reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Section 300.7000 - Applicability

Current through Register Vol. 48, No. 28, July 12, 2024
a) This Subpart, in
				addition to the remainder of Part 300, as applicable, shall apply to facilities
				and distinct parts (units) that are subject to the Alzheimer's Special Care
				Disclosure Act.
b) The facility
				shall comply with the Alzheimer's Special Care Disclosure Act, in accordance
				with Section
				300.163
				of this Part, for this unit.
c)
				Facilities substantially in compliance with the requirements of this Subpart
				will receive written recognition from the Department.
d) A location that, subsequent to the
				recognition, has an A violation or a repeat B violation that is related to the
				operation of the unit shall immediately discontinue using the recognition,
				including, but not limited to, removing documentation of the recognition that
				may have been posted and removing any mention of the recognition from written
				documentation provided to families or the community.
e) A location that, subsequent to the
				recognition, has an A violation or repeat B violation shall notify current
				residents and their representatives. Within seven days after a location is
				issued an A or repeat violation, the licensee shall notify entities that have
				referred individuals to the unit within the previous 90 days, such as hospital
				discharge planners, Area Agency on Aging, and Alzheimer's
				Association.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Section 300.7010 - Admission Criteria

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				unit shall have clearly defined admission, admission exclusion, and discharge
				criteria. This shall include a policy specifying the individuals whom the unit
				will admit and retain based on the stages of Alzheimer's disease, individuals'
				behaviors, or other definable needs. These criteria shall reflect the unit's
				mission and scope of services. A copy of these criteria shall be provided to
				the resident, resident's family, resident's representative, and prospective
				residents and their family/representative prior to admission.
b) All unit residents shall have a diagnosis
				of Alzheimer's disease or other types of dementia.
c) Unit staff shall complete a comprehensive
				evaluation of the resident before the resident is admitted. The evaluation
				shall include, but not be limited to, the prospective resident's health status,
				life-style, behavior, interests, and history. In addition to appropriate
				medical, behavioral, and social service professionals, the resident, the
				resident's family, the resident's representative, and the resident's most
				recent care giver shall have the opportunity to provide information for this
				evaluation. This information shall be available to staff before admission and
				shall be used in the assessment process after admission.
d) A resident may be admitted to the unit
				without a comprehensive evaluation in situations where a sudden change in
				circumstances renders the primary care giver unable to continue to provide care
				(e.g., death or incapacitating illness of the care giver; treatment and release
				of the prospective resident from a hospital emergency room). A plan shall be
				put in place prior to admission to meet the resident's needs on admission. In
				these situations, a comprehensive evaluation shall be initiated within 24 hours
				after admission and shall be completed within seven days after
				admission.
e) The health and
				behavior of each resident shall be considered by the facility in assigning
				roommates, so that no resident's physical or mental health is adversely
				affected by his or her roommate. If a resident's health or behavior changes
				after admission to the unit, or staff receive new information about a
				resident's health or behavior that indicates that the current room assignment
				would be harmful to a resident's health, rooms will be reassigned as necessary
				to protect the health of all residents on the unit. If there are no available
				rooms, and reassignment is not possible, other measures shall be taken to
				protect residents' physical and mental health, e.g., increased staffing or
				supervision.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Section 300.7020 - Assessment and Care Planning

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Resident assessments, in addition to requirements in other applicable State and
				federal regulations, shall include a standardized, functional, and objective
				evaluation of the resident's abilities, strengths, interests, and preferences.
				The assessment shall be completed within 14 days after admission.
1) Assessments shall include at least a
				behavioral and a functional assessment, as well as direct observations of the
				resident. The facility shall attempt to interview the resident, the resident's
				family, the resident's representative, and recent and current direct care
				givers. This attempt shall be documented.
2) Assessments shall include at least the
				following:
A) daily routine;
B) dining, mealtime approaches, and
				non-mealtime nutrition and hydration needs;
C) dressing, toileting, grooming, preference
				in bathing (e.g., bathing, showering, a.m./p.m.) and other personal care
				abilities;
D) ambulation and
				transferring abilities;
E) behavior
				triggers; effective calming approaches; and an analysis of each of the
				resident's patterns of dementia-related behaviors, such as wandering,
				agitation, anxiety, and safety issues; and
F) adaptive equipment or activities that
				allow the resident to function at the highest practical level.
3) Assessments shall be conducted
				by a nurse, physical therapist, occupational therapist, social worker or unit
				director who has at least two years of experience working with residents with
				dementia and who has training in conducting behavioral or functional
				assessments.
4) The assessment
				process shall be ongoing by direct care staff or other professionals, as
				needed, and shall include the assessment components in subsection
				(a)(2).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Section 300.7030 - Ability-Centered Care

