A Illinois bill on survey and enforcement, signed into law. Takes effect January 1, 2027.
Official title NURSING HOME-INCIDENT REPORT
Reinserts the provisions of the introduced bill with the following changes. Provides that each facility shall notify the Department of any incident or accident that results in serious physical harm or injury to a resident (rather than significant physical harm or injury). Provides that a facility is not precluded from reporting any suspected abuse or neglect that must be reported according to the Abused and Neglected Long Term Care Facility Residents Reporting Act. Provides that notification shall be made by phone, by fax, or through the Office of Health Care Regulation LLCS Portal (rather than just through the Office of Health Care Regulation LLCS Portal) to the appropriate regional office of the Department within 24 hours after each reportable incident or accident (rather than with 24 hours after each reportable incident or accident or by the end of the next business day, whichever is later). Requires a narrative summary of each reportable incident or accident to be sent to the Department within 5 business days (rather than 5 days) after the incident or accident.
What this affects
- Who pays, or is paid
- Facilities carry the risk. Fines, citations and enforcement, which lenders and buyers price directly.
- Which buildings
- 667 facilities holding 85,157 licensed beds in Illinois.
- The dollars, or the rule
- Applies to Illinois nursing facilities under the Nursing Home Care Act. Facilities must notify the Department of any incident causing serious physical harm or requiring immediate medical attention within 24 hours by phone, email, fax, or the LLCS Portal, and follow up with a narrative summary within 5 business days…
- Effective
- January 1, 2027.
- Status
- Signed into law, as of August 7, 2026.
Survey and enforcement changes move the risk of citation and fines, which lenders and buyers price directly.
Latest action, August 7, 2026: Public Act . . . . . . . . . 104-0778
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Legislative data: LegiScan LLC (legiscan.com) · CC BY 4.0
Bill text and status: ilga.gov · retrieved August 13, 2026