Guide to Becoming a Skilled Nursing Services Provider in Illinois 


1.Program Definition and Services 

Skilled Nursing Services in Illinois provide 24-hour nursing care and medical treatment for individuals who require complex nursing care. Services include: 

  • Medication administration 
  • Wound care 
  • Intravenous therapy 
  • Physical, occupational, and speech therapy 
  • Rehabilitation services 
  • Personal care assistance 

 

2. Regulations 

The program is governed by: 

  • Illinois Administrative Code Title 77, Part 300 (Skilled Nursing and Intermediate Care Facilities Codes)
  • Nursing Home Care Act [210 ILCS 45] 
  • Federal regulations for Medicare and Medicaid certified facilities 

 

3. Licensing or Certification 

Providers must be licensed by the Illinois Department of Public Health (IDPH) as Skilled Nursing Facilities. 

 

4. Responsible State Agency 

The Illinois Department of Public Health (IDPH) is responsible for licensing and regulating Skilled Nursing Facilities. 

 

5. Application Process 

The application process is conducted through the Illinois Department of Public Health. Providers must submit a formal application to IDPH. 

 

6. Required Documentation 

Providers must submit: 

  • Completed application form 
  • Proof of compliance with state and federal regulations 
  • Facility policies and procedures 
  • Staff qualifications and training records 
  • Proof of liability insurance 
  • Building and safety inspection reports 

 

7. Timeline for Approval 

The exact timeline for approval is not specified in the available results. Providers should contact IDPH for more detailed information on the approval process and expected timeframes. 

 

8. Pre-Application Process 

There is no specific pre-application process mentioned. However, potential providers should ensure they meet all eligibility requirements before applying. 

 

9. Pre-Application Training 

No specific pre-application training is mentioned. However, providers must ensure that their staff meets the required qualifications and training standards set by state regulations. 

 

10. Additional Notes 

  • Skilled Nursing Facilities must have a director of nursing services (DON) who is a registered nurse. 
  • Facilities with 100 or more occupied beds must have an assistant director of nursing (ADON). 
  • The maximum number of resident beds in a nursing unit shall not exceed 75. 
  • Facilities must provide comprehensive assessments of residents' needs, develop care plans, and review them at least every three months. 
  • As of March 3, 2025, facilities must follow the most recent guidance from IDPH regarding COVID-19 precautions and visitation policies. 
  • Facilities must provide a special care room for each 50 beds or portion thereof. 
  • Skilled Nursing Facilities must comply with specific design and construction standards, including room size requirements and the provision of necessary equipment and facilities. 

 

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