Facility Reported Incidents


As we prepare for the launch of the LLCS IDPH Customer Portal on July 29th, we would like to inform you that this form will be unavailable from July 19th to July 28th.

Beginning on Monday, July 29, 2024, this form will be permanently discontinued, and all facilities are required to submit their Facility Reported Incidents through the new IDPH Customer Portal (link to follow), fax, email, phone call, or standard mail.


Please read the instructions below to learn how to submit your Facility Reported Incident during this period.

The Illinois Department of Public Health (IDPH) strives to ensure that long-term care regulatory requirements are continuously met. As part of the Code of Federal Regulations Requirements for Long Term Care Facilities 483.12 (42 CFR Part 483.12) and Illinois Administrative Code, facilities are required to submit certain reportable circumstances or issues to the state agency.

As we approach the launch of LLCS with our IDPH Portal Go-Live on Monday, July 29, 2024, OHCR Leadership wants to ensure you are fully informed and prepared for the upcoming changes in the way Facility Reported Incidents are submitted.

Transition Schedule:

•    Starting at 5:00 PM CST on Friday, July 19, 2024, this form will be set to View-Only. From July 19th – July 28th, please submit all Facility Reported Incidents via fax or email to the appropriate Region listed below:


Rockford    IDPH.Rockford@Illinois.gov

F: 815-987-7598


Peoria    DPH.LTC.Peoria@Illinois.gov

F: 309-691-2985


Metro East    DPH.MetroEast.LTC@Illinois.gov

F: 618-680-6258


Marion    DPH.Marion.LTC@Illinois.gov

F: 618-993-7622


Champaign    DPH.Champaign.LTC@Illinois.gov

F: 217-278-3172


West Chicago    DPH.WestChicago.LTC@Illinois.gov

F: 708-375-7038


Bellwood    DPH.Bellwood.LTC@Illinois.gov

F: 630-645-3720


Assisted Living    DPH.LTCAL@illinois.gov


ICF/IID    DPH.IIDIncidentreports@illinois.gov


SMHRF    DPH.SMHRF@illinois.gov


Change of Administrator Notifications    

DPH.LTCQA.LICENSURE@ILLINOIS.GOV


Plan of Corrections Questions/Status    DPH.LTCQA.POCHEARING@ILLINOIS.GOV

    P: 217-782-5180

Involuntary Transfers    DPH.ADMINHEARINGS@ILLINOIS.GOV

    F: 217-557-3497


Please stay on the lookout for current updates coming through SIREN!

We appreciate your cooperation and prompt attention to this important transition. If you have any questions or require further assistance, please do not hesitate to contact us.


Sincerely,

LLCS Change Management Team

OHCR Data Modernization Project