(A)   The county shall admit to Winchester House all county residents in need of skilled and intermediate level nursing care on a first-come, first-served basis, subject to medically appropriate bed availability; except that a general assistance resident, whose care is paid for by the local governmental unit in which he or she has residence, will be admitted to the first available medically appropriate bed after the local governmental unit enters into a written agreement to pay for the resident’s care. If the governmental unit fails to pay for the resident’s care and maintenance, the county may recover the amount due for care by appropriate civil action against the governmental unit. Immediate relatives of county residents may be admitted if beds are available following all requests by county residents.
   (B)   Admissions shall be without regard to race, religion, national origin, ability to pay, or sex of persons to be admitted. No qualified individual with a disability will be denied admission on the basis of the disability.
   (C)   All admission requests shall be accompanied by a completed admission application on a form prescribed for use by the Winchester House Administrator which shall certify the following:
      (1)   The person to be admitted is 18 years of age or older. Persons under 18 years of age may not be cared for at Winchester House without prior written approval from the Illinois Department of Human Services (77 ILAC 300.620(2)(e)). Therefore, admission requests for persons under the age of 18 should be directed to the Administrator of Winchester House, who will contact the Illinois Department of Human Services if admission is otherwise appropriate;
      (2)   The person to be admitted is not “destructive of property, himself or others” (77 ILAC 300.620(2));
      (3)   The person to be admitted is not in need of mental treatment or mentally ill, and at risk because the person is reasonably expected to self-inflict serious physical harm or to inflict serious physical harm on another person as a result of the mental illness as determined by professional evaluation (77 ILAC 300.620(c)(1));
      (4)   The person to be admitted is not in need of prenatal or maternity care (77 ILAC 300.620(b));
      (5)   The person to be admitted and/or the resident’s representative has disclosed all financial assets and income so that Winchester House may make an informed decision regarding the resident’s ability to pay for care or qualify for financial assistance. With the approval of the Winchester House Administrator, this requirement may be waived for a period of 72 hours for emergency admission;
      (6)   The person to be admitted has been pre-screened by the appropriate agency for need and eligibility for nursing home care pursuant to state law (77 ILAC 300.615);
      (7)   The person to be admitted shall submit, five days prior to admission, to the Winchester House Administrator a medical history including a physical examination conducted by a physician licensed to practice medicine in this state;
      (8)   The person to be admitted shall have his or her physician arrange for the following tests:
         (a)   Chest x-ray;
         (b)   Appropriate laboratory workup; and
         (c)   Urinalysis.
      (9)   Additional information and/or requirements shall be required as dictated by state or federal law.
   (D)   If the admission order or the application discloses the need for special or extraordinary equipment required to care for the diagnosis of the resident, the admission shall be referred to the Winchester House Medical Advisory Committee, for further consideration as to whether Winchester House will be a suitable placement (77 ILAC 300.620(a)).
   (E)   With approval of the Winchester House Administrator, the requirement of physical lab work may be waived for a period of 72 hours for emergency admission. Lab work will be completed within 72 hours and will be paid for by the resident, his or her family, or other responsible party.
   (F)   The county will hold the bed of any resident admitted to Winchester House upon the following conditions:
      (1)   For private pay residents, the bed will be held for as long as a charge of 75% of the current intermediate care rate is paid.
      (2)   Public aid residents, upon return from the hospital, will be admitted to the first available medically appropriate bed. Under certain conditions, the Illinois Department of Human Services will pay Winchester House to reserve a bed for up to ten days. If the state refuses to pay to reserve the bed or if the ten days have expired, the resident may elect to reserve the bed at a charge of 75% of the normal daily rate.
      (3)   A resident may be involuntarily discharged from Winchester House for medical reasons; for the resident’s physical safety; for the physical safety of other residents, Winchester House staff or visitors; or for late payment or non-payment for the resident’s stay, as provided by the Illinois Nursing Home Care Act (210 ILCS 45/3-401).
(1977 Code, § 2:2-1) (Ord. passed 11-9-1999)
Statutory reference:
   Admission of person unable to purchase care and maintenance, see 55 ILCS 5/5-21010