(210 ILCS 45/3‑202) (from Ch. 111 1/2, par. 4153‑202)
Sec. 3‑202.
The Department shall prescribe minimum standards for facilities.
These standards shall regulate:
(1) Location and construction of the facility, including plumbing, heating,
lighting, ventilation, and other physical conditions which shall ensure the
health, safety, and comfort of residents and their protection from fire hazard;
(2) Number and qualifications of all personnel, including management and
nursing personnel, having responsibility for any part of the care given
to residents; specifically, the Department shall establish staffing ratios
for facilities which shall specify the number of staff hours per resident
of care that are needed for professional nursing care for various types
of facilities or areas within facilities;
(3) All sanitary conditions within the facility and its surroundings,
including water supply, sewage disposal, food handling, and general hygiene,
which shall ensure the health and comfort of residents;
(4) Diet related to the needs of each resident based on good nutritional
practice and on recommendations which may be made by the physicians attending
the resident;
(5) Equipment essential to the health and welfare of the residents;
(6) A program of habilitation and rehabilitation for those residents who
would benefit from such programs;
(7) A program for adequate maintenance of physical plant and equipment;
(8) Adequate accommodations, staff and services for the number and
types of residents for whom the facility is licensed to care, including
standards for temperature and relative humidity within comfort zones determined
by the Department based upon a combination of air temperature, relative
humidity and air movement. Such standards shall also require facility plans
that provide for health and comfort of residents at medical risk as determined
by the attending physician whenever the temperature and relative humidity
are outside such comfort zones established by the Department.
(9) Development of evacuation and other appropriate safety plans for
use during weather, health, fire, physical plant, environmental and
national defense emergencies; and
(10) Maintenance of minimum financial or other resources necessary to
meet the standards established under this Section, and to operate and
conduct the facility in accordance with this Act.
(Source: P.A. 83‑1530.)
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(210 ILCS 45/3‑202.5)
Sec. 3‑202.5.
Facility plan review; fees.
(a) Before commencing construction of a new facility or specified types of
alteration or additions to an existing long term care facility involving
major construction, as defined by rule by the Department, with an
estimated cost greater than $100,000, architectural
drawings and specifications for the facility shall be submitted to the
Department for review and approval.
A facility may submit architectural drawings and specifications for other
construction projects for Department review according to subsection (b) that
shall not be subject to fees under subsection (d).
Review of drawings and specifications shall be conducted by an employee of the
Department meeting the qualifications established by the Department of Central
Management Services class specifications for such an individual's position or
by a person contracting with the Department who meets those class
specifications. Final approval of the drawings and specifications for
compliance with design and construction standards shall be obtained from the
Department before the alteration, addition, or new construction is begun.
(b) The Department shall inform an applicant in writing within 10 working
days after receiving drawings and specifications and the required fee, if any,
from the applicant whether the applicant's submission is complete or
incomplete. Failure to provide the applicant with this notice within 10
working days shall result in the submission being deemed complete for purposes
of initiating the 60‑day review period under this Section. If the submission
is incomplete, the Department shall inform the applicant of the deficiencies
with the submission in writing. If the submission is complete the required
fee, if any, has been paid,
the Department shall approve or disapprove drawings and specifications
submitted to the Department no later than 60 days following receipt by the
Department. The drawings and specifications shall be of sufficient detail, as
provided by Department rule, to
enable the Department to
render a determination of compliance with design and construction standards
under this Act.
If the Department finds that the drawings are not of sufficient detail for it
to render a determination of compliance, the plans shall be determined to be
incomplete and shall not be considered for purposes of initiating the 60 day
review period.
If a submission of drawings and specifications is incomplete, the applicant
may submit additional information. The 60‑day review period shall not commence
until the Department determines that a submission of drawings and
specifications is complete or the submission is deemed complete.
If the Department has not approved or disapproved the
drawings and specifications within 60 days, the construction, major alteration,
or addition shall be deemed approved. If the drawings and specifications are
disapproved, the Department shall state in writing, with specificity, the
reasons for the disapproval. The entity submitting the drawings and
specifications may submit additional information in response to the written
comments from the Department or request a reconsideration of the disapproval.