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Ability-centered care programming, also called activity-focused programming,
				recognizes the resident's abilities and competencies in care planning. Tasks
				are adapted and modified to provide for the resident's involvement at the
				maximum level of the resident's ability. Ability-centered care programming
				embraces the following concepts: activities are every event, encounter, and
				exchange with a staff member, volunteer, relative, or other individuals;
				activities are redefined as traditional (i.e., work related, recreational) and
				nontraditional (i.e., bathing, eating, walking); both independent and
				structured events are used.
b)
				Flexibility is allowed in traditional staff roles and staff are encouraged to
				develop relationships with residents. The use of staff in nontradictional roles
				shall be documented in the unit's policies and procedures. Non-licensed staff
				who are not certified nursing assistants shall not provide nursing or personal
				care but are limited to assisting with activities of daily living and providing
				verbal cueing, for which the staff have been trained.
c) Unit directors and activity professionals
				for units established before January 1, 2005 shall participate in
				ability-centered care training before July 1, 2005. Unit directors and activity
				professionals for units established after January 1, 2005 shall have had course
				work in ability-centered care programming.
d) The unit shall use a distinct approach to
				resident care that is designed for persons with Alzheimer's disease and related
				dementia. The use of ability-centered care is recommended. If the facility uses
				an alternative approach, this approach shall be reviewed by the Department to
				determine if the care goals of the ability-centered care have been satisfied.
				Alternative methodologies shall not be implemented until the Department has
				approved them.
e) Dining and
				mealtime approaches shall address the special needs of individuals with
				dementia.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Section 300.7040 - Activities

Current through Register Vol. 48, No. 28, July 12, 2024
a) The unit's
				activity program shall use ability-centered care programming.
b) Families shall have access to activity
				supplies and materials and shall be welcome and encouraged to
				participate.
c) Units with a census
				of more than 40 residents shall have a full-time activity professional who
				meets the requirements of Section
				300.1410(c).
				Units with a census of 40 or fewer residents shall have an activity
				professional on duty at least 20 hours per week. This individual shall be
				responsible for providing activities and training staff in an ability-centered
				programming approach.
d) Activity
				programming shall be planned and provided throughout the day and evening, at
				least 7 days a week for an average of 8 hours per day.
e) Activities shall be adapted, as needed, to
				provide for maximum participation by individual residents. If a particular
				resident does not participate in at least an average of 4 activities per day
				over a one-week period, the unit director shall evaluate the resident's
				participation and have the available activities modified and/or consult with
				the interdisciplinary team.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Section 300.7050 - Staffing

Current through Register Vol. 48, No. 28, July 12, 2024
a) The unit shall
				have a full-time unit director.
1) The
				director may have other responsibilities, within the unit, in units with fewer
				than 40 residents.
2) The unit
				director may support off-unit activities related to persons with Alzheimer's
				disease and related dementia, such as providing training to facility staff,
				assessment of potential residents, counseling to potential residents and their
				families, and consultation/assessment/care planning for facility residents with
				Alzheimer's disease and related dementia who do not reside on the
				unit.
3) The unit director shall
				have documented course work in dementia care and ability-centered care, and
				shall meet at least one of the following requirements:
A) Have an associate's or a bachelor's degree
				and/or be a registered nurse and have at least one year of experience working
				with persons with Alzheimer's disease and other dementia; or
B) Have a minimum of 5 years of experience
				working with persons with Alzheimer's disease and other dementia, at least two
				years of which are management experience working with persons with Alzheimer's
				disease and other dementia.
4) The unit director shall obtain at least 12
				hours of continuing education every year, especially related to serving
				residents with Alzheimer's disease and other dementia.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Section 300.7060 - Environment

