TITLE 77: PUBLIC HEALTH CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER b: HOSPITALS AND AMBULATORY CARE FACILITIES PART 250 HOSPITAL LICENSING REQUIREMENTS The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been permanently adopted. This menu will point out the Sections on which an emergency rule (valid for a maximum of 150 days, usually until replaced by a permanent rulemaking) exists. The emergency rulemaking is linked through the notation that follows the Section heading in the menu. View Entire Part SUBPART A: GENERAL PROVISIONS New Section 250.3 COVID-19 Emergency Provisions - At-Home Patient Care (Effective: 11/24/23; Expires: 4/21/24) EMERGENCY - 47 Ill. Reg. 18178 Section 250.100 Definitions Section 250.105 Incorporated and Referenced Materials Section 250.110 Application for and Issuance of Permit to Establish a Hospital Section 250.120 Application for and Issuance of a License to Operate a Hospital Section 250.130 Administration by the Department Section 250.140 Hearings Section 250.150 Definitions (Renumbered) Section 250.160 Incorporated and Referenced Materials (Renumbered) SUBPART B: ADMINISTRATION AND PLANNING Section 250.210 The Governing Board Section 250.220 Accounting Section 250.230 Planning Section 250.240 Admission and Discharge Section 250.245 Failure to Initiate Criminal Background Checks Section 250.250 Visiting Rules Section 250.260 Patients' Rights Section 250.265 Language Assistance Services Section 250.270 Manuals of Procedure Section 250.280 Agreement with Designated Organ Procurement Agencies Section 250.285 Smoking Restrictions Section 250.290 Safety Alert Notifications Section 250.295 Notification and Posting Requirements Section 250.300 At-Home Patient Care Waivers SUBPART C: THE MEDICAL STAFF Section 250.310 Organization Section 250.315 House Staff Members Section 250.320 Admission and Supervision of Patients Section 250.330 Orders for Medications and Treatments Section 250.340 Availability for Emergencies SUBPART D: PERSONNEL SERVICE Section 250.410 Organization Section 250.420 Personnel Records Section 250.430 Duty Assignments Section 250.435 Health Care Worker Background Check Section 250.440 Education Programs Section 250.445 Workplace Violence Prevention Program Section 250.450 Personnel Health Requirements Section 250.460 Benefits SUBPART E: LABORATORY Section 250.510 Laboratory Services Section 250.520 Blood and Blood Components Section 250.525 Designated Blood Donor Program Section 250.530 Proficiency Survey Program (Repealed) Section 250.540 Laboratory Personnel (Repealed) Section 250.550 Western Blot Assay Testing Procedures (Repealed) SUBPART F: RADIOLOGICAL SERVICES Section 250.610 General Diagnostic Procedures and Treatments Section 250.620 Radioactive Material Section 250.630 General Policies and Procedures Manual SUBPART G: EMERGENCY SERVICES Section 250.710 Classification of Emergency Services Section 250.720 General Requirements Section 250.725 Notification of Emergency Personnel Section 250.730 Community or Areawide Planning Section 250.740 Disaster and Mass Casualty Program Section 250.750 Medical Forensic Services for Sexual Assault Survivors SUBPART H: RESTORATIVE AND REHABILITATION SERVICES Section 250.810 Applicability of Other Parts of These Requirements Section 250.820 General Section 250.830 Classifications of Restorative and Rehabilitation Services Section 250.840 General Requirements for all Classifications Section 250.850 Specific Requirements for Comprehensive Physical Rehabilitation Services Section 250.860 Medical Direction Section 250.870 Nursing Care Section 250.880 Additional Allied Health Services Section 250.890 Animal-Assisted Therapy SUBPART I: NURSING SERVICE AND ADMINISTRATION Section 250.910 Nursing Services Section 250.920 Organizational Plan Section 250.930 Role in hospital planning Section 250.940 Job descriptions Section 250.950 Nursing committees Section 250.960 Specialized nursing