Chapter DHS 134

DHS 134.47(4)(e)1. 1. Physician orders for:

DHS 134.47(4)(e)1.a. a. Medications and treatments;

DHS 134.47(4)(e)1.b. b. Diets;

DHS 134.47(4)(e)1.c. c. Special or professional services; and

DHS 134.47(4)(e)1.d. d. Limitations on activities;

DHS 134.47(4)(e)2. 2. Restraint orders required under s. DHS 134.60 (5) (b);

DHS 134.47(4)(e)3. 3. Discharge or transfer records required under s. DHS 134.53 (4) (d);

DHS 134.47(4)(e)4. 4. Physician progress notes following each physician visit required under s. DHS 134.66 (2) (b) 4.; and

DHS 134.47(4)(e)5. 5. The report on the resident’s annual physical examination.

DHS 134.47(4)(f) (f) Nursing service documentation. Documentation of nursing needs and the nursing services provided, including:

DHS 134.47(4)(f)1. 1. The nursing care component of the individual program plan reviewed and revised annually as required by s. DHS 134.60 (1) (c) 2;

DHS 134.47(4)(f)2. 2. Nursing notes as needed to document the resident’s condition:

DHS 134.47(4)(f)3. 3. Other nursing documentation describing;

DHS 134.47(4)(f)3.a. a. The general physical and mental condition of the resident, including any unusual symptoms or behavior;

DHS 134.47(4)(f)3.b. b. All incidents or accidents, including time, place, details of the incident or accident, action taken and follow-up care;

DHS 134.47(4)(f)3.c. c. Functional training and habilitation;

DHS 134.47(4)(f)3.d. d. The administration of all medications as required under s. DHS 134.60 (4) (d), the need for as-needed administration of medications and the effect that the medication has on the resident’s condition, the resident’s refusal to take medication, omission of medications, errors in the administration of medications and drug reactions;

DHS 134.47(4)(f)3.e. e. Height and weight;

DHS 134.47(4)(f)3.f. f. Food and fluid intake, when the monitoring of intake is necessary;

DHS 134.47(4)(f)3.g. g. Any unusual occurrences of appetite or refusal or reluctance to accept diets;

DHS 134.47(4)(f)3.h. h. Rehabilitative nursing measures provided;

DHS 134.47(4)(f)3.i. i. The use of restraints, documentation for which is required under s. DHS 134.60 (5) (b) 8.;

DHS 134.47(4)(f)3.j. j. Immunizations and other non-routine nursing care given;

DHS 134.47(4)(f)3.k. k. Any family visits and contacts;

DHS 134.47(4)(f)3.L. L. The condition of a resident upon discharge; and

DHS 134.47(4)(f)3.m. m. The time of death, the physician called and the person to whom the body was released.

DHS 134.47(4)(g) (g) Social service documentation. Social service records and any notes regarding pertinent social data and action taken to meet the social service needs of residents.

DHS 134.47(4)(h) (h) Special and professional services documentation. Progress notes documenting consultations and services provided by:

DHS 134.47(4)(h)1. 1. Psychologists;

DHS 134.47(4)(h)2. 2. Speech pathologists and audiologists; and

DHS 134.47(4)(h)3. 3. Occupational and physical therapists.

DHS 134.47(4)(i) (i) Dental records. Dental records, as follows:

DHS 134.47(4)(i)1. 1. A permanent dental record for each resident;

DHS 134.47(4)(i)2. 2. Documentation of an oral examination at the time of admission or prior to admission which satisfies the requirements under s. DHS 134.65 (2) (a); and

DHS 134.47(4)(i)3. 3. Dental summary progress reports recorded as needed.

DHS 134.47(4)(j) (j) Nutritional assessment. The nutritional assessment of the resident, the nutritional component of the resident’s individual program plan and records of diet modifications as required by s. DHS 134.64 (4) (b) 1.

