50.06(2)
(2) An individual under
sub. (3) may consent to admission, directly from a hospital to a facility, of an incapacitated individual who does not have a valid power of attorney for health care and who has not been adjudicated incompetent in this state, if all of the following apply:
50.06(2)(a)
(a) No person who is listed under
sub. (3) in the same order of priority as, or higher in priority than, the individual who is consenting to the proposed admission disagrees with the proposed admission.
50.06(2)(am)1.1. Except as provided in
subd. 2., no person who is listed under
sub. (3) and who resides with the incapacitated individual disagrees with the proposed admission.
50.06(2)(am)2.
2. Subdivision 1. does not apply if any of the following applies:
50.06(2)(am)2.a.
a. The individual who is consenting to the proposed admission resides with the incapacitated individual.
50.06(2)(am)2.b.
b. The individual who is consenting to the proposed admission is the spouse or domestic partner under
ch. 770 of the incapacitated person.
50.06(2)(b)
(b) The individual for whom admission is sought is not diagnosed as developmentally disabled or as having a mental illness at the time of the proposed admission.
50.06(2)(c)
(c) A petition for guardianship for the individual under
s. 54.34 and a petition under
s. 55.075 for protective placement of the individual are filed prior to the proposed admission.
50.06(2)(d)
(d) The incapacitated individual does not verbally object to or otherwise actively protest the admission. If he or she makes such an objection or protest, he or she may be admitted to the facility, but the person in charge of the facility shall immediately notify the county department under
s. 55.02 (2) for the county in which the individual is living or the agency with which the county department contracts. Representatives of the county department or agency shall visit the individual as soon as possible, but not later than 72 hours after notification, and do all of the following:
50.06(2)(d)1.
1. Determine whether the protest persists or has been voluntarily withdrawn and consult with the person who consented to the admission regarding the reasons for the admission.
50.06(2)(d)2.
2. Attempt to have the incapacitated individual released within 72 hours if the protest is not withdrawn and the individual does not satisfy all of the criteria under
s. 55.08 (1) or
55.135 (1), and provide assistance in identifying appropriate alternative living arrangements.
50.06(2)(d)3.
3. Comply with
s. 55.135 if the requirements of
s. 55.135 (1) are met and emergency protective placement in that facility or another facility is necessary. The court, with the permission of the facility, may order the incapacitated individual to remain in the facility pending the outcome of the protective placement proceedings.
50.06(3)
(3) The following individuals, in the following order of priority, may consent to an admission under
sub. (2):
50.06(3)(a)
(a) The spouse or domestic partner under
ch. 770 of the incapacitated individual.
50.06(3)(b)
(b) An adult son or daughter of the incapacitated individual.
50.06(3)(c)
(c) A parent of the incapacitated individual.
50.06(3)(d)
(d) An adult brother or sister of the incapacitated individual.
50.06(3)(e)
(e) A grandparent of the incapacitated individual.
50.06(3)(f)
(f) An adult grandchild of the incapacitated individual.
50.06(3)(g)
(g) An adult close friend of the incapacitated individual.
50.06(4)
(4) A determination that an individual is incapacitated for purposes of
sub. (2) shall be made by 2 physicians, as defined in
s. 448.01 (5), or by one physician and one licensed psychologist, as defined in
s. 455.01 (4), who personally examine the individual and sign a statement specifying that the individual is incapacitated. Mere old age, eccentricity or physical disability, either singly or together, are insufficient to make a finding that an individual is incapacitated. Neither of the individuals who make a finding that an individual is incapacitated may be a relative, as defined in
s. 242.01 (11), of the individual or have knowledge that he or she is entitled to or has a claim on any portion of the individual's estate. A copy of the statement shall be included in the individual's records in the facility to which he or she is admitted.
50.06(5)(a)(a) Except as provided in
par. (b), an individual who consents to an admission under this section may, for the incapacitated individual, make health care decisions to the same extent as a guardian of the person may and authorize expenditures related to health care to the same extent as a guardian of the estate may, until the earliest of the following:
50.06(5)(a)1.
1. Sixty days after the admission to the facility of the incapacitated individual.
50.06(5)(a)2.
2. Discharge of the incapacitated individual from the facility.
50.06(5)(a)3.
