Iowa Administrative Code

51.9(1) The hospital shall have an organized nursing service that provides complete and efficient nursing care to each patient. The authority, responsibility and function of each nurse shall be clearly defined. 51.9(2) Registered nurses shall utilize the nursing process in the pr…

herein by reference. For purposes of this chapter, unless the context otherwise requires, the following definitions apply: “Caretaker” means a person who is a staff member of a facility or program who provides care, protection, or services to a dependent adult voluntarily, by con…

52.2(1) The following persons shall report suspected dependent adult abuse in accordance with subrule 52.2(2): a. A staff member. Specifically excluded from the definition of “staff member” only for purposes of the requirements set forth in this subrule are individuals who have n…

52.3(1) Receipt and evaluation of reports. The department receives and evaluates reports of dependent adult abuse in facilities and programs. Upon receipt of a report, the department will conduct an intake sufficient to determine whether the allegation constitutes dependent adult…

facility or program, the facility or program shall separate the victim and the alleged perpetrator of dependent adult abuse immediately and maintain that separation until the department’s abuse investigation is completed and the abuse determination is made. Note: Facilities that …

52.5(1) Entering and examination of evidence. An inspector of the department may enter any facility or program without a warrant and may examine all records and items pertaining to residents, employees, former employees, and the alleged perpetrator of dependent adult abuse and an…

that subsequently employs a founded dependent adult abuser in accordance with Iowa Code section 235E.2(11). [ARC 9270C, IAB 5/14/25, effective 6/18/25] These rules are intended to implement Iowa Code chapter 235E. [Filed ARC 8294B (Notice ARC 7828B, IAB 6/3/09; Amended Notice ARC…

set out in Iowa Code section 135J.1 shall be considered to be incorporated verbatim in the rules. As used in this chapter: “Bereavement service” is emotional, psychosocial, and spiritual support and services provided before and after the death of the patient to assist with issues…

53.11(1) A registered nurse, social worker or health care administrator shall be designated to coordinate implementation of the plan of care for each patient. 53.11(2) The coordinator of patient care shall at least: a. Coordinate all aspects of patient care to ensure continuity, …

under the direction of a physician. Social work services must be based on the patient’s psychosocial assessment and the patient’s and family’s needs and acceptance of these services. 53.12(1) Education and experience. A qualified social worker is a person who: a. Has a master of …

illness, dying and loss. Counseling shall be provided in accordance with the plan of care. When the interdisciplinary team identifies the need for additional counseling services, a team member shall be designated to make an appropriate referral. No referrals may be made without t…

family needs. A coordinator of volunteer services shall be designated to implement written policies and procedures. Volunteers must be used in defined roles and under the supervision of a designated hospice employee. The hospice must maintain, document and provide volunteer orien…

families. 53.15(1) Spiritual counseling shall: a. Be based on the beliefs and values of the patient and family; and b. Be provided in accordance with the interdisciplinary plan of care. 53.15(2) If spiritual counseling is provided through a working relationship with clergy or oth…

required. Examples are hospice aide, therapy and respite. The following apply to the provision of all optional services provided by a hospice: 53.16(1) All service providers shall be oriented to the hospice concept and philosophy. 53.16(2) All services shall be provided in accord…

provision of all services. 53.17(1) Contracts shall be written and clearly delineate the authority and responsibility of each party to the contract. 53.17(2) The hospice shall maintain responsibility for coordinating and administering the hospice program. 53.17(3) Contracting for…

or area hospital which promotes continuation of the hospice plan of care and training for hospital staff who care for hospice patients. This rule is intended to implement Iowa Code section 135J.3(2).

death of a patient and shall be provided in accordance with family needs. 53.19(1) Bereavement services shall include: a. Exchange of information between people who provide bereavement services and team members who provided care before death; b. Consideration of the family’s situ…

Department of Inspections and Appeals, Division of Health Facilities, Lucas State Office Building, Des Moines, Iowa 50319. 53.2(1) Prior to the issuance of a license each hospice must meet all the requirements set forth in this chapter. 53.2(2) The applicant shall submit a nonref…

hospice shall maintain a centralized complete record on every individual receiving services. This record shall be preserved for at least six years following termination of services. 53.20(1) Each entry shall be dated and signed, including the name and title of the person who make…

support, enhance and protect the human, civil, constitutional and statutory rights of all patients. 53.3(1) Patient rights include, but are not limited to, the right to: a. Be treated with dignity and respect; b. Be informed of the type of care and the services provided by the ho…

people who represent the geographic area for which the hospice intends to provide service. 53.4(1) The governing body shall: a. Develop a written mission statement, goals and objectives for the hospice and meet with sufficient regularity to ensure accomplishment of those goals an…

for individual assessment of care provided, a process for identifying problems and a system to report findings and recommendations for improving the quality of care delivered to the governing body. 53.5(1) The medical director, patient coordinator and social worker used by the ho…

physician or physician assistant who is responsible for managing necessary medical care. The attending physician shall: 1. Have an active Iowa license pursuant to Iowa Code chapter 148 or 148C; 2. Certify in conjunction with the medical director that each person requesting admitt…

to practice medicine pursuant to Iowa Code chapter 148. The medical director shall: 1. Be a member of the interdisciplinary team; 2. Monitor the quality of care provided; 3. Assist in providing assurance of the quality of care provided to the patient and family; 4. Maintain liais…

based on assessments performed by team members. 53.8(1) The interdisciplinary team shall include, but is not limited to, the: a. Patient, to the extent the patient is able and willing to participate; b. Hospice patient’s family, to the extent the family is able and willing to par…

registered nurse who has a current Iowa license to practice nursing. The service shall be available 24 hours a day, seven days a week. 53.9(1) A registered nurse shall assess patient and family nursing needs and develop a nursing plan of care to meet these needs. 53.9(2) The nurs…

facilities in Iowa that demonstrate provision of the highest quality care to residents. Health care facilities eligible for nomination and selection must be licensed pursuant to Iowa Code chapter 135C.

