reglab/statecodes huggingface dataset:
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1520 - Tuberculin Skin Test Procedures

Current through Register Vol. 48, No. 28, July 12, 2024
Tuberculin skin tests for employees and residents shall be
				  conducted in accordance with the Control of Tuberculosis Code (77 Ill. Adm.
				  Code 696).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1530 - Physician Services

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				resident shall be permitted to retain the services of his own personal
				physician at his own expense under an individual or group plan of health
				insurance, or under any public or private assistance program providing such
				coverage. (Section 2-104(a) of the Act)
b) The Department shall not prescribe the
				course of medical treatment provided to an individual resident by the
				resident's physician in a facility. (Section 2-104(a) of the Act)
c) The services of a physician licensed to
				practice medicine in Illinois shall be available to every resident of the
				facility.
d) All residents shall be
				seen by their physician as often as necessary to assure adequate health
				care.
e) All residents shall be
				permitted to obtain from their own physicians or the physician attached to the
				facility complete and current information concerning their medical diagnoses,
				treatment and prognoses in terms and language the residents can reasonably be
				expected to understand. (Section 2-104(a) of the Act)
f) All physician orders, plans of medical
				treatment, Medicare/Medicaid Certification and recertification statements must
				have the original written signature of the physician. The use of a physician's
				rubber stamp signature with or without initials is not acceptable.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1535 - Dental Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a) There
				shall be comprehensive treatment services for all residents which include, but
				are not limited to, the following:
1)
				Provision for dental treatment;
2)
				Provision for emergency treatment by a qualified dentist; and
3) Assistance in arranging transportation to
				the dentist for treatment.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1540 - Life-Sustaining Treatments

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every
				facility shall respect the residents' right to make decisions relating to their
				own medical treatment, including the right to accept, reject, or limit
				life-sustaining treatment. Every facility shall establish a policy concerning
				the implementation of such rights. Included within this policy shall be:
1) implementation of Living Wills or Powers
				of Attorney for Health Care in accordance with the Living Will Act (Ill. Rev.
				Stat. 1991, ch. 110 1/2, pars. 701 et seq.) [755 ILCS 35 ] and the Powers of
				Attorney for Health Care Law (Ill. Rev. Stat. 1991, ch. 110 1/2, pars. 804-1 et
				seq.) [755 ILCS 45 /Art. IV];
2)
				the implementation of physician orders limiting resuscitation such as those
				commonly referred to as "Do-Not-Resuscitate" orders. This policy may only
				prescribe the format, method of documentation and duration of any physician
				orders limiting resuscitation. Any orders under this policy shall be honored by
				the facility; (Section 2-104.2 of the Act)
3) procedures for providing life-sustaining
				treatments available to residents at the facility;
4) procedures detailing staff's
				responsibility with respect to the provision of life-sustaining treatment when
				a resident has chosen to accept, reject, or limit life-sustaining treatment, or
				when a resident has failed or has not yet been given the opportunity to make
				these choices; and
5) procedures
				for educating both direct and indirect care staff in the application of those
				specific provisions of the policy for which they are responsible.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1560 - Nursing Personnel

Current through Register Vol. 48, No. 28, July 12, 2024
a) There
				shall be sufficient number of nursing and auxiliary personnel on duty each day
				to provide adequate and properly supervised nursing services to meet the
				nursing needs of the residents.
b)
				There shall be at least one person awake, dressed and on duty at all times in
				each separate unit.
c) Nursing
				service personnel at all levels of experience and competence shall only be
				assigned responsibilities in accordance with their qualifications.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1570 - Personal Care

Current through Register Vol. 48, No. 28, July 12, 2024
a) Personal
				care, as defined in Section
				340.1000, shall be
				provided on a 24-hour, seven-day-a-week basis, as needed by the resident. This
				shall include, but not be limited to, the following:
1) Each resident shall have proper daily
				personal attention, including skin, nails, hair, and oral hygiene, in addition
				to any treatment ordered by the physician.
2) Each resident shall have at least one
				complete bath and shampoo weekly and as many additional baths and shampoos as
				necessary for satisfactory personal hygiene.
3) Each resident shall have clean suitable
				clothing in order to be comfortable, sanitary, free of odors, and decent in
				appearance. Unless otherwise indicated by their physician, this should be
				street clothes and shoes.
4) Each
				resident shall have clean bed linens at least once weekly and more often if
				necessary.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1575 - Care and Treatment of Sexual Assault Survivors

