50.09(1)(k)
(k) Be free from mental and physical abuse, and be free from chemical and physical restraints except as authorized in writing by a physician for a specified and limited period of time and documented in the resident's medical record. Physical restraints may be used in an emergency when necessary to protect the resident from injury to himself or herself or others or to property. However, authorization for continuing use of the physical restraints shall be secured from a physician within 12 hours. Any use of physical restraints shall be noted in the resident's medical records. "Physical restraints" includes, but is not limited to, any article, device or garment which interferes with the free movement of the resident and which the resident is unable to remove easily, and confinement in a locked room.
50.09(1)(L)
(L) Receive adequate and appropriate care within the capacity of the facility.
50.09(1)(m)
(m) Use the licensed, certified or registered provider of health care and pharmacist of the resident's choice.
50.09(1)(n)
(n) Be fully informed of the resident's treatment and care and participate in the planning of the resident's treatment and care.
50.09(2)
(2) The department, in establishing standards for nursing homes and community-based residential facilities may establish, by rule, rights in addition to those specified in
sub. (1) for residents in such facilities.
50.09(3)
(3) If the resident is adjudged to be incompetent under
ch. 51 or
880 and not restored to legal capacity, the rights and responsibilities established under this section which the resident is not competent to exercise shall devolve upon the resident's guardian.
50.09(4)
(4) Each facility shall make available a copy of the rights and responsibilities established under this section and the facility's rules to each resident and to each resident's guardian at or prior to the time of admission to the facility, to each person who is a resident of the facility on December 12, 1975 and to each member of the facility's staff. The rights, responsibilities and rules shall be posted in a prominent place in each facility. Each facility shall prepare a written plan and provide appropriate staff training to implement each resident's rights established under this section.
50.09(5)
(5) Rights established under this section shall not, except as determined by the department of corrections, be applicable to residents in such facilities, if the resident is in the legal custody of the department of corrections and is a correctional client in such a facility.
50.09(6)(a)(a) Each facility shall establish a system of reviewing complaints and allegations of violations of residents' rights established under this section. The facility shall designate a specific individual who, for the purposes of effectuating this section, shall report to the administrator.
50.09(6)(b)
(b) Allegations of violations of such rights by persons licensed, certified or registered under
chs. 441,
446 to
450,
455 and
456 shall be promptly reported by the facility to the appropriate licensing or examining board and to the person against whom the allegation has been made. Any employe of the facility and any person licensed, certified or registered under
chs. 441,
446 to
450,
455 and
456 may also report such allegations to the board. Such board may make further investigation and take such disciplinary action, within the board's statutory authority, as the case requires.
50.09(6)(c)
(c) No person who files a report as required in
par. (b) or who participates, in good faith, in the review system established under
par. (a) shall be liable for civil damages for such acts.
50.09(6)(d)
(d) The facility shall attach a statement, which summarizes complaints or allegations of violations of rights established under this section, to an application for a new license or a renewal of its license. Such statement shall contain the date of the complaint or allegation, the name of the persons involved, the disposition of the matter and the date of disposition. The department shall consider such statement in reviewing the application.
50.09 Annotation
A resident's right be treated with respect under sub. (1) (e) is not waived by misbehavior. Hacker v. DHSS, 189 W (2d) 328, 525 NW (2d) 364 (Ct. App. 1994).
50.095
50.095
Resident's right to know. Every resident in or prospective resident of a nursing home has the right to know certain information from the nursing home which would aid an individual in assessing the quality of care provided by a nursing home.
50.095 History
History: 1987 a. 27,
127.
50.096
50.096
Nursing home reports. 50.096(1)
(1) Beginning in 1988, the department may request from a nursing home information necessary for preparation of a report under
sub. (2), and the nursing home, if so requested, shall provide the information.
50.096(2)
(2) By July 1, 1988, and annually thereafter, the department shall provide each nursing home with a report that includes the following information for the nursing home:
50.096(2)(a)
(a) The direct care nursing home staffing ratio at each skill level on a daily basis and the percentage, if any, by which the ratio is above the staffing requirements of the department for the previous year.
