Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 340 - ILLINOIS VETERANS' HOMES CODE › Subpart A - GENERAL PROVISIONS › Section 340.1000 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
The terms defined in this Section are terms that are used in
				  one or more of the sets of licensing standards established by the Department to
				  license various levels of long-term care. They are defined as follows:
Abuse - any physical or mental injury or sexual assault
				  inflicted on a resident other than by accidental means in a facility. (Section
				  1-103 of the Act)
Abuse means:
Physical abuse refers to the infliction of injury on a
				  resident that occurs other than by accidental means and that requires (whether
				  or not actually given) medical attention.
Mental injury arises from the following types of
				  conduct:
Verbal abuse refers to the use by a licensee, employee or
				  agent of oral, written or gestured language that includes disparaging and
				  derogatory terms to residents or within their hearing or seeing distance,
				  regardless of their age, ability to comprehend or disability.
Mental abuse includes, but is not limited to, humiliation,
				  harassment, threats of punishment or deprivation, or offensive physical contact
				  by a licensee, employee or agent.
Sexual harassment or sexual coercion perpetrated by a
				  licensee, employee or agent.
Sexual assault.
Access - The right to:
Enter any facility;
Communicate privately and without restriction with any
				  resident who consents to the communication;
Seek consent to communicate privately and without restriction
				  with any resident;
Inspect the clinical and other records of a resident with the
				  express written consent of the resident;
Observe all areas of the facility except the living area of
				  any resident who protests the observation. (Section 1-104 of the Act)
Act - as used in this Part, the Nursing Home Care Act [210
				  ILCS 45 ].
Activity Program - a specific planned program of varied group
				  and individual activities geared to the individual resident's needs and
				  available for a reasonable number of hours each day.
Adaptive Behavior - the effectiveness or degree with which
				  the individual meets the standards of personal independence and social
				  responsibility expected of his age and cultural group.
Adaptive Equipment - a physical or mechanical device,
				  material or equipment attached or adjacent to the resident's body that may
				  restrict freedom of movement or normal access to one's body, the purpose of
				  which is to permit or encourage movement, or to provide opportunities for
				  increased functioning, or to prevent contractures or deformities. Adaptive
				  equipment is not a physical restraint. No matter the purpose, adaptive
				  equipment does not include any device, material or method described in Section
				  340.1580 as a physical
				  restraint.
Adequate - enough in either quantity or quality, as
				  determined by a reasonable person familiar with the professional standards of
				  the subject under review, to meet the needs of the residents of a facility
				  under the particular set of circumstances in existence at the time of
				  review.
Administrative Warning - a notice to a facility issued by the
				  Department under Section
				  340.1220
				  of this Part and Section 3-303.2 of the Act, which indicates that a situation,
				  condition, or practice in the facility violates the Act or the Department's
				  rules, but is not a Type AA, Type A, Type B, or Type C violation.
Administrator - the person who is directly responsible for
				  the operation and administration of the facility, irrespective of the assigned
				  title. (See Licensed Nursing Home Administrator.)
Advocate - a person who represents the rights and interests
				  of an individual as though they were the person's own, in order to realize the
				  rights to which the individual is entitled, obtain needed services, and remove
				  barriers to meeting the individual's needs.
Affiliate - means:
With respect to a partnership, each partner thereof.
With respect to a corporation, each officer, director and
				  stockholder thereof.
With respect to a natural person: any person related in the
				  first degree of kinship to that person; each partnership and each partner
				  thereof of which that person or any affiliate of that person is a partner; and
				  each corporation in which that person or any affiliate of that person is an
				  officer, director or stockholder. (Section 1-106 of the Act)
Aide - any person providing direct personal care, training or
				  habilitation services to residents.
Applicant - any person making application for a license.
				  (Section 1-107 of the Act)
Appropriate - term used to indicate that a requirement is to
				  be applied according to the needs of a particular individual or
				  situation.
Assessment - the use of an objective system with which to
				  evaluate the physical, social, developmental, behavioral, and psychosocial
				  aspects of an individual.
Audiologist - a person who is licensed as an audiologist
				  under the Speech-Language Pathology and Audiology Practice Act [225 ILCS 110
				  ].
Autoclave - an apparatus for sterilizing by superheated steam
				  under pressure.
Certification for Title XVIII and XIX - the issuance of a
				  document by the Department to the Department of Health and Human Services or
				  the Department of Healthcare and Family Services verifying compliance with
				  applicable statutory or regulatory requirements for the purposes of
				  participation as a provider of care and service in a specific federal or State
				  health program.
