Section 340.1310  Admission, Retention and Discharge Policies

a)         All involuntary discharges and transfers shall be in accordance with Sections 3-401 through 3-423 of the Act.

b)         No resident determined by professional evaluation to be in need of services not readily available in a particular facility, or distinct part of a facility, or through arrangement with a qualified outside resource, shall be admitted to or kept in that facility.  The Department defines a "qualified outside source" as one recognized as meeting professional standards for services provided.

c)         Each facility shall have a policy concerning the admission of persons needing prenatal or maternity care, and a policy concerning keeping of persons who become pregnant while they are residents of the facility.  If these policies permit these persons to be admitted to or kept in the facility, then the facility shall have a policy concerning the provision of adequate and appropriate prenatal and maternity care to these persons from in-house or outside resources.  (See Section 340.1550.)

d)         Residents with a history of aggressive or self-abusive behavior may be admitted only if the facility has in place appropriate, effective and individualized programs to manage the resident's behaviors and adequate, properly trained and supervised staff to administer the programs.

e)         Persons under 18 years of age may not be cared for in a facility for adults without prior written approval from the Department.

f)         A facility shall not refuse to discharge or transfer a resident when requested to do so by the resident or, if the resident is incompetent, by the resident's guardian.

g)         If a resident insists on being discharged and is discharged against medical advice, the facts involved in the situation shall be fully documented in the resident's clinical record.

h)         A facility shall document all leaves and temporary transfers.  Such documentation shall include date, time, condition of resident, person to whom the resident was released, planned destination, anticipated date of return, and any special instructions on medication dispensed.

i)          No person shall be admitted to or kept in the facility who is an identified offender, unless the requirements of Section 340.1305 for new admissions and the requirements of Section 340.1315 are met.

(Source:  Amended at 31 Ill. Reg. 6098, effective April 3, 2007)