# 77 Ill. Adm. Code 340.1500: Section 340.1500 Medical Care Policies

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P340_S340_1500

## Section

- **Citation:** 77 Ill. Adm. Code 340.1500
- **Heading:** Section 340.1500 Medical Care Policies
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 77 PUBLIC HEALTH / CHAPTER I: DEPARTMENT OF PUBLIC HEALTH / Part 340 ILLINOIS VETERANS' HOMES CODE / Section 340.1500 Medical Care Policies

## Text

Section 340
Section 340.1500  Medical
Care Policies
a)         The facility shall have a written program of medical services
approved in writing by the advisory physician, which reflects the philosophy of
care provided, the policies relating to this philosophy, and the procedures for
implementation of the services.  The program shall include the entire complex
of services provided by the facility and the arrangements to effect transfer to
other facilities as promptly as needed.  The written program of medical
services shall be followed in the operation of the facility.
b)         Each resident admitted shall have a physical examination,
within five days prior to admission or within 72 hours after admission.  The
examination report shall include at a minimum each of the following:
1)         An evaluation of the resident's condition, including height
and weight, diagnoses, plan of treatment, recommendations, treatment orders,
personal care needs, and permission for participation in activity programs as
appropriate.
2)         Documentation of the presence or absence of tuberculosis
infection by tuberculin skin test in accordance with Section 340.1520.
3)         Documentation of the presence or absence of incipient or
manifest decubitus ulcers (commonly known as bed sores), with grade, size and
location specified, and orders for treatment, if present.  (A photograph of
incipient or manifest decubitus ulcers is recommended on admission.)
4)         Orders from the physician regarding weighing of the resident,
and the frequency of such weighing, if ordered.
c)         The facility shall notify the resident's physician of any
accident, injury, or significant change in a resident's condition that
threatens the health, safety or welfare of a resident, including, but not
limited to, the presence of incipient or manifest decubitus ulcers or a weight
loss or gain of five percent or more within a period of 30 days
frequency of such weighing, if ordered.
c)         The facility shall notify the resident's physician of any
accident, injury, or significant change in a resident's condition that
threatens the health, safety or welfare of a resident, including, but not
limited to, the presence of incipient or manifest decubitus ulcers or a weight
loss or gain of five percent or more within a period of 30 days.  The facility
shall obtain and record the physician's plan of care for the care or treatment
of such accident, injury or change in condition at the time of notification.
d)         At the time of an accident or injury, immediate treatment
shall be provided by personnel trained in first aid procedures.
e)
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)
f)
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)
g)         All
residents shall be permitted to participate in the
planning of their total care and medical treatment to the extent that their
condition permits.
(Section 2-104(a) of the Act)
h)
No resident shall be subjected to experimental research or
treatment without first obtaining
the resident's
informed, written
consent.  The conduct of any experimental research or treatment shall be
authorized and monitored by an institutional review board appointed by the
Director.
Any facility desiring to conduct an experimental program or do
research that is in conflict with this Part shall submit a written request to
the Department and secure prior approval
ithout first obtaining
the resident's
informed, written
consent.  The conduct of any experimental research or treatment shall be
authorized and monitored by an institutional review board appointed by the
Director.
Any facility desiring to conduct an experimental program or do
research that is in conflict with this Part shall submit a written request to
the Department and secure prior approval.  Such approval will be granted only
if the request will not create an unnecessary and unusual threat to the health,
welfare, safety or rights of residents or staff.  (Section 2-104(a) of the Act)
i)          All residents
shall be permitted respect and privacy in
their 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 the resident's permission to be present.
(Section 2-105 of
the Act)
j)
An identification wristlet may be employed for any resident
upon a physician's order, which shall document the need for the identification
wristlet in the resident's clinical record.  A facility may require a resident
residing in an Alzheimer's disease unit with a history of wandering to wear an
identification wristlet, unless the resident's guardian or power of attorney
directs that the wristlet be removed.  All identification wristlets shall
include, at a minimum, the resident's name and the name, telephone number, and
address of the facility issuing the identification wristlet.
(Section
2-106a of the Act)
k)
A facility
shall
not refer a patient or the family
of a patient to a
home health agency, home nursing agency, or home services
agency
unless the agency is licensed under
the
Act.
A facility
shall request a copy of an agency's license prior to making a referral to that
agency.  (Sec 3.8 of the Home Health, Home Services, and Home Nursing Agency
Licensing Act)

## Nearby sections

- [77 Ill. Adm. Code 340.1500 Section 340.1500  Medical Care Policies](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P340_S340_1500.md)
- [77 Ill. Adm. Code 340.1505 Section 340.1505  Medical, Nursing and Restorative Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P340_S340_1505.md)
- [77 Ill. Adm. Code 340.1510 Section 340.1510  Communicable Disease Policies](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P340_S340_1510.md)
- [77 Ill. Adm. Code 340.1520 Section 340.1520  Tuberculin Skin Test Procedures](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P340_S340_1520.md)
- [77 Ill. Adm. Code 340.1530 Section 340.1530  Physician Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P340_S340_1530.md)
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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T77_P340_S340_1500. Check the current official text before relying on it. Not legal advice.