reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3020 - Compliance with Local Codes and Standards

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each facility shall comply with the
				applicable provisions of the following codes and standards. Any incorporation
				by reference in this Section of federal regulations or of any standards of a
				nationally recognized organization or association refers to the regulations and
				standards on the date specified in Section
				300.340
				and does not include any editions or amendments subsequent to the date
				specified.
b) NFPA 101, Chapter 19,
				for existing structures and all appropriate references under Chapter 2 apply to
				and is part of the Subpart. In addition to the publications referenced in
				Chapter 2, the following standards shall be applicable for all existing
				facilities:
1) NFPA 20, Standard for the
				Installation of Stationary Pumps for Fire Protection;
2) NFPA 22, Water Tanks for Private Fire
				Protection; and
3) NFPA 101A, Guide
				on Alternative Approaches to Life Safety.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3030 - Preparation of Drawings and Specifications

Current through Register Vol. 48, No. 28, July 12, 2024
Drawings and specifications prepared for work which is
				  required by these Standards shall be prepared in accordance with Section
				  300.2830
				  of the Construction Standards for New Facilities.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3040 - Site

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each facility
				shall comply with all applicable zoning ordinances and be located on a
				reasonably flat or rolling, well-drained site that is: not subject to flooding;
				reasonably free from sources of excessive noise, noxious or hazardous smoke or
				fumes; not in a deteriorated, unpleasant, or potentially hazardous area; and
				not near uncontrolled sources of insect and rodent breeding.
b) Each facility shall be located in or near
				a community which can provide the necessary supportive services for the
				facility such as physicians' services, medical facilities, public utilities, or
				other acceptable substitutes; and be located on a well-maintained, all-weather
				road.
c) Each facility shall be
				served by a potable water supply with water pressure and volume that is
				acceptable to this Department. (B)
d) Each facility shall have at least one
				municipal or private fire hydrant, located within 300 feet 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. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3050 - Administration and Public Areas

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Facilities for the physically handicapped (public, staff and residents) shall
				be provided in administration and public areas as well as in resident
				areas.
b) Each facility shall be
				provided with sufficient administrative office space for clerical, financial,
				and managerial functions and provide satisfactory space which can be used for
				privacy in interviewing applicants and for discussion with relatives.
c) Each facility shall be provided with
				satisfactory space or an office for the administrator.
d) Each facility shall be served by reliable
				telephone service.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3060 - Nursing Unit

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
				Requirements for Bedrooms
1) Resident bedrooms
				shall have an entrance directly off of a corridor with an entrance door that
				swings into the room. Rooms used as bedrooms and included in the licensed
				capacity as of December 24, 1987, which do not open directly into corridors but
				instead open into large living/dining/activity areas, are exempt from this
				subsection (a)(1). However, no additional such rooms will be permitted to be
				established after December 24, 1987.
2) Resident bedrooms shall have adequate and
				satisfactory artificial light and be equipped in accordance with Section
				300.3140(c).
3) Resident toilet rooms shall open directly
				into a corridor or into a resident's bedroom. (B)
4) A closet or wardrobe at least four square
				feet shall be provided for each resident.
5) No bedroom floor shall be more than three
				feet below the adjacent ground level.
6) Each room used as a resident bedroom shall
				have at least one outside window, and a total window area to the outside equal
				to at least one-tenth the floor area of the room.
7) Nurses' call system shall be provided in
				accordance with Section
				300.3140(e).
				(B)
8) Visual privacy shall be provided for each
				resident in multi-bedrooms. Methods for privacy shall not restrict resident
				access to entry, lavatory, or toilet.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3070 - Living, Dining, Activities Rooms

Current through Register Vol. 48, No. 28, July 12, 2024
a) Provide at least one comfortably furnished
				living room and dining room for use of residents.
1) The room shall be an outside room and if
				combined shall have an area of not less than 20 square feet per resident
				bed.
2) The dining room shall be
				sufficient in area to allow proper and comfortable service for the
				residents.
3) Be located so that
				the room is not an entrance vestibule from the out-of-doors.
4) The furniture shall be arranged so that it
				is not an obstruction to traffic in or out of the facility.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3080 - Treatment and Personal Care