services Section 250.970 Nursing Care Plans Section 250.980 Nursing Records and Reports Section 250.990 Unusual Incidents Section 250.1000 Meetings Section 250.1010 Education Programs Section 250.1020 Licensure Section 250.1030 Policies and Procedures Section 250.1035 Domestic Violence Standards Section 250.1040 Patient Care Units Section 250.1050 Equipment for Bedside Care Section 250.1060 Drug Services on Patient Unit Section 250.1070 Care of Patients Section 250.1075 Use of Restraints and Seclusion Section 250.1080 Admission Procedures Affecting Care Section 250.1090 Sterilization and Processing of Supplies Section 250.1100 Infection Control Section 250.1110 Mandatory Overtime Prohibition Section 250.1120 Staffing Levels Section 250.1130 Nurse Staffing by Patient Acuity SUBPART J: SURGICAL AND RECOVERY ROOM SERVICES Section 250.1210 Surgery Section 250.1220 Surgery Staff Section 250.1230 Policies & Procedures Section 250.1240 Surgical Privileges Section 250.1250 Surgical Emergency Care Section 250.1260 Operating Room Register and Records Section 250.1270 Surgical Patients Section 250.1280 Equipment Section 250.1290 Safety Section 250.1300 Operating Room Section 250.1305 Visitors in Operating Room Section 250.1310 Cleaning Section 250.1320 Postanesthesia Care Units Section 250.1325 Surgical Smoke Plume Evacuation System Equipment and Policies SUBPART K: ANESTHESIA SERVICES Section 250.1410 Anesthesia Service SUBPART L: RECORDS AND REPORTS Section 250.1510 Medical Records Section 250.1520 Reports SUBPART M: FOOD SERVICE Section 250.1610 Dietary Department Administration Section 250.1620 Facilities Section 250.1630 Menus and Nutritional Adequacy Section 250.1640 Diet Orders Section 250.1650 Frequency of Meals Section 250.1660 Therapeutic (Modified) Diets Section 250.1670 Food Preparation and Service Section 250.1680 Sanitation SUBPART N: HOUSEKEEPING AND LAUNDRY SERVICES Section 250.1710 Housekeeping Section 250.1720 Garbage, Refuse and Solid Waste Handling and Disposal Section 250.1730 Insect and Rodent Control Section 250.1740 Laundry Service Section 250.1750 Soiled Linen Section 250.1760 Clean Linen SUBPART O: OBSTETRIC AND NEONATAL SERVICE Section 250.1810 Applicability of Other Provisions of this Part Section 250.1820 Obstetric and Neonatal Service (Perinatal Service) Section 250.1830 General Requirements for All Obstetric Departments Section 250.1840 Discharge of Newborn Infants from Hospital Section 250.1845 Caesarean Birth Section 250.1850 Single Room Postpartum Care of Mother and Infant Section 250.1860 Special Programs (Repealed) Section 250.1870 Labor, Delivery, Recovery and Postpartum Care SUBPART P: ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE, EQUIPMENT, AND SYSTEMS – HEATING, COOLING, ELECTRICAL, VENTILATION, PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL Section 250.1910 Maintenance Section 250.1920 Emergency electric service Section 250.1930 Water Supply Section 250.1940 Ventilation, Heating, Air Conditioning, and Air Changing Systems Section 250.1950 Grounds and Buildings Shall be Maintained Section 250.1960 Sewage, Garbage, Solid Waste Handling and Disposal Section 250.1970 Plumbing Section 250.1980 Fire and Safety SUBPART Q: CHRONIC DISEASE HOSPITALS Section 250.2010 Definition Section 250.2020 Requirements SUBPART R: PHARMACY OR DRUG AND MEDICINE SERVICE Section 250.2110 Service Requirements Section 250.2120 Personnel Required Section 250.2130 Facilities for Services Section 250.2140 Pharmacy and Therapeutics Committee SUBPART S: PSYCHIATRIC SERVICES Section 250.2210 Applicability of other Parts of these Regulations Section 250.2220 Establishment of a Psychiatric Service Section 250.2230 The Medical Staff Section 250.2240 Nursing Service Section 250.2250 Allied Health Personnel Section 250.2260 Staff and Personnel Development and Training Section 250.2270 Admission, Transfer and Discharge Procedures Section 250.2280 Care of Patients