# 77 Ill. Adm. Code 3000.300.3220: Section 300.3220 Medical Care

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P3000_S300_3220

## Section

- **Citation:** 77 Ill. Adm. Code 3000.300.3220
- **Heading:** Section 300.3220 Medical Care
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 77  /  / Part 3000  / Section 300.3220 Medical Care

## Text

Section 300
TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER d: LONG-TERM CARE FACILITIES
PART 300 SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE
SECTION 300.3220 MEDICAL CARE
Section 300.3220  Medical
Care
a)
A resident shall be permitted to retain the services of his
or her
own personal physician at his
or her
own expense under an
individual or group plan of health insurance, or under any public or private assistance
program providing such coverage.
(Section 2-104(a) of the Act)
b)
The Department shall not prescribe the course of medical
treatment provided to an individual resident by the resident's physician in a
facility.
(Section 3-201 of the Act)
c)
Every resident shall be permitted to obtain from his
or
her
own physician or the physician attached to the facility complete and
current information concerning his
or her
medical diagnosis, treatment
and prognosis in terms and language the resident can reasonably be expected to
understand.
(Section 2-104(a) of the Act)
d)
Every resident shall be permitted to participate in the
planning of his
or her
total care and medical treatment to the extent
that his
or her
condition permits.
(Section 2-104(a) of the Act)
e)
No resident shall be subjected to experimental research or
treatment without first obtaining his
or her
informed, written consent.
The conduct of any experimental research or treatment shall be authorized and
monitored by an institutional review committee appointed by the administrator
of the facility where such research and treatment is conducted.
(Section
2-104(a) of the Act)
f)
All medical treatment and procedures shall be administered
as ordered by a physician.  All new physician orders shall be reviewed by the
facility's director of nursing or charge nurse designee within 24 hours after
such orders have been issued to assure facility compliance with such orders
strator
of the facility where such research and treatment is conducted.
(Section
2-104(a) of the Act)
f)
All medical treatment and procedures shall be administered
as ordered by a physician.  All new physician orders shall be reviewed by the
facility's director of nursing or charge nurse designee within 24 hours after
such orders have been issued to assure facility compliance with such orders.
(Section
2-104(b) of the Act)
g)
Every woman resident of child-bearing age shall receive
routine obstetrical and gynecological evaluations as well as necessary prenatal
care.
(Section 2-104(b) of the Act) In addition, women residents shall be
referred immediately for diagnosis whenever pregnancy is suspected.
1)         "Routine obstetrical evaluations" and
"necessary prenatal care" shall include, at a minimum, the following:
A)        Early diagnosis of pregnancy;
B)        A comprehensive health history, including menstrual history, methods
of family planning that the patient has used, a detailed record of past
pregnancies, and data on the current pregnancy that allow the physician to
estimate the date of delivery;
C)        Identification of factors in the current pregnancy that help to
identify the patient at high risk, such as maternal age, vaginal bleeding,
edema, urinary infection, exposure to radiation and chemicals, ingestion of
drugs and alcohol, and use of tobacco;
D)        A comprehensive physical examination, including an evaluation
of nutritional status; determination of height, weight and blood pressure;
examination of the head, breasts, heart, lungs, abdomen, pelvis, rectum, and
extremities;
E)        The following laboratory tests, as early in pregnancy as
possible
re to radiation and chemicals, ingestion of
drugs and alcohol, and use of tobacco;
D)        A comprehensive physical examination, including an evaluation
of nutritional status; determination of height, weight and blood pressure;
examination of the head, breasts, heart, lungs, abdomen, pelvis, rectum, and
extremities;
E)        The following laboratory tests, as early in pregnancy as
possible. Findings obtained from the history and physical examination may
determine the need for additional laboratory evaluations:
i)          Hemoglobin or hematocrit measurement;
ii)         Urinalysis, including microscopic examination or culture;
iii)        Blood group and Rh type determination;
iv)        Antibody screen;
v)         Rubella antibody titer measurement;
vi)        Syphilis screen;
vii)       Cervical cytology; and
viii)      Viral hepatitis (HBsAg) testing;
F)         A risk assessment that, based on the findings of the history
and physical examination, should indicate any risk factors that may require
special management, such as cardiovascular disease, maternal age more than 35
years, neurologic disorder, or congenital abnormalities;
G)        Return visits, the frequency of which will be determined by the
patient's needs and risk factors.  A woman with an uncomplicated pregnancy shall
be seen every four weeks for the first 28 weeks of pregnancy, every two to
three weeks until 36 weeks of gestation, and weekly thereafter;
H)        Determinations of blood pressure, measured fundal height, fetal