Current through Register Vol. 48, No. 28, July 12, 2024
Space and appropriate equipment shall be provided to meet the
				  resident's needs for treatment, grooming and hair care.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3090 - Service Departments

Current through Register Vol. 48, No. 28, July 12, 2024
a) Kitchen
1) Provide a kitchen area, not including food
				storage area, of approximately ten square feet per resident bed; this may be
				reduced for a facility with 40 or more beds. Any deviation from this
				requirement must receive approval from the Department. Such approval will only
				be granted if it can be shown that sufficient space can be provided to meet the
				needs of the residents. (B)
2)
				Provide kitchen equipment in an arrangement for convenient operation, good
				sanitation, healthful working conditions and control of heat, noise, and odors.
				(B)
3) Provide appropriate
				equipment for the preparation and serving of meals. (B)
4) Provide refrigeration of perishable foods.
				(B)
5) The kitchen shall be
				equipped with a two compartment sink for washing and sanitizing dishes, pots,
				pans and utensils. A commercial type dishwasher is recommended. (B)
6) The kitchen shall be provided with a
				handwashing lavatory. (B)
7) The
				walls and ceilings of all food handling rooms shall be finished with smooth,
				washable, light-colored surfaces.
8) All openings to the outside shall be
				effectively screened during fly seasons, and screen doors shall be equipped
				with self-closing devices; or a satisfactory alternative method.
9) The kitchen shall be located so that no
				resident must pass through it to reach a bathroom, resident's bedroom, the
				living room, dining room, or the out-of-doors. (B)
10) Provide approximately two and one-half
				square feet per patient bed for bulk and daily food storage located in a room
				convenient to the kitchen.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3100 - General Building Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Elevators
1) Provide a minimum of one elevator in all
				buildings of three or more stories in height. Additional elevators shall be
				provided as determined by the Department, based on the number, population, and
				condition of the residents. The basement, if it is used by residents, shall be
				considered as one story.
2) If 60
				to 200 beds are located above the second floor, at least one additional
				elevator shall be provided. If over 200 beds are located above the second
				floor, the number of additional elevators shall be determined by the
				Department.
3) The administrator of
				the facility must be able to demonstrate to the Department the ability to
				transfer a patient according to physician's orders using existing elevators and
				elevator doors.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3110 - Structural

Current through Register Vol. 48, No. 28, July 12, 2024
a) Buildings and
				all parts thereof shall be maintained structurally to support all dead, live
				and lateral loads. (B)
b) Buildings
				shall be maintained in good repair. Buildings that show signs of distress shall
				be repaired immediately. (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3120 - Mechanical Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Mechanical systems shall be maintained to assure proper working order and safe
				operation. Instructions in the operational use of the systems and equipment
				shall be available at the facility.
b) Thermal and Acoustical Insulation.
				Insulation shall be provided for the following:
1) Boilers, smoke breeching, and
				stacks;
2) Steam supply and
				condensate return piping;
3) Hot
				water piping above 180 degrees Fahrenheit and all water heaters, generators,
				and converters;
4) Hot water piping
				above 125 degrees Fahrenheit that is exposed to contact by residents;
5) Chilled water, refrigerant, and other
				process piping and equipment operating with fluid temperatures below the
				ambient dew point;
6) Water supply
				and drainage piping on which condensation may occur;
7) Air ducts and casings with outside surface
				temperature below the ambient dew point; and
8) Other piping, ducts, and equipment as
				necessary to maintain the efficiency of the system.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3130 - Plumbing Systems