Section 250.2290 Special Medical Record Requirements for Psychiatric Hospitals and Psychiatric Units of General Hospitals or General Hospitals Providing Psychiatric Care. Section 250.2300 Diagnostic, Treatment and Physical Facilities and Services SUBPART T: DESIGN AND CONSTRUCTION STANDARDS Section 250.2410 Applicability of these Standards Section 250.2420 Submission of Plans for New Construction, Alterations or Additions to Existing Facility Section 250.2430 Preparation of Drawings and Specifications--Submission Requirements Section 250.2440 General Hospital Standards Section 250.2442 Fees Section 250.2443 Advisory Committee Section 250.2450 Details Section 250.2460 Finishes Section 250.2470 Structural Section 250.2480 Mechanical Section 250.2490 Plumbing and Other Piping Systems Section 250.2500 Electrical Requirements SUBPART U: CONSTRUCTION REQUIREMENTS FOR EXISTING HOSPITALS Section 250.2610 Applicability of Subpart U Section 250.2620 Codes and Standards Section 250.2630 Existing General Hospital Requirements Section 250.2640 Details Section 250.2650 Finishes Section 250.2660 Mechanical Section 250.2670 Plumbing and Other Piping Systems Section 250.2680 Electrical Requirements SUBPART V: SPECIAL CARE AND/OR SPECIAL SERVICE UNITS Section 250.2710 Special Care and/or Special Service Units Section 250.2720 Day Care for Mildly Ill Children SUBPART W: ALCOHOLISM AND INTOXICATION TREATMENT SERVICES Section 250.2810 Applicability of Other Parts of These Requirements Section 250.2820 Establishment of an Alcoholism and Intoxication Treatment Service Section 250.2830 Classification and Definitions of Service and Programs Section 250.2840 General Requirements for all Hospital Alcoholism Program Classifications Section 250.2850 The Medical and Professional Staff Section 250.2860 Medical Records Section 250.2870 Referral Section 250.2880 Client Legal and Human Rights SUBPART X: RURAL EMERGENCY HOSPITALS Section 250.2900 Applicability of This Part to Rural Emergency Hospitals Section 250.APPENDIX A Codes and Standards (Repealed) Section 250.EXHIBIT A Codes (Repealed) Section 250.EXHIBIT B Standards (Repealed) Section 250.EXHIBIT C Addresses of Sources (Repealed) Section 250.ILLUSTRATION A Seismic Zone Map Section 250.TABLE A Measurements Essential for Level I, II, and III Hospitals Section 250.TABLE B Sound Transmission Limitations in General Hospitals Section 250.TABLE C Filter Efficiencies for Central Ventilation and Air Conditioning Systems in General Hospitals (Repealed) Section 250.TABLE D General Preassure Relationships and Ventilation of Certain Hospital Areas (Repealed) Section 250.TABLE E Piping Locations for Oxygen, Vacuum and Medical Compressed Air Section 250.TABLE F General Pressure Relationships and Ventilation of Certain Hospital Areas Section 250.TABLE G Insulation/Building Perimeter

AUTHORITY: Implementing and authorized by the Hospital Licensing Act [210 ILCS 85].

SOURCE: Rules repealed and new rules adopted August 27, 1978; emergency amendment at 2 Ill. Reg. 31, p. 73, effective July 24, 1978, for a maximum of 150 days; amended at 2 Ill. Reg. 21, p. 49, effective May 16, 1978; emergency amendment at 2 Ill. Reg. 31, p. 73, effective July 24, 1978, for a maximum of 150 days; amended at 2 Ill. Reg. 45, p. 85, effective November 6, 1978; amended at 3 Ill. Reg. 17, p. 88, effective April 22, 1979; amended at 4 Ill. Reg. 22, p. 233, effective May 20, 1980; amended at 4 Ill. Reg. 25, p. 138, effective June 6, 1980; amended at 5 Ill. Reg. 507, effective December 29, 1980; amended at 6 Ill. Reg. 575, effective December 30, 1981; amended at 6 Ill. Reg. 1655, effective January 27, 1982; amended at 6 Ill. Reg. 3296, effective March 15, 1982; amended at 6 Ill. Reg. 7835 and 7838, effective June 17, 1982; amended at 7 Ill. Reg. 962, effective January 6, 1983; amended at 7 Ill. Reg. 5218 and 5221, effective April 4, 1983 and April 5, 1983; amended at 7 Ill. Reg. 6964, effective