Iowa Administrative Code

procedures as set forth in this rule. The policies and procedures shall be available for review by the department, other agencies designated by Iowa Code section 135C.16(3), staff, residents, residents’ families or legal representatives, and the public and shall be reviewed by th…

57.13(1) General admission policies. a. Residents shall be admitted to a residential care facility only on a written order signed by a primary care provider, specifying the level of care, and certifying that the individual being admitted requires no more than personal care and su…

57.14(1) Involuntary discharge or transfer permitted. A facility may involuntarily discharge or transfer a resident for only one of the following reasons: a. Medical reasons; b. The resident’s welfare or that of other residents; c. Repeated refusal by the resident to participate …

representative nor a person who signed or cosigned the resident’s residency agreement, the term “responsible party” shall include the resident’s sponsoring agency, e.g., the department of human services, the U.S. Department of Veterans Affairs, a religious group, fraternal organi…

57.16(1) Each resident in a residential care facility shall have a designated primary care provider who may be contacted when needed. (II, III) 57.16(2) Each resident admitted to a residential care facility shall have a physical examination prior to admission. (II, III) a. If the…

57.17(1) Resident record. The licensee shall keep a permanent record on every resident admitted to the residential care facility, and all entries in the permanent record shall be current, dated, and signed. (III) The record shall include: a. Name and previous address of resident;…

57.18(1) A complete change of bed linen shall be provided at least once a week and more often if necessary. (III) 57.18(2) Residents shall receive sufficient supervision to promote personal cleanliness. (II, III) 57.18(3) Residents shall have clean clothing as needed. Clothing sh…

57.19(1) Drug storage. a. Residents who have been certified in writing by their primary care provider as capable of taking their own medications may retain these medications in their bedroom, but locked storage must be provided, with staff and the resident having access. Monitori…

in accordance with 481—Chapter 6. A request for waiver will be granted or denied by the director within 120 calendar days of receipt. [ARC 1753C, IAB 12/10/14, effective 1/14/15; ARC 5719C, IAB 6/16/21, effective 7/21/21]

57.20(1) The residential care facility personnel shall assist residents in obtaining annual and emergency dental services and shall arrange transportation for such services. (III) 57.20(2) Dental services shall be performed only on the request of the resident, responsible party, …

57.21(1) Dietary staffing. a. A minimum of one person directly responsible for food preparation shall successfully complete a course meeting the requirements for a food protection program included in the Food Code adopted pursuant to Iowa Code chapter 137F. Another course may be …

57.22(1) Orientation. Within 24 hours of admission, each resident shall receive orientation to the facility. The orientation program shall be documented in the resident’s file and shall include, but shall not be limited to, a review of the resident’s rights, the daily schedule, h…

57.23(1) Activities program. Each residential care facility shall provide an organized resident activities program for the group and for the individual resident which shall include suitable activities. The facility shall offer at least two organized evening group activities per w…

57.24(1) Each facility shall ensure that policies and procedures are written and implemented which include, at a minimum, the provisions of this rule and which govern all areas of service provided by the facility. These policies and procedures shall be available to staff, residen…

recognition of dignity and individuality, including privacy in treatment and in care for personal needs. (I, II) 57.25(1) Staff shall display respect for residents when speaking with, caring for, or talking about them, as constant affirmation of their individuality and dignity as…

persons of the resident’s choice, unless to do so would infringe upon the rights of other residents, and may send and receive personal mail unopened. (II) 57.26(1) Subject to reasonable scheduling restrictions, visiting policies and procedures shall permit residents to receive vi…

57.27(1) Each resident may participate in activities of social, religious, and community groups at the resident’s discretion unless contraindicated for reasons documented by the primary care provider or interdisciplinary team as appropriate in the resident’s record. (II) 57.27(2)…

57.28(1) Residents shall be permitted to keep reasonable amounts of personal clothing and possessions for their use while in the facility. The facility shall offer the resident the opportunity to have personal property itemized and documented on an inventory sheet upon the reside…

or conservator by the court may manage the resident’s own personal financial affairs. To the extent the facility assists in management, under written authorization by the resident, the management shall be carried out in accordance with Iowa Code section 135C.24. (II) 57.29(1) The…