Current through Register Vol. 48, No. 28, July 12, 2024
a) The environment
				(cultural, social, and physical) shall support the functioning of cognitively
				impaired residents. It shall accommodate behaviors, maximize functional
				abilities, promote safety, and encourage residents' independence by
				compensating for losses resulting from the disease process in accordance with
				each resident's care plan.
b) The
				unit shall use a variety of sensory cues to differentiate rooms, spaces, and
				uses.
c) The unit shall be designed
				and maintained to ensure an appropriate range of environmental and sensory
				stimulation and information; e.g., using minimally distracting security, pager
				and safety systems.
d) Visual
				supervision of indoor and outdoor activity areas shall be provided, supported
				by architectural design. Staff shall be present in activity areas when
				residents are in these areas.
e)
				Resident rooms shall not contain more than two beds. Rooms containing more than
				2 beds within units established prior to January 1, 2005 may retain more than 2
				beds.
f) A secure out-of-doors
				space shall be provided in units established after January 1, 2005 and,
				whenever possible, in units established before January 1, 2005. If a secure
				out-of-doors space is not available, the facility shall implement a plan to
				provide residents with the opportunity for daily, routine outdoor activities,
				weather permitting.
g) Social space
				appropriate to the needs of the individual with Alzheimer's disease and other
				dementia shall be provided. Social space is any space that is independently
				accessible to the resident, except for the resident's bedroom, the bathroom, or
				shower/bathrooms or hallways. Social space includes, but is not limited to,
				dining room, living room, family visitation areas, unit kitchen, and activity
				areas.
h) In facilities
				establishing a unit after January 1, 2005, this social space shall equal at
				least 40 square feet per resident bed.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Section 300.7070 - Quality Assessment and Improvement

Current through Register Vol. 48, No. 28, July 12, 2024
The unit shall have a written plan that is part of the
				  facility's overall quality assurance plan to assess residents' quality of care,
				  quality of life, and overall well-being.
a) The licensee shall develop and implement a
				quality assessment and improvement program designed to meet at least the
				following goals:
1) Ongoing monitoring and
				evaluation of the quality of care and service provided at the facility,
				including, but not limited to:
A) Admission
				of residents who are appropriate to the capabilities of the facility;
B) Resident assessment;
C) Development and implementation of
				appropriate individualized, ability-centered treatment plans;
D) Resident satisfaction;
E) Infection control;
F) Appropriate numbers of staff;
				and
G) Staff turnover.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Section 300.7080 - Variances to Enhance Residents' Quality of Life

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department will consider requests for
				variances from this Part where the variance will enhance the residents' quality
				of life. The variance shall be requested in writing and shall contain the
				following information:
1) Facility contact
				person;
2) The specific Section of
				this Part from which the applicant is requesting a variance;
3) The proposed alternative plan, service, or
				approach to meet the needs of the residents;
4) The benefit to the residents if the
				variance is approved; and
5) The
				facility plan to evaluate the effectiveness of the variance in meeting the
				residents' needs, including eliciting insights from residents, residents'
				families, and residents' representatives.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Appendix A - Example of Staffing Calculations from Section 300.1230

Current through Register Vol. 48, No. 28, July 12, 2024
A. Following is an example of staffing calculations assuming
				  a 100-bed Skilled Nursing Facility that has 25 residents needing skilled care
				  and 75 residents needing intermediate care.
Under Section
				  300.1230(d)
				  requirements, staffing would be computed as follows:
1. Total Minimum Hours of Care Needed
Level of Care
# of Residents
Total Hrs. Needed Per Day Per Resident
Total Hrs. Needed Per Day Per Facility
Skilled
25
[times]
3.8
=
95.0
Intermediate
75
[times]
2.5
=
187.5
________
Total Hours Needed
282.5
2. Licensed Practical Nurse (LPN) Hours
				  Required
Level of Care
Total Hrs. Needed Per Day Per Facility
Minimum Percent
Minimum LPN Hrs. Required
Skilled
95.0
[times]
25%
=
23.75
Intermediate
187.5
[times]
25%
=
46.875
________
Total LPN Hours Needed
70.625
3. Registered Professional Nurse (RN) Hours
				  Required
Level of Care
Total Hrs. Needed Per Day Per Facility
Minimum Percent
Minimum RN Hrs. Required
Skilled
95.0
[times]
10%
=
9.5
Intermediate
187.5
[times]
10%
=
18.75
________
Total RN Hours Needed
28.25
4. Additional Direct Care Hours*
Level of Care
Total Hrs. Needed Per Day Per Facility
Licensed Nurse Hours
# of Additional Direct Care Staff Hrs.* Needed
Per Day
Skilled
95.0
[minus]
23.75
=
71.25
Intermediate
187.5
[minus]
46.875
=
140.625
________
Additional Direct Care Hours Needed
211.875
*See Section
				  300.1230(k).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Appendix B - Crosswalk of Nursing Home Care Act Job Descriptions and Payroll Based Journal Job Titles