May 17, 1983; amended at 7 Ill. Reg. 8546, effective July 12, 1983; amended at 7 Ill. Reg. 9610, effective August 2, 1983; codified at 8 Ill. Reg. 19752; amended at 8 Ill. Reg. 24148, effective November 29, 1984; amended at 9 Ill. Reg. 4802, effective April 1, 1985; amended at 10 Ill. Reg. 11931, effective September 1, 1986; amended at 11 Ill. Reg. 10283, effective July 1, 1987; amended at 11 Ill. Reg. 10642, effective July 1, 1987; amended at 12 Ill. Reg. 15080, effective October 1, 1988; amended at 12 Ill. Reg. 16760, effective October 1, 1988; amended at 13 Ill. Reg. 13232, effective September 1, 1989; amended at 14 Ill. Reg. 2342, effective February 15, 1990; amended at 14 Ill. Reg. 13824, effective September 1, 1990; amended at 15 Ill. Reg. 5328, effective May 1, 1991; amended at 15 Ill. Reg. 13811, effective October 1, 1991; amended at 17 Ill. Reg. 1614, effective January 25, 1993; amended at 17 Ill. Reg. 17225, effective October 1, 1993; amended at 18 Ill. Reg. 11945, effective July 22, 1994; amended at 18 Ill. Reg. 15390, effective October 10, 1994; amended at 19 Ill. Reg. 13355, effective September 15, 1995; emergency amendment at 20 Ill. Reg. 474, effective January 1, 1996, for a maximum of 150 days; emergency expired May 29, 1996; amended at 20 Ill. Reg. 3234, effective February 15, 1996; amended at 20 Ill. Reg. 10009, effective July 15, 1996; amended at 22 Ill. Reg. 3932, effective February 13, 1998; amended at 22 Ill. Reg. 9342, effective May 20, 1998; amended at 23 Ill. Reg. 1007, effective January 15, 1999; emergency amendment at 23 Ill. Reg. 3508, effective March 4, 1999, for a maximum of 150 days; amended at 23 Ill. Reg. 9513, effective August 1, 1999; amended at 23 Ill. Reg. 13913, effective November 15, 1999; amended at 24 Ill. Reg. 6572, effective April 11, 2000; amended at 24 Ill. Reg. 17196, effective November 1, 2000; amended at 25 Ill. Reg. 3241, effective February 15, 2001; amended at 27 Ill. Reg. 1547, effective January 15, 2003; amended at 27 Ill. Reg. 13467, effective July 25, 2003; amended at 28 Ill. Reg. 5880, effective March 29, 2004; amended at 28 Ill. Reg. 6579, effective April 15, 2004; amended at 29 Ill. Reg. 12489, effective July 27, 2005; amended at 31 Ill. Reg. 4245, effective February 20, 2007; amended at 31 Ill. Reg. 14530, effective October 3, 2007; amended at 32 Ill. Reg. 3756, effective February 27, 2008; amended at 32 Ill. Reg. 4213, effective March 10, 2008; amended at 32 Ill. Reg. 7932, effective May 12, 2008; amended at 32 Ill. Reg. 14336, effective August 12, 2008; amended at 33 Ill. Reg. 8306, effective June 2, 2009; amended at 34 Ill. Reg. 2528, effective January 27, 2010; amended at 34 Ill. Reg. 3331, effective February 24, 2010; amended at 34 Ill. Reg. 19031, effective November 17, 2010; amended at 34 Ill. Reg. 19158, effective November 23, 2010; amended at 35 Ill. Reg. 4556, effective March 4, 2011; amended at 35 Ill. Reg. 6386, effective March 31, 2011; amended at 35 Ill. Reg. 13875, effective August 1, 2011; amended at 36 Ill. Reg. 17413, effective December 3, 2012; amended at 38 Ill. Reg. 13280, effective June 10, 2014; amended at 39 Ill. Reg. 5443, effective March 25, 2015; amended at 39 Ill. Reg. 13041, effective September 3, 2015; amended at 41 Ill. Reg. 7154, effective June 12, 2017; amended at 41 Ill. Reg. 14945, effective November 27, 2017; amended at 42 Ill. Reg. 9507, effective May 24, 2018; amended at 43 Ill. Reg. 3889, effective March 18, 2019; amended at 43 Ill. Reg. 12990, effective October 22, 2019; emergency amendment at 44 Ill. Reg. 5934, effective March 25, 2020, for a maximum of 150 days; emergency expired August 21, 2020; emergency amendment at 44 Ill. Reg. 7788, effective April 16, 2020, for a maximum of 150 days; emergency repeal of emergency amendment at 44 Ill. Reg. 14333, effective August 24, 2020; emergency amendment at 44 Ill. Reg. 14804, effective August 24, 2020, for a maximum of 150 days; emergency