heart rate, and, in later months, fetal presentation, and urinalysis for
albumin and glucose. Hemoglobin or hematocrit level shall be measured again
early in the third trimester
hall
be seen every four weeks for the first 28 weeks of pregnancy, every two to
three weeks until 36 weeks of gestation, and weekly thereafter;
H)        Determinations of blood pressure, measured fundal height, fetal
heart rate, and, in later months, fetal presentation, and urinalysis for
albumin and glucose. Hemoglobin or hematocrit level shall be measured again
early in the third trimester.  Glucose screening is recommended for women who
are 30 years of age or older;
I)         Evaluation and monitoring of nutritional status and habits;
J)         Education for health promotion and maintenance;
K)        Counseling concerning exercise and child birth education
programs;
L)        Postpartum review and evaluation four to eight weeks after
delivery, including determination of weight and blood pressure and assessment
of status of breasts, abdomen, and external and internal genitalia.
2)         "Routine gynecological evaluations" shall include, at
a minimum, the following:
A)        An initial examination, the basic components of which are:
i)          History; any present illnesses; menstrual, reproductive,
medical, surgical, emotional, social, family, and sexual history; medications;
allergies; family planning; and systems review;
ii)         Physical examination, including height, weight, nutritional
status, and blood pressure; head and neck, including thyroid gland; heart;
lungs; breasts; abdomen; pelvis, including external and internal genitalia;
rectum; extremities, including signs of abuse; lymph nodes; and
iii)        Laboratory tests, including urine screen; hemoglobin or
hematocrit determination and, if indicated, complete blood cell count; cervical
cytology; rubella titer
ritional
status, and blood pressure; head and neck, including thyroid gland; heart;
lungs; breasts; abdomen; pelvis, including external and internal genitalia;
rectum; extremities, including signs of abuse; lymph nodes; and
iii)        Laboratory tests, including urine screen; hemoglobin or
hematocrit determination and, if indicated, complete blood cell count; cervical
cytology; rubella titer.
B)        Annual updates, including but not limited to:
i)          History, including the purpose of the visit; menstrual
history; interval history, including systems review; emotional history;
ii)         Physical examination, including weight, nutritional status
and blood pressure; thyroid gland; breasts; abdomen; pelvis, including external
and internal genitalia; rectum; other areas as indicated by the interval
history;
iii)        Laboratory, including urine screen; cervical cytology, unless
not indicated; hemoglobin or hematocrit determinations; and
iv)        Additional laboratory tests, such as screening for sexually
transmitted disease,  as warranted by the history, physical findings, and risk
factors.
3)         When a resident is referred for a diagnosis of pregnancy
and/or for prenatal care, the facility shall send the health care provider a
copy of the resident's medical record, including a list of prescription
medications taken by the resident; the resident's use of alcohol, tobacco and
illicit drugs; and any exposure of the resident to radiation or chemicals
during the preceding three months.
h)         Cancer
screening.  Cancer screening for women shall include the following:
1)         A
periodic Pap test.  The frequency and administration of Pap tests shall be according
to the guidelines set forth in the Guidelines for Women's Health Care,
published by the American College of Obstetricians and Gynecologists; and
2)         Mammography.
The frequency and administration of mammograms shall be according to the
guidelines set forth in the Guidelines for Women's Health Care
A
periodic Pap test.  The frequency and administration of Pap tests shall be according
to the guidelines set forth in the Guidelines for Women's Health Care,
published by the American College of Obstetricians and Gynecologists; and
2)         Mammography.
The frequency and administration of mammograms shall be according to the
guidelines set forth in the Guidelines for Women's Health Care.
i)
Every resident shall be permitted to refuse medical
treatment and to know the consequences of such action, unless such refusal
would be harmful to the health and safety of others and such harm is documented
by a physician in the resident's clinical record.
(Section 2-104(c) of the
Act)
j)
Every resident, resident's guardian, or parent if the
resident is a minor shall be permitted to inspect and copy all of
the
resident's
clinical and other records concerning
the resident's
care
and maintenance kept by the facility or by
the resident's
physician.
(Section 2-104(d) of the Act)
k)
A resident shall be permitted respect and privacy in his
or her
medical and personal care program.  Every resident's case discussion,
consultation, examination and treatment shall be confidential and shall be
conducted discreetly, and those persons not directly involved in the resident's
care must have his
or her
permission to be present.
(Section 2-105
of the Act)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P3000_S300_3220. Check the current official text before relying on it. Not legal advice.