50.096(2)(b)
(b) The staff replacement rates for full-time and part-time nursing staff, nurse's assistants and administrators for the previous year.
50.096(2)(c)
(c) Violations of statutes or rules by the nursing home during the previous year.
50.096(3)
(3) Upon receipt of a report under
sub. (2), the nursing home shall make the report available to any person requesting the report.
50.096 History
History: 1987 a. 127.
50.097
50.097
Registry. Any person may receive, upon specific written request to the department, requested information that is contained in the registry of nurse's assistants and home health aides under
s. 146.40 (4g) (a) or that is contained in the registry of hospice aides under
s. 146.40 (4g) (a) 1.
50.097 History
History: 1989 a. 31;
1991 a. 39.
50.098
50.098
Appeals of transfers or discharges. The department shall promulgate rules establishing a fair mechanism for hearing appeals on transfers and discharges of residents from nursing homes.
50.098 History
History: 1989 a. 31.
50.10
50.10
Private cause of action. 50.10(1)
(1) Any person residing in a nursing home has an independent cause of action to correct conditions in the nursing home or acts or omissions by the nursing home or by the department, that:
50.10(1)(a)
(a) The person alleges violate this subchapter or rules promulgated under this subchapter; and
50.10(1)(b)
(b) The person alleges are foreseeably related to impairing the person's health, safety, personal care, rights or welfare.
50.10(2)
(2) Actions under this section are for mandamus against the department or for injunctive relief against either the nursing home or the department.
50.10 History
History: 1981 c. 121,
391.
50.10 Annotation
Wisconsin's private cause of action for nursing home residents. Bertrand. Wis. Law. Sep. 1989.
50.10 Annotation
Protecting the Rights of Nursing Home Residents. Spitzer-Resnick. Wis. Law. May 1993.
50.11
50.11
Cumulative remedies. The remedies provided by this subchapter are cumulative and shall not be construed as restricting any remedy, provisional or otherwise, provided by law for the benefit of any party, and no judgment under this subchapter shall preclude any party from obtaining additional relief based upon the same facts.
50.11 History
History: 1977 c. 170.
50.12
50.12
Waiver of federal requirements. The department shall petition the secretary of the U.S. department of health and human services for a waiver of the requirement that it conduct annual medical assistance surveys of nursing homes, for a waiver of the requirement that it conduct annual independent medical reviews and independent professional reviews, to allow the department under
42 USC 1396a (a) (26) and (31) to conduct biennial surveys and reviews and for any waivers necessary to implement the special requirements promulgated under
s. 50.02 (3) (d).
50.12 History
History: 1981 c. 121;
1985 a. 29.
50.13
50.13
Fees permitted for a workshop or seminar. If the department develops and provides a workshop or seminar relating to the provision of service by facilities under this subchapter, the department may establish a fee for each workshop or seminar and impose the fee on registrants for the workshop or seminar. A fee so established and imposed shall be in an amount sufficient to reimburse the department for the costs directly associated with developing and providing the workshop or seminar.
50.13 History
History: 1985 a. 120.
50.135
50.135
Licensing and approval fees for inpatient health care facilities. 50.135(1)
(1)
Definition. In this section, "inpatient health care facility" means any hospital, nursing home, county home, county mental hospital, tuberculosis sanatorium or other place licensed or approved by the department under
ss. 49.70,
49.71,
49.72,
50.02,
50.03,
50.35,
51.08,
51.09,
58.06,
252.073 and
252.076, but does not include community-based residential facilities.
50.135(2)(a)(a) The annual fee for any inpatient health care facility except a nursing home is $18 per bed, based on the number of beds for which the facility is licensed. The annual fee for any nursing home is $6 per bed, based on the number of beds for which the nursing home is licensed. This fee shall be paid to the department on or before October 1 for the ensuing year. Each new inpatient health care facility shall pay this fee no later than 30 days before it opens.
