Ill. Admin. Code tit. 89, § 146.230 - Services
a) An SLF must
combine housing, personal and health related services in response to the
individual needs of residents who need help in activities of daily living.
Supportive services shall be available 24 hours per day to meet scheduled and
unscheduled needs in a way that promotes resident self-direction and
participation in decisions that emphasize independence, individuality, privacy,
dignity and autonomy in a residential setting.
b) Nursing Services
1) The SLF shall conduct a comprehensive
resident assessment and service plan for each SLF resident as required under
Section
146.245.
2) When a resident is unable to administer
his or her own medications, a licensed nurse shall administer the
medications.
3) Nursing services
shall include medication set-up (such as preparing weekly pill caddies with
that week's medication) and follow-up care, and shall be conducted by a
licensed nurse.
4) Other nursing
services include episodic and intermittent health promotion or disease
prevention counseling and teaching self-care in meeting routine and special
health care needs that can be done by other staff under the supervision of a
registered nurse.
5) All nursing
services shall be provided in accordance with the Nurse Practice Act [225 ILCS
65 ].
c) Personal Care
1) The SLF shall provide personal care
services for residents, including but not limited to assistance with bathing,
eating, dressing, personal hygiene, grooming, toileting, ambulation and
transfer.
2) Personal care services
shall be delivered by certified nursing assistants who meet the qualifications
described in Section
146.235(f)(1).
d) Medication Administration,
Oversight and Assistance in Self-Administration
1) The SLF shall provide the following:
A) Reminding the resident to take his or her
medications;
B) Taking medication
from where it is stored in the apartment and handing it to the resident when
requested to do so by the resident;
C) Opening or uncapping medication containers
for residents; and
D) Assisting
residents in the removal of the medication from the container and assisting the
resident in consuming or applying the medication when requested to do so by the
resident (i.e., placing a dose in a container and placing the container to the
mouth of the resident).
2) The services identified in subsection
(d)(1)(D) shall only be delivered by a licensed nurse.
3) Medication administration shall be
documented according to the needs of each resident. Documentation for
medication administration shall include, but not be limited to, the following:
A) Name of resident;
B) Name of medication, dosage, directions and
route of administration;
C) Date
and time medication is scheduled to be administered;
D) Date and time medication was administered;
and
E) Signature or initials of
employee administering the medication.
4) Medication oversight shall be documented
according to the needs of each resident. Documentation for medication oversight
shall include, but not be limited to, the following:
A) Name of resident;
B) Name of medication, dosage, directions and
route of administration;
C) Type of
oversight needed; i.e., reminders, assisting with opening container,
etc.;
D) Date and time medication
is scheduled to be taken;
E)
Documentation showing that resident has taken, or refused to take, the
medication; and
F) Signature or
initials of employee providing oversight.
e) Meals
1)
The SLF shall provide three meals per day, or two meals per day (noon and
evening meals) and a breakfast bar. The menu shall include food choices that
allow a resident to choose foods that will meet the requirements of a
therapeutic diet as ordered by a resident's physician. The menu for each
resident shall meet the basic food pattern for a general diet for an adult
following the recommendations of the Food and Nutrition Board, National Academy
of Sciences.
2) The SLF shall make
available beverages, including coffee, fruit juice and snack foods, at no cost
to the residents.
3) The SLF shall
offer the same menu options to all residents regardless of payment
source.
4) The SLF shall keep all
menus served on file for not less than six months.
5) The SLF shall maintain on the premises
supplies of staple foods for a minimum of a one week period and of perishable
foods for a minimum of a two day period. Supplies shall be appropriate to meet
the requirements of the menu.
6)
The SLF shall keep records of all food purchased on file for not less than six
months.
7) The SLF shall store,
prepare, distribute and serve food in a manner to protect against contaminants
and spoilage and to insure the preparation and serving of food at safe and
palatable temperatures.
8) The SLF
shall provide and maintain clean and sanitary central kitchen and dining areas.
The SLF shall ensure a sanitary and adequate supply of eating and drinking
utensils and pots and pans for preparing food in the central kitchen and dining
areas.
9) The SLF shall provide
residents with written information about menu plans. Menu cycles shall not be
repeated within a one week time frame. There shall be an established mechanism
for residents to provide input into the selection and preparation of food
served.
10) The SLF shall allow
residents to obtain, prepare and store food in residential apartments if doing
so does not represent a health or safety hazard to others.