Current through Register Vol. 48, No. 28, July 12, 2024
a) General
				Plumbing Requirements
1) All plumbing systems
				shall be designed and installed in accordance with the requirements of the
				Illinois Plumbing Code except that the number of water closets, lavatories,
				bath tubs, showers and other fixtures shall be as required by this Part and the
				facility program.
2) New and
				replacement equipment, fixtures and fittings for mechanical, plumbing and
				electrical systems shall conform to and be installed in accordance with Subpart
				N of this Part.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart O - DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES › Section 300.3140 - Electrical Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				electrical installation for existing facilities shall continue to meet all the
				requirements of NFPA 70.
b) Circuit
				breakers or fusible switches that provide disconnecting means and overcurrent
				protection for conductors connected to switchboards and panelboards shall be
				enclosed or guarded to provide a dead-front type of assembly. Overload
				protective devices shall be suitable for operating properly in ambient
				temperature conditions.
c) Lighting
1) All spaces occupied by people, machinery,
				or equipment within buildings, approaches to buildings, and parking lots shall
				have lighting.
2) Resident's rooms
				shall have general lighting. A reading light shall be provided for each
				resident.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart P - RESIDENT'S RIGHTS › Section 300.3240 - Abuse and Neglect

Current through Register Vol. 48, No. 28, July 12, 2024
a)
An owner, licensee, administrator, employee or agent of a facility
				shall not abuse or neglect a resident.
(Section 2-107 of the
				Act)
b)
A facility employee
				or agent who becomes aware of abuse or neglect of a resident shall immediately
				report the matter to the Department and to the facility administrator.
(Section 3-610(a) of the Act)
c)
A facility administrator 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 and to the Department. (Section 3-610(a) of the
				Act)
d)
When an
				investigation of a report of suspected abuse of a resident indicates, based
				upon credible evidence, that an employee of a long-term care 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.
(Section 3-611 of the Act)
e)
When an investigation of a report
				of suspected abuse of a resident indicates, based upon credible evidence, that
				another resident of the long-term care 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.
(Section 3-612 of the Act)
f) A facility that becomes aware of
				photographing or recording of a resident, without the resident's consent or
				knowledge, or any other abuse, shall comply with subsections (a) through (e) of
				this Section.
g) A facility shall
				comply with all requirements for reporting abuse and neglect pursuant to the
				Abused and Neglected Long Term Care Facility Residents Reporting Act.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart P - RESIDENT'S RIGHTS › Section 300.3270 - Residents' Advisory Council

Current through Register Vol. 48, No. 28, July 12, 2024
Each resident shall have the right to participate in a
				  residents' advisory council as indicated in Section
				  300.640.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart P - RESIDENT'S RIGHTS › Section 300.3280 - Contract With Facility

Current through Register Vol. 48, No. 28, July 12, 2024
Each resident shall have the right to contract with the
				  facility as indicated in Section
				  300.630.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart P - RESIDENT'S RIGHTS › Section 300.3300 - Transfer or Discharge

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A resident may be discharged from a facility after
the
				resident
gives the administrator, a physician, or a nurse of the
				facility written notice of
their
desire to be discharged. If a
				guardian has been appointed for a resident or if the resident is a minor, the
				resident shall be discharged upon written consent of
their
guardian or if the resident is a minor,
their
parent
				unless there is a court order to the contrary. In such cases, upon the
				resident's discharge, the facility is relieved from any responsibility for the
				resident's care, safety or well-being.
(Section 2-111 of the
				Act)
b) Each resident's rights
				regarding involuntary transfer or discharge from a facility shall be as
				described in subsections (c) through (y) of this Section.
c) Reasons for Transfer or Discharge
1)
A facility may involuntarily
				transfer or discharge a resident only for one or more of the following
				reasons
:
A)
for medical
				reasons;
B)
for
				the resident's physical safety;
C)
for the physical safety of other
				residents, the facility staff or facility visitors; or
D)
for either late payment or
				nonpayment for the resident's stay, except as prohibited by Titles XVIII and
				XIX of the federal Social Security Act. For purposes of this Section, "late
				payment" means non-receipt of payment after submission of a bill. If payment is
				not received within 45 days after submission of a bill, a facility may send a
				notice to the resident and responsible party requesting payment within 30 days.
				If payment is not received within such 30 days, the facility may thereupon
				institute transfer or discharge proceedings by sending a notice of transfer or
				discharge to the resident and responsible party by registered or certified
				mail. The notice shall state, in addition to the requirements of Section 3-403
				of
the
Act
and subsection (e) of this Section,
that the responsible party has the right to pay the amount of the bill
				in full up to the date the transfer or discharge is to be made and then the
				resident shall have the right to remain in the facility. Such payment shall
				terminate the transfer or discharge proceedings.
This subsection
				(c)
does not apply to those residents whose care is provided under the
				Illinois Public Aid Code
. (Section 3-401 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart P - RESIDENT'S RIGHTS › Section 300.3320 - Confidentiality