Current through Register Vol. 48, No. 28, July 12, 2024
a) For the purposes of this Section, the
				following definitions shall apply:
1)
				Ambulance Provider - an individual or entity that owns and operates a business
				or service using ambulances or emergency medical services vehicles to transport
				emergency patients.
2) Sexual
				Assault - an act of nonconsensual sexual conduct or sexual penetration, as
				defined in Section 12-12 of the Criminal Code of 1961 including, without
				limitation, acts prohibited under Sections 12-13 through 12-16 of the Criminal
				Code of 1961.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1580 - Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility
				shall have written policies controlling the use of physical restraints,
				including but not limited to leg restraints, arm restraints, hand mitts, soft
				ties or vests, wheelchair safety bars and lap trays, and all facility practices
				that meet the definition of a restraint. Such practices shall include, but not
				be limited to: tucking in a sheet so tightly that a bed-bound resident cannot
				move; bed rails used to keep a resident from getting out of bed; chairs that
				prevent rising; or placing a resident who uses a wheelchair so close to a wall
				that the wall prevents the resident from rising. Adaptive equipment is not
				considered a restraint. Wrist bands or devices on clothing that trigger
				electronic alarms to warn staff that a resident is leaving a room do not, in
				and of themselves, restrict freedom of movement and should not be considered as
				physical restraints. The policies shall be followed in the operation of the
				facility and shall comply with the Act and this Part. These policies shall be
				developed by the medical advisory committee or the advisory physician with
				participation by nursing and administrative personnel.
b) No restraints with locks shall be
				used.
c) Physical restraints shall
				not be used on a resident for the purposes of discipline or
				convenience.
d) The use of chemical
				restraints is prohibited.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1590 - Nonemergency Use of Physical Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) Physical restraints shall only be used
				when required to treat the residents' medical symptoms or as a therapeutic
				intervention, as ordered by a physician, and based on:
1) the assessment of the resident's
				capabilities and an evaluation and trial of less restrictive alternatives that
				could prove effective (Section 2-106(c) of the Act);
2) the assessment of a specific physical
				condition or medical treatment, that requires the use of physical restraints,
				and how the use of physical restraints will assist the resident in reaching his
				or her highest practicable physical, mental or psychosocial well being (Section
				2-106(c) of the Act);
3)
				consultation with appropriate health professionals, such as rehabilitative
				nurses and occupational or physical therapists, which indicates that the use of
				less restrictive measures or therapeutic interventions has proven ineffective;
				and
4) demonstration by the care
				planning process that using a restraint as a therapeutic intervention will
				promote the care and services necessary for the resident to attain or maintain
				the highest practicable physical, mental or psychosocial well being. (Section
				2-106(c) of the Act, see P.A. 88-413, effective August 20, 1993)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1600 - Emergency Use of Physical Restraints

Current through Register Vol. 48, No. 28, July 12, 2024
a) If a resident needs emergency care,
				physical restraints may be used for brief periods to permit treatment to
				proceed unless the facility has notice that the resident has previously made a
				valid refusal of the treatment in question. (Section 2-106(c) of the Act, see
				P.A. 88-413, effective August 20, 1993)
b) For this Section only, "emergency care"
				means the unforeseen need for immediate treatment inside or outside the
				facility that is necessary to:
1) save the
				resident's life;
2) prevent the
				resident from doing serious mental or physical harm to himself/herself;
				or
3) prevent the resident from
				injuring another individual.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1610 - Unnecessary, Psychotropic, and Antipsychotic Drugs

Current through Register Vol. 48, No. 28, July 12, 2024
a) A resident shall not be given unnecessary
				drugs in accordance with Section 340.Table B. In addition, an unnecessary drug
				is any drug used:
1) in an excessive dose,
				including in duplicative therapy;
2) for excessive duration;
3) without adequate monitoring;
4) without adequate indications for its use;
				or
5) in the presence of adverse
				consequences that indicate the drugs should be reduced or discontinued.
				(Section 2-106.1(a) of the Act, see P.A. 88-413, effective August 20,
				1993)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1640 - Vaccinations