expired January 20, 2021; amended at 44 Ill. Reg. 18379, effective October 29, 2020; emergency amendment at 45 Ill. Reg. 1202, effective January 8, 2021, for a maximum of 150 days; emergency amendment expired June 6, 2021; emergency amendment at 45 Ill. Reg. 1715, effective January 21, 2021, for a maximum of 150 days; emergency expired June 19, 2021; emergency amendment at 45 Ill. Reg. 7544, effective June 7, 2021, for a maximum of 150 days; emergency expired November 3, 2021; emergency amendment at 45 Ill. Reg. 8096, effective June 15, 2021, for a maximum of 150 days; emergency expired November 11, 2021; emergency amendment at 45 Ill. Reg. 8503, effective June 20, 2021, for a maximum of 150 days; emergency expired November 16, 2021; emergency amendment at 45 Ill. Reg. 11907, effective September 17, 2021, for a maximum of 150 days; emergency expired February 13, 2022; emergency amendment at 45 Ill. Reg. 14519, effective November 4, 2021, for a maximum of 150 days; emergency expired April 2, 2022; emergency amendment at 45 Ill. Reg. 15115, effective November 12, 2021, through December 31, 2021; emergency amendment at 45 Ill. Reg. 15375, effective November 17, 2021, for a maximum of 150 days; emergency expired April 15, 2022; emergency amendment at 46 Ill. Reg. 1911, effective January 13, 2022, for a maximum of 150 days; emergency expired June 11, 2022; emergency amendment at 46 Ill. Reg. 3208, effective February 14, 2022, for a maximum of 150 days; emergency expired July 13, 2022; emergency amendment at 46 Ill. Reg. 6142, effective April 3, 2022, for a maximum of 150 days; emergency expired August 30, 2022; emergency amendment at 46 Ill. Reg. 6808, effective April 16, 2022, for a maximum of 150 days; emergency expired September 12, 2022; amended at 46 Ill. Reg. 8914, effective May 12, 2022; emergency amendment at 46 Ill. Reg. 10950, effective June 12, 2022, for a maximum of 150 days; emergency amendment to emergency rule at 46 Ill. Reg. 12643, effective July 6, 2022, for the remainder of the 150 days; emergency expired November 8, 2022; emergency amendment at 46 Ill. Reg. 13344, effective July 14, 2022, for a maximum of 150 days; emergency amendment to emergency rule at 46 Ill. Reg. 18185, effective October 27, 2022, for the remainder of the 150 days; emergency expired December 10, 2022; emergency amendment at 46 Ill. Reg. 15824, effective August 31, 2022, for a maximum of 150 days; emergency expired January 27, 2023; amended at 46 Ill. Reg. 15597, effective September 1, 2022; emergency amendment at 46 Ill. Reg. 16271, effective September 13, 2022, for a maximum of 150 days; emergency expired February 9, 2023; emergency amendment at 46 Ill. Reg. 18902, effective November 9, 2022, for a maximum of 150 days; emergency expired April 7, 2023; amended at 46 Ill. Reg. 18995, effective November 10, 2022; emergency amendment at 46 Ill. Reg. 20211, effective December 11, 2022, for a maximum of 150 days; emergency expired May 9, 2023; emergency amendment at 47 Ill. Reg. 2189, effective January 28, 2023, for a maximum of 150 days; emergency expired June 26, 2023; emergency amendment at 47 Ill. Reg. 2862, effective February 10, 2023 through May 11, 2023; amended at 47 Ill. Reg. 6477, effective April 27, 2023; emergency amendment at 47 Ill. Reg. 8896, effective June 8, 2023, for a maximum of 150 days; SUBPART G recodified at 47 Ill. Reg. 8964; emergency amendment at 47 Ill. Reg. 9499, effective June 27, 2023, for a maximum of 150 days; emergency expired November 23, 2023; amended at 47 Ill. Reg. 14455, effective September 26, 2023; emergency amendment at 47 Ill. Reg. 18178, effective November 24, 2023, for a maximum of 150 days; emergency repealed at 48 Ill. Reg. 4225, effective February 27, 2024; amended at 48 Ill. Reg. 450, effective December 20, 2023; expedited correction at 48 Ill. Reg. 5807, effective December 20, 2023; amended at 48 Ill. Reg. 2516, effective January 30, 2024.