Current through Register Vol. 48, No. 28, July 12, 2024
a)
The
				Department,
the facility and all other public or private agencies
shall respect the confidentiality of a resident's record and shall not
				divulge or disclose the contents of a record in a manner which identifies a
				resident, except upon a resident's death to a relative or guardian, or under
				judicial proceedings. This Section shall not be construed to limit the right of
				a resident
or a resident's representative
to inspect or copy
				the resident's records.
(Section 2-206(a) of the Act)
b)
Confidential medical, social,
				personal, or financial information identifying a resident shall not be
				available for public inspection in a manner which identifies a
				resident.
(Section 2-206(b) of the Act)
c) The facility shall ensure the rights of
				all residents to confidentiality of their personal and medical
				records.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart P - RESIDENT'S RIGHTS › Section 300.3330 - Facility Implementation

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				facility shall establish written policies and procedures to implement the
				responsibilities and rights provided in Article II of the Act. The policies
				shall include the procedure for the investigation and resolution of resident
				complaints under the Act. The policies shall be clear and unambiguous and shall
				be available for inspection by any person. A summary of the policies and
				procedures, printed in not less than 12 point type, shall be distributed to
				each resident and representative. (Section 2-210 of the Act)
b) The facility shall provide copies of these
				policies and procedures upon request to next of kin, sponsoring agencies,
				representative payees and the public.
c) Each residentand resident's guardian or
				other person acting for the residentshall be given a writtenexplanation
				prepared by the Office of the State Long-term Care Ombudsmanof all the rights
				enumerated in Part 1 of Article II of the Actand in Part 4 of Article III. For
				residents of facilities participating in Title 18 or 19 of the Social Security
				Act, the explanation shall include an explanation of residents' rights
				enumerated in the Act. The explanation shall be givenat the time of admission
				to a facility or as soon thereafter as the condition of this resident permits,
				but in no event later than 48 hours after admission, and again at least
				annually thereafter. At the time of implementation of the Act each resident
				shall be given a written summary of all the rights enumerated in Part I of
				Article II of the Act. If a resident is unable to read such writtenexplanation,
				it shall be read to the resident in a language the resident understands. In the
				case of a minor or a person having a guardianor other person acting for him,
				both the resident and the parent,guardianor other person acting for the
				residentshall be fully informed of these rights. (Section 2-211 of the
				Act)
d) The resident, resident's
				representative, guardian, or parent of a minor resident shall acknowledge in
				writing the receipt from the facility of a copy of all resident rights set
				forth in Article II of the Act and a copy of all facility policies implementing
				such rights.
e) The facility shall
				ensure that its staff is familiar with and observes the rights and
				responsibilities enumerated in the Act and this Part. (Section 2-212 of the
				Act) (B)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart P - RESIDENT'S RIGHTS › Section 300.3340 - Social Isolation

