DHS 132.13(24)(24) “Physician’s assistant” means a person certified under ch. 448, Stats., to perform as a physician’s assistant. DHS 132.13(25)(25) “Practitioner” means a physician, dentist, podiatrist or other person permitted by Wisconsin law to distribute, dispense and administer a controlled substance in the course of professional practice. DHS 132.13(25g)(25g) “Protest” means make more than one discernible negative response, other than mere silence, to the offer of, recommendation for, or other proffering of voluntary receipt of psychotropic medication. “Protest” does not mean a discernible negative response to a proposed method of administration of the psychotropic medication. DHS 132.13(25r)(25r) “Psychotropic medication” means a prescription drug, as defined in s. 450.01 (20), Stats., that is used to treat or manage a psychiatric symptom or challenging behavior. DHS 132.13(26)(26) “Recuperative care” means care anticipated to be provided for a period of 90 days or less for a resident whose physician has certified that he or she is convalescing or recuperating from an illness or a medical treatment. DHS 132.13(27)(27) “Registered nurse” means a person who holds a certificate of registration as a registered nurse under ch. 441, Stats. DHS 132.13(28)(28) “Resident” means a person cared for or treated in any facility on a 24-hour basis irrespective of how the person has been admitted to the facility. DHS 132.13(29)(29) “Respite care” means care anticipated to be provided for a period of 28 days or less for the purpose of temporarily relieving a family member or other caregiver from his or her daily caregiving duties. DHS 132.13(30)(30) “Short-term care” means recuperative care or respite care. DHS 132.13(31)(31) “Skilled nursing facility” means a nursing home which is licensed by the department to provide skilled nursing services. DHS 132.13(32)(a)(a) “Skilled nursing services” means those services furnished pursuant to a physician’s orders which: DHS 132.13(32)(a)1.1. Require the skills of professional personnel such as registered or licensed practical nurses; and DHS 132.13(32)(a)2.2. Are provided either directly by or under the supervision of these personnel. DHS 132.13(32)(b)(b) In determining whether a service is skilled, the following criteria shall be used: DHS 132.13(32)(b)1.1. The service would constitute a skilled service where the inherent complexity of a service prescribed for a resident is such that it can be safely and effectively performed only by or under the supervision of professional personnel; DHS 132.13(32)(b)2.2. The restoration potential of a resident is not the deciding factor in determining whether a service is to be considered skilled or unskilled. Even where full recovery or medical improvement is not possible, skilled care may be needed to prevent, to the extent possible, deterioration of the condition or to sustain current capacities; and DHS 132.13(32)(b)3.3. A service that is generally unskilled would be considered skilled where, because of special medical complications, its performance or supervision or the observation of the resident necessitates the use of skilled nursing personnel. DHS 132.13(34)(34) “Supervision” means at least intermittent face-to-face contact between supervisor and assistant, with the supervisor instructing and overseeing the assistant, but does not require the continuous presence of the supervisor in the same building as the assistant. DHS 132.13(35)(35) “Tour of duty” means a portion of the day during which a shift of resident care personnel are on duty. DHS 132.13(36)(36) “Unit dose drug delivery system” means a system for the distribution of medications in which single doses of medications are individually packaged and sealed for distribution to residents. DHS 132.13 HistoryHistory: Cr. Register, July, 1982, No. 319, eff. 8-1-82; emerg. renum. (3) to (24) to be (4) to (25), cr. (3), eff. 9-15-86; r. and recr. Register, January, 1987, No. 373, eff. 2-1-87; emerg. cr. (8m), eff. 7-1-88; am. (4), Register, February, 1989, No. 398, eff. 3-1-89; cr. (8m), Register, October, 1989, No. 406, eff. 11-1-89; correction made to (17) under s. 13.93 (2m) (b) 7., Stats., Register December 2003 No. 576; CR 04-053: r. and recr. (1), cr. (1m), (2m), (8r) and (13m), am. (2) and (5) Register October 2004 No. 586, eff. 11-1-04; CR 06-053: r. (2), (6), (13), (14), (15), (19) and (33), Register August 2007 No. 620, eff. 9-1-07; CR 07-042: cr. (10m), (25g) and (25r) Register October 2007 No. 622, eff. 11-1-07; corrections in (1), (3), (13m) and (17) made under s. 13.92 (4) (b) 6. and 7., Stats., Register January 2009 No. 637; 2019 Wis. Act 1: am. (4) (intro.) Register May 2019 No. 761, eff. 6-1-19; CR 23-046: am. (4) (intro.) Register April 2024 No. 820, eff. 5-1-24. DHS 132.14(1)(1) Categories. Nursing homes shall elect one of the following categories of licensure: DHS 132.14(1m)(a)(a) Requirements. The department may grant a facility a license to operate as an institution for mental diseases if the following conditions are met: DHS 132.14(1m)(a)1.1. The conversion of all or some of the beds within the facility will result in a physically identifiable unit of the facility, which may be a ward, contiguous wards, a wing, a floor or a building, and which is separately staffed;