Part 300: SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE

Section 300.2070 Scheduling Meals a) A minimum of three meals or their equivalent shall be served daily at regular times with no more than a l4 hour span between a substantial evening meal and breakfast. The l4 hour span shall not apply to facilities using the "four or five meal-…

Section 300.2080 Menus and Food Records a) Menus, including menus for "sack" lunches and between meal or bedtime snacks, shall be planned at least one week in advance. Food sufficient to meet the nutritional needs of all the residents shall be prepared for each meal. When changes…

Section 300.2090 Food Preparation and Service a) Foods shall be prepared by appropriate methods that will conserve their nutritive value, enhance their flavor and appearance. They shall be prepared according to standardized recipes and a file of such recipes shall be available fo…

Section 300.210 Filing an Annual Attested Financial Statement a) Each licensee shall submit an annual attested financial statement to the Department. This financial statement shall be filed in a prescribed format on forms supplied by the Department. The forms will be developed in…

Section 300.2100 Food Handling Sanitation Every facility shall comply with the Department's rules entitled "Food Code." (Source: Amended at 49 Ill. Reg. 760, effective December 31, 2024)

Section 300.2110 Kitchen Equipment, Utensils, and Supplies Each facility shall provide an adequate number of dishes, glassware, and silverware of a satisfactory type to serve all the residents in the facility at each meal. (Source: Amended at 14 Ill. Reg. 14950, effective October…

Section 300.220 Information to Be Made Available to the Public By the Department a) The Department shall respect the confidentiality of a resident's record and shall not divulge or disclose the contents of a record in a manner which identifies a resident, except upon a resident's…

Section 300.2210 Maintenance a) Every facility shall have an effective written plan for maintenance, including sufficient staff, appropriate equipment, and adequate supplies. b) Each facility shall: (B) 1) Maintain the building in good repair, safe and free of the following: crac…

Section 300.2220 Housekeeping a) Every facility shall have an effective plan for housekeeping including sufficient staff, appropriate equipment, and adequate supplies. Each facility shall: (B) 1) Keep the building in a clean, safe, and orderly condition. This includes all rooms, …

Section 300.2230 Laundry Services a) Every facility shall have an effective means of supplying an adequate amount of clean linen for operation, either through an in-house laundry or a contract with an outside service. 1) An adequate supply of clean linen shall be defined as the t…

Section 300.230 Information to Be Made Available to the Public by the Licensee a) Every facility shall conspicuously post for display in an area of its offices accessible to residents, employees, and visitors the following: 1) Its current license; 2) A description, provided by th…

Section 300.240 Municipal Licensing a) Municipalities which have adopted a licensing ordinance as provided under Section 3-104 of the Act and this Part shall adopt this Part by complying with Article I, Division 3, of the Illinois Municipal Code (Ill. Rev. Stat. 1987, ch. 24, par…

Section 300.2410 Furnishings a) Each resident shall be provided with a separate bed suitable to meet the needs of the resident. Each bed shall be at least 36 inches wide, have a headboard, be of sturdy construction and be in good repair. A double bed shall be provided for married…

Section 300.2420 Equipment and Supplies a) Equipment 1) The facility shall have a supply of thermometers, emesis basins, ice bags, hot water bottles or equivalent, bedpans, urinals, and sets of enema equipment sufficient to meet the needs of its residents. 2) If the facility has …

Section 300.2430 Sterilization of Equipment and Supplies a) Every facility shall follow an acceptable plan to provide for sterile equipment and supplies, such as needles, syringes, catheters, and dressing. There shall be an autoclave available for sterilizing this type of equipme…

Section 300.250 Ownership Disclosure a) As a condition of the issuance or renewal of the license of any facility, the applicant shall file a statement of ownership. The applicant shall update the information required in the statement of ownership within 10 days after any change. …

Section 300.260 Issuance of Conditional Licenses a) The Director may issue a conditional license under Section 3-305 of the Act to any facility if the Director finds that either a Type "A" or Type "B" violation exists in such facility. The issuance of a conditional license shall …

Section 300.2610 Codes Water supply, sewage disposal and plumbing systems shall comply with all applicable State and local codes and ordinances. (B) (Source: Amended at 13 Ill. Reg. 4684, effective March 24, 1989)

Section 300.2620 Water Supply a) Each facility shall be served by water from a municipal public water supply when available. (B) b) When a municipal public water supply is not available, the water supply shall comply with the Department's rules entitled "Drinking Water Systems" (…

Section 300.2630 Sewage Disposal a) All sewage and liquid wastes shall be discharged into a public sewage system when available. (B) b) When a public sewage system is not available, sewage and liquid wastes shall be collected, treated, and disposed of in a private sewage disposal…

Section 300.2640 Plumbing Each plumbing system shall comply with the Department's rules entitled "Illinois Plumbing Code" (77 Ill. Adm. Code 890) effective at the time of construction or approved acceptance by the Department. (Source: Amended at 13 Ill. Reg. 4684, effective March…

Section 300.270 Monitor and Receivership a) The Department may place an employee or agent to serve as a monitor in a facility when any of the following conditions exist: 1) The facility is operating without a license; 2) The Department has suspended, revoked or refused to renew t…

Section 300.271 Presentation of Findings a) If it is probable that findings will be presented that could be issued as violations of regulations which represent a direct threat to the health, safety or welfare of residents, surveyors shall notify the administrator or designee duri…