Charge Nurse - a registered professional nurse or a licensed
				  practical nurse in charge of the nursing activities for a specific unit or
				  floor during a tour of duty.
Chemical Restraint - any drug that is used for discipline or
				  convenience and is not required to treat medical symptoms or behavior
				  manifestations of mental illness. (Section 2-106 of the Act)
Continuing Care Contract - a contract through which a
				  facility agrees to supplement all forms of financial support for a resident
				  throughout the remainder of the resident's life.
Contract - a binding agreement between a resident or the
				  resident's guardian (or, if the resident is a minor, the resident's parent) and
				  the facility or its agent.
Convenience - the use of any restraint by the facility to
				  control resident behavior or maintain a resident, that is not in the resident's
				  best interest, and with less use of the facility's effort and resources than
				  would otherwise be required by the facility. This definition is limited to the
				  definition of chemical restraint and Section
				  340.1580 of this
				  Part.
Corporal Punishment - painful stimuli inflicted directly upon
				  the body.
Cruelty and Indifference to Welfare of the Resident - failure
				  to provide a resident with the care and supervision he or she requires, or the
				  infliction of mental or physical abuse.
Dentist - any person licensed to practice dentistry,
				  including persons holding a Temporary Certificate of Registration, as provided
				  in the Illinois Dental Practice Act [225 ILCS 25 ].
Department - as used in this Part means the Illinois
				  Department of Public Health.
Developmental Disability - means a severe, chronic disability
				  of a person which:
is attributable to a mental or physical impairment or
				  combination of mental and physical impairments, such as mental retardation,
				  cerebral palsy, epilepsy, autism;
is manifested before the person attains age 22;
is likely to continue indefinitely;
results in substantial functional limitations in 3 or more of
				  the following areas of major life activity:
self-care,
receptive and expressive language,
learning,
mobility,
self-direction,
capacity for independent living, and
economic self-sufficiency; and
reflects the person's need for combination and sequence of
				  special, interdisciplinary or generic care, treatment or other services which
				  are of lifelong or extended duration and are individually planned and
				  coordinated. (Section 3-801.1 of the Act)
Dietetic Service Supervisor - a person who:
is a dietitian; or
is a graduate of a dietetic technician or dietetic assistant
				  training program, corresponding or classroom, approved by the American Dietetic
				  Association; or is a graduate, prior to July 1, 1990, of a Department-approved
				  course that provided 90 or more hours of classroom instruction in food service
				  supervision and has had experience as a supervisor in a health care
				  institution, which included consultation from a dietitian; or
has successfully completed a Dietary Manager's Association
				  approved dietary managers course; or
is certified as a dietary manager by the Dietary Manager's
				  Association; or
has training and experience in food service supervision and
				  management in a military service equivalent in content to the programs in the
				  second, third or fourth paragraph of this definition.
Dietitian - a person who is a licensed dietitian as provided
				  in the Dietetic and Nutrition Services Practice Act [225 ILCS 30 ].
Direct Supervision - work performed under the guidance and
				  direction of a supervisor who is responsible for the work, who plans work and
				  methods, who is available on short notice to answer questions and deal with
				  problems that are not strictly routine, who regularly reviews the work
				  performed, and who is accountable for the results.
Director - the Director of the Department of Public Health or
				  designee. (Section 1-110 of the Act)
Director of Nursing Service - the full-time Professional
				  Registered Nurse who is directly responsible for the immediate supervision of
				  the nursing services.
Discharge - the full release of any resident from a facility.
				  (Section 1-111 of the Act)
Discipline - any action taken by the facility for the purpose
				  of punishing or penalizing residents.
Distinct Part - an entire, physically identifiable unit
				  consisting of all of the beds within that unit and having facilities meeting
				  the standards applicable to the levels of service to be provided. Staff and
				  services for a distinct part are established as set forth in the respective
				  regulations governing the levels of services approved for the distinct
				  part.
Emergency - a situation, physical condition or one or more
				  practices, methods or operations which present imminent danger of death or
				  serious physical or mental harm to residents of a facility. (Section 1-112 of
				  the Act)
Existing Long-Term Care Facility - any facility initially
				  licensed as a health care facility or approved for construction by the
				  Department, or any facility initially licensed or operated by any other agency
				  of the State of Illinois, prior to March 1, 1980. Existing long-term care
				  facilities shall meet the design and construction standards for existing
				  facilities for the level of long-term care for which the license (new or
				  renewal) is to be granted.