Current through Register Vol. 48, No. 28, July 12, 2024
Nursing Staff
Illinois Category Section
						  300.1230(i)
PBJ Job Title Code
PBJ Job Description
Section
						  300.1230(i)(1)
Registered Nurses
Section
						  300.1230(i)(7)
Assistant Directors of Nursing (DON) and (i)(8) 50%
						  DON
Job Titles 5, 7, 13 and 14
Registered Nurse
Registered Nurse, DON Nurse Practitioner
Clinical Nurse Specialist
Section
						  300.1230(i)(2)
Licensed Practical Nurse
Job Title 9
Licensed Practical/Vocational Nurse
Section
						  300.1230(i)(3)
Certified Nurse Assistants
Job Titles 10, 11 and 12
Certified Nurse Aide
Nurse Aide in Training
Medication Aide/Technician
Non-Nurse Direct Care
							 Staff
Illinois Category
Section
							 300.1230(i)
PBJ Job Title Code
PBJ Job Description
Section
							 300.1230(i)(4)
Psychiatric Services Rehabilitation Aide
Section
							 300.1230(i)(6)
Psychiatric Services Rehabilitation
							 Coordinator
Job Title 34
Mental Health Service Worker
Section
							 300.1230(i)(5)
Rehabilitation and Therapy Aides
Job Titles 19, 20, 22, 23, 25 and 29
Occupational Therapy Assistant
Occupational Therapy Aide
Physical Therapy Assistant
Physical Therapy Aide
Respiratory Therapy Technician
Other Activities Staff
Section
							 300.1230(i)(9)
30% of Social Services Director
Job Titles 28 and 30
Qualified Activities Professional
Qualified Social Worker
Section
							 300.1230(i)(10)
Licensed Physical, Occupational, Speech, and
							 Respiratory Therapists
Job Titles 18, 21, 24, 26
Occupational Therapist
Physical Therapy Therapist
Respiratory Therapist
Speech/Language Pathologist
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Appendix C - Federal Requirements Regarding Patients'/Residents' Rights (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 U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Appendix D - Forms for Day Care in Long-Term Care Facilities › Form A

Current through Register Vol. 48, No. 28, July 12, 2024
SAMPLE
APPLICATION FOR DAY CARE
FORM A
NAME ________________________ AGE ___________ BIRTH DATE
					 ______________
ADDRESS ____________________ PHONE
					 __________________________________
___________________________ SOCIAL SECURITY
					 NUMBER _________________
MEDICARE
					 NUMBER _______________________
WITH WHOM DO YOU LIVE?
					 _______________________________________________
RELATIONSHIP?
					 ________________________________________________________
PERSON TO CONTACT IN AN EMERGENCY
					 __________________________________
ADDRESS
					 ____________________________________
PHONE
					 __________BUSINESS PHONE_____________
PHYSICAL LIMITATIONS (please list)
1. _________________________
2. _________________________
3. _________________________
4. _________________________
SPECIAL PHYSICAL NEEDS (medications during day, special
					 rest periods, etc. please list)
1. _____________________
4. ____________________
2. _____________________
5. ____________________
3. _____________________
6. _________________________
MEDICAL PROBLEMS (circle)
1. diabetic
8. hearing
2. subject to seizures
9. eyesight
3. heart disease
10. assistance with meals
4. dizziness
11. any paralysis
5. urinary control problem
12. difficulty in walking
6. bowel control problem
13. periodic confusion
7. special diet
14. allergies (list)
15. others
ARE YOU PRESENTLY UNDER A DOCTOR'S CARE?
					 __________________________
NAME AND ADDRESS OF PHYSICIANS
__________________________
__________________________
__________________________
__________________________
SPECIAL INTEREST OR HOBBIES
__________________________
__________________________
DAYS ENTERED IN PROGRAMMING
A.M.
P.M
Monday
_____________
_____________
Tuesday
_____________
_____________
Wednesday
_____________
_____________
Thursday
_____________
_____________
Friday
_____________
___________________
DO YOU HAVE TRANSPORTATION?
					 ______________________________
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Appendix D - Forms for Day Care in Long-Term Care Facilities › Form B