A final decision of approval or disapproval shall be made within 45 days of the
receipt of the additional information or reconsideration request. If denied,
the Department shall state the specific reasons for the denial.
(c) The Department shall provide written approval for occupancy pursuant
to subsection (g) and shall not issue a violation to a facility as a result
of
a licensure or complaint survey based upon the facility's physical structure
if:
(1) the Department reviewed and approved or deemed |
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approved the drawings and specifications for compliance with design and construction standards;
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(2) the construction, major alteration, or addition
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(3) the law or rules have not been amended since the
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(4) the conditions at the facility indicate that
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there is a reasonable degree of safety provided for the residents.
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(d) The Department shall charge the following fees in connection with its
reviews conducted before June 30, 2004 under this Section:
(1) (Blank).
(2) (Blank).
(3) If the estimated dollar value of the alteration,
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addition, or new construction is $100,000 or more but less than $500,000, the fee shall be the greater of $2,400 or 1.2% of that value.
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(4) If the estimated dollar value of the alteration,
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addition, or new construction is $500,000 or more but less than $1,000,000, the fee shall be the greater of $6,000 or 0.96% of that value.
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(5) If the estimated dollar value of the alteration,
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addition, or new construction is $1,000,000 or more but less than $5,000,000, the fee shall be the greater of $9,600 or 0.22% of that value.
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(6) If the estimated dollar value of the alteration,
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addition, or new construction is $5,000,000 or more, the fee shall be the greater of $11,000 or 0.11% of that value, but shall not exceed $40,000.
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The fees provided in this subsection (d) shall not apply to major
construction projects involving facility changes that are required by
Department rule amendments.
The fees provided in this subsection (d) shall also not apply to major
construction projects if 51% or more of the estimated cost of the project is
attributed to capital equipment. For major construction projects where 51% or
more of the estimated cost of the project is attributed to capital equipment,
the Department shall by rule establish a fee that is reasonably related to the
cost of reviewing the project.
The Department shall not commence the facility plan review process under this
Section until
the applicable fee has been paid.
(e) All fees received by the Department under this Section shall be
deposited into the Health Facility Plan Review Fund, a special fund created in
the State Treasury.
All fees paid by long‑term care facilities under subsection (d) shall be used
only to cover the costs relating to the Department's review of long‑term care
facility projects under this Section.
Moneys shall be appropriated from that Fund to the
Department only to pay the costs of conducting reviews under this Section.
None of the moneys in the Health Facility Plan Review Fund shall be used to
reduce the amount of General Revenue Fund moneys appropriated to the Department
for facility plan reviews conducted pursuant to this Section.
(f) (1) The provisions of this amendatory Act of 1997
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concerning drawings and specifications shall apply only to drawings and specifications submitted to the Department on or after October 1, 1997.
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(2) On and after the effective date of this
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amendatory Act of 1997 and before October 1, 1997, an applicant may submit or resubmit drawings and specifications to the Department and pay the fees provided in subsection (d). If an applicant pays the fees provided in subsection (d) under this paragraph (2), the provisions of subsection (b) shall apply with regard to those drawings and specifications.
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(g) The Department shall conduct an on‑site inspection of the completed
project no later than 30 days after notification from the applicant that the
project has been completed and all certifications required by the Department
have been received and accepted by the Department. The Department shall
provide written approval for occupancy to the applicant within 5 working days
of the Department's final inspection, provided the applicant has demonstrated
substantial compliance as defined by Department rule.
Occupancy of new major construction is
prohibited until Department approval is received, unless the Department has
not acted within the time frames provided in this subsection (g), in which case
the construction shall be deemed approved. Occupancy shall be authorized after any required health inspection by the Department has been
conducted.
(h) The Department shall establish, by rule, a procedure to conduct interim
on‑site review of large or complex construction projects.
(i) The Department shall establish, by rule, an expedited process for
emergency repairs or replacement of like equipment.