Facility or Long-term Care Facility - A private home,
				  institution, building, residence, or any other place, whether operated for
				  profit or not, or a county home for the infirm and chronically ill operated
				  pursuant to Division 5-21 or 5-22 of the Counties Code [55 ILCS 5 ], or any
				  similar institution operated by a political subdivision of the State of
				  Illinois, which provides, through its ownership or management, personal care,
				  sheltered care or nursing for three or more persons, not related to the
				  applicant or owner by blood or marriage. It includes skilled nursing facilities
				  and intermediate care facilities as those terms are defined in Title XVIII and
				  Title XIX of the Federal Social Security Act ( 42 USCA 1395 et seq. and 1936 et
				  seq.). It also includes homes, institutions, or other places operated by or
				  under the authority of the Illinois Department of Veterans' Affairs. A
				  "facility" may consist of more than one building as long as the buildings are
				  on the same tract or adjacent tracts of land. However, there shall be no more
				  than one "facility" in any one building. "Facility" does not include the
				  following:
A home, institution, or other place operated by the federal
				  government or agency thereof, or by the State of Illinois other than homes,
				  institutions or other places operated by or under the authority of the Illinois
				  Department of Veterans' Affairs;
A hospital, sanitarium, or other institution whose principal
				  activity or business is the diagnosis, care and treatment of human illness
				  through the maintenance and operation as organized facilities therefor, which
				  is required to be licensed under the Hospital Licensing Act [210 ILCS 85
				  ];
Any "facility for child care" as defined in the Child Care
				  Act of 1969 [225 ILCS 10 ];
Any "community living facility" as defined in the Community
				  Living Facilities Licensing Act [210 ILCS 35 ];
Any "community residential alternative" as defined in the
				  Community Residential Alternatives Licensing Act [210 ILCS 140 ];
Any nursing home or sanatorium operated solely by and for
				  persons who rely exclusively upon treatment by spiritual means through prayer,
				  in accordance with the creed or tenets of any well-recognized church or
				  religious denomination. However, such nursing home or sanatorium shall comply
				  with all local laws and rules relating to sanitation and safety;
Any facility licensed by the Department of Human Servicesas a
				  community-integrated living arrangement as defined in the Community-Integrated
				  Living Arrangements Licensure and Certification Act [210 ILCS 135 ];
Any supportive residence licensed under the Supportive
				  Residences Licensing Act [210 ILCS 65 ];
Any supportive living facility in good standing with the
				  demonstration project established under Section 5-5.01a of the Illinois Public
				  Aid Code [305 ILCS
				  5/5-5.01a ];
Any assisted living or shared housing establishment licensed
				  under the Assisted Living and Shared Housing Act [210 ILCS 9 ];
An Alzheimer's disease management center alternative health
				  care model licensed under the Alternative Health Care Delivery Act [210 ILCS 3
				  ]; or
A facility licensed under the MR/DD Community Care Act [210
				  ILCS 47 ]. (Section 1-113 of the Act)
Financial Resources - having sufficient assets to provide
				  adequate services such as: staff, heat, laundry, foods, supplies, and utilities
				  for at least a two-month period of time.
Full-time - on duty a minimum of 36 hours, four days per
				  week.
Goal - an expected result or condition that involves a
				  relatively long period of time to achieve, that is specified in behavioral
				  terms in a statement of relatively broad scope, and that provides guidance in
				  establishing specific, short-term objectives directed toward its
				  attainment.
Governing Body - the policy-making authority, whether an
				  individual or a group, that exercises general direction over the affairs of a
				  facility and establishes policies concerning its operation and the welfare of
				  the individuals it serves.
Guardian - a person appointed as a guardian of the person or
				  guardian of the estate, or both, of a resident under the Probate Act of 1975.
				  (Section 1-114 of the Act)
Health Information Management Consultant - a person who is
				  certified as a Registered Health Information Administrator (RHIA) or a
				  Registered Health Information Technician (RHIT) by the American Health
				  Information Management Association; or is a graduate of a school of health
				  information management that is accredited jointly by the American Medical
				  Association and the American Health Information Management Association.
High Risk Designation - a violation, as described in Section
				  340.1245(i),
				  of a provision that has been identified by the Department in Section
				  340.1245(j)
				  to be inherently necessary to protect the health, safety, and welfare of a
				  resident. (Section 1-114.005 of the Act)
Hospitalization - the care and treatment of a person in a
				  hospital as an in-patient.