DHS 134.47(4)(k) (k) Discharge or transfer information. Documents prepared when a resident is discharged or transferred from the facility, including:

DHS 134.47(4)(k)1. 1. A summary of habilitative, rehabilitative, medical, emotional, social and cognitive findings and progress;

DHS 134.47(4)(k)2. 2. A summary and current status report on special and professional treatment services;

DHS 134.47(4)(k)3. 3. A summary of need for continued care and of plans for care;

DHS 134.47(4)(k)4. 4. Nursing and nutritional information;

DHS 134.47(4)(k)5. 5. Administrative and social information;

DHS 134.47(4)(k)6. 6. An up-to-date statement of the resident’s account as required by s. DHS 134.31 (3) (c) 3.; and

DHS 134.47(4)(k)7. 7. In the case of a transfer, written documentation of the reason for the transfer.

DHS 134.47(4)(L) (L) Laboratory, radiologic and blood services documentation. A record of any laboratory, radiologic, blood or other diagnostic service obtained or provided under s. DHS 134.68.

DHS 134.47(5) (5) Record retention.

DHS 134.47(5)(a) (a) The facility shall retain resident records as required under sub. (3) (g).

DHS 134.47(5)(b) (b) The facility shall maintain the following documents on file within the facility for at least 5 years after a resident’s discharge or death:

DHS 134.47(5)(b)1. 1. Copies of any court orders or other documents authorizing another person to speak or act on behalf of the resident; and

DHS 134.47(5)(b)2. 2. The original copy of any resident consent document required under this chapter.

DHS 134.47 Note Note: Copies or summaries of the above court orders or other documents and consent documents must be included in the resident’s record. See sub. (4) (c).

DHS 134.47(5)(c) (c) The facility shall retain all records not directly related to resident care for at least 2 years. These shall include:

DHS 134.47(5)(c)1. 1. A separate record for each employee kept current and containing sufficient information to support assignment to the employee’s position and duties, and records of staff work schedules and time worked;

DHS 134.47(5)(c)2. 2. All menus and records of modified diets, including the average portion size of items;

DHS 134.47(5)(c)3. 3. A financial record for each resident which shows all funds held by the facility and all receipts, deposits and disbursements made by the facility as required by s. DHS 134.31 (3) (c);

DHS 134.47(5)(c)4. 4. Any records that document compliance with applicable sanitation, health and environmental safety rules and local ordinances, and written reports of inspections and actions taken to enforce these rules and local ordinances;

DHS 134.47(5)(c)5. 5. Records of inspections by local fire inspectors or departments, records of fire and disaster evacuation drills and records of tests of fire detection, alarm and extinguishing equipment;

DHS 134.47(5)(c)6. 6. Documentation of professional consultation by registered dietitians, registered nurses, social workers and special professional services providers, and other persons used by the facility as consultants;

DHS 134.47(5)(c)7. 7. Medical transfer service agreements and agreements with outside agency service providers; and

DHS 134.47(5)(c)8. 8. A description of subject matter, a summary of contents and a list of instructors and attendance records for all employee orientation and inservice programs.

DHS 134.47 History History: Cr. Register, June, 1988, No. 390, eff. 7-1-88; correction in (3) (d) made under s. 13.93 (2m) (b) 7., Stats., Register, April, 2000, No. 532; CR 04-053: am. (3) (h) 1. Register October 2004 No. 586, eff. 11-1-04; correction in (3) (d) made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637; 2019 Wis. Act 1: am. (4) (d) 3. Register May 2019 No. 761, eff. 6-1-19.

subch. IV of ch. DHS 134 Subchapter IV — Admission, Retention and Removal

DHS 134.51 DHS 134.51 Limitations on admissions and retentions.

DHS 134.51(1) (1) Limitations on admission.

DHS 134.51(1)(a) (a) Bed capacity. No facility may admit or retain more persons than the maximum bed capacity for which it is licensed.

DHS 134.51(1)(b) (b) Persons requiring unavailable services.