(j) Nothing in this Section shall be construed to apply to maintenance,
upkeep, or renovation that does not affect the structural integrity of the
building, does not add beds or services over the number for which the
long‑term care facility is licensed, and provides a reasonable degree of safety
for the residents.
(Source: P.A. 90‑327, eff. 8‑8‑97; 90‑600, eff. 6‑25‑98; 91‑712, eff. 7‑1‑00.)
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(210 ILCS 45/3‑206) (from Ch. 111 1/2, par. 4153‑206)
Sec. 3‑206.
The Department shall prescribe a curriculum for training
nursing assistants, habilitation aides, and child care aides.
(a) No person, except a volunteer who receives no compensation from a
facility and is not included for the purpose of meeting any staffing
requirements set forth by the Department, shall act as a nursing assistant,
habilitation aide, or child care aide in a facility, nor shall any person, under any
other title, not licensed, certified, or registered to render medical care
by the Department of Professional Regulation, assist with the
personal, medical, or nursing care of residents in a facility, unless such
person meets the following requirements:
(1) Be at least 16 years of age, of temperate habits |
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and good moral character, honest, reliable and trustworthy;
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(2) Be able to speak and understand the English
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language or a language understood by a substantial percentage of the facility's residents;
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(3) Provide evidence of employment or occupation, if
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any, and residence for 2 years prior to his present employment;
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(4) Have completed at least 8 years of grade school
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or provide proof of equivalent knowledge;
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(5) Begin a current course of training for nursing
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assistants, habilitation aides, or child care aides, approved by the Department, within 45 days of initial employment in the capacity of a nursing assistant, habilitation aide, or child care aide at any facility. Such courses of training shall be successfully completed within 120 days of initial employment in the capacity of nursing assistant, habilitation aide, or child care aide at a facility. Nursing assistants, habilitation aides, and child care aides who are enrolled in approved courses in community colleges or other educational institutions on a term, semester or trimester basis, shall be exempt from the 120 day completion time limit. The Department shall adopt rules for such courses of training. These rules shall include procedures for facilities to carry on an approved course of training within the facility.
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The Department may accept comparable training in
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lieu of the 120 hour course for student nurses, foreign nurses, military personnel, or employes of the Department of Human Services.
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The facility shall develop and implement procedures,
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which shall be approved by the Department, for an ongoing review process, which shall take place within the facility, for nursing assistants, habilitation aides, and child care aides.
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At the time of each regularly scheduled licensure
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survey, or at the time of a complaint investigation, the Department may require any nursing assistant, habilitation aide, or child care aide to demonstrate, either through written examination or action, or both, sufficient knowledge in all areas of required training. If such knowledge is inadequate the Department shall require the nursing assistant, habilitation aide, or child care aide to complete inservice training and review in the facility until the nursing assistant, habilitation aide, or child care aide demonstrates to the Department, either through written examination or action, or both, sufficient knowledge in all areas of required training; and
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(6) Be familiar with and have general skills related
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(a‑0.5) An educational entity, other than a secondary school, conducting a
nursing assistant, habilitation aide, or child care aide
training program
shall initiate a UCIA criminal history record check prior to entry of an
individual into the training program.
A secondary school may initiate a UCIA criminal history record check prior to
the entry of an individual into a training program.
(a‑1) Nursing assistants, habilitation aides, or child care aides seeking to be included on the registry on or
after January 1, 1996 must authorize the Department of Public Health or its
designee that tests nursing assistants
to request a UCIA criminal history check and submit all necessary
information.
(b) Persons subject to this Section shall perform their duties under the
supervision of a nurse.
(c) It is unlawful for any facility to employ any person in the capacity
of nursing assistant, habilitation aide, or child care aide, or under any other title, not
licensed by the State of Illinois to assist in the personal, medical, or
nursing care of residents in such facility unless such person has complied
with this Section.
(d) Proof of compliance by each employee with the requirements set out
in this Section shall be maintained for each such employee by each facility
in the individual personnel folder of the employee.
(e) Each facility shall certify to the Department on a form provided by
the Department the name and residence address of each employee, and that
each employee subject to this Section meets all the requirements of this
Section.