Current through Register Vol. 48, No. 28, July 12, 2024
SAMPLE
FORM B
PHYSICIAN PERMISSION FORM
_________________________ has applied for admittance to the
					 day care program at _________________________. Please supply the following
					 information and also give written permission for
					 ________________________________ to participate in the activity program.
Physical Limitations
					 ______________________________________________
______________________________________________________________
Degree of activity
					 ________________________________________________
______________________________________________________________
Can day care resident be involved in activities
					 outside of the facility
(in the community)?
					 _________________________________________________
Has _________________________ been evaluated
					 within the last 30 days and found to be free of communicable and infectious
					 disease? __________________________________
Medications and/or treatments and diet needed by
					 day care resident during the period of time spent in the facility.
					 ________________________________________________________
_________________________________________________________________
_________________________________________________________________
Can day care resident take own medication?
					 ____________________________
Allergies
					 ________________________________________________________
_______________________________________________________________
Date: __________________ Signature of Physician:
					 ________________________
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Appendix E - Criteria for Activity Directors Who Need Only Minimal Consultation (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 U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Appendix G - Facility Report

Current through Register Vol. 48, No. 28, July 12, 2024
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Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Table A - Sound Transmission Limitations in New Skilled Nursing and Intermediate Care Facilities

Current through Register Vol. 48, No. 28, July 12, 2024
Airborne Sound Transmission Class
							 (STC)a
Impact Insulation Class
							 (11C)b
Partitions
Floors
Floors
Residents' Room to Residents' Room
40 to 44
40 to 44
44
Public space to Residents' Room 
							 c
45 to 49
45 to 49
49 
							 d
Service areas to Residents' Room 
							 e
50 to 54
50 to 54
49 
							 d
Notes
a Sound transmission class
							 (STC) shall be determined by tests in accordance with methods set forth in ASTM
							 Standard E 90 and ASTM Standard E 413.
b Impact insulation class
							 (11C) shall be determined in accordance with criteria set forth in HUD
							 FT/TS-24, "A Guide to Airborne, Impact and Structure Borne Noise-Control in
							 Multi-Family Dwellings."
c Public space includes
							 Lobbies, Dining Rooms, Recreation Rooms, and similar spaces.
d Impact noise limitation
							 applicable only when Corridor, Public Space, Service are, or Play or Recreation
							 Area is over patients' room.
e Service areas include
							 Kitchens, Elevator Machine Rooms, Laundries, Garages, Maintenance Rooms, Boiler
							 and Mechanical Equipment Rooms, and similar spaces of high noise. Mechanical
							 equipment located on the same floor or above Patients; Rooms, Offices, Nurses
							 Stations, and similar occupied spaces shall be effectively isolated from the
							 floor.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Table B - Pressure Relationships and Ventilation Rates of Certain Areas for New Intermediate Care Facilities and Skilled Nursing Facilities

Current through Register Vol. 48, No. 28, July 12, 2024
Area Designation
Pressure Relationship to Adjacent Areas
Minimum Air Changes Per Hour Supplied To Room
All Air Exhausted Directly Outdoors
Recirculated within Room Units
Resident Rm
0
2
Optional
Optional
Medication Rm.
+
4
Optional
Optional
Clean Utility Rm.
+
4
Optional
Optional
Clean Linen Storage
+
2
Optional
Optional
Examination and Treatment Rm.
0
2
Optional
Optional
Physical Therapy
-
4
Optional
Optional
Occupational Therapy
-
2
Optional
Optional
Dietary Day Storage
0
2
Optional
No
Soiled Utility
-
6
Yes
No
Soiled Linen Holding Rm.
-
6
Yes
No
Soiled Linen & Trash Chute Rm.
-
6
Yes
No
Toilet Rm.
-
6
Yes
No
Shower Rm.
-
6
Yes
No
Bathroom
-
6
Yes
No
Janitors' Closet
-
6
Yes
No
Food Preparation Areas
0
6
Yes
No
Dishwashing
-
6
Yes
No
Laundry, General
0
6
Yes
No
Soiled Linen Sorting & Storage
-
6
Yes
No
+
=
Positive
-
=
Negative
0
=
Equal
The ventilation rates shown in the above TABLE shall
							 be considered as minimum acceptable rates and shall not be construed as
							 precluding the use of higher ventilation rates.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 300 - SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE › Subpart U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Table C - Construction Types and Sprinkler Requirements for Existing Skilled Nursing Facilities/Intermediate Care Facilities (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 U - ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA › Table D - Heat Index Table/Apparent Temperature