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the purposes
				of this Section:
1)
"Assistive and
				supportive technology and devices" means computers, video conferencing
				equipment, distance-based communication technology, or other technological
				equipment, accessories, or electronic licenses as may be necessary to ensure
				that residents are able to engage in face-to-face, verbal-based, or
				auditory-based contact, communication, religious activity, or recreational
				activity with other facility residents and with family members, friends, loved
				ones, caregivers, and other external support systems, through electronic means,
				in accordance with the provisions of
the Act and subsections (d)(2)
				and (3).
2)
"Religious and
				recreational activities" includes any religious, social, or recreational
				activity that is consistent with a resident's preferences and choosing,
				regardless of whether the activity is coordinated, offered, provided, or
				sponsored by facility staff or by an outside activities
				provider.
3)
"Resident's representative" has the same meaning as provided in Section
				1-123
of the Act and Section
				300.330.
4)
"Social isolation" means a state
				of isolation wherein a resident of a long-term care facility is unable to
				engage in social interactions and religious and recreational activities with
				other facility residents or with family members, friends, loved ones,
				caregivers and external support systems.
5)
"Virtual visitation" means the use
				of face-to-face, verbal-based, or auditory-based contact through electronic
				means.
(Section 3-102.3(a) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart S - PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.4000 - Applicability of Subpart S

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Beginning July 1, 2002, a licensed SNF or ICF providing services to persons
				with serious mental illness shall meet the requirements of this Subpart S.
				Applicability of this Subpart S shall not affect a facility's compliance with
				the remainder of this Part.
b) For
				the purposes of this Subpart, "serious mental illness" is defined as the
				presence of a major disorder as classified in the Diagnostic and Statistical
				Manual of Mental Disorders, Fourth Edition (DSM-IV) (American Psychiatric
				Association, 1400 K Street NW, Washington, DC 20005), excluding alcohol and
				substance abuse, Alzheimer's disease, and other forms of dementia based upon
				organic or physical disorders. A serious mental illness is determined by all of
				the following three areas:
1) Diagnoses that
				constitute a serious mental illness are:
A)
				Schizophrenia;
B) Delusional
				disorder;
C) Schizo-affective
				disorder;
D) Psychotic disorder not
				otherwise specified;
E) Bipolar
				disorder I - mixed, manic, and depressed;
F) Bipolar disorder II;
G) Cyclothymic disorder;
H) Bipolar disorder not otherwise specified
				I;
I) Major depression,
				recurrent;
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart S - PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.4020 - Reassessments for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S

Current through Register Vol. 48, No. 28, July 12, 2024
a) At
				least every three months, the PRSC shall document review of the resident's
				progress, assessments and treatment plans. If needed, the PRSC shall inform the
				appropriate IDT members of the change in resident's condition. The appropriate
				IDT member will reassess the individual and update the resident's assessment,
				assuring the continued accuracy of the assessment.
b) All persons admitted to a nursing home
				facility with a diagnosis of serious mental illness who remain in the facility
				for a period of 90 days shall be re-screened by the Department of Human
				Services or its designee at the end of the 90-day period, at 6 months, and
				annually thereafter to assess their continued need for nursing facility care
				and shall be advised of all other available care options. (Section 2-104.3 of
				the Act) Complete comprehensive reassessments shall be conducted in the
				following areas:
1) Psychiatric
				evaluation;
2) Psychosocial
				assessment update (including significant events, e.g., death of a significant
				other since the last reassessment);
3) Skills assessment update, including an
				assessment of resident levels of functioning and reassessment of rehabilitation
				potential (an evaluation of the individual's strengths, potentials,
				environmental opportunities and ability to achieve or likelihood of achieving
				maximum functioning); and a narrative statement of the individual's strengths
				and potential as they directly relate to the individual's functional
				limitations with recommendations for treatment and/or services, and the
				potential of the individual to function more independently. A complete
				reassessment shall be required if changes in the resident's functional level
				make the current assessment inapplicable. If a complete reassessment is not
				required, the update must include a narrative summary of the reevaluated
				assessment;
4) Recreation and
				leisure activities updates, including the resident's participation, perceived
				enjoyment, frequency of self-initiated involvement versus staff coaxing or
				refusal, and recommended interventions;
5) Physical examination update, including,
				but not limited to:
A) Medical history and
				medication history updates, including any illness and changes in medical
				diagnosis and medication prescription or indication of administration
				compliance that have occurred since the last assessment;
B) Oral screening update completed by a
				dentist or registered nurse;
C)
				Nutritional update completed by a dietitian or the food service supervisor
				under the direction of the dietitian; and
6) Other assessments needed, as determined by
				the interdisciplinary team.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart S - PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.4030 - Individualized Treatment Plan for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				On admission, information received from the admission source (e.g., resident,
				family, preadmission screening (PAS) agent) shall be used to develop an interim
				treatment plan. In developing an individual's interim treatment plan (IITP),
				the facility shall review the PAS/MH assessments and "Notice of Determination"
				and consider the use of this information in developing the interim treatment
				plan. The IITP shall focus on those behaviors and needs requiring attention
				prior to development of the individualized treatment plan (ITP). Each IITP
				shall be based on physician's orders and shall include diagnosis, allergies and
				other pertinent medical information. The following information shall also be
				considered, as appropriate, to allow for the identification and provision of
				appropriate services until a final plan is developed:
1) Known risk factors (e.g., wandering,
				safety issues, aggressive behavior, suicide, self-mutilation, possible
				victimization by others);
2)
				Observable resident medical/psychiatric conditions that may require additional
				immediate assessment or consultation;
3) Therapeutic involvement that might be of
				interest to the resident, be recommended based on referral information, aid in
				orientation or provide meaningful data for further professional assessment;
				and
4) Other known factors having
				an impact on the resident's condition (e.g., family involvement, social
				interaction patterns, cooperation with treatment planning).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart S - PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.4040 - General Requirements for Facilities Subject to Subpart S