50.135(2)(b)
(b) Any inpatient health care facility that fails to pay its fee on or before the date specified in
par. (a) shall pay an additional fee of $10 per day for every day after the deadline.
50.135(2)(c)
(c) The fees collected under
par. (a) shall be credited to the appropriation under
s. 20.435 (1) (gm) for licensing, review and certifying activities.
50.135 Note
NOTE: The bracketed language indicates the correct cross-reference. Chapter 142 was renumbered by 1995 WIs. Act 27. Corrective legislation is pending.
50.14
50.14
Assessments on occupied, licensed beds. 50.14(1)(a)
(a) Notwithstanding
s. 50.01 (1m), "facility" means a nursing home or an intermediate care facility for the mentally retarded, which is not state-owned or state-operated, federally owned or federally operated or located outside the state.
50.14(1)(b)
(b) "Intermediate care facility for the mentally retarded" has the meaning given under
42 USC 1396d (c) and (d).
50.14(2)
(2) For the privilege of doing business in this state, there is imposed on all occupied, licensed beds of a facility, except occupied, licensed beds for which payment is made under
42 USC 1395 to
1395ccc, an assessment that shall be deposited in the general fund and that is $100 per calendar month per occupied, licensed bed of an intermediate care facility for the mentally retarded and is $32 per calendar month per occupied, licensed bed of a nursing home. The assessment shall be on the average number of occupied, licensed beds of a facility for the calendar month previous to the month of assessment, based on an average daily midnight census computed and reported by the facility and verified by the department. Charged bed-hold days for any resident of a facility shall be included as one full day in the average daily midnight census. In determining the number of occupied, licensed beds, if the amount of the beds is other than a whole number the fractional part of the amount shall be disregarded unless it equals 50% or more of a whole number, in which case the amount shall be increased to the next whole number.
50.14(3)
(3) By October 31, 1992, each facility shall submit to the department the facility's occupied licensed bed count and the amount due under
sub. (2) for each occupied licensed bed of the facility for each month for the period from July 1, 1992, to September 30, 1992. Thereafter, by the end of each month each facility shall submit its bed count and payment for the month preceding the month during which the bed count and payment are being submitted. The department shall verify the bed count and, if necessary, make adjustments to the payment, notify the facility of changes in the bed count or payment and send the facility an invoice for the additional amount due or send the facility a refund.
50.14(5)(a)(a) The department shall levy, enforce and collect the assessment under this section and shall develop and distribute forms necessary for levying and collection.
50.14(5)(b)
(b) The department shall promulgate rules that establish procedures and requirements for levying the assessment under this section.
50.14(6)(a)(a) An affected facility may contest an action by the department under this section by submitting a written request for a hearing to the department within 30 days after the date of the department's action.
50.14(6)(b)
(b) Any order or determination made by the department under a hearing as specified in
par. (a) is subject to judicial review as prescribed under
ch. 227.
HOSPITALS
50.32
50.32
Hospital regulation and approval act. Sections 50.32 to
50.39 shall constitute the "Hospital Regulation and Approval Act".
50.32 History
History: 1975 c. 413 ss.
4,
18; Stats. 1975 s. 50.32.
50.33(1)
(1) "Governmental unit" means the state, any county, town, city, village, or other political subdivision or any combination thereof, department, division, board or other agency of any of the foregoing.
50.33(2)(a)(a) "Hospital" means any building, structure, institution or place devoted primarily to the maintenance and operation of facilities for the diagnosis, treatment of and medical or surgical care for 3 or more nonrelated individuals hereinafter designated patients, suffering from illness, disease, injury or disability, whether physical or mental, and including pregnancy and regularly making available at least clinical laboratory services, and diagnostic X-ray services and treatment facilities for surgery, or obstetrical care, or other definitive medical treatment.
50.33(2)(b)
(b) "Hospital" may include, but not in limitation thereof by enumeration, related facilities such as outpatient facilities, nurses', interns' and residents' quarters, training facilities and central service facilities operated in connection with hospitals.