(f) Any facility that is operated under Section 3‑803 shall be
exempt
from the requirements of this Section.
(g) Each skilled nursing and intermediate care facility that
admits
persons who are diagnosed as having Alzheimer's disease or related
dementias shall require all nursing assistants, habilitation aides, or child
care aides, who did not receive 12 hours of training in the care and
treatment of such residents during the training required under paragraph
(5) of subsection (a), to obtain 12 hours of in‑house training in the care
and treatment of such residents. If the facility does not provide the
training in‑house, the training shall be obtained from other facilities,
community colleges or other educational institutions that have a
recognized course for such training. The Department shall, by rule,
establish a recognized course for such training. The Department's rules shall provide that such
training may be conducted in‑house at each facility subject to the
requirements of this subsection, in which case such training shall be
monitored by the Department.
The Department's rules shall also provide for circumstances and procedures
whereby any person who has received training that meets
the
requirements of this subsection shall not be required to undergo additional
training if he or she is transferred to or obtains employment at a
different facility but remains continuously employed as a nursing assistant,
habilitation aide, or child care aide. Licensed sheltered care facilities
shall be
exempt from the requirements of this Section.
(Source: P.A. 91‑598, eff. 1‑1‑00.)
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(210 ILCS 45/3‑206.01) (from Ch. 111 1/2, par. 4153‑206.01)
Sec. 3‑206.01.
Nurse aide registry.
(a) The Department shall establish and maintain a registry of all
individuals who have satisfactorily completed the training required
by Section 3‑206. The registry shall include the name of the nursing
assistant, habilitation aide, or child care aide, his or her
current address, Social Security number, and the date and location of
the training course completed by the individual, and the date of the
individual's last criminal records check. Any individual placed on the
registry is required to inform the Department of any change of address
within 30 days. A facility shall not employ an individual as a nursing
assistant, habilitation aide, or child care aide
unless the facility has inquired of the Department as to information in the
registry concerning the individual and shall not employ anyone not on the
registry unless the individual is enrolled in a training program under
paragraph (5) of subsection (a) of Section 3‑206 of this Act.
If the Department finds that a nursing assistant, habilitation aide, or
child care aide has abused a resident, neglected a resident, or misappropriated
resident property in a facility, the Department shall notify the individual of
this finding by certified mail sent to the address contained in the registry.
The notice shall give the individual an opportunity to contest the finding in a
hearing before the Department or to submit a written response to the findings
in lieu of requesting a hearing. If, after a hearing or if the individual does
not request a hearing, the Department finds that the individual abused a
resident, neglected a resident, or misappropriated resident property in a
facility, the finding shall be included as part of the registry as well as a
brief statement from the individual, if he or she chooses to make such a
statement. The Department shall make information in the registry available to
the public. In the case of inquiries to the registry concerning an individual
listed in the registry, any information disclosed concerning such a finding
shall also include disclosure of any statement in the registry relating to the
finding or a clear and accurate summary of the statement.
(b) The Department shall add to the nurse aide registry records
of findings as reported by the Inspector General or remove from
the nurse aide registry records of findings as reported by the
Department of Human Services, under Section 6.2 of the Abused
and Neglected Long Term Care Facility Residents Reporting Act.
(Source: P.A. 91‑598, eff. 1‑1‑00; 92‑473, eff. 1‑1‑02; 92‑651, eff.
7‑11‑02.)
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(210 ILCS 45/3‑206.02) (from Ch. 111 1/2, par. 4153‑206.02)
Sec. 3‑206.02.
(a) The Department, after notice to the nursing assistant,
habilitation aide, or child care aide, may denote that the
Department has found any of the following:
(1) The nursing assistant, habilitation aide, or |
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child care aide has abused a resident.
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(2) The nursing assistant, habilitation aide, or
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child care aide has neglected a resident.
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(3) The nursing assistant, habilitation aide, or
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child care aide has misappropriated resident property.
