Subject Index Nursing Homes

Residents in nursing homes, assisted living facilities, and other care facilities may designate essential support persons as part of their care plan

November
2024
Illinois Law Update
, Page 18
Residents in nursing homes, assisted living facilities, and other care facilities can now designate a family member or other person as a “primary essential support person” in their care plan. A primary essential support person can continue visiting the resident even with general restrictions in place for visitations, including restrictions to limit the spread of disease.

Summary judgment on nursing home’s claim for nonpayment reversed concerning whether the defendant was eligible for Medicaid benefits

September
2024
Illinois Law Update
, Page 16
On June 5, 2024, the First District of the Illinois Appellate Court held that summary judgment was improperly granted in a Medicaid case.

Psychotropic medication may only be used in nursing homes if beneficial and supported by a diagnosis; positioning devices may be used if requested or physical need exists

June
2024
Illinois Law Update
, Page 16
The Illinois General Assembly amended the Nursing Home Care Act. Psychotropic medication may now be used in a nursing home only if supported by a diagnosis and if beneficial to the patient. The patient’s medical record must support the benefit of psychotropic medication over other prescribed medications. This restriction applies to both nonemergency and emergency situations.

Parties alleging the Federal Arbitration Act preempts the Nursing Home Care Act must show that the governing contract evidences a transaction involving commerce

May
2024
Illinois Law Update
, Page 16
On Feb. 13, 2024, the Fourth District of the Illinois Appellate Court held that parties alleging the Federal Arbitration Act (FAA) preempts the Nursing Home Care Act (NHCA) must prove that the governing contract evidences a transaction involving commerce.

Certain hospitals must have consultation agreements with a children’s hospital or another hospital’s pediatric unit

March
2024
Illinois Law Update
, Page 18
The Department of Public Health adopted amendments to its hospital licensing requirements. General acute or critical access hospitals that provide limited inpatient or observation services to pediatric patients must have a written agreement with a licensed pediatric unit if they do not have a pediatric unit, a board-certified pediatrician, or a board-eligible pediatrician in the hospital or on call 24 hours daily.

Mandatory arbitration agreement unenforceable due to lack of consideration

December
2022
Illinois Law Update
, Page 12
On Sept. 30, 2022, the First District of the Illinois Appellate Court held that an arbitration agreement waiving the right to attorney fees without adequate consideration was unenforceable.

Nursing homes required to regularly test water systems for Legionella bacteria

September
2022
Illinois Law Update
, Page 16
The Department of Public Health amended the Skilled Nursing and Immediate Care Facilities Code, the Sheltered Care Facilities Code, and the Illinois Veterans’ Homes Code, requiring all covered facilities to adopt policies for regular water systems testing for Legionella bacteria, which causes Legionnaire’s disease.

Restrictions for “distressed facilities” due to violations or deficiencies

September
2022
Illinois Law Update
, Page 16
The Department of Public Health adopted amendments to the Intermediate Care for Developmentally Disabled Facilities Code, adding criteria and procedures for determining whether a facility is “distressed” and restrictions for any “distressed facility” under the Nursing Home Care Act.

Federal regulations adopted for patient abuse, neglect, and privacy

December
2021
Illinois Law Update
, Page 14
The Department of Public Health (DPH) amended the Skilled Nursing and Intermediate Care Facilities Code to incorporate various federal requirements. Any person who establishes, constructs, or modifies a healthcare facility without obtaining a Health Facilities and Service Board permit or violates terms of the permit is not eligible for operating licenses and payment services from the state

Nursing home resident’s informed consent required for psychotropic medication

December
2021
Illinois Law Update
, Page 14
The Nursing Home Care Act is amended to update the procedures for obtaining informed consent from nursing home residents prior to administering psychotropic medication.

Nursing homes now subject to greater oversight and new consent requirements for the administration of medicine

April
2021
Illinois Law Update
, Page 18
The Department of Public Health adopted several amendments to the Skilled Nursing and Immediate Care Facilities Code, implementing the Nursing Home Care Act. The amendments grant the department increased oversight of nursing homes, including increased penalties for violations of the Code and new procedures for obtaining informed consent for the administration of psychotropic drugs.

Court must stay proceedings of related issues pending arbitration under nursing-home-residence agreement

July
2018
Illinois Law Update
, Page 16
Serving as the personal representative of his wife's estate, the plaintiff brought suit against defendants Silvis Operations, LLC (which owns and operates Lighthouse of Silvis, an assisted living facility in Silvis, Illinois) and Cynthia McCoy (a nurse at that facility).

Attention estate planners: new Medicaid asset transfer rules finally adopted

By Helen W. Gunnarsson
November
2011
LawPulse
, Page 550
New state regulations, passed in response to federal requirements after years of delay, make it harder for nursing home care recipients to both shelter assets and stay eligible for Medicaid.

Gifts of income subject to Medicaid asset transfer policies

March
2011
Illinois Law Update
, Page 124
On December 28, 2010, the Appellate Court of Illinois, Fourth District, reversed a decision of the Circuit Court of Sangamon County, finding that "gifts of income" are subject to the asset transfer policies of the federal Medicaid statute (see 42 USC § 1396p (2006)).

