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Illinois General Assembly· SB 2879Governor Approved

ASSISTED LIVING-DEMENTIA, the official text

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SB2879 Enrolled                      LRB104 17581 BAB 31009 b

1  AN ACT concerning regulation.

2  Be it enacted by the People of the State of Illinois,

3 represented in the General Assembly:

4  Section 5. The Assisted Living and Shared Housing Act is

5 amended by changing Sections 15 and 150 as follows:

6  (210 ILCS 9/15)

7  Sec. 15. Assessment and service plan requirements. Prior

8 to admission to any establishment covered by this Act, a

9 comprehensive assessment that includes an evaluation of the

10 prospective resident's physical, cognitive, and psychosocial

11 condition shall be completed. At least annually, a

12 comprehensive assessment shall be completed, and upon

13 identification of a significant change in the resident's

14 condition, including, but not limited to, a diagnosis of

15 Alzheimer's disease or a related dementia, the resident shall

16 be reassessed. The Department may by rule specify

17 circumstances under which more frequent assessments of skin

18 integrity and nutritional status shall be required. The

19 comprehensive assessment shall be completed by a physician, a

20 physician assistant, or an advanced practice registered nurse.

21 Based on the assessment, the resident's interests and

22 preferences, dislikes, and any known triggers for behavior

23 that endangers the resident or others, a written service plan
    SB2879 Enrolled   -2-  LRB104 17581 BAB 31009 b

 1 shall be developed and mutually agreed upon by the provider,
 2 the resident, and the resident's representative, if any. The
 3 service plan, which shall be reviewed annually, or more often
 4 as the resident's condition, preferences, or service needs
 5 change, shall serve as a basis for the service delivery
 6 contract between the provider and the resident. The resident
 7 and the resident's representative, if any, shall, upon
 8 request, be given a copy of the most recent assessment; a
 9 supplemental assessment, if any, completed by the
10 establishment; and a service plan. Based on the assessment,
11 the service plan may provide for the disconnection or removal
12 of any appliance.
13 (Source: P.A. 104-191, eff. 1-1-26.)

14  (210 ILCS 9/150)

15  Sec. 150. Alzheimer and dementia programs.

16  (a) In addition to this Section, Alzheimer and dementia

17 programs shall comply with all of the other provisions of this

18 Act.

19  (b) No person shall be admitted or retained if the

20 assisted living or shared housing establishment cannot provide

21 or secure appropriate care, if the resident requires a level

22 of service or type of service for which the establishment is

23 not licensed or which the establishment does not provide, or

24 if the establishment does not have the staff appropriate in

25 numbers and with appropriate skill to provide such services.
    SB2879 Enrolled  -3-  LRB104 17581 BAB 31009 b

1   (c) No person shall be accepted for residency or remain in

2 residence if the person's mental or physical condition has so

3 deteriorated to render residency in such a program to be

4 detrimental to the health, welfare or safety of the person or

5 of other residents of the establishment. The Department by

6 rule shall identify a validated dementia-specific standard

7 with inter-rater reliability that will be used to assess

8 individual residents. The assessment must be approved by the

9 resident's physician, physician assistant who has experience

10 in geriatric dementia care, or advanced practice registered

11 nurse who has experience in geriatric dementia care and shall

12 occur prior to acceptance for residency, annually, and at such

13 time that a change in the resident's condition is identified

14 by a family member, staff of the establishment, or the

15 resident's physician, physician assistant, or advanced

16 practice registered nurse. Assessments completed annually or

17 due to a change in the resident's condition must be signed by a

18 physician.

19  (d) No person shall be accepted for residency or remain in

20 residence if the person is dangerous to self or others and the

21 establishment would be unable to eliminate the danger through

22 the use of appropriate treatment modalities.

23  (e) No person shall be accepted for residency or remain in

24 residence if the person meets the criteria provided in

25 subsections (b) through (g) of Section 75 of this Act.

26  (f) An establishment that offers to provide a special
    SB2879 Enrolled         -4-   LRB104 17581 BAB 31009 b

1 program or unit for persons with Alzheimer's disease and

2 related disorders shall:

3   (1) disclose to the Department and to a potential or

4   actual resident of the establishment information as

5   specified under the Alzheimer's Disease and Related

6   Dementias Special Care Disclosure Act;

7   (2) ensure that a resident's representative is

8   designated for the resident;

9   (3) develop and implement policies and procedures that

10  ensure the continued safety of all residents in the

11  establishment, including, but not limited to, those who:

12  (A) may wander; and

13  (B) may need supervision and assistance when

14  evacuating the building in an emergency;

15  (4) provide coordination of communications with each

16  resident, resident's representative, relatives and other

17  persons identified in the resident's service plan;

18  (5) provide cognitive stimulation and activities to

19  maximize functioning;

20  (6) provide an appropriate number of staff for its

21  resident population, as established by rule;

22  (7) require the director or administrator and direct

23  care staff to complete sufficient comprehensive and

24  ongoing dementia and cognitive deficit training, the

25  content of which shall be established by rule; and

26  (8) develop emergency procedures and staffing patterns
    SB2879 Enrolled  -5-                 LRB104 17581 BAB 31009 b

1   to respond to the needs of residents.

2   (g) Individual residents shall be assessed prior to

3 admission using assessment tools that are approved or

4 recommended by recognized Alzheimer's and dementia care

5 experts, ensuring that the tools are validated for accurately

6 identifying and evaluating cognitive impairments related to

7 Alzheimer's disease and other forms of dementia. These tools

8 shall be reviewed and updated as needed to align with current

9 best practices and clinical standards in dementia care.

10 (Source: P.A. 104-295, eff. 1-1-26.)

11  Section 99. Effective date. This Act takes effect upon

12 becoming law.
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