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(4) The nursing assistant, habilitation aide, or
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child care aide has been convicted of (i) a felony, (ii) a misdemeanor, an essential element of which is dishonesty, or (iii) any crime that is directly related to the duties of a nursing assistant, habilitation aide, or child care aide.
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(b) Notice under this Section shall include a clear and concise
statement of the grounds denoting abuse, neglect, or theft and
notice of the opportunity for a hearing to contest the designation.
(c) The Department may denote any
nursing assistant, habilitation aide, or child care aide on the
registry who fails (i) to file a return, (ii) to pay the tax, penalty or
interest shown in a filed return, or (iii) to pay any final assessment of
tax, penalty or interest, as required by any tax Act administered by the
Illinois Department of Revenue, until the time the requirements of the tax
Act are satisfied.
(c‑1) The Department shall document criminal background check results pursuant
to
the requirements of the Health Care Worker Background Check Act.
(d) At any time after the designation on
the
registry pursuant to subsection (a), (b), or (c) of this Section, a nursing
assistant,
habilitation aide, or child care aide may petition the
Department for
removal of designation on the registry. The Department
may
remove the designation of the nursing assistant,
habilitation aide, or
child care aide on the registry unless, after an investigation
and a
hearing, the Department determines that removal of designation is not in the public interest.
(Source: P.A. 91‑598, eff. 1‑1‑00.)
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(210 ILCS 45/3‑206.03)
Sec. 3‑206.03.
Resident attendants.
(a) As used in this Section, "resident attendant" means an individual who
assists residents in a facility with the following activities:
(1) eating and drinking; and
(2) personal hygiene limited to washing a resident's |
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hands and face, brushing and combing a resident's hair, oral hygiene, shaving residents with an electric razor, and applying makeup.
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The term "resident attendant" does not include an individual who:
(1) is a licensed health professional or a
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(2) volunteers without monetary compensation;
(3) is a nurse assistant; or
(4) performs any nursing or nursing‑related services
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for residents of a facility.
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(b) A facility may employ resident attendants to
assist the nurse aides with the activities authorized under
subsection (a). The resident attendants shall not count
in the minimum staffing requirements under rules implementing this Act.
(c) A facility may not use on a full‑time or other paid basis any individual
as a resident attendant
in the facility unless the individual:
(1) has completed a training and competency
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evaluation program encompassing the tasks the individual provides; and
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(2) is competent to provide feeding, hydration, and
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personal hygiene services.
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(d) The training and competency evaluation program may be facility‑based.
It may include one or more of the following units:
(1) A feeding unit that is a maximum of 5 hours in
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(2) A hydration unit that is a maximum of 3 hours in
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(3) A personal hygiene unit that is a maximum of 5
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These programs must be reviewed and approved
by the Department
every 2 years.
(f) A person seeking employment as a resident attendant is subject to the
Health Care Worker Background Check Act.
(Source: P.A. 91‑461, eff. 8‑6‑99.)
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(210 ILCS 45/3‑212) (from Ch. 111 1/2, par. 4153‑212)
Sec. 3‑212.
Inspection.
(a) The Department, whenever it deems necessary in
accordance with subsection (b), shall inspect, survey and evaluate every
facility to determine compliance with applicable licensure requirements and
standards. An inspection should occur within 120 days prior
to license renewal. The Department may periodically visit a facility for the
purpose of consultation. An inspection, survey, or evaluation, other than
an inspection of financial records, shall be conducted without prior notice
to the facility. A visit for the sole purpose of consultation may be
announced.
The Department shall provide training to surveyors about the appropriate
assessment, care planning, and care of persons with mental illness (other than
Alzheimer's disease or related disorders) to enable its surveyors to
determine whether a facility is complying with State and federal requirements
about the assessment, care planning, and care of those persons.
(a‑1) An employee of a State or unit of local government agency
charged with inspecting, surveying, and evaluating facilities who directly
or indirectly gives prior notice of an inspection, survey, or evaluation,
other than an inspection of financial records, to a facility or to an
employee of a facility is guilty of a Class A misdemeanor.
An inspector or an employee of the Department who intentionally prenotifies
a facility,
orally or in writing, of a pending complaint investigation or inspection shall
be guilty of a Class A misdemeanor.