“Community living training services” means those activities provided to assist a person to acquire or sustain the knowledge and skills essential to independent functioning to the person’s maximum potential in the physical and social environment. “Department” means the department …

January 1 of each year. The department shall accept nominations until March 1 of each year.

of a resident or another health care facility. A health care facility cannot nominate itself for the award; however, this prohibition shall not apply to facilities with common ownership. [ARC 1205C, IAB 12/11/13, effective 1/15/14]

contain but not be limited to the following information: 54.5(1) The reasons that the nominated facility should be considered. 54.5(2) Any unique or special care or services provided by the facility to its residents. Care or services include any unique or special nursing care, pe…

the material(s) provided in the nomination forms. The department shall also consider the following factors in making its selections: 54.6(1) The facility report card completed pursuant to Iowa Code section 135C.20A. 54.6(2) Any unique services provided by a facility to its reside…

facilities according to the above criteria. The ranked list of facilities shall be provided to the director for further review and consideration. When the final selection is made, no more than two facilities from each congressional district shall be recognized as award winners.

the department will tour all facilities still in contention to determine the winners. Each winning facility will receive a certificate in recognition of its designation as a quality health care provider. The winning facilities shall be announced and recognized annually. [ARC 6860…

herein by reference. As used in this chapter, unless the context otherwise requires, the following also apply: “Health care employment agency” does not include a recruitment firm that contracts with a health care entity to identify and screen potential candidates for hire and doe…

55.2(1) A health care employment agency or health care technology platform operating in the state shall register annually with the department and pay an annual registration fee of $500. A health care employment agency with multiple locations may complete one registration for all …

platform shall adhere to all requirements under Iowa Code section 135Q.2(2) or 135Q.3(2), as applicable, and do all of the following. 55.3(1) Verification of employment standards. A health care employment agency shall ensure that its agency workers comply with all applicable stat…

55.4(1) A health care employment agency or health care technology platform shall not restrict the employment opportunities of an agency worker or independent nursing services professional in accordance with Iowa Code section 135Q.2(3) or 135Q.3(3), as applicable. 55.4(2) Subrule …

55.5(1) Document retention. A health care employment agency or health care technology platform shall maintain documentation in its files regarding each agency worker’s or independent nursing services professional’s compliance, as applicable, with minimum licensing, certification,…

55.6(1) Complaints. a. The process for filing a complaint is as follows: (1) Any person with a concern regarding the operation of a health care employment agency may file a complaint at the department’s physical location, complaint hotline, or website, as follows: Physical addres…

55.7(1) Initiation of investigations. Investigations may be initiated because of a complaint or other information received by the department or upon referral from other agencies. If the department determines there is probable cause to believe that a health care employment agency …

violates Iowa Code chapter 135Q will be subject to monetary penalties, denial or revocation of registration, and other penalties as described in Iowa Code section 135Q.4. [ARC 6711C, IAB 11/30/22, effective 1/4/23; ARC 9022C, IAB 3/19/25, effective 4/23/25]

55.9(1) Public disclosure. The following records are open and available for inspection: a. Registration forms and accompanying materials; b. Final findings of the department’s investigations; c. Official notices of penalties; and d. Any records required to be submitted to the dep…

557, and in addition to the definitions found in Iowa Code sections 124.101 and 155A.3, the following definitions apply: “3PL” means third-party logistics. “ACPE” means the Accreditation Council for Pharmacy Education. “AMDS” means an automated medication dispensing system. “Boar…

by reference into these rules. [ARC 9337C, IAB 6/11/25, effective 7/16/25; see Delay note at end of chapter]

551.10(1) License types. Licensed pharmacy types include: a. General pharmacy. b. Hospital pharmacy. c. Telepharmacy. d. Limited-use pharmacy. e. Nonresident pharmacy. 551.10(2) License fee and duration. The license fee is $135, and the license will expire annually on December 31…

551.11(1) Registration for independent activities. A separate registration will be necessary for each separate independent activity as provided in 21 CFR §1301.13 amended to April 11, 2022. 551.11(2) Separate registrations for separate locations. a. A separate registration will b…

551.12(1) Permit fee and duration. The permit fee is $180, and the permit will expire annually on December 31. 551.12(2) Exemptions. A permit is not required for the distribution of exempt chemical mixtures or for transactions deemed excluded by 21 CFR Part 1310 as amended on Oct…

551.13(1) License standards. a. To be eligible for licensure as a wholesale distributor, each application will include evidence of: (1) Surety bond or equivalent security pursuant to the DSCSA. (2) Current drug distributor accreditation by NABP, NCDQS, or another accreditation bo…