DHS 83.08(1)(a)(a) Within 70 days after receipt of a complete application, the department shall either approve or deny the license. The initial license issued by the department to an applicant may be a probationary license.
DHS 83.08(1)(b) (b) A probationary or regular license issued by the department shall be only for the premises and persons named in the application. A license may not be transferred or assigned.
DHS 83.08(1)(c) (c) A probationary license may be valid for up to 12 months, unless sooner revoked.
DHS 83.08(1)(d) (d) A regular license is valid until suspended or revoked by the department.
DHS 83.08(2) (2)License denial. The department shall deny a probationary or regular license to any applicant who does not substantially comply with any provision of this chapter or ch. 50, Stats., or who is not fit and qualified as specified in s. DHS 83.07 or who has failed to pay any fee or any outstanding amounts due to the department. The department shall provide the reasons for denial and the process for appeal of the denial in a written notice to the applicant.
DHS 83.08(3) (3)License revocation. The department may revoke a license for any of the reasons and under the conditions specified under s. 50.03 (5g) (d) to (g), Stats.
DHS 83.08 History History: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09.
DHS 83.09 DHS 83.09 Biennial report and fees. Every 24 months, on a date determined by the department, the licensee shall submit a biennial report on the form provided by department, and shall submit payment of the license continuation fees.
DHS 83.09 History History: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09.
DHS 83.10 DHS 83.10 Change of ownership.
DHS 83.10(1) (1) Duties of the transferor.
DHS 83.10(1)(a)(a) The transferor shall notify the department within 30 days before the final change of ownership of a CBRF and shall include the name and contact information of the transferee.
DHS 83.10(1)(b) (b) The transferor remains responsible for the operation of the CBRF until the department issues a license to the transferee, unless the CBRF voluntarily closes, and relocates all residents.
DHS 83.10(1)(c) (c) The transferor shall disclose to the transferee any existing department waiver, variance or outstanding deficiencies. The transferee shall apply for continuation of any existing waivers or variances, if necessary.
DHS 83.10(1)(d) (d) The transferor shall follow the requirements for transferring financial responsibility under s. DHS 83.34 (7).
DHS 83.10(1)(e) (e) The transferor shall remain liable for all forfeitures assessed against the facility which is imposed for violations occurring prior to transfer of ownership.
DHS 83.10(1)(f) (f) The transferor shall notify residents or resident's legal representatives no less than 7 days in advance of the transfer of ownership.
DHS 83.10(2) (2)Duties of the transferee.
DHS 83.10(2)(a)(a) When there is a change of ownership, the transferee shall notify the department of the transfer, and shall submit a complete application as required under s. DHS 83.05 at least 30 days prior to final transfer date.
DHS 83.10(2)(b) (b) If there is less than 30 days notice given to residents of transfer of ownership, neither the transferor nor the transferee may enforce any advanced notice requirements for discharge as specified in any resident's admission agreement.
DHS 83.10(3) (3)Transferability.
DHS 83.10(3)(a)(a) The department shall issue a license only for the premises and persons named in the license application. A license may not be transferred or reassigned.
DHS 83.10(3)(b) (b) The licensee shall notify the department in writing at least 30 days before the effective date of any of the following changes:
DHS 83.10(3)(b)1. 1. Removing, adding or substituting an individual as a partner in the association, dissolving the existing partnership and creating a new partnership.
DHS 83.10(3)(b)2. 2. Removing, adding, or substituting any member in a limited liability company.
DHS 83.10(3)(b)3. 3. Making a change in a corporate structure under which the same corporation no longer continues to be responsible for making operational decisions or for the consequences of those decisions.
DHS 83.10 History History: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09.
DHS 83.11 DHS 83.11 Facility closing.
DHS 83.11(1)(1) Any CBRF that intends to close shall notify the department in writing at least 30 days before closing and comply with the requirements under s. 50.03 (5m), Stats., and s. DHS 83.31.
DHS 83.11(2) (2) If a CBRF is closing, intends to close, or changes its type or level of service or means of reimbursement and will relocate 5 residents or 5% of the CBRF's residents, whichever is greater, the CBRF shall follow the procedures under s. 50.03 (14), Stats.
DHS 83.11(3) (3) The CBRF shall surrender the license to the department when the CBRF closes.
DHS 83.11 History History: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09.
