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https://www.illinoislegalaid.org/legal-information/fighting-nursing-home-discharge-or-transfer
Date: 09/05/2025

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  1. Home
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  3. Medical or nursing home care
  4. Fighting a nursing home discharge or transfer

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The Big Picture

A nursing home resident doesn't lose any rights guaranteed by law because they have moved into a nursing home. The laws give nursing home residents certain additional rights. Many of these…

More on Understanding nursing home resident's rights
Fighting a nursing home discharge or transfer How-To
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File your hearing request

You have the right to contest the decision to transfer or discharge you from a nursing home. You must file a Request for a Hearing with the Illinois Department of Public Health within 10 days after receiving the transfer or discharge notice.  If you want to contest the proposed transfer or discharge, the Facility will provide you a Request for Hearing form and a pre-addressed envelope. This should be mailed to:

The Department of Public Health
Hearings Review Office
535 W. Jefferson St.
Springfield, IL 62761.

You may also fax your Request for Hearing to Illinois Department of Public Health, Attention: Hearings Review Office at (217) 557-3497.

If you file a request, the facility cannot discharge or transfer you while the appeal is pending. If there is an emergency that threatens the safety of you or others, the facility may discharge you without notice.

After receiving your request, IDPH will send a letter to you and the nursing home. This letter will have either a hearing date or a time for a telephone conference to set the hearing date.

Review your file

Before the hearing, you have the right to review your entire nursing home file. The nursing home must provide the documents it will present at the hearing and the names of the witnesses that will testify against you. You must provide the same information to the nursing home. You have the right to be present at the hearing which should take place at your nursing home.

Go to your hearing

Upon receiving your appeal, IDPH will conduct a hearing at the facility within 10 days. You are allowed to be at the hearing, testify, and present witnesses and other evidence in support of your case. You are allowed to have a lawyer or other advocate of your choice represent you.

At the hearing, the nursing home is required to prove the necessity of the transfer or discharge. You have the right to present witnesses; cross-examine the nursing home’s witnesses; and present evidence in support of your case. IDPH will then issue a written decision within 14 days after you filed your hearing request.

Even if IDPH rules against you, the facility may not transfer or discharge you until 10 days after the written decision or 34 days after the date you received the original notice of involuntary transfer or discharge, whichever is later. The facility can make you leave earlier if there is an emergency with your health care needs or the move is necessary for the safety of others. 

Appeal the decision, if necessary

If the IDPH hearing officer rules against you, you can ask for judicial review under administrative review law. You must file your petition within 15 days after you receive notice of IDPH's final decision. You will not automatically be allowed to stay at the facility while you wait for the court's decision. 

If your appeal is unsuccessful, think about your other rights

If your appeal is unsuccessful, you have the right to a safe discharge or transfer. The facility and IDPH must ensure that the new setting is safe and appropriate for you.

IDPH must offer you relocation assistance, including information on available alternative placements. Except in emergencies, you may be involved in planning your transfer, including choosing among available alternative placements. 

The facility you are being discharged from must offer you counseling services before the transfer or discharge.

Last full review by a subject matter expert
November 12, 2024
Last revised by staff
November 20, 2024

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Worried about doing this on your own?  You may be able to get free legal help.

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The Big Picture

A nursing home resident doesn't lose any rights guaranteed by law because they have moved into a nursing home. The laws give nursing home residents certain additional rights. Many of these…

More on Understanding nursing home resident's rights

Learn more

My rights in a nursing home
My right to stay in a nursing home
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© 2025 Illinois Legal Aid Online. 
All rights reserved.
 
ILAO is a registered 501(c)(3) nonprofit organization. ILAO's tax identification number is 20-2917133.