Illinois Nursing Home Camera Laws: 210 ILCS 32 and the 2027 Assisted Living Expansion

Illinois gives a nursing home resident the right to install a video camera, audio recorder, or both in their own room under the Authorized Electronic Monitoring in Long-Term Care Facilities Act, 210 ILCS 32. A major expansion adding assisted living is already signed into law, but it does not take effect until January 1, 2027.

Information last verified on 2026-08-14. This article has not yet been reviewed by a licensed lawyer.

This article covers Illinois's Authorized Electronic Monitoring in Long-Term Care Facilities Act, 210 ILCS 32, as currently in force, and explains the assisted living expansion that is enacted but not yet operative. It does not cover Illinois's general two-party consent recording law in full, which is addressed in its own section below and has its own dedicated page.

What Illinois's Electronic Monitoring Law Covers Today

The Act's current "facility" definition, in force since 2019, reaches intermediate care facilities for developmental disabilities with 30 or more beds under the ID/DD Community Care Act, facilities under the MC/DD Act, long-term care facilities under the Nursing Home Care Act, and facilities or wings that provide housing specifically for individuals with dementia. It does not currently include assisted living establishments or shared housing establishments. For dementia-care facilities, the right is limited to rooms in buildings or wings dedicated entirely to dementia care.

An "electronic monitoring device" under the Act means a fixed-position video camera, an audio recording device, or a combination of the two. The Act bars using a device to take still photographs or to intercept private communications without consent.

The 2027 Assisted Living Expansion: What Changes and When

Public Act 104-0494, signed June 26, 2026, broadens the Act's "facility" definition to include assisted living establishments licensed under the Assisted Living and Shared Housing Act and expands the dementia-housing category, replacing "facility" with "facility or establishment" throughout the statute. That expansion is effective January 1, 2027, not today. As of the current date, an Illinois assisted living or shared housing resident has no right to authorized electronic monitoring under this Act.

One detail worth flagging for a family planning ahead: the amendment also exempts assisted living establishments from the Act's building-entrance signage requirement once the expansion takes effect, while the room-door notice ("This room is electronically monitored") still applies to every covered facility type.

Roommate Consent and Withdrawal

If a resident shares a room, the roommate, or that roommate's own surrogate, must give written consent on the same Department-prescribed form. Before a non-guardian surrogate can consent on a resident's behalf, the resident, if 18 or older, must be asked directly, in front of a facility employee, whether they want monitoring, with the device type and its recording implications explained to them first.

A roommate's consent can come with real conditions: prohibiting audio recording or broadcasting outright, or disabling recording during medical exams, bathing, or visits with an attorney, ombudsman, or spiritual advisor. Either the resident's consent or the roommate's consent can be withdrawn at any time. If a roommate refuses to consent at all, the facility must make reasonable efforts to accommodate the resident who wants monitoring, which can include a room transfer or a private room at the resident's expense.

If the resident lacks capacity and has not objected, a surrogate hierarchy applies in order: health care agent, then resident representative, then spouse, then parent, then adult child (with sibling consent), then adult sibling (with other siblings' consent).

Notice and Signage

A building-entrance sign, titled "Electronic Monitoring," must be posted at every visitor-accessible entrance, stating: "The rooms of some residents may be monitored electronically by or on behalf of the residents." Separately, each monitored resident's own room entrance must display: "This room is electronically monitored." The facility bears full responsibility for installing and maintaining all required signage, a different cost allocation than the device itself, which the resident pays for.

Who Pays for the Device

The resident bears the cost of purchase, installation, maintenance, and removal, and must independently arrange internet service if using an internet-connected device. The facility must make reasonable efforts to support installation, such as providing access to telecom infrastructure, and bears the burden of proving that an accommodation is not feasible if it tries to refuse one. The facility may not charge for electricity. Installations must meet current NFPA 101 Life Safety Code standards, and the device must be visibly placed.