Identified Offender - a person who:
Has been convicted of, found guilty of, adjudicated
				  delinquent for, found not guilty by reason of insanity for, or found unfit to
				  stand trial for, any felony offense listed in Section 25 of the Health Care
				  Worker Background Check Act, except for the following: a felony offense
				  described in Section 10-5 of the Nurse Practice Act; a felony offense described
				  in Section 4, 5, 6, 8, or 17.02 of the Illinois Credit Card and Debit Card Act;
				  a felony offense described in Section 5, 5.1, 5.2, 7, or 9 of the Cannabis
				  Control Act; a felony offense described in Section 401,
				  401.1, 404,
				  405.1, 407, or
				  407.1 of the
				  Illinois Controlled Substances Act; and a felony offense described in the
				  Methamphetamine Control and Community Protection Act; or
Has been convicted of, adjudicated delinquent for, found not
				  guilty by reason of insanity for, or found unfit to stand trial for, any sex
				  offense as defined in subsection (c) of Section 10 of the Sex Offender
				  Management Board Act; or
Any other resident as determined by the Department of State
				  Police. (Section 1-114.01 of the Act)
Illinois Veterans' Home - a facility operated by or under the
				  authority of the Illinois Department of Veterans' Affairs. (Section 1-113(1) of
				  the Act)
Interdisciplinary Team - a group of persons that represents
				  those professions, disciplines, or service areas that are relevant to
				  identifying an individual's strengths and needs, and designs a program to meet
				  those needs. This team shall include at least a physician, a social worker and
				  other professionals. The Interdisciplinary Team includes at least the resident,
				  the resident's guardian, the resident's primary service providers, including
				  staff most familiar with the resident; and other appropriate professionals and
				  caregivers as determined by the resident's needs. The resident or his or her
				  guardian may also invite other individuals to meet with the Interdisciplinary
				  Team and participate in the process of identifying the resident's strengths and
				  needs.
Licensed Nursing Home Administrator - a person who is charged
				  with the general administration and supervision of a facility and licensed
				  under the Nursing Home Administrators Licensing and Disciplinary Act.
Licensed Practical Nurse - a person with a valid Illinois
				  license to practice as a practical nurse.
Licensee - the person or entity licensed to operate the
				  facility as provided under the Act. (Section 1-115 of the Act)
Life Care Contract - a contract through which a facility
				  agrees to provide maintenance and care for a resident throughout the remainder
				  of the resident's life.
Maintenance - food, shelter, and laundry services. (Section
				  1-116 of the Act)
Misappropriation of Property - using a resident's cash,
				  clothing, or other possessions without authorization by the resident or the
				  resident's authorized representative; failure to return valuables after a
				  resident's discharge; or failure to refund money after death or discharge when
				  there is an unused balance in the resident's personal account.
Monitor - a qualified person placed in a facility by the
				  Department to observe operations of the facility, assist the facility by
				  advising it on how to comply with the State regulations, and who reports
				  periodically to the Department on the operations of the facility.
Neglect - a facility's failure to provide, or willful
				  withholding of, adequate medical care, mental health treatment, psychiatric
				  rehabilitation, personal care, or assistance with activities of daily living
				  that is necessary to avoid physical harm, mental anguish, or mental illness of
				  a resident. (Section 1-117 of the Act) This shall include any allegation in
				  which:
the alleged failure causing injury or deterioration is
				  ongoing or repetitious; or
a resident required medical treatment as a result of the
				  alleged failure; or
the failure is alleged to have caused a noticeable negative
				  impact on a resident's health, behavior or activities for more than 24
				  hours.
Nurse - a registered nurse or a licensed practical nurse as
				  defined in the Nurse Practice Act. (Section 1-118 of the Act)
Nursing Care - a complex of activities that carries out the
				  diagnostic, therapeutic, and rehabilitative plan as prescribed by the
				  physician; care for the resident's environment; observing symptoms and
				  reactions and taking necessary measures to carry out nursing procedures
				  involving understanding of cause and effect to safeguard life and
				  health.
Objective - an expected result or condition that involves a
				  relatively short period of time to achieve, that is specified in behavioral
				  terms, and that is related to the achievement of a goal.
Occupational Therapist, Registered (OTR) - a person who is
				  registered as an occupational therapist under the Illinois Occupational Therapy
				  Practice Act.
Occupational Therapy Assistant - a person who is registered
				  as a certified occupational therapy assistant under the Illinois Occupational
				  Therapy Practice Act.
Operator - the person responsible for the control,
				  maintenance and governance of the facility, its personnel and physical
				  plant.