Current through Register Vol. 48, No. 28, July 12, 2024
a) The psychiatric
				rehabilitation services program of the facility shall provide the following
				services as needed by facility residents under Subpart S:
1) 24 hours of continuous supervision,
				support and therapeutic interventions;
2) Psychotropic medication administration,
				monitoring, and self-administration;
3) Case management services and discharge
				preparation and training;
4)
				Psychiatric rehabilitation services addressing major domains of functioning and
				skills development: self-maintenance, social and community living, occupational
				preparedness, symptom management, and substance abuse avoidance;
5) Crisis services; and
6) Personal care assistance.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart S - PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.4050 - Psychiatric Rehabilitation Services for Facilities Subject to Subpart S

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility
				shall develop and implement a psychiatric rehabilitation program. A facility
				may contract with an outside entity to provide all or part of the psychiatric
				rehabilitation program as long as individual residents' needs are met and
				subsection (c)(4) is met. The program shall be designed to allow a wide array
				of group and individual therapeutic activities, including, but not limited to,
				the following:
1) Skills training programs
				addressing a comprehensive range of skill areas, including the major domains of
				self-maintenance, social functioning, community living, occupational
				preparedness, symptom management, and substance abuse management. Skills
				training programs should:
A) Include
				available published, validated modules with highly structured curricula for
				teaching targeted skills (e.g., trainer's manuals and videotapes that
				demonstrate the skills to be learned);
B) Proceed within a training-to-mastery
				framework that addresses discrete sets of skill competencies, introduces
				targeted skills in a graded fashion, and regulates the difficulty of exercises
				to create a momentum of success;
C)
				Include focused instructions and modeling, frequent repetition of new material,
				auditory and visual representation, role playing and practice, and immediate
				positive feedback for attention and participation; and
D) Be adjusted in content, form and duration
				to match residents' profiles in terms of stress tolerance, learning
				impairments, and motivational characteristics. Environmental conditions shall
				be arranged to help compensate for deficits in resident concentration,
				attention, and memory (e.g., reduction of distracting stimuli and extensive use
				of supportive reminder cues), as needed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart S - PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.4060 - Discharge Plans for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S

