# 89 Ill. Adm. Code 146.230: Section 146.230 Services

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_230

## Section

- **Citation:** 89 Ill. Adm. Code 146.230
- **Heading:** Section 146.230 Services
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 89 SOCIAL SERVICES / CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES / Part 146 SPECIALIZED HEALTH CARE DELIVERY SYSTEMS / Section 146.230 Services

## Text

Section 146
Section 146.230  Services
a)         An SLF must combine housing, personal and health related
services in response to the individual needs of residents who need help in
activities of daily living.  Supportive services shall be available 24 hours
per day to meet scheduled and unscheduled needs in a way that promotes resident
self-direction and participation in decisions that emphasize independence,
individuality, privacy, dignity and autonomy in a residential setting.
b)         Nursing Services
1)         The SLF shall conduct a comprehensive resident assessment and
service plan for each SLF resident as required under Section 146.245.
2)         When a resident is unable to administer his or her own
medications, a licensed nurse shall administer the medications.
3)         Nursing services shall include medication set-up (such as
preparing weekly pill caddies with that week's medication) and follow-up care,
and shall be conducted by a licensed nurse.
4)         Other nursing services include episodic and intermittent
health promotion or disease prevention counseling and teaching self-care in
meeting routine and special health care needs that can be done by other staff
under the supervision of a registered nurse.
5)         All nursing services shall be provided in accordance with the Nurse
Practice Act [225 ILCS 65].
c)         Personal Care
1)         The SLF shall provide personal care services for residents,
including but not limited to assistance with bathing, eating, dressing,
personal hygiene, grooming, toileting, ambulation and transfer.
2)         Personal care services shall be delivered by certified nursing
assistants who meet the qualifications described in Section 146.235(f)(1)
ct [225 ILCS 65].
c)         Personal Care
1)         The SLF shall provide personal care services for residents,
including but not limited to assistance with bathing, eating, dressing,
personal hygiene, grooming, toileting, ambulation and transfer.
2)         Personal care services shall be delivered by certified nursing
assistants who meet the qualifications described in Section 146.235(f)(1).
d)         Medication Administration, Oversight and Assistance in
Self-Administration
1)         The SLF shall provide the following:
A)        Reminding
the resident to take his or her medications;
B)        Taking medication from where it is stored in the apartment and
handing it to the resident when requested to do so by the resident;
C)        Opening or uncapping medication containers for residents; and
D)        Assisting residents in the removal of the medication from the
container and assisting the resident in consuming or applying the medication
when requested to do so by the resident (i.e., placing a dose in a container
and placing the container to the mouth of the resident).
2)         The services identified in subsection (d)(1)(D) shall only be
delivered by a licensed nurse.
3)         Medication
administration shall be documented according to the needs of each resident.
Documentation for medication administration shall include, but not be limited
to, the following:
A)        Name
of resident;
B)        Name
of medication, dosage, directions and route of administration;
C)        Date
and time medication is scheduled to be administered;
D)        Date
and time medication was administered; and
E)        Signature
or initials of employee administering the medication.
4)         Medication
oversight shall be documented according to the needs of each resident
Name
of resident;
B)        Name
of medication, dosage, directions and route of administration;
C)        Date
and time medication is scheduled to be administered;
D)        Date
and time medication was administered; and
E)        Signature
or initials of employee administering the medication.
4)         Medication
oversight shall be documented according to the needs of each resident.
Documentation for medication oversight shall include, but not be limited to,
the following:
A)        Name
of resident;
B)        Name
of medication, dosage, directions and route of administration;
C)        Type
of oversight needed; i.e., reminders, assisting with opening container, etc.;
D)        Date
and time medication is scheduled to be taken;
E)        Documentation
showing that resident has taken, or refused to take, the medication; and
F)         Signature
or initials of employee providing oversight.
e)         Meals
1)         The SLF shall provide three meals per day, or two meals per
day (noon and evening meals) and a breakfast bar.  The menu shall include food
choices that allow a resident to choose foods that will meet the requirements
of a therapeutic diet as ordered by a resident's physician.  The menu for each
resident shall meet the basic food pattern for a general diet for an adult
following the recommendations of the Food and Nutrition Board, National Academy
of Sciences.
2)         The SLF shall make available beverages, including coffee,
fruit juice and snack foods, at no cost to the residents.
3)         The SLF shall offer the same menu options to all residents
regardless of payment source.
4)         The SLF shall keep all menus served on file for not less than six
months.
5)         The SLF shall maintain on the premises supplies of staple
foods for a minimum of a one week period and of perishable foods for a minimum
of a two day period. Supplies shall be appropriate to meet the requirements of
the menu
offer the same menu options to all residents
regardless of payment source.
4)         The SLF shall keep all menus served on file for not less than six
months.
5)         The SLF shall maintain on the premises supplies of staple
foods for a minimum of a one week period and of perishable foods for a minimum
of a two day period. Supplies shall be appropriate to meet the requirements of
the menu.
6)         The SLF shall keep records of all food purchased on file for
not less than six months.
7)         The SLF shall store, prepare, distribute and serve food in a
manner to protect against contaminants and spoilage and to insure the preparation
and serving of food at safe and palatable temperatures.
8)         The SLF shall provide and maintain clean and sanitary central
kitchen and dining areas.  The SLF shall ensure a sanitary and adequate supply
of eating and drinking utensils and pots and pans for preparing food in the
central kitchen and dining areas.
9)         The SLF shall provide residents with written information about
menu plans. Menu cycles shall not be repeated within a one week time frame.
There shall be an established mechanism for residents to provide input into the
selection and preparation of food served.
10)        The SLF shall allow residents to obtain, prepare and store
food in residential apartments if doing so does not represent a health or
