DHS 132.51(2)(d) (d) Developmental disabilities.

DHS 132.51(2)(d)1. 1. No person who has a developmental disability may be admitted to a facility unless the facility is certified as an intermediate care facility for individuals with intellectual disabilities, except that a person who has a developmental disability and who requires skilled nursing care services may be admitted to a skilled nursing facility.

DHS 132.51(2)(d)2. 2. Except in an emergency, no person who has a developmental disability may be admitted to a facility unless the county department under s. 46.23, 51.42, or 51.437, Stats., of the individual’s county of residence has recommended the admission.

DHS 132.51(2)(e) (e) Mental illness. Except in an emergency, no person who is under age 65 and has a mental illness as defined in s. 51.01 (13), Stats., may be admitted to a facility unless the county department under s. 46.23, 51.42 or 51.437, Stats., of the individual’s county of residence has recommended the admission.

DHS 132.51(2)(f) (f) Minors.

DHS 132.51(2)(f)1. 1. No person under the age of 18 years may be admitted, unless approved for admission by the department.

DHS 132.51(2)(f)2. 2. Requests for approval to admit a person under the age of 18 years shall be made in writing and shall include:

DHS 132.51(2)(f)2.a. a. A statement from the referring physician stating the medical, nursing, rehabilitation, and special services required by the minor;

DHS 132.51(2)(f)2.b. b. A statement from the administrator certifying that the required services can be provided;

DHS 132.51(2)(f)2.c. c. A statement from the attending physician certifying that the physician will be providing medical care; and

DHS 132.51(2)(f)2.d. d. A statement from the persons or agencies assuming financial responsibility.

DHS 132.51(2)(g) (g) Admissions 7 days a week. No facility may refuse to admit new residents solely because of the day of the week.

DHS 132.51(3) (3) Day care services. A facility may provide day care services to persons not housed by the facility, provided that:

DHS 132.51(3)(a) (a) Day care services do not interfere with the services for residents;

DHS 132.51(3)(b) (b) Each day care client is served upon the certification by a physician or physician’s assistant that the client is free from tuberculosis infection; and

DHS 132.51(3)(c) (c) Provision is made to enable day care clients to rest. Beds need not be provided for this purpose, and beds assigned to residents may not be provided for this purpose.

DHS 132.51 Note Note: For administration of medications to day care clients, see s. DHS 132.60 (5) (d) 6.; for required records, see s. DHS 132.45 (4) (c).

DHS 132.51 History History: Cr. Register, July, 1982, No. 319, eff. 8-1-82; emerg. r. and recr. (2) (d) and (3), eff. 9-15-86; r. and recr. (2) (d) am. (1) (b) 1., (2) (e) 1. and 2. intro., (3) (a) and (b), (4) (c), Register, January, 1987, No. 373, eff. 2-1-87; am. (2) (b) 2. and 3. (d) 2., r. (2) (d) 3. and (3), renum. (2) (e), (f) and (4) to be (2) (f), (g) and (3), cr. (2) (e), Register, February, 1989, No. 398, eff. 3-1-89; correction in (2) (b) 3. made under s. 13.93 (2m) (b) 7., Stats., Register, August, 2000, No. 536; CR 03-033: r. and recr. (2) (b) 1. Register December 2003 No. 576, eff. 1-1-04: CR 04-053: r. and recr. (2) (b) and am. (2) (c) Register October 2004 No. 586, eff. 11-1-04; correction in (2) (b) 2. made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637; 2019 Wis. Act 1: am. (2) (d) 1. Register May 2019 No. 761, eff. 6-1-19.

DHS 132.52 DHS 132.52 Procedures for admission.

DHS 132.52(2) (2) Physician’s orders. No person may be admitted as a resident except upon:

DHS 132.52(2)(a) (a) Order of a physician;

DHS 132.52(2)(b) (b) Receipt of information from a physician, before or on the day of admission, about the person’s current medical condition and diagnosis, and receipt of a physician’s initial plan of care and orders from a physician for immediate care of the resident; and

DHS 132.52(2)(c) (c) Receipt of certification in writing from a physician, physician assistant or advanced practice nurse prescriber that the individual has been screened for the presence of clinically apparent communicable disease that could be transmitted to other residents or employees, including screening for tuberculosis within 90 days prior to admission, or a physician, physician assistant or advanced practice nurse prescriber has ordered procedures to treat and limit the spread of any communicable diseases the individual may be found to have.

DHS 132.52(3) (3) Medical examination and evaluation.

DHS 132.52(3)(a) (a) Examination. Each resident shall have a physical examination by a physician or physician extender within 48 hours following admission unless an examination was performed within 15 days before admission.

DHS 132.52(3)(b) (b) Evaluation. Within 48 hours after admission the physician or physician extender shall complete the resident’s medical history and physical examination record.

DHS 132.52 Note Note: For admission of residents with communicable disease, see s. DHS 132.51 (2) (b).

DHS 132.52(4) (4) Initial care plan. Upon admission, a plan of care for nursing services based on an initial assessment shall be prepared and implemented, pending development of the plan of care required by s. DHS 132.60 (8).

DHS 132.52 Note Note: For care planning requirements, see s. DHS 132.60 (8).