Other Resident Injury - occurs where a resident is alleged to
				  have suffered physical or mental harm and the allegation does not fall within
				  the definition of abuse or neglect.
Oversight - general watchfulness and appropriate reaction to
				  meet the total needs of the residents, exclusive of nursing or personal care.
				  Oversight shall include, but is not limited to, social, recreational and
				  employment opportunities for residents who, by reason of mental disability, or
				  in the opinion of a licensed physician, are in need of residential care.
Owner - the individual, partnership, corporation, association
				  or other person who owns a facility. In the event a facility is operated by a
				  person who leases the physical plant, which is owned by another person, "owner"
				  means the person who operates the facility, except that if the person who owns
				  the physical plant is an affiliate of the person who operates the facility and
				  has significant control over the day-to-day operations of the facility, the
				  person who owns the physical plant shall incur jointly and severally with the
				  owner all liabilities imposed on an owner under the Act. (Section 1-119 of the
				  Act)
Person - any individual, partnership, corporation,
				  association, municipality, political subdivision, trust, estate or other legal
				  entity whatsoever.
Personal Care - assistance with meals, dressing, movement,
				  bathing or other personal needs or maintenance, or general supervision and
				  oversight of the physical and mental well-being of an individual who is
				  incapable of maintaining a private, independent residence or who is incapable
				  of managing his person, whether or not a guardian has been appointed for such
				  individual. (Section 1-120 of the Act)
Pharmacist, Registered - a person who holds a certificate of
				  registration as a registered pharmacist, a local registered pharmacist or a
				  registered assistant pharmacist under the Pharmacy Practice Act of 1987.
Physical Restraint - any manual method or physical or
				  mechanical device, material, or equipment attached or adjacent to a resident's
				  body that the resident cannot remove easily and which restricts freedom of
				  movement or normal access to one's body. (Section 2-106 of the Act)
Physical Therapist Assistant - a person who has graduated
				  from a two year college level program approved by the American Physical Therapy
				  Association.
Physical Therapist - a person who is registered as a physical
				  therapist under the Illinois Physical Therapy Act.
Physician - any person licensed to practice medicine in all
				  its branches as provided in the Medical Practice Act of 1987.
Probationary License - an initial license issued for a period
				  of 120 days during which time the Department will determine the qualifications
				  of the applicant.
Provisional Admission Period - the time between the admission
				  of an identified offender as defined in Section 1-114.01 of the Act and this
				  Section, and 3 days following the admitting facility's receipt of an Identified
				  Offender Report and Recommendation in accordance with Section 2-201.6 of the
				  Act. (Section 1-120.3 of the Act)
Psychiatric Services Rehabilitation Aide - an individual
				  employed by a long-term care facility to provide, for mentally ill residents,
				  at a minimum, crisis intervention, rehabilitation, and assistance with
				  activities of daily living. (Section 1-120.7 of the Act)
Psychiatrist - a physician who has had at least three years
				  of formal training or primary experience in the diagnosis and treatment of
				  mental illness.
Psychologist - a person who is licensed to practice clinical
				  psychology under the Clinical Psychologist Licensing Act.
Qualified Professional - a person who meets the educational,
				  technical and ethical criteria of a health care profession, as evidenced by
				  eligibility for membership in an organization established by the profession for
				  the purpose of recognizing those persons who meet such criteria; and who is
				  licensed, registered, or certified by the State of Illinois, if
				  required.
Reasonable Visiting Hours - any time between the hours of 10
				  a.m. and 8 p.m. daily. (Section 1-121 of the Act)
Registered Nurse - a person with a valid license to practice
				  as a registered professional nurse under the Nurse Practice Act.
Repeat Violation - for purposes of assessing fines under
				  Section 3-305 of the Act, a violation that has been cited during one inspection
				  of the facility for which a subsequent inspection indicates that an accepted
				  plan of correction was not complied with, within a period of not more than 12
				  months from the issuance of the initial violation. A repeat violation shall not
				  be a new citation of the same rule, unless the licensee is not substantially
				  addressing the issue routinely throughout the facility. (Section 3-305(7) of
				  the Act)
Resident - person receiving personal or medical care,
				  including but not limited to mental health treatment, psychiatric
				  rehabilitation, physical rehabilitation, and assistance with activities of
				  daily living, from a facility. (Section 1-122 of the Act)
Resident Services Director - the full-time administrator, or
				  an individual on the professional staff in the facility, who is directly
				  responsible for the coordination and monitoring of the residents' overall plans
				  of care in an intermediate care facility.