Medicaid law doesn’t preempt state’s ability to collect for nursing-home bill

By Helen W. Gunnarsson
June
2008
LawPulse
, Page 278
The state can go after the at-home spouse to recover the institutionalized spouse's nursing home expenses, the Illinois Supreme Court rules.

Nursing Home Care Act amended. PA 095-0031

January
2008
Illinois Law Update
, Page 16
The Nursing Home Care Act has been amended to include minimum standards adopted by the Department of Public Health for the operation of nursing homes. 210 ILCS 45/3-202.

Medicaid Planning in Illinois: Are You Ready for the DRA?

By Kirsten Izatt
November
2007
Article
, Page 586
The Deficit Reduction Act of 2005 requires estate planners to devise new ways to protect the assets of clients who face long nursing-home stays. Illinois hasn't implemented the law, but it will.

“Identified offender” rules repealed for under age 22 long term care facilities

July
2007
Illinois Law Update
, Page 348
The Department of Public Health has made changes to Part 390 (Long Term Care for Under Age 22 Facilities) of Title 77 (Public Health) to reflect amendments to the Nursing Home Care Act, 210 ILCS 45/2-101 et seq.

Ambulance rules passed to avoid fraudulent use - PA 094-1063

February
2007
Illinois Law Update
, Page 72
In order to prevent the fraudulent ordering of ambulances for non-emergency purposes and to greater explain the effects to those who ordered the ambulances, the Illinois General Assembly has added a new section both to the Nursing Home Care Act, at 210 ILCS 45/2-217, and to the Hospital Licensing Act, at 210 ILCS 85/6.22. 

Impending Regs Affect Planning for Clients Facing Long-Term Care

By Helen W. Gunnarsson
February
2007
LawPulse
, Page 66
The state is on track to issue new regulations that will make it harder for clients who are headed for nursing-home care to hang on to assets. Elder law and estate-planning practitioners need to be prepared with new strategies for the new rules.

Changes made to orientation and training for employees in long-term care facilities

October
2006
Illinois Law Update
, Page 526
Effective August 7, 2006, the Illinois Department of Public Health has amended part 350 of title 77, 77 Ill Adm Code 350. 

Rate increases provided for developmental care facilities and agencies

August
2006
Illinois Law Update
, Page 404
The Illinois Department of Health and Family Services has amended 89 Ill Adm Code 153. The amendment grants rate increases of three percent to "intermediate care facilities for persons with developmental disabilities" (ICF/MRs) and to agencies for developmental training. 

State can’t dun surviving spouse’s estate for nursing home bill

By Helen W. Gunnarsson
August
2006
LawPulse
, Page 398
The Illinois Supreme Court ruled that the state can't seek reimbursement for long-term care from a surviving spouse's estate, making the revocable living trust an even more attractive estate-planning tool. 

Winning Tax Exemption for Illinois Nonprofit Nursing Facilities: No Easy Task

By Neville M. Bilimoria
August
2006
Article
, Page 420
A little-known Illinois Supreme Court case makes it much harder for nonprofit nursing homes to get a property tax exemption.

Employees required to report misappropriation of residents’ property in nursing homes - PA 094-0026

August
2005
Illinois Law Update
, Page 390
Effective January 1, 2006, the Nursing Home Care Act ("Act") is amended by adding new section 1-116.5 and altering section 3-610. 

Nursing home litigation: no certificate of merit required

By Helen W. Gunnarsson
May
2003
LawPulse
, Page 220
In a victory for plaintiffs, the Illinois Supreme Court ruled that litigants need not attach 2-622 certificates of merit to suits against nursing homes under the Nursing Home Care Act.

Plaintiff asserting private right of action for personal injury under Nursing Home Care Act does not have to attach certificate and report under section 2-622 of Code of Civil Procedure

May
2003
Illinois Law Update
, Page 226
On February 21, 2003, the Illinois Supreme Court affirmed the decision of the appellate court that a plaintiff asserting a private right of action under the Nursing Home Care Act, 210 ILCS 45/1-101.

Trial court erred in granting state guardian authority to place disabled adult in skilled-care nursing home prior to holding involuntary commitment hearing

March
2003
Illinois Law Update
, Page 116
On December 10, 2002, the Appellate Court of Illinois, Fourth District, affirmed in part and reversed and remanded in part the order of the Circuit Court of Adams County appointing the state guardian as limited guardian of Muellner.

Eligibility for admission to veterans homes expanded

January
2003
Illinois Law Update
, Page 14
The Illinois Department of Veterans' Affairs has amended 95 Ill Adm Code 107 to include former members of the National Guard or Reserve Forces of the United States among those eligible for admission into an Illinois Veterans Home.

Civil monetary penalty against nursing home proper when supported by substantial evidence that Medicare regulations were violated

October
2002
Illinois Law Update
, Page 512
On August 15, 2002, the United States Court of Appeals for the Seventh Circuit concluded that a civil monetary penalty assessed to the plaintiff by the Department of Health and Human Services for violations of Medicare regulations was proper.

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