Current through Register Vol. 48, No. 28, July 12, 2024
a)
A
				facility shall annually administer or arrange for a vaccination against
				influenza to each resident, in accordance with the recommendations of the
				Advisory Committee on Immunization Practices of the Centers for Disease Control
				and Prevention that are most recent to the time of vaccination, unless the
				vaccination is medically contraindicated or the resident has refused the
				vaccine. Influenza vaccinations for all residents age 65 and over shall be
				completed by November 30 of each year or as soon as practicable if vaccine
				supplies are not available before November 1. Residents admitted after November
				30, during the flu season, and until February 1 shall, as medically
				appropriate, receive an influenza vaccination prior to or upon admission or as
				soon as practicable if vaccine supplies are not available at the time of the
				admission, unless the vaccine is medically contraindicated or the resident has
				refused the vaccine.
(Section 2-213 of the Act)
b)
A facility shall document in the
				resident's medical record that an annual vaccination against influenza was
				administered, refused or medically contraindicated
. (Section 2-213 of
				the Act)
c)
A facility
				shall provide or arrange for administration of a pneumococcal vaccination to
				each resident in accordance with the recommendations of the Advisory Committee
				on Immunization Practices of the Centers for Disease Control and Prevention,
				who has not received this immunization prior to or upon admission to the
				facility unless the resident refuses the offer for vaccination or the
				vaccination is medically contraindicated
. (Section 2-213 of the
				Act)
d)
A facility shall
				document in each resident's medical record that a vaccination against
				pneumococcal pneumonia was offered and administered, refused, or medically
				contraindicated
. (Section 2-213 of the Act)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart D - HEALTH SERVICES › Section 340.1645 - Language Assistance Services

Current through Register Vol. 48, No. 28, July 12, 2024
A facility shall provide language assistance services in
				  accordance with the Language Assistance Services Act [210 ILCS 87 ] and the
				  Language Assistance Services Code (77 Ill. Adm. Code 940).
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart E - MEDICATIONS › Section 340.1655 - Compliance with Licensed Prescriber's Orders

Current through Register Vol. 48, No. 28, July 12, 2024
a) All medications shall be given only upon
				the written, facsimile or electronic order of a licensed prescriber. The
				facsimile or electronic orders of a licensed prescriber shall be authenticated
				by the licensed prescriber within 10 calendar days, in accordance with Section
				340.1800.
				All such orders shall have the handwritten signature (or unique identifier) of
				the licensed prescriber. (Rubber stamp signatures are not acceptable.) These
				medications shall be administered as prescribed by the licensed prescriber and
				at the designated time.
b)
				Telephone orders may be taken by a registered nurse, licensed practical nurse
				or licensed pharmacist. All such orders shall be immediately written on the
				resident's clinical record, or a telephone order form and signed by the nurse
				or pharmacist taking the order. These orders shall be countersigned by the
				licensed prescriber within ten calendar days.
c) The staff pharmacist or consultant
				pharmacist shall review the medical record, including licensed prescriber's
				orders and laboratory test results, at least monthly and, based on their
				clinical experience and judgement, and Section 340.Table B, determine if there
				are irregularities that may cause adverse reactions, allergies,
				contraindications, medication errors or ineffectiveness. This review shall be
				done at the facility and shall be documented in the clinical record. Any
				irregularities noted shall be reported to the attending physician, the advisory
				physician, the director of nursing and the administrator and shall be acted
				upon.
d) A medication order not
				specifically limiting the time or number of doses shall be automatically
				stopped in accordance with written policies approved by the pharmaceutical
				advisory committee.
e) The
				resident's licensed prescriber shall be notified of medications about to be
				stopped so that the licensed prescriber may promptly renew such orders to avoid
				interruption of the resident's therapeutic regimen.
f) The licensed prescriber shall approve the
				release of any medications to the resident, or person responsible for the
				resident's care, at the time of discharge or when the resident is going to be
				temporarily out of the facility at medication time. Disposition of the
				medications shall be noted in the resident's clinical record.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart E - MEDICATIONS › Section 340.1660 - Administration of Medication

