An applicant for a license shall submit the following information to the department:
The identities of all persons or business entities having the authority, directly or indirectly, to direct or influence the direction of the management or policies of the facility;
The identities of all persons or business entities having any ownership interest in the facility, whether direct, or indirect, and whether the interest is in the profits, land or building, including owners of any business entity which owns any part of the land or building;
The identities of all creditors holding a security interest in the premises, whether in the land or the building; and
In the case of a change of ownership, disclosure of any relationship or connection between the old licensee and the new licensee, or between any owner or operator of the old licensee and the owner or operator of the new licensee, whether direct or indirect.
The applicant shall provide any additional information requested by the department during its review of the license application.
The applicant shall submit evidence to establish that he or she has sufficient resources to permit operation of the facility for a period of 6 months.
No license may be issued until the applicant has supplied all information requested by the department.
After receiving a complete application, the department shall investigate the applicant to determine the applicant's ability to comply with this chapter.
Within 60 days after receiving a complete application for a license, including all information required under sub. (3) (a)
, the department shall either approve the application and issue a license or deny the application. If the application for a license is denied, the department shall give the applicant reasons, in writing, for the denial.
DHS 134.14(5)(a)(a) Probationary license.
If the applicant has not previously been licensed under this chapter or if the facility is not in operation at the time application is made, the department shall issue a probationary license. A probationary license shall be valid for 12 months from the date of issuance unless sooner suspended or revoked under s. 50.03 (5)
, Stats. If the applicant is found to be in compliance with this chapter, a regular license shall be issued.
(b) Regular license.
If the applicant has been previously licensed, the department shall issue a regular license if the applicant is found to be in compliance with this chapter. A regular license is valid indefinitely unless suspended or revoked.
(5m) Annual report.
Every 12 months, on a schedule determined by the department, an FDD licensee shall submit a report to the department in the form and containing the information that the department requires, including payment of the fee required under s. 50.135 (2) (a)
, Stats. If a complete report is not timely filed, the department shall issue a warning to the licensee. If the licensee of an FDD who has not filed a timely report fails to submit a complete report to the department within 60 days after the date established under the schedule determined by the department, the department may revoke the license.
(5r) Reporting involuntary administration of psychotropic medication.
The licensee shall provide, in a format approved by the department, information required by the department to assess the facility's compliance with s. 55.14
, Stats., relating to involuntary administration of psychotropic medication to a resident.
A license is issued only for the premises and the persons named in the license application, and may not be transferred or assigned by the licensee.
The license shall state any applicable restrictions, including maximum bed capacity and any other limitation that the department considers appropriate and necessary taking all facts and circumstances into account.
The licensee shall fully comply with all requirements and restrictions of the license.
(7) Condition for medical assistance provider certification.
In order to claim reimbursement from the department's medical assistance program for the cost of care provided to medical assistance recipients, an FDD is required to be a certified provider under that program. The sole condition for certification, stated in s. DHS 105.12
, is that the FDD be licensed under this chapter. For services covered by the MA program and for prior authorization requirements, see chs. DHS 101
DHS 134.14 History
Cr. Register, June, 1988, No. 390
, eff. 7-1-88; corrections in (2) (a) 2. and (7) made under s. 13.93 (2m) (b) 7., Stats., Register, April, 2000, No. 532
; am. (5), cr. (5m), Register, August, 2000, No. 536
, eff. 9-1-00; CR 03-033
: am. (1), (2) (a) (intro.) and (5m) Register December 2003 No. 576
, eff. 1-1-04; CR 04-053
: am. (2) (a) 1. Register October 2004 No. 586
, eff. 11-1-04; CR 07-042
: cr. (5r) Register October 2007 No. 622
, eff. 11-1-07; corrections in (2) and (7) made under s. 13.92 (4) (b) 7., Stats., Register January 2009 No. 637
"Variance" means the approval of an alternate requirement in place of a requirement of this chapter.
"Waiver" means the granting of an exemption from a requirement of this chapter.
(2) Requirements for waivers or variances.
The department may grant a waiver or variance if the department finds that the waiver or variance will not adversely affect the health, safety or welfare of residents, taking into account the size of the facility and the condition of the residents, and that:
Strict enforcement of a requirement would result in unreasonable hardship on the facility or a resident; or
An alternative to a rule which may involve introducing a new concept, method, procedure or technique, using new equipment, modifying personnel qualifications or providing for the conduct of pilot projects, is in the interests of better care or management.
All applications for a waiver or variance shall be made in writing to the department, specifying the following:
If the request is for a variance, the specific alternative action which the facility proposes;
The department may require additional information from the facility before acting on the request.
DHS 134.15 Note
Note: A request for a waiver or variance should be addressed to: Division of Quality Assurance, P.O. Box 2969, Madison, Wisconsin 53701-2969.
The department shall grant or deny each request for waiver or variance in writing. Notice of denial shall contain the reasons for denial. If a notice of a denial is not issued within 60 days after the receipt of a complete request, the waiver or variance shall be automatically approved.
The department may impose whatever conditions on the granting of a waiver or variance that it deems necessary.
The department and a facility may agree to modify the terms of a requested variance.
A facility may ask the administrator of the department's division of long term care to review the reasonableness of the denial of a request for a waiver or variance. The administrator shall make that review and notify the facility of his or her decision within 20 days following receipt of the appeal.
DHS 134.15 Note
Note: To appeal the denial of a request for a waiver or variance, write: Administrator, Division of Long Term Care, P.O. Box 7851, Madison, Wisconsin 53707-7851.
A denial of a waiver or variance may be contested by requesting a hearing as provided by ch. 227, Stats.
