Emergency plan rules in Illinois
One license type researched, regulated by Illinois Department of Public Health. Every requirement below carries the rule that imposes it.
Assisted living / residential care
Licensed in Illinois as Assisted Living / Shared Housing Establishment, by Illinois Department of Public Health.
77 Ill. Adm. Code 295.2040 (disaster preparedness); 295.4060 (Alzheimer's and dementia programs); 295.9000 (physical plant)
At least six drills a year on a bimonthly basis, with at least two conducted during the night when residents are sleeping. Drills include residents, establishment personnel and other persons in the establishment, begin with a general announcement throughout the establishment that a drill is being conducted, and involve the actual evacuation of residents to an assembly point specified in the emergency plan.
A written evaluation of each drill is submitted to the establishment manager and maintained for one year.
Each resident must be oriented to the emergency and evacuation plans within 10 days after the resident's arrival. The orientation must be documented, signed and dated by the resident or the resident's representative. This is a move-in workflow obligation, not just a plan section.
77 Ill. Adm. Code 295.2040(b)(5)The establishment must conduct a tornado drill for employees on each shift during February of each year.
77 Ill. Adm. Code 295.2040(d)The written disaster plan must address residents' physical and cognitive needs and include special staff response. It must provide for temporary relocation for any disaster requiring it and whenever the temperature in residents' bedrooms falls below 55F, for moving residents to safe locations within the establishment during a tornado warning, and for residents' comfort when the heat index exceeds 80F. It must address power outages and, if the establishment is on a flood plain, include flooding contingencies.
77 Ill. Adm. Code 295.2040(b)(1)The plan must be amended or revised whenever any resident with unusual needs is admitted, and must include the procedures needed to ensure the safety of any resident.
77 Ill. Adm. Code 295.2040(b)(1)When a disaster requires hospital service, police, fire department or coroner, the manager or designee must send IDPH a preliminary report through the Assisted Living Complaint Registry, by fax or by electronic means. If the disaster will not require direct Department assistance, the preliminary report is due within 72 hours after the occurrence. A full written account, including the action taken after the preliminary report, is due within seven days after the occurrence.
77 Ill. Adm. Code 295.2040(i)All personnel employed on the premises must be instructed in the use of fire extinguishers. A diagram of the evacuation route must be posted, and all personnel must be aware of the route.
77 Ill. Adm. Code 295.2040(b)(2)-(3)If the establishment accepts any individuals with cognitive impairments that prevent them from safely evacuating independently, sufficient staff members must be present and awake 24 hours a day to assist in evacuation.
77 Ill. Adm. Code 295.4060(g)An establishment with an Alzheimer's or dementia program must develop and implement policies and procedures that ensure the continued safety of all residents, including those who may wander and those who may need supervision and assistance when evacuating the building in an emergency.
77 Ill. Adm. Code 295.4060(h)(3)The establishment must comply with the residential board and care occupancies chapters of NFPA 101, the Life Safety Code: Chapter 32 for new establishments and Chapter 33 for existing establishments. Part 295 incorporates the 2012 edition and not later editions. Local ordinances, fire codes and zoning requirements also apply.
77 Ill. Adm. Code 295.9000(a)-(b); 295.300- CONFLICT WITH OTHER STATES: Illinois requires drills to actually evacuate residents. California expressly does NOT require actual evacuation and forbids compelling residents to take part. An operator in both states cannot run one drill policy — the same action that satisfies Illinois would breach California.
Reviewed 2026-09-28
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Everything else we’ve researched about Illinois
Same state, the problems either side of this one. Each carries its own statute and the date we last checked it.
What this page is
The requirements Illinois places on a facility emergency preparedness plan, taken from the state’s own rules rather than a national template. Where we have confirmed something against primary text it is stated plainly; where we have not, it says so and names what to check. Nothing here is inferred from what other states do.
The part that is the same everywhere
The federal layer does not vary by state, and it is narrower than it is usually described. OSHA 29 CFR §1910.38 does not bind every employer on its own — by its applicability paragraph it governs an emergency action plan whenever another OSHA standard requires the employer to have one, and it then settles what that plan must contain. The CMS emergency preparedness rule applies by certified provider type rather than by building. That layer, plus the exit-route, alarm and first-aid rules and the fire code’s plan structure, is covered in the main crash course rather than repeated on all fifty state pages.
Write the plan
The Emergency Plan Builder produces the document itself. It reads the same research as this page, but it does not yet carry every requirement here into the plan it writes, so check the plan against this page before you rely on it for Illinois. The Compliance Calendar puts the drills and inspections on dates.