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				medications shall be administered only by personnel who are licensed to
				administer medications, in accordance with their respective licensing
				requirements. Licensed practical nurses shall have successfully completed a
				course in pharmacology or have at least one year's full-time supervised
				experience in a health care setting if their duties include administering
				medications to residents.
b)
				Medications shall be administered as soon as possible after doses are prepared
				at the facility and shall be administered by the same person who prepared the
				doses for administration, except under single unit dose packaged distribution
				systems.
c) Each dose administered
				shall be properly recorded in the clinical record by the person who
				administered the dose.
d) The
				facility shall have medication records that shall be used and checked against
				the licensed prescriber's orders to assure proper administration of medicine to
				each resident. Medication records shall include or be accompanied by recent
				photographs or other means of easy, accurate resident identification.
				Medication records shall contain the resident's name, diagnoses, known
				allergies, current medications, dosages, directions for use, and, if available,
				a history of prescription and non-prescription medications taken by the
				resident during the 30 days prior to admission to the facility.
e) Medications prescribed for one resident
				shall not be administered to another resident.
f) If, for any reason, a licensed
				prescriber's medication order cannot be followed, the licensed prescriber shall
				be notified as soon as is reasonable, depending upon the situation, and a
				notation made in the resident's record.
g) Medication errors and drug reactions shall
				be immediately reported to the resident's physician, licensed prescriber if
				other than a physician, the consulting pharmacist and the dispensing pharmacist
				(if the consulting pharmacist and the dispensing pharmacist are not associated
				with the same pharmacy). An entry shall be made in the resident's clinical
				record, and the error or reaction shall also be described in an incident
				report.
h) Current medication
				references shall be available, such as the current edition of " Drug Facts and
				Comparisons", "Hospital Formulary", "USP-DI (United States Pharmacopeia - Drug
				Information", "Physician's Desk Reference" or other suitable
				references.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart E - MEDICATIONS › Section 340.1665 - Control of Medications

Current through Register Vol. 48, No. 28, July 12, 2024
a) All
				Schedule II controlled substances shall be stored so that two separate locks,
				using two different keys, must be unlocked to obtain these substances. This may
				be accomplished by several methods, such as locked cabinets within locked
				medicine rooms; separately locked, securely fastened boxes (or drawers) within
				a locked medicine cabinet; locked portable medication carts that are stored in
				locked medicine rooms when not in use; or portable medication carts containing
				a separate locked area within the locked medication cart, when such cart is
				made immobile.
b) All medications
				having an expiration date that has passed, and all medications of residents who
				have been discharged or who have died shall be disposed of in accordance with
				the written policies and procedures established by the facility in accordance
				with Section
				340.1650.
				Medications shall be transferred with a resident, upon the order of the
				resident's physician, when a resident transfers to another facility. All
				discontinued medications, with the exception of those products regulated and
				defined as controlled substances under Section 802 of the federal Controlled
				Substances Act ( 21 UCS 802 ), shall be returned to the dispensing pharmacy.
				Medications for any resident who has been temporarily transferred to a hospital
				shall be kept in the facility. Medications may be given to a discharged
				resident only upon the order of a licensed prescriber.
c) Inventory Controls
1) For all Schedule II substances, a
				controlled substances record shall be maintained that lists on separate sheets,
				for each type and strength of Schedule II substances, the following
				information: date, time administered, name of resident, dose, licensed
				prescriber's name, signature of person administering dose, and number of doses
				remaining.
2) The pharmaceutical
				advisory committee may also require that other medications shall be subject to
				such inventory records.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart E - MEDICATIONS › Section 340.1675 - Self-Administration of Medication