safety hazard to others.
11)        The SLF shall provide residents with meal service in their
apartments as a time limited service during periods of documented illness.
f)         Laundry
1)         If requested by a resident, the SLF shall provide laundry
services at least weekly at no charge to the resident.
2)         The SLF shall provide for the appropriate handling, cleaning,
and storage of routine personal laundry, laundry soiled with body secretions
and all other laundry.  This includes all detergent and fabric softeners
required to perform normal routine laundry service at no cost to the resident
resident, the SLF shall provide laundry
services at least weekly at no charge to the resident.
2)         The SLF shall provide for the appropriate handling, cleaning,
and storage of routine personal laundry, laundry soiled with body secretions
and all other laundry.  This includes all detergent and fabric softeners
required to perform normal routine laundry service at no cost to the resident.
3)         The SLF shall provide on-site laundry equipment for resident
use in accordance with Section 146.210.
4)         Laundry service does not include dry cleaning services.
g)         Housekeeping
1)         The SLF shall provide for general housekeeping services at
least weekly (house cleaning, bed making, changing of linens, dusting and
vacuuming).
2)         The SLF shall take into account individual habits and
lifestyle preferences when providing all housekeeping services in residential
apartments.
3)         The SLF shall maintain all public areas in a clean and orderly
condition.
4)         The SLF shall maintain all common bathing rooms in a clean and
orderly condition.
h)         Maintenance
1)         The SLF shall maintain all residential apartments  in good
repair.
2)         The SLF shall keep the building and grounds  clean and free of
hazards, with all systems maintained in good working order.
i)          Social and Recreational Programming
1)         The SLF shall facilitate the involvement of individual and
community volunteer activities with and for residents.
2)         The SLF shall provide programs at least twice weekly, which
include on-site programs as well as off-site trips, allowing for social and
recreational programs for the residents.  Transportation shall be provided or
arranged at no cost to the resident by the SLF for scheduled activities
off-site.
3)         The SLF shall provide access to opportunities for scheduled
and unscheduled individual and group socialization within the SLF and in the
larger community
de on-site programs as well as off-site trips, allowing for social and
recreational programs for the residents.  Transportation shall be provided or
arranged at no cost to the resident by the SLF for scheduled activities
off-site.
3)         The SLF shall provide access to opportunities for scheduled
and unscheduled individual and group socialization within the SLF and in the
larger community.
4)         The
SLF shall make available to each resident information about community resources
and make community integration part of the SLF's recreational, socialization
and vocational activities.
j)          Ancillary Services
1)         The SLF shall provide or arrange transportation, at no charge
to the residents, for scheduled shopping, community and social activities. The
community outings shall reflect the interests, choices and needs of the
residents and be scheduled on a regular basis and be reflected in the
residents' calendar.
2)         The SLF shall assist a resident in obtaining needed and
preferred services offered outside the SLF at his or her request. Upon request
by a resident, the SLF shall assist in making medical appointments and
arranging for transportation to and from the source of medical treatment
(payment for medical transportation shall be made in accordance with 89 Ill.
Adm. Code 140.490 through 140.492).
3)         The SLF shall provide shopping assistance when a resident is
temporarily unable to shop.
k)         24 Hour Response/Security Staff
1)         The SLF shall have response/security staff awake and  available
on the premises 24 hours a day to respond to scheduled or unpredictable needs
and emergency calls from residents.  Staff shall possess certification in
emergency resuscitation.  The SLF shall provide no fewer than one staff person
for facilities with one to 75 residents, a second staff person for facilities
with 76 to l50 residents, and a third staff person for facilities with 151 or
more residents
premises 24 hours a day to respond to scheduled or unpredictable needs
and emergency calls from residents.  Staff shall possess certification in
emergency resuscitation.  The SLF shall provide no fewer than one staff person
for facilities with one to 75 residents, a second staff person for facilities
with 76 to l50 residents, and a third staff person for facilities with 151 or
more residents. In determining the number of staff, the SLF shall consider the
number of floors in the building, and the medical needs of the residents.  At
least one certified nursing assistant shall be on-site 24 hours a day to
respond to resident needs.
2)         The SLF shall provide security 24 hours a day, including
lockable entrances (accessibility controlled by SLF staff for security purposes
during overnight hours) and on-site personnel.  All residents shall have 24
hour access.
3)         Rehabilitated nursing facilities shall have separate staff
on-site in the SLF.
l)          Health Promotion and Exercise Programming
1)         The SLF shall offer and encourage the use of health promotion
and exercise programs for its residents.
2)         The SLF shall develop programs to be held not less frequently
than three times per week geared toward promoting better health and fitness of
the residents.  These programs are in addition to the social and recreational
programming described in this Section.
m)        Emergency Call System
1)         The SLF shall ensure that at least two electronic devices are
available in each apartment to enable the resident to secure help in an
emergency.  At least one device shall be located in each bathroom. The
requirement for additional devices shall be met with a device located in each
bedroom or through a portable emergency home response system.
2)         The SLF shall have electronic devices available in each common
area, each public restroom, each common bathing room and each resident laundry
room to enable residents to secure help in an emergency
e device shall be located in each bathroom. The
requirement for additional devices shall be met with a device located in each
bedroom or through a portable emergency home response system.
2)         The SLF shall have electronic devices available in each common
area, each public restroom, each common bathing room and each resident laundry
room to enable residents to secure help in an emergency.
3)         The emergency call system shall be capable of direct and
immediate notification to staff or shall be manned by personnel 24 hours a day
for transmission to available staff for assistance.
n)         Daily
Check
The SLF shall
implement a system to check on the welfare of each resident daily.