Current through Register Vol. 48, No. 28, July 12, 2024
a) As
				part of the ITP, a discharge plan shall be considered by the interdisciplinary
				team as a component of the individual's comprehensive program plan. This plan
				shall address the reduction of symptoms and the acquisition of behaviors and
				prioritized skill deficits that inhibit the individual from moving to a more
				independent environment.
b) Within
				one year prior to a planned discharge, preparation shall address:
1) Identification and linkage to proposed
				community providers;
2)
				Self-directed initiation and compliance with mental health services while in
				the facility;
3) Use of community
				mental health services;
4)
				Assistance with locating and securing housing; and
5) Assistance with identification,
				application and securing financial resources.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart S - PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.4070 - Work Programs for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				In-house facility work programs for individual residents participating in the
				psychiatric rehabilitation program shall be considered to increase work-related
				skills, further residents' socialization, foster independence, and increase a
				sense of well-being and adjustment.
b) The facility shall work with State and
				community agencies in assisting individual program residents to avail
				themselves of specialized work activity programs, prevocational and work
				adjustment training, supportive employment, sheltered workshop programs, and
				other similar programs that are provided outside of the facility.
c) Appropriate records shall be maintained
				for residents functioning in work programs in the facility or outside the
				facility. These shall show appropriateness of the program for the individual;
				objectives; resident duties, training and supervision; resident's response to
				the program; and any other pertinent observations. This information shall
				become a part of the resident's record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart S - PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.4080 - Community Based Rehabilitation Programs for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S

Current through Register Vol. 48, No. 28, July 12, 2024
Community-based (off-site) rehabilitation programs shall be
				  used as an adjunct to the facility program where their use will assist in
				  community reintegration or in the development of relationships with the agency
				  that will be providing services to the individuals after discharge. The
				  facility shall develop and maintain working relationships and written
				  agreements with community agencies that provide psychiatric rehabilitation
				  services. Appropriate records shall be maintained for residents receiving
				  psychiatric rehabilitation services from outside agencies. These records shall
				  show the appropriateness of the program for the individual, the ITP objectives
				  addressed, the interventions being utilized, the resident's response to the
				  program, the responsible community agency staff, and any other pertinent
				  observations.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart S - PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.4090 - Personnel for Providing Services to Persons with Serious Mental Illness for Facilities Subject to Subpart S

Current through Register Vol. 48, No. 28, July 12, 2024
a) Psychiatric Medical Director
1) The facility shall have a consultant for
				the psychiatric rehabilitation program who is an Illinois licensed physician
				and is board eligible or board certified in psychiatry from the American Board
				of Psychiatry and Neurology. The psychiatric medical director is responsible
				for advising the administrator and the Psychiatric Rehabilitation Services
				Director on the overall psychiatric management of the program's
				residents.
2) There shall be
				communication linkages between the psychiatric medical director and the medical
				director.
3) The psychiatric
				medical director, working with the administrator, shall be responsible for
				annually approving in writing the facility's written policies and procedures
				for the psychiatric rehabilitation program.
4) Each resident shall be under the care of a
				psychiatrist. If a resident was admitted and has continuously been a resident
				since prior to January 1, 2002 and a psychiatrist has never served as the
				resident's primary physician, the resident may continue with the current
				physician if that physician uses psychiatric consultation, as needed, for the
				resident.
5) A psychiatrist shall
				be available for the psychiatric treatment and psychiatric medication
				management of the residents. All residents or residents' guardians shall be
				permitted their choice of psychiatrist.
6) Each resident shall be seen by a
				psychiatrist at least every 90 days and as often as necessary to ensure
				adequate psychiatric treatment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6000 - Applicability of Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6005 - Quality Assessment and Improvement for Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6010 - Comprehensive Assessments for Residents of Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6020 - Reassessments for Residents of Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6030 - Individualized Treatment Plan for Residents of Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6040 - General Requirements for Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6045 - Serious Incidents and Accidents in Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6047 - Medical Care Policies for Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6049 - Emergency Use of Restraints for Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6050 - Psychiatric Rehabilitation Services for Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6060 - Discharge Plans for Residents of Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6070 - Work Programs for Residents of Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6080 - Community-Based Rehabilitation Programs for Residents of Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6090 - Personnel for Providing Services to Residents of Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart T - FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS › Section 300.6095 - Training and Continuing Education for Facilities Subject to Subpart T (Repealed)

Current through Register Vol. 48, No. 28, July 12, 2024