Chapter DHS 132

NURSING HOMES

Subchapter I — General

DHS 132.11   Statutory authority.

DHS 132.12   Scope.

DHS 132.13   Definitions.

DHS 132.14   Licensure.

DHS 132.15   Certification for medical assistance.

DHS 132.16   Quality assurance and improvement projects.

Subchapter II — Enforcement

DHS 132.21   Waivers and variances.

Subchapter III — Residents’ Rights and Protections

DHS 132.31   Rights of residents.

DHS 132.33   Housing residents in locked units.

Subchapter IV — Management

DHS 132.41   Administrator.

DHS 132.42   Employees.

DHS 132.44   Employee development.

DHS 132.45   Records.

DHS 132.46   Quality assessment and assurance.

Subchapter V — Admissions, Retentions and Removals

DHS 132.51   Limitations on admissions and programs.

DHS 132.52   Procedures for admission.

DHS 132.53   Transfers and discharges.

DHS 132.54   Transfer within the facility.

Subchapter VI — Services

DHS 132.60   Resident care.

DHS 132.61   Medical services.

DHS 132.62   Nursing services.

DHS 132.63   Dietary service.

DHS 132.64   Rehabilitative services.

DHS 132.65   Pharmaceutical services.

DHS 132.67   Dental services.

DHS 132.68   Social services.

DHS 132.69   Activities.

DHS 132.695   Special requirements for facilities serving persons who are developmentally disabled.

DHS 132.70   Special requirements when persons are admitted for short-term care.

Subchapter VII — Physical Environment

DHS 132.71   Furniture, equipment and supplies.

DHS 132.72   Housekeeping services.

Subchapter VIII — Life Safety, Design and Construction

DHS 132.81   Scope and definitions.

DHS 132.812   Review for compliance with this chapter and the state building code.

DHS 132.815   Fees for plan reviews.

DHS 132.82   Life safety code.

DHS 132.83   Safety and systems.

DHS 132.84   Design.

Ch. DHS 132 Note Note: Chapter H 32 as it existed on July 31, 1982 was repealed and a new chapter HFS 132 was created effective August 1, 1982. Chapter HSS 132 was renumbered chapter HFS 132 under s. 13.93 (2m) (b) 1., Stats., and corrections made under s. 13.93 (2m) (b) 6. and 7., Stats., Register, December, 1996, No. 492. Chapter HFS 132 was renumbered chapter DHS 132 under s. 13.92 (4) (b) 1., Stats., and corrections made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637.

subch. I of ch. DHS 132 Subchapter I — General

DHS 132.11 DHS 132.11 Statutory authority. This chapter is promulgated under the authority of ss. 49.498 (14), 49.499 (2m), 50.02, 50.03, 50.095, and 50.098, Stats., to provide conditions of licensure for nursing homes.

DHS 132.11 History History: Cr. Register, July, 1982, No. 319, eff. 8-1-82; CR 06-053: am. Register August 2007 No. 620, eff. 9-1-07.

DHS 132.12 DHS 132.12 Scope. All nursing homes licensed under s. 50.03, Stats., are subject to all the provisions of this chapter, except for those provisions that apply only to particular licensure categories, and except for those nursing homes regulated by ch. DHS 134. Nursing homes include those owned and operated by the state, counties, municipalities, or other public bodies. Nursing homes are also subject to the provisions in ch. 50, Stats., and chs. SPS 361 to 365, except s. SPS 361.31 (3). Federally certified nursing homes are also subject to the provisions contained in 42 CFR 483.

DHS 132.12 History History: Cr. Register, July, 1982, No. 319, eff. 8-1-82; CR 06-053: am. Register August 2007 No. 620, eff. 9-1-07; correction made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637; correction made under s. 13.92 (4) (b) 7., Stats., Register January 2012 No. 673.

DHS 132.13 DHS 132.13 Definitions. In this chapter:

DHS 132.13(1) (1) “Abuse” has the meaning specified under s. DHS 13.03 (1).

DHS 132.13(1m) (1m) “Advanced practice nurse prescriber” means a person who has been granted a certificate to issue prescription orders under s. 441.16 (2), Stats.