DHS 134.51(1)(b)1. 1. Persons who require services that the facility does not provide or make available may not be admitted or retained.

DHS 134.51(1)(b)2. 2. Persons who do not have a diagnosis of developmental disability may not be admitted.

DHS 134.51(1)(c) (c) Communicable disease management.

DHS 134.51(1)(c)1. 1. ‘Communicable diseases.’ The facility shall have the ability to manage persons with communicable disease that the facility admits or retains, based on currently recognized standards of practice.

DHS 134.51(1)(c)2. 2. ‘Reportable diseases.’ Facilities shall report suspected communicable diseases that are reportable under ch. DHS 145 to the local public health officer or to the department’s bureau of communicable disease.

DHS 134.51(1)(d) (d) Destructive residents.

DHS 134.51(1)(d)1. 1. Notwithstanding s. DHS 134.13 (1), in this paragraph, “abuse” means any single or repeated act of force, violence, harassment, deprivation or mental pressure which does or reasonably could cause physical pain or injury to another resident, or mental anguish or fear in another resident.

DHS 134.51(1)(d)2. 2. A person who the facility administrator has reason to believe is destructive of property or self-destructive, would disturb or abuse other residents or is suicidal, shall not be admitted or retained unless the facility has and uses sufficient resources to appropriately manage and care for the person.

DHS 134.51(1)(e) (e) Minors. Except for a facility that was permitted to admit minors prior to the effective date of this chapter, no facility may admit a person under the age of 18 unless the admission is approved by the department after the department receives the following documents:

DHS 134.51(1)(e)1. 1. A statement from the referring physician stating the medical, nursing, rehabilitation and special services required by the minor;

DHS 134.51(1)(e)2. 2. A statement from the administrator certifying that the required services can be provided;

DHS 134.51(1)(e)3. 3. A statement from the attending physician certifying that the physician will be providing medical care; and

DHS 134.51(1)(e)4. 4. A statement from the person or agency assuming financial responsibility for the minor.

DHS 134.51(1)(f) (f) Admissions 7 days a week. No facility may refuse to admit a person to be a new resident solely because of the day of the week.

DHS 134.51(2) (2) Living unit limitations.

DHS 134.51(2)(a) (a) A facility may not house residents of very different ages or developmental levels or with very different social needs in close physical or social proximity to one another unless the housing is planned to promote the growth and development of all the residents who are housed together.

DHS 134.51(2)(b) (b) A facility may not segregate residents on the basis of their physical disabilities. The facility shall integrate residents who have different physical disabilities with other residents who have attained comparable levels of social and intellectual development.

DHS 134.51 History History: Cr. Register, June, 1988, No. 390, eff. 7-1-88; correction in (1) (c) 3. made under s. 13.93 (2m) (b) 7., Stats., Register, April, 2000, No. 532; correction in (1) (c) 3. made under s. 13.93 (2m) (b) 6., Stats., Register December 2003 No. 576; CR 04-053: r. and recr. (1) (c) and am. (1) (d) Register October 2004 No. 586, eff. 11-1-04; correction in (1) (c) 2. made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637.

DHS 134.52 DHS 134.52 Admission-related requirements.

DHS 134.52(1) (1) Exception. The procedures in this section apply to all persons admitted to facilities except persons admitted for short-term care. Section DHS 134.70 (2) applies to persons admitted for short-term care.

DHS 134.52(2) (2) Conditions for admission. A facility may not admit an individual unless each of the following conditions has been met:

DHS 134.52(2)(a) (a) An interdisciplinary team has conducted or updated a comprehensive preadmission evaluation of the individual as specified in sub. (3) and has determined that residential care is the best available plan for the individual;

DHS 134.52(2)(b) (b) Except in an emergency, for an individual who is under age 65, there is a written recommendation of the county department established under s. 46.23, 51.42 or 51.437, Stats., in the individual’s county of residence, that residential care in the facility is the best available placement for the individual;