Section 300.272 Determination to Issue a Notice of Violation or Administrative Warning a) Upon receipt of a report of an inspection, survey or evaluation of a facility, the Director or his or her designee will review the findings contained in the report to determine whether the r…

Section 300.274 Determination of the Level of a Violation a) After determining that issuance of a notice of violation is warranted and prior to issuance of the notice, the Director or his or her designee will review the findings that are the basis of the violation, and any commen…

Section 300.276 Notice of Violation a) Each notice of violation shall be in writing and shall contain the following information: 1) A description of the nature of the violation. 2) A citation of the specific statutory provision or rule alleged by the Department to have been viola…

Section 300.277 Administrative Warning a) If the Department finds a situation, condition, or practice which violates the Act or this Part that does not constitute a Type "AA", Type "A", Type "B", or Type "C" violation, the Department shall issue an administrative warning. (Sectio…

Section 300.278 Plans of Correction a) The situation, condition, or practice constituting a Type "AA" violation or a Type "A" violation shall be abated or eliminated immediately unless a fixed period of time, not exceeding 15 days, as determined by the Department and specified in…

Section 300.280 Reports of Correction a) In lieu of submission of a plan of correction, a facility may submit a report of correction if the corrective action has been completed. The report of correction must be submitted within the time periods required in Section 300.278 for sub…

Section 300.2810 Applicability of this Subpart N a) Applicability of New Construction Requirements This Subpart N shall apply to all new facilities and major alterations and additions to existing facilities. (Major alterations are those that are not defined as minor alterations i…

Section 300.282 Conditions for Assessment of Penalties The Department will consider the assessment of a monetary penalty against a facility under the following conditions: a) A licensee who commits a Type "AA" violation as defined in Section 1-128.5 of the Act is automatically is…

Section 300.2820 Compliance with Local Codes and Standards a) In addition to compliance with the standards set forth in this Part, all building codes, ordinances and regulations that are enforced by city, county or other local jurisdictions in which the facility is, or will be, l…

Section 300.2830 Preparation of Drawings and Specifications a) The preparation of drawings and specifications shall be executed by or be under the immediate supervision of an architect registered in the State of Illinois: b) The first submission shall be the design development dr…

Section 300.284 Calculation of Penalties (Repealed) (Source: Repealed at 35 Ill. Reg. 11419, effective June 29, 2011)

Section 300.2840 Site a) The facility shall be located on a reasonably flat or rolling, well drained site that is not subject to flooding; reasonably free from sources of excessive noise, noxious or hazardous smoke or fumes; not in deteriorated, unpleasant, or potentially hazardo…

Section 300.2850 Administration and Public Areas a) Facilities for the physically handicapped (public, staff and residents) shall be provided in administration and public areas as well as in resident areas. b) Lobby shall include a reception and information counter or desk, waiti…

Section 300.286 Notice of Penalty Assessment; Response by Facility a) If the Director or his or her designee determines that a penalty is to be assessed, a written notice of penalty assessment shall be sent to the facility. Each notice of penalty assessment shall include: 1) The …

Section 300.2860 Nursing Unit a) The number of resident beds in a nursing unit shall not exceed 75 beds. 1) Not less than 60 percent of the resident beds shall be in one or two bed rooms. 2) Not less than three percent of the total number of the beds in the facility shall be loca…

Section 300.287 Consideration of Factors for Assessing Penalties At any hearing requested by a facility that challenges the appropriateness of any penalty imposed by the Department, the facility may present evidence as to any or all of the following factors. The Director or his o…

Section 300.2870 Dining, Living, Activities Rooms a) The combined area of these rooms shall not be less than 25 square feet per resident bed. b) Provide a minimum of one dining room with at least ten square feet per resident bed. Provide facilities to allow individual feeding of …

Section 300.288 Reduction or Waiver of Penalties a) Reductions for all types of violations subject to penalties. 1) The Director or his designee shall consider the factors contained in Section 300.286(a) in determining whether to reduce the amount of the penalty to be assessed fr…

Section 300.2880 Therapy and Personal Care a) Physical and occupational therapy facilities shall be provided as may be required by Section 300.1420. b) A separate room shall be provided with appropriate equipment for hair care and grooming needs of the residents. (Source: Amended…

Section 300.2890 Service Departments a) Dietary facilities shall comply with the Department's rules entitled "Food Service Sanitation" (77 Ill. Adm. Code 750) Food service facilities shall be designed and equipped to meet the requirements of the Narrative Program. These may consi…

Section 300.290 Quarterly List of Violators (Repealed) (Source: Repealed at 24 Ill. Reg. 17330, effective November 1, 2000)

Section 300.2900 General Building Requirements a) Elevators 1) Have a minimum of one elevator in all buildings of two or more stories in height. The basement shall be considered as one story if it is used by residents. (B) 2) If 80 to 200 beds are located above the first floor, a…

Section 300.2910 Structural a) General Design Requirements 1) The buildings and all parts thereof shall be of sufficient strength to support all dead, live, and lateral loads without exceeding the working stresses permitted for the materials of their construction in generally acc…

Section 300.2920 Mechanical Systems a) General Requirements 1) Mechanical systems shall be tested, balanced, and operated to demonstrate that the installation and performance of these systems conform to the requirements of this Section. 2) Upon the completion of the contract, the…