DHS 83.12 DHS 83.12 Investigation, notification, and reporting requirements.
DHS 83.12(1)(1) Death reporting.
DHS 83.12(1)(a)(a) Resident death related to physical restraint, psychotropic medication or suicide. No later than 24 hours after the death of a resident, the CBRF shall report the death to the department if there is reasonable cause to believe the death was related to the use of a physical restraint or psychotropic medication, or was a suicide.
DHS 83.12(1)(b) (b) Resident death related to an accident or injury. When a resident dies as a result of an incident or accident not related to the use of a physical restraint, psychotropic medication, or suicide, the CBRF shall send a report to the department within 3 working days of the resident's death.
DHS 83.12(1)(c) (c) Resident death due to natural causes. A CBRF is not required to report a death to the department if the death is the result of natural causes, and none of the circumstances surrounding the death involve a condition under par. (a) or (b).
DHS 83.12(2) (2)Investigating and reporting abuse, neglect or misappropriation of property.
DHS 83.12(2)(a)(a) Caregiver.
DHS 83.12(2)(a)1.1. When a CBRF receives a report of an allegation of abuse or neglect of a resident, or misappropriation of property, the CBRF shall take immediate steps to ensure the safety of all residents.
DHS 83.12(2)(a)2. 2. The CBRF shall investigate and document any allegation of abuse or neglect of a resident, or misappropriation of property by a caregiver. If the CBRF's investigation concludes that the alleged abuse, or neglect of a resident or misappropriation of property meets the definition of abuse or neglect of a resident, or of misappropriation of property, the CBRF shall report the incident to the department on a form provided by the department, within 7 calendar days from the date the CBRF knew or should have known about the abuse, neglect, or misappropriation of property. The CBRF shall maintain documentation of any investigation.
DHS 83.12 Note Note: For copies of the report form, contact the Division of Quality Assurance, Office of Caregiver Quality at P.O. Box 2969, Madison WI 53701-2969 or at dhs.wisconsin.gov/caregiver/index.htm.
DHS 83.12(2)(b) (b) Non-caregiver or resident. When there is an allegation of abuse or neglect of a resident, or misappropriation of property by a non-caregiver or resident, the CBRF shall follow the elder abuse reporting requirements under s. 46.90, Stats., or the adult at risk requirements under s. 55.043, Stats., whichever is applicable.
DHS 83.12(2)(c) (c) Other reporting. Filing a report under sub. (1) or (2) does not relieve the licensee or other person of any obligation to report an incident to any other authority, including law enforcement and the coroner.
DHS 83.12(3) (3)Investigating injuries of unknown source.
DHS 83.12(3)(a)(a) A CBRF shall investigate any of the following:
DHS 83.12(3)(a)1. 1. An injury that was not observed by any person.
DHS 83.12(3)(a)2. 2. The source of an injury to a resident that cannot be adequately explained by the resident.
DHS 83.12(3)(a)3. 3. An injury to a resident that appears suspicious because of the extent of the injury or the location of the injury on the resident.
DHS 83.12(3)(b) (b) The CBRF shall maintain documentation of each investigation of an injury referenced under par. (a). The CBRF shall report the incident as required under sub. (2).
DHS 83.12(4) (4)Other reporting and notification requirements. A CBRF shall send a written report to the department within 3 working days after any of the following occurs:
DHS 83.12(4)(a) (a) Any time a resident's whereabouts are unknown, except those instances when a resident who is competent chooses not to disclose his or her whereabouts or location to the CBRF, the CBRF shall notify the local law enforcement authority immediately upon discovering that a resident is missing. This reporting requirement does not apply to residents under the jurisdiction of government correctional agencies or persons recovering from substance abuse.
DHS 83.12(4)(b) (b) Any time law enforcement personnel are called to the CBRF as a result of an incident that jeopardizes the health, safety, or welfare of residents or employees. The CBRF's report to the department shall provide a description of the circumstances requiring the law enforcement intervention. This reporting requirement does not apply to residents under the jurisdiction of government correctional agencies.
DHS 83.12(4)(c) (c) Any incident or accident resulting in serious injury requiring hospital admission or emergency room treatment of a resident.
DHS 83.12(4)(d) (d) A catastrophe occurs resulting in damage to the CBRF.
DHS 83.12(4)(e) (e) A fire occurs on the premises of the CBRF.
