Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 1125 - LONG-TERM CARE
Subpart D - GENERAL LONG-TERM CARE - REVIEW CRITERIA
Section 1125.560 - Variances to Computed Bed Need
Universal Citation: 77 IL Admin Code ยง 1125.560
Current through Register Vol. 48, No. 12, March 22, 2024
a) Continuum of Care
The applicant proposing a continuum of care project shall demonstrate the following:
1) The
project will provide a continuum of care for a geriatric population that
includes independent living and/or congregate housing (such as unlicensed
apartments, high rises for the elderly and retirement villages) and related
health and social services. The housing complex shall be on the same site as
the health facility component of the project.
2) The proposal shall be for the purposes of
and serve only the residents of the housing complex and shall be developed
either after the housing complex has been established or as a part of a total
housing construction program, provided that the entire complex is one
inseparable project, that there is a documented demand for the housing, and
that the licensed beds will not be built first, but will be built concurrently
with or after the residential units.
3) The applicant shall demonstrate that:
A) The proposed number of beds is needed.
Documentation shall consist of a list of available patients/residents needing
the proposed project. The proposed number of beds shall not exceed one licensed
LTC bed for every five apartments or independent living units;
B) There is a provision in the facility's
written operational policies assuring that a resident of the retirement
community who is transferred to the LTC facility will not lose his/her
apartment unit or be transferred to another LTC facility solely because of the
resident's altered financial status or medical indigency; and
C) That admissions to the LTC unit will be
limited to current residents of the independent living units and/or congregate
housing.
b) Defined Population
The applicant proposing a project for a defined population shall provide the following:
1) The
applicant shall document that the proposed project will serve a defined
population group of a religious, fraternal or ethnic nature from throughout the
entire health service area or from a larger geographic service area (GSA)
proposed to be served and that includes, at a minimum, the entire health
service area in which the facility is or will be physically located.
2) The applicant shall document each of the
following:
A) A description of the proposed
religious, fraternal or ethnic group proposed to be served;
B) The boundaries of the GSA;
C) The number of individuals in the defined
population who live within the proposed GSA, including the source of the
figures;
D) That the proposed
services do not exist in the GSA where the facility is or will be
located;
E) That the services
cannot be instituted at existing facilities within the GSA in sufficient
numbers to accommodate the group's needs. The applicant shall specify each
proposed service that is not available in the GSA's existing facilities and the
basis for determining why that service could not be provided.
F) That at least 85% of the residents of the
facility will be members of the defined population group. Documentation shall
consist of a written admission policy insuring that the requirements of this
subsection (b)(2)(F) will be met.
G) That the proposed project is either
directly owned or sponsored by, or affiliated with, the religious, fraternal or
ethnic group that has been defined as the population to be served by the
project. The applicant shall provide legally binding documents that prove
ownership, sponsorship or affiliation.
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