Resident's Representative - a person other than the owner, or
				  an agent or employee of a facility not related to the resident, designated in
				  writing by a resident to be his or her representative, or the resident's
				  guardian, or the parent of a minor resident for whom no guardian has been
				  appointed. (Section 1-123 of the Act)
Restorative Care - a health care process designed to assist
				  residents to attain and maintain the highest degree of function of which they
				  are capable (physical, mental, and social).
Sanitization - the reduction of pathogenic organisms on a
				  utensil surface to a safe level, which is accomplished through the use of
				  steam, hot water, or chemicals.
Satisfactory - same as adequate.
Seclusion - the retention of a resident alone in a room with
				  a door which the resident cannot open.
Self Preservation - the ability to follow directions and
				  recognize impending danger or emergency situations and react by avoiding or
				  leaving the unsafe area.
Social Worker - a person who is a licensed social worker or a
				  licensed clinical social worker under the Clinical Social Work and Social Work
				  Practice Act.
State Fire Marshal - the Fire Marshal of the Office of the
				  State Fire Marshal, Division of Fire Prevention.
Sterilization - the act or process of destroying completely
				  all forms of microbial life, including viruses.
Stockholder of a Corporation - any person who, directly or
				  indirectly, beneficially owns, holds or has the power to vote, at least five
				  percent of any class of securities issued by the corporation. (Section 1-125 of
				  the Act)
Student Intern - means any person whose total term of
				  employment in any facility during any 12-month period is equal to or less than
				  90 continuous days, and whose term of employment is either:
an academic credit requirement in a high school or
				  undergraduate institution; or
immediately succeeds a full quarter, semester or trimester of
				  academic enrollment in either a high school or undergraduate institution,
				  provided that such person is registered for another full quarter, semester or
				  trimester of academic enrollment in either a high school or undergraduate
				  institution which quarter, semester or trimester will commence immediately
				  following the term of employment. (Section 1-125.1 of the Act)
Substantial Failure - the failure to meet requirements other
				  than a variance from the strict and literal performance, which results in
				  unimportant omissions or defects given the particular circumstances involved.
				  This definition is limited to the phrase as used in Section
				  340.1130(b)(1).
Sufficient - same as adequate.
Supervision - authoritative procedural guidance by a
				  qualified person for the accomplishment of a function or activity within his
				  sphere of competence, with initial direction and periodic inspection of the
				  actual act of accomplishing the function or activity. Unless otherwise stated
				  in this Part, the supervisor must be on the premises if the person does not
				  meet assistant level (two-year training program) qualifications specified in
				  these definitions.
Therapeutic Recreation Specialist - a person who is certified
				  by the National Council for Therapeutic Recreation Certification and who meets
				  the minimum standards it has established for classification as a Therapeutic
				  Recreation Specialist.
Time Out - removing an individual from a situation that
				  results in undesirable behavior. It is a behavior modification procedure which
				  is developed and implemented under the supervision of a qualified
				  professional.
Title XVIII - Title XVIII of the Federal Social Security Act
				  as now or hereafter amended. (Section 1-126 of the Act)
Title XIX - Title XIX of the Federal Social Security Act as
				  now or hereafter amended. (Section 1-127 of the Act)
Transfer - a change in status of a resident's living
				  arrangements from one facility to another facility. (Section 1-128 of the
				  Act)
Type AA violation - a violation of the Act or this Part which
				  creates a condition or occurrence relating to the operation and maintenance of
				  a facility that proximately caused a resident's death. (Section 1-128.5 of the
				  Act)
Type A Violation - a violation of the Act or this Part that
				  creates a condition or occurrence relating to the operation and maintenance of
				  a facility that creates a substantial probability that the risk of death or
				  serious mental or physical harm to a resident will result therefrom or has
				  resulted in actual physical or mental harm to a resident. (Section 1-129 of the
				  Act)
Type B Violation - a violation of the Act or this Part that
				  creates a condition or occurrence relating to the operation and maintenance of
				  a facility that is more likely than not to cause more than minimal physical or
				  mental harm to a resident. (Section 1-130 of the Act)
Type C Violation - a violation of the Act or this Part that
				  creates a condition or occurrence relating to the operation and maintenance of
				  a facility that creates a substantial probability that less than minimal
				  physical or mental harm to a resident will result therefrom. (Section 1-130 of
				  the Act)
Universal Progress Notes - a common record with periodic
				  narrative documentation by all persons involved in resident care.
Valid License - a license that is unsuspended, unrevoked and
				  unexpired.