Current through Register Vol. 48, No. 28, July 12, 2024
a) A
				resident may self-administer medications, as approved in writing by the
				resident's personal licensed prescriber.
b) All medications shall be properly labeled
				and stored in a locked area at all times. Areas shall be well lighted and of
				sufficient size to permit storage without crowding. This area may be a drawer,
				closet, cabinet or room. The medication area shall not be used for any other
				purpose. It shall not be located in residents' rooms, bathrooms or the kitchen,
				except as allowed in subsection (d) of this Section. The key to the medication
				area shall be the responsibility of, and in the possession of, the staff
				persons responsible for overseeing the self-administration of medications by
				residents.
c) If the facility
				medication policies permit residents to be totally responsible for their own
				medication, with written permission from the attending physician, the resident
				and attending physician shall be given written statements concerning what the
				responsibilities of the facility, the resident and the physician are if the
				resident, or any other person, suffers harm as a result of the resident's
				handling his or her own medications.
d) Residents who are totally responsible for
				their own medication shall maintain possession of the key or combination of the
				lock to their own medication storage area, which may be a locked drawer or
				cabinet in the resident's room or private bathroom. A duplicate key, or a copy
				of the combination, shall be kept by the facility in a secure place, for
				emergency use.
e) Facility staff
				shall not administer medications unless they are properly licensed to
				administer medications, in accordance with their respective licensing
				requirements. Unlicensed facility staff may assist in self-administration of
				medications as follows:
1) They may prompt a
				resident that it is the time to take medication.
2) They may assist a resident in the
				self-administration of medications by taking the medication from the locked
				area where it is stored and handing it to the resident. If the resident is
				physically unable to the open the container, a staff member may open the
				container for the resident.
3)
				Facility staff may also assist physically impaired residents, such as those who
				have arthritis, cerebral palsy, or Parkinson's disease, in the removal of the
				medication from the container and in assisting the resident in consuming or
				applying the medication when requested to do so by the resident. (For example,
				a staff member may place a dose of medicine in a container and place the
				container to the mouth of a resident who would not be able to do so himself
				without spilling it.)
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart F - RESIDENT LIVING SERVICES › Section 340.1700 - Recreational and Activity Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall provide an ongoing
				program of recreational and activity services to meet the interests and
				preferences and physical, mental and psychosocial well-being of each resident,
				in accordance with the resident's comprehensive assessment. These services
				shall be coordinated with other services and programs to make use of both
				community and facility resources and to benefit the residents.
b) Activity personnel shall be provided to
				meet the needs of the residents and the program. Activity staff time each week
				shall total not less than 45 minutes multiplied by the number of residents in
				the facility. This time shall be spent in providing activity programming as
				well as planning and directing the program. The time spent in the performance
				of other duties not related to the activity program shall not be counted as
				part of the required activity staff time.
1)
				In a facility whose residents participate in regularly scheduled therapeutic
				programs outside the facility, such as school, employment or sheltered
				workshop, the minimum hours per week of activity staff time may be reduced. The
				reduction shall be calculated by multiplying the number of residents in the
				facility who participate in such programs by the percentage of the day that
				these residents spend in such programs.
2) Activity personnel working under the
				direction of the activity director shall have a minimum of 10 hours of
				in-service training per calendar or employment year, directly related to
				recreation/activities. In-service training may be provided by qualified
				facility staff and/or consultants, or may be obtained from college or
				university courses, seminars and/or workshops, educational offerings through
				professional organizations, similar educational offerings or any combination
				thereof.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart F - RESIDENT LIVING SERVICES › Section 340.1710 - Social Services

Current through Register Vol. 48, No. 28, July 12, 2024
If the staff member designated to provide social services is
				  not a social worker, the facility shall have an effective arrangement with a
				  social worker to provide social service consultation.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart F - RESIDENT LIVING SERVICES › Section 340.1720 - Work Programs

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				In-house facility work programs for individual residents shall be allowed only
				if oriented toward resident adjustment and therapeutic benefits.
1) Documentation for each program shall
				include, but not be limited to, objectives, possible work assignment, duties,
				policies governing the program, agency involvement (where appropriate), and
				supervision.
2) Residents involved
				in such programs shall meet all requirements of the Department for persons
				functioning in these positions.
3)
				Residents shall not be used to replace employed staff.
4) All such programs shall be in full
				compliance with all applicable regulations of both the State and Federal
				Departments of Labor. Any program found by the Department not to be in
				compliance with State and Federal Departments of Labor regulations shall be
				terminated immediately.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart F - RESIDENT LIVING SERVICES › Section 340.1730 - Volunteer Program

Current through Register Vol. 48, No. 28, July 12, 2024
a) If the
				facility has a volunteer or auxiliary program, a facility staff person shall
				direct the program. Community groups such as Boy and Girl Scouts, church groups
				and civic organizations that may occasionally present programs, activities, or
				entertainment in the facility shall not be considered volunteers for the
				purposes of this Section.
b)
				Volunteers shall complete a standard orientation program, in accordance with
				their facility responsibilities and with the facility's policies and procedures
				governing the volunteer program. The orientation shall include, but not be
				limited to:
1) Residents' rights;
2) Confidentiality;
3) Disaster preparedness (i.e., fire,
				tornado);
4) Emergency response
				procedures;
5) Safety
				procedures/precautions;
6)
				Infection control; and
7) Body
				mechanics.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart G - RESIDENT RECORDS › Section 340.1810 - Content of Medical Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) No
				later than the time of admission, the facility shall enter the following
				information, as applicable, onto the identification or admission sheet for each
				resident.
1) Name, sex, date of birth and
				Social Security Number;
2) Marital
				Status, and the name of spouse;
3)
				Date of admission to the facility;
4) Date of current admission to the
				facility;
5) State or country of
				birth;
6) Home address;
7) Religious affiliation;
8) Name, address and telephone number of any
				referring agency, State hospital, zone center or hospital from which the
				resident has been transferred;
9)
				Name and telephone number of the resident's personal physician;
10) Name and telephone number of the
				resident's representative or guardian, if any;
11) Name and telephone number of the
				resident's next of kin or responsible relative;
12) Language understood or spoken;
13) Race and origin;
14) Most recent occupation;
15) Whether the resident or the resident's
				spouse is a veteran;
16) Father's
				name and mother's name;
17) Name,
				address and telephone number of the resident's dentist; and
18) The diagnosis applicable at the time of
				admission.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart G - RESIDENT RECORDS › Section 340.1820 - Records Pertaining to Resident's Property

