DHS 132.46(2)(a)(a) Meet at least quarterly to identify quality of care issues with respect to which quality assessment and assurance activities are necessary.
DHS 132.46(2)(b)(b) Identify, develop and implement appropriate plans of action to correct identified quality deficiencies.
DHS 132.46(3)(3)Confidentiality. The department may not require disclosure of the records of the quality assessment and assurance committee except to determine compliance with the requirements of this section. This paragraph does not apply to any record otherwise specified in this chapter or s. 50.04 (3), 50.07 (1) (c) or 146.82 (2) (a) 5., Stats.
DHS 132.46 HistoryHistory: CR 04-053: cr. Register October 2004 No. 586, eff. 11-1-04.
subch. V of ch. DHS 132Subchapter V — Admissions, Retentions and Removals
DHS 132.51DHS 132.51Limitations on admissions and programs.
DHS 132.51(1)(1)License limitations.
DHS 132.51(1)(a)(a) Bed capacity. No facility may house more residents than the maximum bed capacity for which it is licensed. Persons participating in a day care program are not residents for purposes of this chapter.
DHS 132.51(1)(b)(b) Care levels.
DHS 132.51(1)(b)1.1. No person who requires care greater than that which the facility is licensed to provide may be admitted to or retained in the facility.
DHS 132.51(1)(b)2.2. No resident whose condition changes to require care greater than that which the facility is licensed to provide shall be retained.
DHS 132.51(1)(c)(c) Other conditions. The facility shall comply with all other conditions of the license.
DHS 132.51(2)(2)Other limitations on admissions.
DHS 132.51(2)(a)(a) Persons requiring unavailable services. Persons who require services which the facility does not provide or make available shall not be admitted or retained.
DHS 132.51(2)(b)(b) Communicable diseases.
DHS 132.51(2)(b)1.1. ‘Communicable disease management.’ The nursing home shall have the ability to appropriately manage persons with communicable disease the nursing home admits or retains based on currently recognized standards of practice.
DHS 132.51(2)(b)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 132.51 NoteNote: For a copy of ch. DHS 145 which includes a list of the communicable diseases which must be reported, write the Bureau of Public Health, P.O. Box 309, Madison, WI 53701 (phone 608-267-9003). There is no charge for a copy of ch. DHS 145. The referenced publications,“Guideline for Isolation Precautions in Hospitals and Guideline for Infection Control in Hospital Personnel” (HHS Publication No. (CSC) 83-8314) and “Universal Precautions for Prevention of . . . Bloodborne Pathogens in Health Care Settings”, may be purchased from the Superintendent of Documents, Washington D.C. 20402, and is available for review in the office of the Department’s Division of Quality Assurance and the Legislative Reference Bureau.
DHS 132.51(2)(c)(c) Abusive or destructive residents.
DHS 132.51(2)(c)1.1. Notwithstanding s. DHS 132.13 (1), in this paragraph, “abusive” describes a resident whose behavior involves 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 132.51(2)(c)2.2. Residents who are known to be destructive of property, self-destructive, disturbing or abusive to other residents, or suicidal, shall not be admitted or retained, unless the facility has and uses sufficient resources to appropriately manage and care for them.
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;