Section 300.620 Admission, Retention and Discharge Policies

Section 300

Section 300.620  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)         An individual who needs services that are not readily

available in a particular facility, or through arrangement with a qualified

outside resource, shall not 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 and/or maternity care, and a policy concerning the

keeping of such persons who become pregnant while they are residents of the

facility.  If these policies permit such 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 such individuals from

in-house and/or outside resources.  (See Section 300.3220.)

d)         No person shall be admitted to or kept in the facility:

1)         Who is at risk because the person is reasonably expected to

self-inflict serious physical harm or to inflict serious physical harm on

another person in the near future, as determined by professional evaluation;

2)         Who is destructive of property, if the destruction jeopardizes

the safety of him/herself or others; or

3)         Who

is an identified offender, unless the requirements of Section 300.615 for new

admissions and the requirements of Section 300.625 are met.

e)         No resident shall be admitted to the facility who is

developmentally disabled and who needs programming for such conditions, as

described in the rules governing intermediate care facilities for the

developmentally disabled (77 Ill. Adm. Code 350).  Such persons shall be

admitted only to facilities licensed as intermediate care facilities for the

developmentally disabled under 77 Ill. Adm

No resident shall be admitted to the facility who is

developmentally disabled and who needs programming for such conditions, as

described in the rules governing intermediate care facilities for the

developmentally disabled (77 Ill. Adm. Code 350).  Such persons shall be

admitted only to facilities licensed as intermediate care facilities for the

developmentally disabled under 77 Ill. Adm. Code 350 or, if the person is under

18, to a long-term care facility for persons under 22 years of age that is

licensed under 77 Ill. Adm. Code 390.  Persons from 18 to 21 years of age in

need of such care may be kept in either facility.

f)         Persons under 18 years of age may not be cared for in a

facility for adults without prior written approval from the Department.

g)         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.

h)         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.

i)          Persons with communicable, contagious, or infectious diseases

may be admitted under the conditions and in accordance with the procedures

specified in Section 300.1020.

j)          A facility shall not admit more residents than the number

authorized by the license issued to it.