3. Appointment of a guardian for the incapacitated individual.
50.06(5)(b)
(b) An individual who consents to an admission under this section may not authorize expenditures related to health care if the incapacitated individual has an agent under a durable power of attorney, as defined in
s. 244.02 (3), who may authorize expenditures related to health care.
50.06(6)
(6) If the incapacitated individual is in the facility after 60 days after admission and a guardian has not been appointed, the authority of the person who consented to the admission to make decisions and, if
sub. (5) (a) applies, to authorize expenditures is extended for 30 days for the purpose of allowing the facility to initiate discharge planning for the incapacitated individual.
50.06(7)
(7) An individual who consents to an admission under this section may request that an assessment be conducted for the incapacitated individual under the long-term support community options program under
s. 46.27 (6) or, if the secretary has certified under
s. 46.281 (3) that a resource center is available for the individual, a functional screening and a financial and cost-sharing screening to determine eligibility for the family care benefit under
s. 46.286 (1). If admission is sought on behalf of the incapacitated individual or if the incapacitated individual is about to be admitted on a private pay basis, the individual who consents to the admission may waive the requirement for a financial and cost-sharing screening under
s. 46.283 (4) (g), unless the incapacitated individual is expected to become eligible for medical assistance within 6 months.
50.065
50.065
Criminal history and patient abuse record search. 50.065(1)(ag)1.a.
a. A person who is, or is expected to be, an employee or contractor of an entity, who is or is expected to be under the control of an entity, as defined by the department by rule, and who has, or is expected to have, regular, direct contact with clients of the entity.
50.065(1)(ag)1.b.
b. A person who has, or is seeking, a license, certification, registration, or certificate of approval issued or granted by the department to operate an entity.
50.065(1)(ag)1.c.
c. A person who is, or is expected to be, an employee of the board on aging and long-term care and who has, or is expected to have, regular, direct contact with clients.
50.065(1)(ag)2.
2. “Caregiver" does not include a person who is certified as an emergency medical technician under
s. 256.15 if the person is employed, or seeking employment, as an emergency medical technician and does not include a person who is certified as a first responder under
s. 256.15 if the person is employed, or seeking employment, as a first responder.
50.065(1)(am)
(am) “Certificate of approval" means a certificate of approval issued under
s. 50.35.
50.065(1)(b)
(b) “Client" means a person who receives direct care or treatment services from an entity.
50.065(1)(bm)
(bm) “Contractor" means, with respect to an entity, a person, or that person's agent, who provides services to the entity under an express or implied contract or subcontract, including a person who has staff privileges at the entity.
50.065(1)(br)
(br) “Direct contact" means face-to-face physical proximity to a client that affords the opportunity to commit abuse or neglect of a client or to misappropriate the property of a client.
50.065(1)(c)
(c) “Entity" means a facility, organization or service that is licensed or certified by or registered with the department to provide direct care or treatment services to clients; or an agency that employs or contracts with an individual to provide personal care services. “Entity" includes a hospital, a home health agency licensed under
s. 50.49, a temporary employment agency that provides caregivers to another entity, and the board on aging and long-term care. “Entity" does not include any of the following:
50.065(1)(c)3.
3. A person certified as a medical assistance provider, as defined in
s. 49.43 (10), who is not otherwise approved under
s. 50.065 (1) (cm), licensed or certified by or registered with the department.
50.065(1)(cn)
(cn) “Nonclient resident" means a person who resides, or is expected to reside, at an entity, who is not a client of the entity and who has, or is expected to have, regular, direct contact with clients of the entity.
50.065(1)(cr)
(cr) “Personal care services" means any of the following:
50.065(1)(cr)1.
1. Assistance with any of the following activities of daily living:
50.065(1)(cr)2.
2. Assistance with the following activities incidental to activities of daily living under
subd. 1.:
50.065(1)(cr)2.e.
e. Light cleaning in areas of the residence that are used during provision of services under
subd. 1. or under
subd. 2. a. to
d.
50.065(1)(dm)
(dm) “Reservation" means land in this state within the boundaries of a reservation of a tribe or within the bureau of Indian affairs service area for the Ho-Chunk Nation.