11) The SLF shall provide residents with meal
service in their apartments as a time limited service during periods of
documented illness.
f)
Laundry
1) If requested by a resident, the
SLF shall provide laundry services at least weekly at no charge to the
resident.
2) The SLF shall provide
for the appropriate handling, cleaning, and storage of routine personal
laundry, laundry soiled with body secretions and all other laundry. This
includes all detergent and fabric softeners required to perform normal routine
laundry service at no cost to the resident.
3) The SLF shall provide on-site laundry
equipment for resident use in accordance with Section
146.210.
4) Laundry service does not include dry
cleaning services.
g)
Housekeeping
1) The SLF shall provide for
general housekeeping services at least weekly (house cleaning, bed making,
changing of linens, dusting and vacuuming).
2) The SLF shall take into account individual
habits and lifestyle preferences when providing all housekeeping services in
residential apartments.
3) The SLF
shall maintain all public areas in a clean and orderly condition.
4) The SLF shall maintain all common bathing
rooms in a clean and orderly condition.
h) Maintenance
1) The SLF shall maintain all residential
apartments in good repair.
2) The
SLF shall keep the building and grounds clean and free of hazards, with all
systems maintained in good working order.
i) Social and Recreational Programming
1) The SLF shall facilitate the involvement
of individual and community volunteer activities with and for
residents.
2) The SLF shall provide
programs at least twice weekly, which include on-site programs as well as
off-site trips, allowing for social and recreational programs for the
residents. Transportation shall be provided or arranged at no cost to the
resident by the SLF for scheduled activities off-site.
3) The SLF shall provide access to
opportunities for scheduled and unscheduled individual and group socialization
within the SLF and in the larger community.
4) The SLF shall make available to each
resident information about community resources and make community integration
part of the SLF's recreational, socialization and vocational
activities.
j) Ancillary
Services
1) The SLF shall provide or arrange
transportation, at no charge to the residents, for scheduled shopping,
community and social activities. The community outings shall reflect the
interests, choices and needs of the residents and be scheduled on a regular
basis and be reflected in the residents' calendar.
2) The SLF shall assist a resident in
obtaining needed and preferred services offered outside the SLF at his or her
request. Upon request by a resident, the SLF shall assist in making medical
appointments and arranging for transportation to and from the source of medical
treatment (payment for medical transportation shall be made in accordance with
89 Ill. Adm. Code
140.490
through
140.492
).
3) The SLF shall provide
shopping assistance when a resident is temporarily unable to shop.
k) 24 Hour Response/Security Staff
1) The SLF shall have response/security staff
awake and available on the premises 24 hours a day to respond to scheduled or
unpredictable needs and emergency calls from residents. Staff shall possess
certification in emergency resuscitation. The SLF shall provide no fewer than
one staff person for facilities with one to 75 residents, a second staff person
for facilities with 76 to l50 residents, and a third staff person for
facilities with 151 or more residents. In determining the number of staff, the
SLF shall consider the number of floors in the building, and the medical needs
of the residents. At least one certified nursing assistant shall be on-site 24
hours a day to respond to resident needs.
2) The SLF shall provide security 24 hours a
day, including lockable entrances (accessibility controlled by SLF staff for
security purposes during overnight hours) and on-site personnel. All residents
shall have 24 hour access.
3)
Rehabilitated nursing facilities shall have separate staff on-site in the
SLF.
l) Health Promotion
and Exercise Programming
1) The SLF shall
offer and encourage the use of health promotion and exercise programs for its
residents.
2) The SLF shall develop
programs to be held not less frequently than three times per week geared toward
promoting better health and fitness of the residents. These programs are in
addition to the social and recreational programming described in this
Section.
m) Emergency
Call System
1) The SLF shall ensure that at
least two electronic devices are available in each apartment to enable the
resident to secure help in an emergency. At least one device shall be located
in each bathroom. The requirement for additional devices shall be met with a
device located in each bedroom or through a portable emergency home response
system.
2) The SLF shall have
electronic devices available in each common area, each public restroom, each
common bathing room and each resident laundry room to enable residents to
secure help in an emergency.
3) The
emergency call system shall be capable of direct and immediate notification to
staff or shall be manned by personnel 24 hours a day for transmission to
available staff for assistance.
n) Daily Check
The SLF shall implement a system to check on the welfare of each resident daily.
Notes
Amended at 33 Ill. Reg. 11803, effective August 1, 2009
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