DHS 132.13(2m) (2m) “Authorized prescriber” means a person licensed in this state to prescribe medications, treatments or rehabilitative therapies, or licensed in another state and recognized by this state as a person authorized to prescribe medications, treatments or rehabilitative therapies.

DHS 132.13(3) (3) “Department” means the Wisconsin department of health services.

DHS 132.13(4) (4) “Developmental disability” means intellectual disability or a related condition, such as cerebral palsy, epilepsy or autism, but excluding mental illness and degenerative brain disorder, which is:

DHS 132.13(4)(a) (a) Manifested before the individual reaches age 22;

DHS 132.13(4)(b) (b) Likely to continue indefinitely; and

DHS 132.13(4)(c) (c) Results in substantial functional limitations in 3 or more of the following areas of major life activity:

DHS 132.13(4)(c)1. 1. Self-care;

DHS 132.13(4)(c)2. 2. Understanding and use of language;

DHS 132.13(4)(c)3. 3. Learning;

DHS 132.13(4)(c)4. 4. Mobility;

DHS 132.13(4)(c)5. 5. Self-direction; and

DHS 132.13(4)(c)6. 6. Capacity for independent living.

DHS 132.13(5) (5) “Dietitian” means a person who is any of the following:

DHS 132.13(5)(a) (a) Certified under s. 448.78, Stats.

DHS 132.13(5)(b) (b) Licensed or certified as a dietitian in another state.

DHS 132.13(7) (7) “Facility” means a nursing home subject to the requirements of this chapter.

DHS 132.13(8) (8) “Full-time” means at least 37.5 hours each week devoted to facility business.

DHS 132.13(8m) (8m) “IMD” or “institution for mental diseases” means a facility that meets the definition of an institution for mental diseases under 42 CFR 435.1009.

DHS 132.13(8r) (8r) “Intensive skilled nursing care” means care requiring specialized nursing assessment skills and the performance of specific services and procedures that are complex because of the resident’s condition or the type or number of procedures that are necessary, including any of the following:

DHS 132.13(8r)(a) (a) Direct patient observation or monitoring or performance of complex nursing procedures by registered nurses or licensed practical nurses on a continuing basis.

DHS 132.13(8r)(b) (b) Repeated application of complex nursing procedures or services every 24 hours.

DHS 132.13(8r)(c) (c) Frequent monitoring and documentation of the resident’s condition and response to therapeutic measures.

DHS 132.13(9) (9) “Intermediate care facility” means a nursing home which is licensed by the department as an intermediate care facility to provide intermediate nursing care.

DHS 132.13(10) (10) “Intermediate nursing care” means basic care consisting of physical, emotional, social and other rehabilitative services under periodic medical supervision. This nursing care requires the skill of a registered nurse for observation and recording of reactions and symptoms, and for supervision of nursing care. Most of the residents have long-term illnesses or disabilities which may have reached a relatively stable plateau. Other residents whose conditions are stabilized may need medical and nursing services to maintain stability. Essential supportive consultant services are provided.

DHS 132.13(10m) (10m) “Involuntary administration of psychotropic medication” means any of the following:

DHS 132.13(10m)(a) (a) Placing psychotropic medication in an individual’s food or drink with knowledge that the individual protests receipt of the psychotropic medication.

DHS 132.13(10m)(b) (b) Forcibly restraining an individual to enable administration of psychotropic medication.

DHS 132.13(10m)(c) (c) Requiring an individual to take psychotropic medication as a condition of receiving privileges or benefits.

DHS 132.13(11) (11) “Licensed practical nurse” means a person licensed as a licensed practical nurse under ch. 441, Stats.

DHS 132.13(12) (12) “Limited nursing care” means simple nursing care procedures required by residents with long-term illnesses or disabilities in order to maintain stability and which can be provided safely only by or under the supervision of a person no less skilled than a licensed practical nurse who works under the direction of a registered nurse. Supervision of the physical, emotional, social and rehabilitative needs of the resident is the responsibility of the appropriate health care provider serving under the direction of a physician.

DHS 132.13(13m) (13m) “Neglect” has the meaning specified under s. DHS 13.03 (14).

DHS 132.13(16) (16) “Nurse” means a registered nurse or licensed practical nurse.

DHS 132.13(17) (17) “Nurse practitioner” means a registered professional nurse who meets the requirements of s. DHS 105.20 (1).