50.065(1)(e)1.1. “Serious crime" means a violation of s.
940.19 (3), 1999 stats., a violation of
s. 940.01,
940.02,
940.03,
940.05,
940.12,
940.19 (2),
(4),
(5) or
(6),
940.22 (2) or
(3),
940.225 (1),
(2) or
(3),
940.285 (2),
940.29,
940.295,
948.02 (1),
948.025 or
948.03 (2) (a) or
(5) (a) 1.,
2., or
3., or a violation of the law of any other state or United States jurisdiction that would be a violation of s.
940.19 (3), 1999 stats., or a violation of
s. 940.01,
940.02,
940.03,
940.05,
940.12,
940.19 (2),
(4),
(5) or
(6),
940.22 (2) or
(3),
940.225 (1),
(2) or
(3),
940.285 (2),
940.29,
940.295,
948.02 (1),
948.025 or
948.03 (2) (a) or
(5) (a) 1.,
2., or
3. if committed in this state.
50.065(1)(e)2.
2. For the purposes of an entity that serves persons under the age of 18, “serious crime" includes a violation of
s. 948.02 (2),
948.03 (2) (b) or
(c) or
(5) (a) 4.,
948.05,
948.051,
948.055,
948.06,
948.07,
948.08,
948.085,
948.11 (2) (a) or
(am),
948.12,
948.13,
948.21 (1),
948.30, or
948.53 or a violation of the law of any other state or United States jurisdiction that would be a violation of
s. 948.02 (2),
948.03 (2) (b) or
(c) or
(5) (a) 4.,
948.05,
948.051,
948.055,
948.06,
948.07,
948.08,
948.085,
948.11 (2) (a) or
(am),
948.12,
948.13,
948.21 (1),
948.30, or
948.53 if committed in this state.
50.065(1)(g)
(g) “Tribe" means a federally recognized American Indian tribe or band in this state.
50.065(2)(am)(am) The department shall obtain all of the following with respect to a person specified under
sub. (1) (ag) 1. b. and a person who is a nonclient resident or prospective nonclient resident of an entity:
50.065(2)(am)1.
1. A criminal history search from the records maintained by the department of justice.
50.065(2)(am)3.
3. Information maintained by the department of safety and professional services regarding the status of the person's credentials, if applicable.
50.065(2)(am)4.
4. Information maintained by the department regarding any final determination under
s. 48.981 (3) (c) 5m. or, if a contested case hearing is held on such a determination, any final decision under
s. 48.981 (3) (c) 5p. that the person has abused or neglected a child.
50.065(2)(am)5.
5. Information maintained by the department under this section regarding any denial to the person of a license, certification, certificate of approval or registration or of a continuation of a license, certification, certificate of approval or registration to operate an entity for a reason specified in
sub. (4m) (a) 1. to
5. and regarding any denial to the person of employment at, a contract with or permission to reside at an entity for a reason specified in
sub. (4m) (b) 1. to
5. If the information obtained under this subdivision indicates that the person has been denied a license, certification, certificate of approval or registration, continuation of a license, certification, certificate of approval or registration, a contract, employment or permission to reside as described in this subdivision, the department need not obtain the information specified in
subds. 1. to
4.
50.065(2)(b)
(b) Every entity shall obtain all of the following with respect to a caregiver of the entity:
50.065(2)(b)1.
1. A criminal history search from the records maintained by the department of justice.
50.065(2)(b)2.
2. Information that is contained in the registry under
s. 146.40 (4g) regarding any findings against the person.
50.065(2)(b)3.
3. Information maintained by the department of safety and professional services regarding the status of the person's credentials, if applicable.
50.065(2)(b)4.
4. Information maintained by the department regarding any final determination under
s. 48.981 (3) (c) 5m. or, if a contested case hearing is held on such a determination, any final decision under
s. 48.981 (3) (c) 5p. that the person has abused or neglected a child.
50.065(2)(b)5.
