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1 | AN ACT concerning health facilities
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Assisted Living and Shared Housing Act is | |||||||||||||||||||
5 | amended by changing Section 75 as follows:
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6 | (210 ILCS 9/75)
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7 | Sec. 75. Residency Requirements.
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8 | (a) No individual shall be accepted for residency or remain | |||||||||||||||||||
9 | in residence if
the
establishment cannot provide or secure | |||||||||||||||||||
10 | appropriate
services, if the individual
requires a level of | |||||||||||||||||||
11 | service or type of service for which the establishment is
not | |||||||||||||||||||
12 | licensed or
which the establishment does not provide, or if the | |||||||||||||||||||
13 | establishment does not have
the staff
appropriate in numbers | |||||||||||||||||||
14 | and with appropriate skill to provide such services.
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15 | (b) Only adults may be accepted for residency.
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16 | (c) A person shall not be accepted for residency if:
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17 | (1) the person poses a serious threat to himself or | |||||||||||||||||||
18 | herself or to others;
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19 | (2) the person is not able to communicate his or her | |||||||||||||||||||
20 | needs and no
resident representative
residing in the | |||||||||||||||||||
21 | establishment, and with a prior relationship to the person,
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22 | has been appointed to direct the provision of
services;
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23 | (3) the person requires total assistance with 2 or more | |||||||||||||||||||
24 | activities of
daily
living;
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25 | (4) the person requires the assistance of more than one | |||||||||||||||||||
26 | paid caregiver at
any given time
with an activity of daily | |||||||||||||||||||
27 | living;
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28 | (5) the person requires more than minimal assistance in | |||||||||||||||||||
29 | moving to a safe
area in an
emergency;
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30 | (6) the person has a severe mental illness, which for | |||||||||||||||||||
31 | the purposes of
this Section
means a condition that is | |||||||||||||||||||
32 | characterized by the presence of a major mental
disorder
as |
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1 | classified in the Diagnostic and Statistical Manual of | ||||||
2 | Mental Disorders,
Fourth
Edition (DSM-IV) (American | ||||||
3 | Psychiatric Association, 1994), where the individual
is | ||||||
4 | substantially disabled due to mental illness in the areas | ||||||
5 | of
self-maintenance,
social functioning, activities of | ||||||
6 | community living and work skills, and the
disability
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7 | specified is expected to be present for a period of not | ||||||
8 | less than one year, but
does not
mean Alzheimer's disease | ||||||
9 | and other forms of dementia based on organic or
physical | ||||||
10 | disorders;
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11 | (7) the person requires intravenous therapy or | ||||||
12 | intravenous feedings
unless self-administered or | ||||||
13 | administered by a qualified, licensed health care
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14 | professional;
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15 | (8) the person requires gastrostomy feedings unless | ||||||
16 | self-administered or
administered
by a licensed health | ||||||
17 | care professional;
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18 | (9) the person requires insertion, sterile irrigation, | ||||||
19 | and replacement of
catheter, except
for routine | ||||||
20 | maintenance of urinary catheters, unless the catheter care | ||||||
21 | is
self-administered or administered by a licensed health | ||||||
22 | care professional;
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23 | (10) the person requires sterile wound care unless care | ||||||
24 | is
self-administered or
administered by a licensed health | ||||||
25 | care professional;
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26 | (11) the person requires sliding scale insulin | ||||||
27 | administration unless
self-performed or
administered by a | ||||||
28 | licensed health care professional;
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29 | (12) the person is a diabetic requiring routine insulin | ||||||
30 | injections unless
the injections
are self-administered or | ||||||
31 | administered by a licensed health care professional;
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32 | (13) the person requires treatment of stage 3 or stage | ||||||
33 | 4 decubitus ulcers
or exfoliative
dermatitis;
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34 | (14) the person requires 5 or more skilled nursing | ||||||
35 | visits per week for
conditions other
than those listed in | ||||||
36 | items (13) and (15) of this subsection for a
period of 3
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1 | consecutive weeks or more except when the course of | ||||||
2 | treatment is expected to
extend beyond a 3 week period for | ||||||
3 | rehabilitative purposes and is certified as
temporary by a | ||||||
4 | physician; or
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5 | (15) other reasons prescribed by the Department by | ||||||
6 | rule.
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7 | (d) A resident with a condition listed in items (1) through | ||||||
8 | (15) of
subsection (c) shall have
his or her residency | ||||||
9 | terminated.
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10 | (e) Residency shall be terminated when services available | ||||||
11 | to the resident
in
the establishment
are no longer adequate to | ||||||
12 | meet the needs of the resident. This provision shall
not
be | ||||||
13 | interpreted as
limiting the authority of the Department to | ||||||
14 | require the residency termination
of individuals.
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15 | (f) Subsection (d) of this Section shall not apply to
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16 | terminally
ill residents who
receive or would qualify for | ||||||
17 | hospice care and such care is coordinated by
a hospice licensed
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18 | under the Hospice
Program
Licensing Act or other licensed | ||||||
19 | health care professional employed by a
licensed home health
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20 | agency and the establishment and all parties agree to the | ||||||
21 | continued residency.
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22 | (g) Items (3), (4), (5), and (9) of subsection (c) shall | ||||||
23 | not apply to
a quadriplegic, paraplegic, or
individual with | ||||||
24 | neuro-muscular diseases, such as muscular dystrophy and
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25 | multiple
sclerosis, or other chronic diseases and conditions as | ||||||
26 | defined by rule if the
individual is able
to communicate his or | ||||||
27 | her needs and does not require assistance with complex
medical
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28 | problems, and the establishment is able to accommodate the | ||||||
29 | individual's needs.
The Department shall prescribe rules | ||||||
30 | pursuant to this Section that address
special safety and | ||||||
31 | service needs of these individuals.
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32 | (h) For the purposes of items (7) through (11) of | ||||||
33 | subsection (c), a
licensed health care professional may not
be | ||||||
34 | employed by the owner or operator of the establishment, its | ||||||
35 | parent entity,
or any other entity with ownership common to | ||||||
36 | either the owner or operator of
the establishment or parent |
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1 | entity, including but not limited to an affiliate
of the owner | ||||||
2 | or operator of the establishment. Nothing in this Section is
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3 | meant to limit a resident's right to
choose his or her health | ||||||
4 | care provider.
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5 | (Source: P.A. 93-141, eff. 7-10-03.)
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