Current through Register Vol. 48, No. 28, July 12, 2024
a) The facility shall maintain a record of
				any resident's belongings, including money, valuables and personal property,
				accepted by the facility for safekeeping. This record shall be initiated at the
				time of admission and shall be updated on an ongoing basis and made part of the
				resident's record.
b) When
				purchases are made for a resident from the resident's personal monies, receipts
				shall be obtained and retained that verify the date, amount, and items
				purchased.
c) A separate
				bookkeeping system shall be maintained by the facility, which accounts for all
				transactions affecting each resident's account. Each individual resident, or
				the individual resident's representative, shall have access to the record of
				that individual resident's account.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart G - RESIDENT RECORDS › Section 340.1830 - Retention, Transfer, and Inspection of Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each facility shall have a policy
				regarding the retirement and destruction of medical records. This policy shall
				specify the time frame for retiring a resident's medical record, and the method
				to be used for record destruction at the end of the record retention
				period.
b) Records of discharged
				residents shall be placed in an inactive file and retained as follows:
1) Records for any resident who is discharged
				prior to being 18 years old shall be retained at least until the resident
				reaches the age of 23.
2) Records
				of residents who are over 18 years old at the time of discharge shall be
				retained for a minimum of five years.
3) After the death of a resident, the
				resident's record shall be retained for a minimum of five years.
4) It is suggested that the administrator
				check with legal counsel regarding the advisability of retaining resident
				records for a longer period of time.
5) If a facility ceases operation, procedures
				for handling resident records shall be developed by legal counsel.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart G - RESIDENT RECORDS › Section 340.1840 - Confidentiality of Resident's Records

Current through Register Vol. 48, No. 28, July 12, 2024
a) All information contained in a resident's
				record, including any information contained in an automated data bank, shall be
				considered confidential. The facility shall permit the appropriate State and
				federal agencies (such as Illinois Departments of Public Aid, Public Health,
				Mental Health and Developmental Disabilities, and the U.S. Department of Health
				and Human Services and State and federal Department of Veterans' Affairs) to
				have access to resident records.
b)
				The facility shall develop and implement written policies governing access to,
				duplication of, and dissemination of information from medical
				records.
c) The facility shall
				obtain written consent of the resident, or the resident's guardian, prior to
				any release of any resident record information to persons not authorized to
				receive the information.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart H - FOOD SERVICE › Section 340.1900 - Food Service Staff

Current through Register Vol. 48, No. 28, July 12, 2024
a) A full-time
				person who is a dietician or dietetic service supervisor shall be responsible
				for the total food and nutrition services of the facility. The food service
				supervisor may assume cooking duties but only if these duties do not interfere
				with the responsibilities of management and supervision.
b) If the person responsible for the food
				service is not a dietitian, the person shall have frequent and regularly
				scheduled consultation from a dietitian. This consultation, given in the
				facility, shall include training, as needed, in areas such as menu planning and
				review, food preparation, food storage, food service, safety, sanitation and
				use of food equipment. Clinical management of therapeutic diets shall also be
				included in consulting, covering areas such as tube feeding; nutritional status
				and requirements of residents, including weight, height, hematologic and
				biochemical assessments; physical limitations; adaptive eating equipment;
				clinical observations of nutrition, nutritional intake, resident's eating
				habits and preferences, and dietary restrictions.
c) A minimum of eight hours of consulting
				time per month shall be provided for facilities with 50 or fewer residents. An
				additional five minutes of consulting time per month shall be provided per
				resident over 50 residents, based on the average daily census for the previous
				year.
d) A sufficient number of
				food service personnel shall be employed and on duty to meet the dietary needs
				of all residents eating meals in the facility. Food service staff working hours
				shall be scheduled to meet the total dietary needs of the residents. All food
				service employees' time schedules and work assignments shall be posted in the
				kitchen. Dietary duties and job procedures shall be available in the food
				service for employees' information and use.
e) Food service personnel shall be in good
				health and shall practice hygienic food handling techniques and good personal
				grooming.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart H - FOOD SERVICE › Section 340.1910 - Diet Orders