Current through Register Vol. 48, No. 28, July 12, 2024
Air Temperature (degrees
				  Fahrenheit)
(Relative Humidity
							 Percent)
70
75
80
85
90
95
100
105
110
115
120
125
130
135
5
64
69
74
79
84
88
93
97
102
107
111
116
122
128
10
65
70
75
80
85
90
95
100
105
111
116
123
131
15
65
71
76
81
86
91
97
102
108
115
123
131
20
66
72
77
82
87
93
99
105
112
120
130
141
25
66
72
77
83
88
94
101
109
117
127
139
30
67
73
78
84
90
96
104
113
123
135
148
35
67
73
79
85
91
98
107
118
130
143
40
68
74
79
86
93
101
110
123
137
151
45
68
74
80
87
95
104
115
129
143
50
69
75
81
88
96
107
120
135
150
55
69
75
81
89
98
110
126
142
60
70
76
82
90
100
114
132
149
65
70
76
83
91
102
119
138
70
70
77
85
93
106
124
144
75
70
77
86
95
109
130
80
71
78
86
97
113
136
85
71
78
87
99
117
90
71
79
88
102
122
95
71
79
89
105
(Table is from the National Oceanic and Atmospheric
				  Administration)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.110 - General Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				This Part applies to the operator/licensee of facilities, or distinct parts of
				facilities, that are licensed and classified to provide sheltered care pursuant
				to the terms and conditions of the Act.
b) The license issued to each
				operator/licensee shall designate the licensee's name, the facility name and
				address, the classification by level of service authorized for that facility,
				the number of beds authorized for each level, the date the license was issued,
				and the expiration date. Licenses will be issued for a period of
not
				less than
six
months nor more than 18 months for facilities
				with annual licenses and not less than 18 months nor more than 30 months for
				facilities with
two
-year licenses.
The Department
				will set the period of the license based on the license expiration dates of the
				facilities in the geographical area surrounding the facility
in order
				to distribute the expiration dates
as evenly as possible
throughout the calendar year
. (Section 3-110 of the
				Act)
c) An applicant may request
				that the license issued by the Department have distinct parts classified
				according to levels of services. The distinct part shall meet the applicable
				physical plant standards of this Part based on the level of service
				classification sought for that distinct part. To protect the health, welfare
				and safety of residents in a distinct part of the facility who require higher
				standards, the facility shall comply with additional physical plant standards
				in any distinct part, to achieve this protection as required by the highest
				level of care being licensed. Administrative, supervisory, and other personnel
				may be shared by the entire facility to meet the health, welfare, and safety
				needs of the residents of the facility.
d)
A facility shall admit only that
				number of residents for which it is licensed.
(Section 2-209 of the
				Act)
e)
No person
				shall
:
1)
Willfully file any
				false, incomplete or intentionally misleading information required to be filed
				under
the
Act, or willfully fail or refuse to file any
				required information.
(Section 3-318(a)(6) of the Act)
2)
Open or operate a facility without
				a license
. (Section 3-318(a)(7) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.120 - Application for License

Current through Register Vol. 48, No. 28, July 12, 2024
a) Any
				person acting individually or jointly with other persons who proposes to build,
				own, establish, or operate a sheltered care facility shall submit application
				information on forms provided by the Department. The applicant shall provide a
				written description of the proposed program, and other such information as the
				Department may require in order to determine the appropriate level of care for
				which the facility should be licensed. The application form and other required
				information shall be submitted and approved prior to surveys of the physical
				plant or review of building plans and specifications.
b) Application for a license to establish or
				operate a sheltered care facility shall be made in writing and submitted to the
				Department, with other such information as the Department may require, on
				formsfurnished by the Department. (Section 3-103(1) of the Act)
c) All license applications shall be
				accompanied with an application fee of $1,990. The fee for a 2-year license
				shall be double the fee for the annual license. (Section 3-103(2) of the
				Act)
d) The application shall be
				under oath and the submission of false or misleading information shall be a
				Class A misdemeanor. The application shall contain the following information:
1) The name and address of the applicant if
				an individual, and if a firm, partnership, or association, of every member
				thereof, and in the case of a corporation, the name and address thereof and of
				its officers and its registered agent, and in the case of a unit of local
				government, the name and address of its chief executive officer;
2) The name and location of the facility for
				which a license is sought;
3) The
				name of the person or persons under whose management or supervision the
				facility will be conducted;
4) The
				number and type of residents for which maintenance, personal care, or nursing
				is to be provided; and
5) Such
				information relating to the number, experience, and training of the employees
				of the facility, any management agreements for the operation of the facility,
				and of the moral character of the applicant and employees as the Department may
				deem necessary. (Section 3-103(2) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.130 - Licensee