Superiors of persons who have prenotified a facility shall be subject to the
same penalties, if they have knowingly allowed the prenotification. A person
found guilty of prenotifying a facility shall be subject to disciplinary action
by his or her employer.
If the Department has a good faith belief, based upon information that comes
to its attention, that a violation of this subsection has occurred, it must
file a complaint with the Attorney General or the State's Attorney in the
county where the violation
took place within 30 days after discovery of the information.
(a‑2) An employee of a State or unit of local government agency charged with
inspecting, surveying, or evaluating facilities who willfully profits from
violating the confidentiality of the inspection, survey, or evaluation
process shall be guilty of a Class 4 felony and that conduct shall be deemed
unprofessional conduct that may subject a person to loss of his or her
professional license. An action to prosecute a person for violating this
subsection (a‑2) may be brought by either the Attorney General or the State's
Attorney in the county where the violation took place.
(b) In determining whether to make more than the required number of
unannounced inspections, surveys and evaluations of a facility the
Department shall consider one or more of the following: previous inspection
reports; the facility's history of compliance with standards, rules and
regulations promulgated under this Act and correction of violations,
penalties or other enforcement actions; the number and severity of
complaints received about the facility; any allegations of resident abuse
or neglect; weather conditions; health emergencies; other reasonable belief
that deficiencies exist.
(b‑1) The Department shall not be required to determine whether a
facility certified to participate in the Medicare program under Title XVIII of
the Social Security Act, or the Medicaid program under Title XIX of the Social
Security Act, and which the Department determines by inspection under this
Section or under Section 3‑702 of this Act to be in compliance with the
certification requirements of Title XVIII or XIX, is in compliance with any
requirement of this Act that is less stringent than or duplicates a federal
certification requirement. In accordance with subsection (a) of this Section
or subsection (d) of Section 3‑702, the Department shall determine whether a
certified facility is in
compliance with requirements of this Act that exceed federal certification
requirements. If a certified facility is found to be out of compliance with
federal certification requirements, the results of an inspection conducted
pursuant to Title XVIII or XIX of the Social Security Act may be used as the
basis for enforcement remedies authorized and commenced under this Act.
Enforcement of this Act against a certified facility shall be commenced
pursuant to the requirements of this Act, unless enforcement remedies sought
pursuant to Title XVIII or XIX of the Social Security Act exceed those
authorized by this Act. As used in this subsection, "enforcement remedy"
means a sanction for violating a federal certification requirement or this
Act.
(c) Upon completion of each inspection, survey and evaluation, the
appropriate Department personnel who conducted the inspection, survey or
evaluation shall submit a copy of their report to the licensee upon exiting
the facility, and shall submit the actual report to the appropriate
regional office of the Department. Such report and any recommendations for
action by the Department under this Act shall be transmitted to the
appropriate offices of the associate director of the Department, together
with related comments or documentation provided by the licensee which may
refute findings in the report, which explain extenuating circumstances that
the facility could not reasonably have prevented, or which indicate methods
and timetables for correction of deficiencies described in the report.
Without affecting the application of subsection (a) of Section 3‑303, any
documentation or comments of the licensee shall be provided within 10
days of receipt of the copy of the report. Such report shall recommend to
the Director appropriate action under this Act with respect to findings
against a facility. The Director shall then determine whether the report's
findings constitute a violation or violations of which the facility must be
given notice. Such determination shall be based upon the severity of the
finding, the danger posed to resident health and safety, the comments and
documentation provided by the facility, the diligence and efforts to
correct deficiencies, correction of the reported deficiencies, the
frequency and duration of similar findings in previous reports and the
facility's general inspection history. Violations shall be determined
under this subsection no later than 60 days after completion of each
inspection, survey and evaluation.
(d) The Department shall maintain all inspection, survey and evaluation
reports for at least 5 years in a manner accessible to and understandable
by the public.
(Source: P.A. 91‑799, eff. 6‑13‑00; 92‑209, eff. 1‑1‑02.)
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