Illinois

What is it called?

Assisted Living Establishment

What services are provided?

• Facility must provide:
• Assistance with activities of daily living
• 3 meals each day
• Houskeeping services
• Personal laundry and linen services
• 24-hour security (locked entrances or security personnel)
• Intermittent health-related services
• At least 1.4 hours of services per day for residents with Alzheimer's disease or a related disorder

• Facility has the discretion to provide:
• Medication reminders
• Therapeutic dietary services
• Supervision of self-administered medication
• Medication administration
• Medication administration must be performed by a licensed health care professional

Who can be admitted?

• Individuals with quadriplegia, paraplegic, or neuro-muscular diseases if the facility provides for the special safety and service needs of those individuals

Who is inappropriate?

• Residents who:
• Are a danger to themself or others and the facility would be unable to eliminate the danger through the use of appropriate treatment modalities
• Need nursing care
• Need total assistance with at least two activities of daily living
• Need assistance with an activity of daily living from more than one paid caregiver (except for adults with quadriplegic, paraplegic, or neuro-muscular diseases who can communicate needs)
• Have serious mental problems
• Have needs that cannot be provided or arranged by the facility
• Need more than minimal assistance in an emergency (except for adults with quadriplegic, paraplegic, or neuro-muscular diseases who can communicate needs)
• Cannot safely evacuate the facility independently (unless the facility provides sufficient 24 hour awake staff to assist in case of evacuation)
• Need IV therapy or feedings unless self-administered or administered by a qualified licensed health care professional
• Need gastrostomy feedings, sterile wound care, sliding scale insulin administration, routine insulin injections, or insertion of sterile irrigation and replacement of catheter except for routine catheter maintenance unless self-administered by a licensed health care professional(except for adults with quadriplegic, paraplegic, or neuro-muscular diseases who can communicate needs)
• Have Stage 3 or 4 pressure sores
• Need five or more skilled nursing visits per week (for conditions other than pressure sores) for three consecutive weeks unless treatment is expected to extend beyond three weeks for rehabilitation purposes but nonetheless is certified as temporary by a physician
• Are unable to communicate needs, unless there is a resident representative living in the facility that has been appointed
• Have communicable, contagious, or infectious disease unless the facility can provide necessary infection control
• Exception to eviction conditions
• Terminally-ill residents who qualify for hospice care and whose care is coordinated by a licensed hospice may remain at the facility

What training is required for direct care staff?

• Initial training
• Orientation within 10 days of employment covering the following topics:
•    - Promotion of resident dignity, independence, self-determination, privacy, choice, and rights
•    - Hygiene and infection control; abuse and neglect prevention and reporting
•    - Disaster procedures

• Training within thirty days of employment on the following topics:
•    - Resident service plans
•    - CPR and emergency procedures
•    - Activities of daily living

• Continuing training
• Minimum of 8 hours annually, on the following topics:
•    - Same topics under “orientation”
•    - Self-administration of medications

• Additional requirements
• At least one direct care staff member with current CPR certification must be on duty at all times
• Staff at facilities providing treatment to patients with Alzheimer's and related disorders must complete the following:
•    - 4 hours of dementia-specific orientation prior to assuming job responsibilities
•    - 16 hours of on-the-job supervision and training within the first 16 hours of employment following orientation
•    - 12 hours of in-service education annually

Is nurse staffing required?

Facility must arrange for consultation from a registered nurse if it does not employ a registered nurse

Is any public payment available?

According to the National Center on Assisted Living's 2010 state report, Illinois's Supportive Living Program operates under a home and community-based services Medicaid waiver and has authority to serve up to 11,5000 persons each year. 

More Information

Department of Public Health                                                

Division of Assisted Living                                         

(217) 782 - 4977

 www.idph.state.il.us                                                  

Illinois Long Term Care Ombudsman

(217) 785-3356

www.state.il.us/aging