Current through Register Vol. 48, No. 28, July 12, 2024
a) The licensee is
				the corporate body, political subdivision, individual, or individuals
				responsible for the operation of the facility and upon whom rests the
				responsibility for meeting the licensing requirements. The licensee does not
				have to own the building being used.
b) If the licensee does not own the building,
				a lease or management agreement between the licensee and the owner of the
				building is required. A copy of the lease or management agreement shall be
				furnished to the Department. The Department shall also be provided with a copy
				of all new lease agreements or any changes to existing agreements within 30
				days of the effective date of such changes.
c) If the licensee is not a corporation or a
				political subdivision of the State of Illinois, each person responsible for the
				operation of the facility and upon whom rests the responsibility for meeting
				the licensing Minimum Standards shall be at least 18 years of age.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.140 - Issuance of an Initial License For a New Facility

Current through Register Vol. 48, No. 28, July 12, 2024
a) Upon receipt and review of an application
				for a license and inspection of the applicant facility, the Director shall
				issue a probationary license if he finds:
1)
				The applicant is a person responsible and suitable to operate or to direct or
				participate in the operation of a facility by virtue of financial capacity,
				appropriate business or professional experience, a record of compliance with
				lawful orders of the Department and lack of revocation of a license during the
				previous five years; and
2) The
				facility is in substantial compliance with the Act and this Part. (Section
				3-109 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.150 - Issuance of an Initial License Due to a Change of Ownership

Current through Register Vol. 48, No. 28, July 12, 2024
a) Upon receipt and review of an application
				for a license the Director shall issue a probationary license if he finds:
1) The applicant is a person responsible and
				suitable to operate or to direct or to participate in the operation of a
				facility by virtue of financial capacity, appropriate business or professional
				experience, a record of compliance with lawful orders of the Department and
				lack of revocation of a license during the previous five years; and
2) The facility is in substantial compliance
				with the Act and this Part. (Section 3-109 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.160 - Issuance of a Renewal License

Current through Register Vol. 48, No. 28, July 12, 2024
At least 120 daysbut not more than 150 daysprior to license
				  expiration, the licensee shall submit an application for renewal of the license
				  in such form and containing such information as the Department requires. If the
				  application is approved, and the facility is in compliance with all other
				  licensure requirements, the license shall be renewedin accordance with Section
				  3-110 of the Act. The renewal application shall not be approved unless the
				  applicant has provided to the Department an accurate disclosure document in
				  accordance with the Alzheimer's Special Care Disclosure Act [220 ILCS 4 ] and
				  Section
				  330.163
				  of this Part, if applicable. (Section 3-115 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.163 - Alzheimer's Special Care Disclosure

Current through Register Vol. 48, No. 28, July 12, 2024
A facility that offers to provide care for persons with
				  Alzheimer's disease through an Alzheimer's special care unit or center shall
				  disclose to the Department or to a potential or actual client of the facility
				  the following information in writing on request of the Department or
				  client:
a) The form of care or
				treatment that distinguishes the facility as suitable for persons with
				Alzheimer's disease;
b) The
				philosophy of the facility concerning the care or treatmemt of persons with
				Alzheimer's disease;
c) The
				facility's pre-admission, admission, and discharge procedures;
d) The facility's assessment, care planning,
				and implementation guidelines in the care and treatment of persons with
				Alzheimer's disease;
e) The
				facility's minimum and maximum staffing ratios, specifying the general licensed
				health care provider to client ratio and the trainee health care provider to
				client ratio;
f) The facility's
				physical environment;
g) Activities
				available to clients at the facility;
h) The role of family members in the care of
				clients at the facility; and
i) The
				costs of care and treatment under the program or at the center. (Section 15 of
				the Alzheimer's Special Care Disclosure Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.165 - Criteria for Adverse Licensure Actions