5. Information maintained by the department under this section regarding any denial to the person of a license, certification, certificate of approval or registration or of a continuation of a license, certification, certificate of approval or registration to operate an entity for a reason specified in
sub. (4m) (a) 1. to
5. and regarding any denial to the person of employment at, a contract with or permission to reside at an entity for a reason specified in
sub. (4m) (b) 1. to
5. If the information obtained under this subdivision indicates that the person has been denied a license, certification, certificate of approval or registration, continuation of a license, certification, certificate of approval or registration, a contract, employment or permission to reside as described in this subdivision, the entity need not obtain the information specified in
subds. 1. to
4.
50.065(2)(bb)
(bb) If information obtained under
par. (am) or
(b) indicates a charge of a serious crime, but does not completely and clearly indicate the final disposition of the charge, the department or entity shall make every reasonable effort to contact the clerk of courts to determine the final disposition of the charge. If a background information form under
sub. (6) (a) or
(am), or any disclosure made pursuant to a disclosure policy described under
sub. (6) (am), indicates a charge or a conviction of a serious crime, but information obtained under
par. (am) or
(b) does not indicate such a charge or conviction, the department or entity shall make every reasonable effort to contact the clerk of courts to obtain a copy of the criminal complaint and the final disposition of the complaint. If information obtained under
par. (am) or
(b), a background information form under
sub. (6) (a) or
(am), any disclosure made pursuant to a disclosure policy described under
sub. (6) (am), or any other information indicates a conviction of a violation of
s. 940.19 (1),
940.195,
940.20,
941.30,
942.08,
947.01 (1), or
947.013 obtained not more than 5 years before the date on which that information was obtained, the department or entity shall make every reasonable effort to contact the clerk of courts to obtain a copy of the criminal complaint and judgment of conviction relating to that violation.
50.065(2)(bd)
(bd) Notwithstanding
pars. (am) and
(b) 1., the department is not required to obtain the information specified in
par. (am) 1. to
5., and an entity is not required to obtain the information specified in
par. (b) 1. to
5., with respect to a person under 18 years of age whose background information form under
sub. (6) (am), or whose response or lack of response to a disclosure policy described under
sub. (6) (am), indicates that the person is not ineligible to be employed, contracted with or permitted to reside at an entity for a reason specified in
sub. (4m) (b) 1. to
5. and with respect to whom the department or entity otherwise has no reason to believe that the person is ineligible to be employed, contracted with or permitted to reside at an entity for any of those reasons. This paragraph does not preclude the department from obtaining, at its discretion, the information specified in
par. (am) 1. to
5. with respect to a person described in this paragraph who is a nonclient resident or a prospective nonclient resident of an entity.
50.065(2)(bg)
(bg) If an entity hires or contracts with a caregiver for whom, within the last 4 years, the information required under
par. (b) 1. to
3. and
5. has already been obtained by another entity, the entity may obtain that information from that other entity, which, notwithstanding
par. (br), shall provide the information, if possible, to the requesting entity. If an entity cannot obtain the information required under
par. (b) 1. to
3. and
5. from another entity or if an entity has reasonable grounds to believe that any information obtained from another entity is no longer accurate, the entity shall obtain that information from the sources specified in
par. (b) 1. to
3. and
5.
50.065(2)(bm)
(bm) If the person who is the subject of the search under
par. (am) or
(b) is not a resident of this state, or if at any time within the 3 years preceding the date of the search that person has not been a resident of this state, or if the department or entity determines that the person's employment, licensing or state court records provide a reasonable basis for further investigation, the department or entity shall make a good faith effort to obtain from any state or other United States jurisdiction in which the person is a resident or was a resident within the 3 years preceding the date of the search information that is equivalent to the information specified in
par. (am) 1. or
(b) 1. The department or entity may require the person to be fingerprinted on 2 fingerprint cards, each bearing a complete set of the person's fingerprints. The department of justice may provide for the submission of the fingerprint cards to the federal bureau of investigation for the purposes of verifying the identity of the person fingerprinted and obtaining records of his or her criminal arrests and convictions.
50.065(2)(br)1.1. Except as provided in subd. 2, an entity that receives information regarding the arrest or conviction of a caregiver from the federal bureau of investigation in connection with a criminal history search under this section may use the information only to determine whether the caregiver's arrest or conviction record disqualifies him or her from serving as a caregiver. An entity is immune from civil liability to a caregiver for using arrest or conviction information provided by the federal bureau of investigation to make an employment determination regarding the caregiver.