DHS 83.12(4)(f) (f) Any time the CBRF must evacuate and temporarily relocate residents and employees from the CBRF for reasons other than a fire drill.
DHS 83.12(5) (5)Notification of changes affecting a resident.
DHS 83.12(5)(a)(a) The CBRF shall immediately notify the resident's legal representative and the resident's physician when there is an incident or injury to the resident or a significant change in the resident's physical or mental condition.
DHS 83.12(5)(b) (b) The CBRF shall immediately notify the resident's legal representative when there is an allegation of physical, sexual or mental abuse, or neglect of a resident. The CBRF shall notify the resident's legal representative within 72 hours when there is an allegation of misappropriation of property.
DHS 83.12(5)(c) (c) The CBRF shall give the resident or the resident's legal representative a 30-day written notice of any change in services available or in charges for services that will be in effect for more than 30 days.
DHS 83.12(6) (6)Documentation. All written reports required under this section shall include, at a minimum, the time, date, place, individuals involved, details of the occurrence, and the action taken by the provider to ensure residents' health, safety and well-being.
DHS 83.12 History History: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09.
DHS 83.13 DHS 83.13 General records, retention and posting.
DHS 83.13(1)(1) General records. The CBRF shall maintain documentation of all of the following:
DHS 83.13(1)(a) (a) Investigations and reports of all allegations of abuse or neglect of a resident, or misappropriation property as required under s. DHS 83.12 (2).
DHS 83.13(1)(b) (b) Investigations and reports of all injuries of unknown source as required under s. DHS 83.12 (3).
DHS 83.13(1)(c) (c) Employees' schedules as required under s. DHS 83.36 (2).
DHS 83.13(1)(d) (d) Maintenance of the heating system as required under s. DHS 83.46 (1) (c).
DHS 83.13(1)(e) (e) Flue maintenance as required under s. DHS 83.46 (1) (e).
DHS 83.13(1)(f) (f) Results of the annual well water testing as required under s. DHS 83.46 (3), if the CBRF does not use a public water supply.
DHS 83.13(1)(g) (g) Dates, times and total evacuation times of quarterly fire drills as required under s. DHS 83.47 (2) (d).
DHS 83.13(1)(h) (h) Residents' evacuation time and type of assistance as required under s. DHS 83.47 (2) (d).
DHS 83.13(1)(i) (i) Results of the annual fire inspection as required under s. DHS 83.47 (3).
DHS 83.13(1)(j) (j) Results of the CBRF's smoke and heat detection system testing as required under s. DHS 83.48 (3).
DHS 83.13(1)(k) (k) Results of testing and maintenance of the smoke and heat detection system in a building with multiple occupancies as required under s. DHS 83.57 (1) (c).
DHS 83.13(2) (2)Records retention.
DHS 83.13(2)(a)(a) The CBRF shall retain all records required under this chapter for 2 years, unless otherwise specified under pars. (b) to (d).
DHS 83.13(2)(b) (b) Resident records shall be retained for 7 years following the date of a resident's final discharge.
DHS 83.13(2)(c) (c) Employee records shall be retained for 3 years following an employee's separation from employment at the CBRF.
DHS 83.13(2)(d) (d) Dated menus shall be retained for 60 days.
DHS 83.13(3) (3)Posting. The CBRF shall post all of the following:
DHS 83.13(3)(a) (a) CBRF license, any statement of deficiency, notice of revocation and any other notice of enforcement action as required under s. DHS 83.14 (2) (h).
DHS 83.13(3)(b) (b) House rules, resident rights and grievance procedures as required under s. DHS 83.32 (2) (b).
DHS 83.13(3)(c) (c) The poster provided by the board on aging and long term care ombudsman program as required under s. DHS 83.33 (4).
DHS 83.13(3)(d) (d) Activity schedule as required under s. DHS 83.38 (1) (c).
DHS 83.13(3)(e) (e) The CBRF's exit diagram as required under s. DHS 83.47 (2) (b).
DHS 83.13(3)(f) (f) Emergency phone numbers as required under s. DHS 83.47 (2) (h).
DHS 83.13 History History: CR 07-095: cr. Register January 2009 No. 637, eff. 4-1-09.
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Published under authority of s. 35.93, Stats. Updated on the first day of each month. Entire code is alwaycurrent. The date shown on each chapter is the date the chapter was last published.