Illinois also runs a dedicated low-income assistance program: the Department must help Medicaid residents access authorized electronic monitoring, with up to $50,000 a year available statewide to purchase and install devices for qualifying residents.

Dissemination of Recordings

A facility cannot view a resident's recordings without written permission from the resident or their representative. Recordings may only be shared for the purpose of addressing a resident's health, safety, or welfare, except when required by the Freedom of Information Act. On request, the resident or representative must provide copies to parties in a civil, criminal, or administrative proceeding for the relevant time period.

Tampering and Obstruction Penalties

Knowingly hampering, obstructing, tampering with, or destroying a monitoring device, or a lawfully obtained recording, without consent, is a Class B misdemeanor at baseline, a Class A misdemeanor if done to commit or conceal a misdemeanor, and a Class 4 felony if done to commit or conceal a felony. Turning off a device, or blocking its view, at the resident's or a consenting person's own direction, is not a violation.

Using Recordings as Evidence

Recordings may be admitted into evidence in a civil, criminal, or administrative proceeding if they are unedited, unenhanced, and, for video, show a date and time stamp. The facility is shielded from civil or criminal liability connected to a resident's or representative's disclosure of a recording for a purpose the Act does not authorize, and for privacy claims arising from monitoring that otherwise complies with the Act.

The Nursing Home Care Act reinforces this right directly in the general resident bill of rights: "A resident shall be permitted to conduct authorized electronic monitoring of the resident's room through the use of electronic monitoring devices placed in the room pursuant to the [Authorized Electronic Monitoring in Long-Term Care Facilities] Act." If footage from an Illinois facility appears to show abuse or neglect, it can support a report and a civil claim.

Camera vs. Microphone: Illinois's All-Party Consent Law

This is the sharpest audio-stakes state in this group. Illinois is a two-party, or all-party, consent state generally: see Illinois Recording Laws for the full framework, which was substantially narrowed in 2014 after the Illinois Supreme Court struck down the prior eavesdropping statute as overbroad. The current version bars recording a conversation where a reasonable expectation of privacy exists and no party has consented.

A device installed through 210 ILCS 32's own written-consent and signage process is authorized under both statutes at once, because the resident and any roommate have already consented. The real exposure is a covert device, one installed outside the Act's process, or one that captures a staff member's or visitor's conversation where no participant consented. That combination, all-party consent plus an in-room device, is a materially higher-stakes overlay in Illinois than in the one-party states covered elsewhere in this series.

Installing a Camera in an Illinois Long-Term Care Facility

1. Confirm the facility is currently covered. Today that means a nursing home, an ICF-DD or MC/DD Act facility, or a dementia-dedicated unit, not assisted living until 2027.
2. Complete the Department-prescribed consent form for the resident and, if applicable, ask the capacitated resident directly before a surrogate consents.
3. Obtain written roommate consent, including any conditions on audio or specific activities.
4. Budget for the device, installation, maintenance, and internet service if applicable; ask about the Medicaid low-income assistance program if cost is a barrier.
5. Confirm signage is posted at the building entrance and the resident's room door, both the facility's responsibility.

If You Suspect Abuse or Neglect

Illinois residents and families can report suspected abuse or neglect to the facility, to the Illinois Department of Public Health, or to the state's Long-Term Care Ombudsman program. That federally created ombudsman program, operating in every state under the Older Americans Act, investigates complaints about action or inaction that may adversely affect a resident's health, safety, welfare, or rights, and it covers assisted living residents too, even ahead of the Act's own 2027 assisted-living expansion.

Related Resources

• Nursing Home Camera Laws by State covers the national picture across all 18 statute states.
• Illinois Recording Laws covers Illinois's general all-party consent rule for audio recording.
• Nursing Home Abuse & Neglect covers how an abuse or neglect claim works once evidence, including camera footage, is in hand.

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Last updated: 2026-08-14.