Current through Register Vol. 48, No. 28, July 12, 2024
a) Adverse licensure actions are
				determinations to deny the issuance of an initial license, to deny the issuance
				of a renewal of a license, or to revoke the current license of a
				facility.
b) A determination by the
				Director or his or her designee to take adverse licensure action against a
				facility shall be based on a finding that one or more of the following criteria
				are met:
1) A substantial failure to comply
				with the Act or this Part. For purposes of this provision, substantial failure
				is a failure to meet the requirements of this Part that is other than a
				variance from strict and literal performance and that results only in
				unimportant omissions or defects given the particular circumstances involved. A
				substantial failure by a facility shall include, but not be limited to, any of
				the following:
A) termination of Medicare or
				Medicaid certification by the Centers for Medicare and Medicaid Services;
				or
B) a failure by the facility to
				pay any fine assessed under the Act after the Department has sent to the
				facility at least 2 notices of assessment that include a schedule of payments
				as determined by the Department, taking into account extenuating circumstances
				and financial hardships of the facility. (Section 3-119(a)(1) of the
				Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.170 - Denial of Initial License

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				determination by the Director or his or her designee to deny the issuance of an
				initial license shall be based on a finding that one or more of the criteria
				outlined in Section
				330.165
				or the following criteria are met:
1)
				Conviction of the applicant, or if the applicant is a firm, partnership or
				association, or any of its members or if a corporation, the conviction of the
				corporation or any of its officers and stockholders, or of the person
				designated to manage or supervise the facility of any of the following crimes
				during the previous 5 years. Such convictions shall be verified by a certified
				copy of the record of the court of conviction.
A) A felony; or
B) Two or more misdemeanors involving moral
				turpitude. (Section 3-117(2) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.175 - Denial of Renewal of License

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Application for renewal of a license of a facility shall be denied and the
				license of the facility shall be allowed to expire when the Director or his or
				her designee finds that a condition, occurrence, or situation in the facility
				meets any of the criteria specified in Section
				330.165(b)
				and in Section 3-119(a) of the Act. Pursuant to Section 10-65 of the Illinois
				Administrative Procedure Act [5 ILCS
				100/10-65 ], licensees who are individuals are subject
				to denial of renewal of licensure if the individual is more than 30 days
				delinquent in complying with a child support order.
b) When the Director or his or her designee
				determines that an application for renewal of a license of a facility is to be
				denied, the Department shall notify the facility. The notice to the facility
				shall be in writing and shall include:
1) A
				clear and concise statement of the basis of the denial. The statement shall
				include a citation to the provisions of the Act and this Part on which the
				application for renewal is being denied.
2) A statement of the date on which the
				current license of the facility will expire as provided in subsection (c) of
				this Section and Section 3-119(d) of the Act.
3) A description of the right of the
				applicant to appeal the denial of the application for renewal and the right to
				a hearing. (Section 3-119(b) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.180 - Revocation of License

Current through Register Vol. 48, No. 28, July 12, 2024
a) The
				license of a facility shall be revoked when the Director or his or her designee
				finds that a condition, occurrence or situation in the facility meets any of
				the criteria specified in Section
				330.165(b)
				and in Section 3-119(a) of the Act. In addition, the license of a facility will
				be revoked when the facility fails to abate or eliminate a level A violation as
				provided in Section
				330.282(b)
				or when the facility has committed 2 Type "AA" violations within a 2-year
				period. (Section 3-119(a)(6) of the Act) Pursuant to Section 10-65 of the
				Illinois Administrative Procedure Act, licensees who are individuals are
				subject to revocation of licensure if the individual is more than 30 days
				delinquent in complying with a child support order.
b) When the Director or his or her designee
				determines that the license of a facility is to be revoked, the Department
				shall notify the facility. The notice to the facility shall be in writing and
				shall include:
1) A clear and concise
				statement of the basis of the revocation. The statement shall include a
				citation to the provisions of the Act and this Part on which the license is
				being revoked.
2) A statement of
				the date on which the revocation will take effect as provided in subsection (c)
				of this Section and Section 3-119(d) of the Act.
3) Notice of the opportunity for a hearing
				under Section 3-703 of the Act. (Section 3-119(b) of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 330 - SHELTERED CARE FACILITIES CODE › Subpart A - GENERAL PROVISIONS › Section 330.190 - Experimental Program Conflicting With Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
a) Any facility desiring to conduct an
				experimental program or do research which is in conflict with this Part shall
				submit a written request to the Department and secure prior approval. The
				Department will not approve experimental programs which would violate
				residents' rights under the Act. (A, B)
b) The Department may grant to a facility
				special permission to provide day care when it has adequate facilities and
				staff to satisfactorily provide such services based on the requirements in
				Section
				330.4510.