Current through Register Vol. 48, No. 28, July 12, 2024
a) Two or more
				copies of a current diet manual shall be available and in use. One copy shall
				be located in the kitchen for use by dietary personnel. Other copies shall be
				located at each nurses' station for use by physicians when prescribing
				diets.
b) Physicians shall write a
				diet order, in the medical record, for each resident indicating whether the
				resident is to have a general or a therapeutic diet. The diet shall be served
				as ordered.
c) A written diet order
				shall be sent to the food service department when each resident is admitted and
				each time that the resident's diet is changed. Each change shall be ordered by
				the physician. The diet order shall include, at a minimum, the following
				information: name of resident, room and bed number, type of diet, consistency
				if other than regular consistency, date diet order is sent to dietary, name of
				physician ordering the diet, and the signature of the person transmitting the
				order to the food service department.
d) The resident shall be observed to
				determine acceptance of the diet, and these observations shall be recorded in
				the medical record.
e) A
				therapeutic diet means a diet ordered by the physician as part of a treatment
				for a disease or clinical condition, to eliminate or decrease certain
				substances in the diet (e.g., sodium) or to increase certain substances in the
				diet (e.g., potassium), or to provide food in a form that the resident is able
				to eat (e.g., mechanically altered diet).
f) All therapeutic diets shall be medically
				prescribed and shall be planned or approved by a dietitian.
g) The kinds and variations of prescribed
				therapeutic diets shall be available in the kitchen. If separate menus are not
				planned for each specific diet, diet information for each specific type, in a
				form easily understood by staff, shall be available in a convenient location in
				the kitchen.
h) All oral liquid
				diets shall be reviewed every 48 hours. Medical soft diets, sometimes known as
				transitional diets, shall be reviewed every three weeks. All other therapeutic
				and mechanically altered diets, including commercially prepared formulas that
				are in liquid form and blenderized liquid diets, shall be reviewed as needed,
				or at least every three months.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart H - FOOD SERVICE › Section 340.1920 - Meal Planning

Current through Register Vol. 48, No. 28, July 12, 2024
Each resident shall be served food to meet the resident's
				  needs and to meet the physician's orders. The facility shall use this Section
				  to plan menus and purchase food in accordance with the following Recommended
				  Dietary Allowances of the Food and Nutrition Board of the National Research
				  Council, National Academy of Sciences.
a) Milk and Milk Products Group: 16 ounces or
				more of Grade A whole or low fat pasteurized milk where milk is used for fluid
				consumption. Calcium equivalents for eight ounces of milk:
1) 11/2 ounces natural cheese,
2) Two ounces processed cheese,
3) One cup yogurt, or one cup frozen
				yogurt,
4) One cup cottage cheese,
				or
5) 11/2 cups ice cream or ice
				milk.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart H - FOOD SERVICE › Section 340.1940 - Menus and Food Records

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Menus, including menus for "sack" lunches and between meal or bedtime snacks,
				shall be planned at least one week in advance. Food sufficient to meet the
				nutritional needs of all the residents shall be prepared for each meal. When
				changes in the menu are necessary, substitutions shall provide equal nutritive
				value and shall be recorded on the original menu, or in a notebook used for
				that purpose. If a notebook is used to document substitutions, it shall include
				the date of the substitution; the meal at which the substitution was made; the
				menu as originally written; and the menu as actually served.
b) The menu for the current week shall be
				dated and available in the kitchen. Upon the request of the Department, sample
				menus shall be submitted for evaluation.
c) Menus shall be different for the same day
				of consecutive weeks and adjusted for seasonal difference.
d) All menus as actually served shall be kept
				on file at the facility for not less than 30 days.
e) Food label information for purchased
				prepared food listing food composition and, when available, nutrient content
				shall be kept on file in the facility.
f) Supplies of staple foods for a minimum of
				a one week period and of perishable foods for a minimum of a two day period
				shall be maintained on the premises. These supplies shall be appropriate to
				meet the requirements of the menu.
g) Records of all food purchased shall be
				kept on file in the facility for not less than 30 days.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart H - FOOD SERVICE › Section 340.1950 - Food Preparation and Service