The licensee shall sustain the burden of proving that the denial of a waiver or variance was unreasonable.
The department may revoke a waiver or variance if:
The department determines that the waiver or variance is adversely affecting the health, safety or welfare of the residents;
The department determines that the facility has failed to comply with a variance as granted;
The licensee notifies the department in writing that he or she wishes to relinquish the waiver or variance and be subject to the rule previously waived or varied; or
DHS 134.15 History
Cr. Register, June, 1988, No. 390
, eff. 7-1-88; correction in (3) (c) 1. made under s. 13.93 (2m) (b) 6., Stats., Register December 2003 No. 576
; correction in (3) (c) 1. made under s. 13.92 (4) (b) 6., Stats., Register January 2009 No. 637
All facilities shall comply with the requirements governing residents' rights enumerated in s. 50.09
, Stats., and this chapter. Facilities shall have written policies and procedures to ensure that staff recognize that residents have these rights, and that staff respect and enforce these rights. The written policies and procedures shall encourage residents to exercise their rights on their own behalf whenever practicable.
(2) Delegation of rights and responsibilities.
Each facility shall have written policies and procedures that provide that:
If a resident is adjudicated incompetent under ch. 54, Stats.
, all rights and responsibilities of the resident which the resident is not competent to exercise pass to the resident's guardian pursuant to s. 50.09 (3)
, Stats., except as otherwise provided by law; and
If there has been no adjudication of incompetency but the resident requires assistance in understanding or exercising his or her rights, that assistance is provided to the resident to the extent necessary for the resident to receive the benefits of this section, including involvement of the next of kin or sponsoring agency and notification of the appropriate county agency if there is need for guardianship.
(3) Residents' rights.
Every resident, except as provided in sub. (4)
, has the right to:
Have private and unrestricted communications, unless medically contraindicated as documented by the resident's physician in the resident's medical record, except that receipt of mail from any source and communication with public officials or with the resident's attorney may not be restricted in any event. The right to private and unrestricted communications includes the right to:
Receive, send and mail sealed, unopened correspondence. No resident's incoming or outgoing correspondence may be opened, delayed, held or censored, except that a resident or guardian may direct in writing that specified incoming correspondence be opened, delayed or held;
Use a telephone for private communications, unless medically contraindicated in which case the resident shall be informed in writing of the grounds for withdrawal of the right and shall have the opportunity for a review of the withdrawal of the right;
Have private visits, pursuant to a reasonable written visitation policy, unless medically contraindicated in which case the resident shall be informed in writing of the grounds for withdrawal of the right and shall have the opportunity for a review of the withdrawal of the right. The facility shall ensure that individuals allowed to visit under this paragraph do not infringe on the privacy and rights of the other residents;
Communicate with staff in regard to all aspects of the treatment program. To facilitate this communication, the facility shall:
Keep the resident's legal guardian or, if there is no guardian, family or next of kin, informed of resident activities and significant changes in the resident's condition;
Answer communications from resident's relatives or guardian promptly and appropriately;
Allow close relatives and guardians to visit at any reasonable hour, without prior notice, unless an interdisciplinary team determines that this would not be appropriate; and
Allow parents and guardians to visit any part of the facility that provides services to residents.
Present grievances on the resident's own behalf or through others to the facility's staff or administrator, to public officials or to any other person without justifiable fear of reprisal and to join with other residents or individuals within or outside of the facility to work for improvements in resident care.
Manage one's own financial affairs, including any personal allowances under federal or state programs. No resident funds may be held or spent except in accordance with the following requirements:
A facility may not hold or spend a resident's funds unless the resident or another person legally responsible for the resident's funds authorizes this action in writing. The facility shall obtain separate authorizations for holding a resident's funds and for spending a resident's funds. The authorization for spending a resident's funds may include a spending limit. Expenditures that exceed a designated spending limit require a separate authorization for each individual occurrence;
Any resident funds held or controlled by the facility and any earnings from them shall be credited to the resident and may not be commingled with other funds or property except that of other residents;
The facility shall furnish a resident, the resident's guardian or a representative designated by the resident with at least an annual statement of all funds and properties held by the facility for the resident and all expenditures made from the resident's account, and a similar statement at the time of the resident's permanent discharge. If the resident has authorized discretionary expenditures by the facility and the facility has accepted responsibility for these expenditures, upon written request of the resident, the resident's guardian or a designated representative of the resident, the facility shall issue this statement monthly;
The facility shall maintain a record of all expenditures, disbursements and deposits made on behalf of the resident; and
The facility shall provide training and counseling to residents in the management and use of money as necessary to meet each resident's needs.
(d) Admission information.
Be fully informed in writing, prior to or at the time of admission, of all services and the charges for these services, and be informed in writing, during the resident's stay, of any changes in the services available or in charges for services, as follows:
No person may be admitted to a facility unless that person or that person's guardian or designated representative has signed an acknowledgement of having received a statement of information before or on the day of admission which includes at least the following information or, in the case of a person to be admitted for short-term care, the information required under s. DHS 134.70 (3)
An accurate description of the basic services provided by the facility, the rates charged for those services and the method of payment for them;
Information about all additional services regularly offered but not included in the basic services. The facility shall provide information on where a statement of the fees charged for each of these services can be obtained. These additional services include pharmacy, x-ray, beautician and all other additional services regularly offered to residents or arranged for residents by the facility;
Terms for refunding advance payments in the event of a resident's transfer, death or voluntary or involuntary discharge;
Terms for holding and charging for a bed during a resident's temporary absence;
Conditions for involuntary discharge or transfer, including transfer within the facility;