## Nearby sections

- [89 Ill. Adm. Code 146.200 Section 146.200  General Description](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_200.md)
- [89 Ill. Adm. Code 146.210 Section 146.210  Structural Requirements](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_210.md)
- [89 Ill. Adm. Code 146.220 Section 146.220  Resident Participation Requirements](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_220.md)
- [89 Ill. Adm. Code 146.225 Section 146.225  Reimbursement for Medicaid Residents](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_225.md)
- [89 Ill. Adm. Code 146.230 Section 146.230  Services](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_230.md)
- [89 Ill. Adm. Code 146.235 Section 146.235  Staffing](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_235.md)
- [89 Ill. Adm. Code 146.240 Section 146.240  Resident Contract](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_240.md)
- [89 Ill. Adm. Code 146.245 Section 146.245  Assessment and Service Plan and Quarterly Evaluation](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_245.md)
- [89 Ill. Adm. Code 146.255 Section 146.255  Discharge](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_255.md)
- [89 Ill. Adm. Code 146.260 Section 146.260  Grievance Procedure](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_260.md)
- [89 Ill. Adm. Code 146.265 Section 146.265  Records and Reporting Requirements](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_265.md)
- [89 Ill. Adm. Code 146.270 Section 146.270  Quality Assurance Plan](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_270.md)
- [89 Ill. Adm. Code 146.275 Section 146.275  Monitoring](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_275.md)
- [89 Ill. Adm. Code 146.280 Section 146.280  Non-Compliance Action](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_280.md)

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P146_S146_230. Check the current official text before relying on it. Not legal advice.