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 8 ounces of milk:
1) 1 1/2 ounces natural cheese,
2) Two ounces processed cheese,
3) One cup yogurt or one cup frozen
				yogurt,
4) One cup cottage cheese,
				or
5) 1 1/2 cups ice cream or ice
				milk.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 350 - INTERMEDIATE CARE FOR THE DEVELOPMENTALLY DISABLED FACILITIES CODE › Subpart I - FOOD SERVICE › Section 350.1870 - 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 14 hour span between a substantial evening meal and breakfast. The
				14 hour span shall not apply to facilities using the "four or five meals-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 substitutions shall be
				served.