50.33(2)(c)
(c) "Hospital" includes "special hospitals" or those hospital facilities providing primarily one type of medical or surgical care such as, but not in limitation thereof, orthopedic hospitals, children's hospitals, mental hospitals, psychiatric hospitals or maternity hospitals.
50.33 History
History: 1975 c. 413 ss.
4,
18; Stats. 1975 s. 50.33;
1977 c. 83 s.
26 (4);
1979 c. 175;
1983 a. 189.
50.34
50.34
Purpose. The purpose of
ss. 50.32 to
50.39 is to provide for the development, establishment and enforcement of rules and standards for the construction, maintenance and operation of hospitals which, in the light of advancing knowledge, will promote safe and adequate care and treatment of patients in such hospitals.
50.34 History
History: 1975 c. 413 ss.
4,
18; Stats. 1975 s. 50.34.
50.35
50.35
Application and approval. Application for approval to maintain a hospital shall be made to the department on forms provided by the department. On receipt of an application, the department shall issue a certificate of approval if the applicant and hospital facilities meet the requirements established by the department. This approval shall be in effect until, for just cause and in the manner herein prescribed, it is suspended or revoked. The certificate of approval may be issued only for the premises and persons or governmental unit named in the application and is not transferable or assignable. The department may not withhold, suspend or revoke approval unless for a substantial failure to comply with
ss. 50.32 to
50.39 or the rules and standards adopted by the department after giving a reasonable notice, a fair hearing and a reasonable opportunity to comply. Failure by a hospital to comply with
s. 50.36 (3m) shall be considered to be a substantial failure to comply under this section.
50.35 History
History: 1975 c. 413 ss.
4,
18; Stats. 1975 s. 50.35;
1989 a. 37.
50.36
50.36
Rules and standards. 50.36(1)(1) The department shall promulgate, adopt, amend and enforce such rules and standards for hospitals for the construction, maintenance and operation of the hospitals deemed necessary to provide safe and adequate care and treatment of the patients in the hospitals and to protect the health and safety of the patients and employes; and nothing contained herein shall pertain to a person licensed to practice medicine and surgery or dentistry. The building codes and construction standards of the department of commerce shall apply to all hospitals and the department may adopt additional construction codes and standards for hospitals, provided they are not lower than the requirements of the department of commerce. Except for the construction codes and standards of the department of commerce and except as provided in
s. 50.39 (3), the department shall be the sole agency to adopt and enforce rules and standards pertaining to hospitals.
50.36(2)(a)(a) The department shall conduct plan reviews of all capital construction and remodeling projects of hospitals to ensure that the plans comply with building code requirements under
ch. 101 and with physical plant requirements under this chapter or under rules promulgated under this chapter.
50.36(2)(b)
(b) The department shall promulgate rules that establish a fee schedule for its services in conducting the plan reviews under
par. (a). The schedule established under these rules shall set fees for hospital plan reviews in amounts that are less than the sum of the amounts required on September 30, 1995, for fees under this subsection and for fees for examination of hospital plans under s.
101.19 (1) (a), 1993 stats.
50.36(3)(a)(a) Any person licensed to practice medicine and surgery or podiatry under
ss. 448.05 and
448.06 shall be afforded an equal opportunity to obtain hospital staff privileges and may not be denied hospital staff privileges solely for the reason that the person is an osteopathic physician and surgeon or a podiatrist. Each individual hospital shall retain the right to determine whether the applicant's training, experience and demonstrated competence is sufficient to justify the granting of hospital staff privileges or is sufficient to justify the granting of limited hospital staff privileges.
50.36(3)(b)
(b) If, as a result of peer investigation or written notice thereof, a hospital staff member who is licensed by the medical examining board, for any reasons that include the quality of or ability to practice, loses his or her hospital staff privileges, has his or her hospital staff privileges reduced or resigns from the hospital staff, the hospital shall so notify the medical examining board within 30 days after the loss, reduction or resignation takes effect. Temporary suspension due to incomplete records need not be reported.