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every facility shall comply with the
				Department's rules entitled "Food Service Sanitation" (77 Ill. Adm. Code
				750).
b) Foods shall be prepared by
				appropriate methods that will conserve their nutritive value and enhance their
				flavor and appearance. They shall be prepared according to standardized
				recipes, and a file of such recipes shall be available for the cook's
				use.
c) Foods shall be attractively
				served at the proper temperatures and in a form to meet individual
				needs.
d) Foods shall not be mixed
				for feeding so that residents may discriminate individual tastes.
e) All residents shall be served in a dining
				room or multi-purpose room except for an individual with temporary illness, who
				is too ill, or for other valid reasons. Residents shall be in an upright
				position during meal service unless contraindicated by the resident's
				condition.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart H - FOOD SERVICE › Section 340.1960 - Kitchen Equipment, Utensils, and Supplies

Current through Register Vol. 48, No. 28, July 12, 2024
a) Each facility shall provide an adequate
				number of dishes, glassware, and silverware of a satisfactory type to serve all
				the residents in the facility at each meal.
b) Each facility shall have available for use
				a sufficient supply of adaptive food service equipment necessary to meet the
				need of each resident.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart I - PHYSICAL PLANT SERVICES, FURNISHINGS, EQUIPMENT, AND SUPPLIES › Section 340.2000 - Maintenance

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every facility
				shall have an effective written plan for maintenance, including sufficient
				staff, appropriate equipment, and adequate supplies.
b) Each facility shall:
1) Maintain the building in good repair, safe
				and free of the following: cracks in floors, walls, or ceilings; peeling
				wallpaper or paint; warped or loose boards; warped, broken, loose, or cracked
				floor covering, such as tile or linoleum; loose handrails or railings; loose or
				broken window panes; and any other similar hazards.
2) Maintain all electrical, signaling,
				mechanical, water supply, heating, fire protection, and sewage disposal systems
				in safe, clean and functioning condition. This shall include regular
				inspections of these systems.
3)
				Maintain all electrical cords and appliances in a safe and functioning
				condition.
4) Maintain the interior
				and exterior finishes of the building as needed to keep it attractive, clean
				and safe (painting, washing, and other types of maintenance).
5) Maintain all furniture and furnishings in
				a clean, attractive, and safely repaired condition.
6) Maintain the grounds and other buildings
				on the grounds in a safe, sanitary, presentable condition, free of refuse and
				litter.
7) Maintain the building
				and grounds free of any possible infestations of insects and rodents by:
				eliminating sites of breeding and harborage inside and outside the building;
				and eliminating sites of entry into the building with screens of not less than
				16 mesh to the inch and repair of any breaks in construction.
8) Maintain all plumbing fixtures and piping
				in good repair and proper functioning.
9) Protect the potable water supply from
				contamination by providing and properly installing adequate backflow protection
				devices, or providing adequate air gaps on all fixtures that may be subject to
				backflow or back siphonage.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart I - PHYSICAL PLANT SERVICES, FURNISHINGS, EQUIPMENT, AND SUPPLIES › Section 340.2010 - Water Supply, Sewage Disposal and Plumbing

Current through Register Vol. 48, No. 28, July 12, 2024
a) Water Supply
1) Each facility shall be served by water
				from a municipal public water supply when available.
2) When a municipal public water supply is
				not available, the water supply shall comply with the Department's rules
				entitled "Drinking Water Systems" (77 Ill. Adm. Code 900).
3) If water is supplied by a well that is not
				part of a municipal system, the well shall be constructed and maintained in
				accordance with the Department's rules entitled "Illinois Water Well
				Construction Code" (77 Ill. Adm. Code 920) and "Water Well Pump Installation
				Code" (77 Ill. Adm. Code 925).
4)
				Each water supply shall comply with all applicable State and local codes and
				ordinances.
5) Each facility shall
				have a written agreement with a water company, dairy, or other water purveyor
				to provide an emergency supply of potable water for drinking and culinary
				purposes.
Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart I - PHYSICAL PLANT SERVICES, FURNISHINGS, EQUIPMENT, AND SUPPLIES › Section 340.2020 - Housekeeping

Current through Register Vol. 48, No. 28, July 12, 2024
a) Every facility
				shall have an effective plan for housekeeping including sufficient staff,
				appropriate equipment, and adequate supplies. Each facility shall:
1) Keep the building in a clean, safe, and
				orderly condition. This includes all rooms, corridors, attics, basements, and
				storage areas.
2) Keep floors
				clean, as nonslip as possible, and free from tripping hazards including throw
				or scatter rugs.
3) Control odors
				within the housekeeping staff's areas of responsibility by effective cleaning
				procedures and by the proper use of ventilation systems. Deodorants shall not
				be used to cover up persistent odors caused by unsanitary conditions or poor
				housekeeping practices.