57.3(1) Application and licensing—new facility or change of ownership. In order to obtain an initial residential care facility license for a facility not currently licensed as a residential care facility or for a residential care facility when a change of ownership is contemplate…

as provided by Iowa Code section 347B.5. (II) 57.30(1) Residents may not be used to provide a source of labor for the facility against their will. Approval by the primary care provider is required for all work programs. (I, II) 57.30(2) Residents who perform work for the facility…

room, if available, if requested by both parties, unless the primary care provider of one of the parties documents in the medical record specific reasons why such an agreement would have an adverse effect on the health of the resident. (II) [ARC 1753C, IAB 12/10/14, effective 1/1…

times and shall be free from mental, physical, sexual, and verbal abuse, exploitation, neglect, and physical injury. (I, II) 57.32(1) Mental abuse includes, but is not limited to, humiliation, harassment, and threats of punishment or deprivation. (I, II) 57.32(2) Physical abuse i…

written policies that define the uses of physical restraints, designate the administrator or designee as the person who may authorize their use, establish a mechanism for monitoring and controlling their use, and provide staff with proper training. (I, II, III) 57.33(1) Temporary…

and maintenance of a safe environment for residents and personnel. (I, II, III) 57.34(1) Fire safety. a. All residential care facilities shall meet the fire safety rules and regulations as promulgated by the state fire marshal. (I, II) b. The size of the facility and needs of the…

57.35(1) Written procedures shall be established and implemented for daily and weekly cleaning schedules. (III) 57.35(2) Each resident room shall be cleaned on a routine schedule. (III) 57.35(3) All rooms, corridors, storage areas, linen closets, attics, and basements shall be ke…

57.36(1) Each facility shall establish a maintenance program to ensure the continued maintenance of the facility, to promote good housekeeping procedures, and to ensure sanitary practices throughout the facility. In facilities with more than 15 beds, the maintenance program shall…

57.37(1) All soiled linens shall be collected and transported to the laundry room in closed, leakproof laundry bags or covered, impermeable containers. (III) 57.37(2) Except for related activities, the laundry room shall not be used for other purposes. (III) 57.37(3) Procedures s…

57.38(1) All garbage shall be gathered, stored, and disposed of in a manner that will not permit transmission of disease, create a nuisance, or provide a breeding or feeding place for vermin or insects. (III) 57.38(2) All containers for refuse shall be watertight and rodent-proof…

57.39(1) Linen supplies. a. There shall be an adequate supply of linen so that each resident shall have at least three washcloths, hand towels, and bath towels per week. (III) b. A complete change of bed linens shall be available in the linen storage area for each bed. (III) c. S…

responsibility for the operation of the facility and for compliance with all applicable statutes, rules and regulations. [ARC 1753C, IAB 12/10/14, effective 1/14/15]

57.40(1) Buildings—general requirements. a. All windows shall be supplied with window treatments that are kept clean and in good repair. (III) b. Whenever glass sliding doors or transparent panels are used, they shall be marked conspicuously. (III) c. The facility shall meet the …

57.41(1) In facilities where the total occupancy of family, employees, and residents is more than five, separate bathing and toilet facilities shall be required for the family or employees distinct from such areas provided for the residents. (III) 57.41(2) In all facilities, if t…

approval of the department and under controlled conditions. (II, III) [ARC 1753C, IAB 12/10/14, effective 1/14/15]

business or activity in a health care facility or in the same physical structure of the facility, if the other business or activity is under the control of and is directly related to and incidental to the operation of the health care facility, or the business or activity is appro…

temporary supportive care provided for 24 hours or more to a person in order to relieve the usual caregiver of the person from providing continual care to the person. “Respite care services” does not include crisis stabilization services provided pursuant to 2014 Iowa Acts, chapt…

57.5(1) Separate licenses may be issued for distinct parts of a health care facility which are clearly identifiable, contain contiguous rooms, and provide separate categories of care and services. 57.5(2) The following requirements shall be met for separate licensing of a distinc…

57.6(1) Memory care. a. Designation and application. A residential care facility may choose to care for residents who require memory care in a distinct part of the facility or designate the entire residential care facility as one that provides memory care. Residents in the memory…

57.7(1) The license shall be displayed in the facility in a conspicuous place which is accessible to the public. (III) 57.7(2) The license shall be valid only in the possession of the licensee to whom it is issued. 57.7(3) The posted license shall accurately reflect the current s…

term care ombudsman appointed in accordance with Iowa Code section 231.45 shall operate within the scope of the rules for volunteer ombudsmen promulgated by the office of the long-term care ombudsman and the Iowa department on aging. [ARC 1753C, IAB 12/10/14, effective 1/14/15]

57.9(1) Thirty days before any proposed change in the residential care facility’s functional operation or addition or deletion of required services; (III) 57.9(2) Thirty days before the beginning of the renovation, addition, functional alteration, change of space utilization, or …

“ACC” means the anesthesia credentials committee of the board. “Accredited school” means a dental, dental hygiene, or dental assisting education program accredited by the American Dental Association Commission on Dental Accreditation. “Active patient” means a person whom the lice…

health, safety, and welfare by administering, interpreting, and enforcing the provisions of law that relate to the practice of dentistry, dental hygiene, and dental assisting. In pursuit of this mission, the board performs these primary functions: 570.2(1) Administers examination…

570.3(1) The board shall be composed in accordance with Iowa Code sections 147.14(1)“c” and 147.19. 570.3(2) A simple majority of the members of the board shall constitute a quorum for the purpose of conducting business. 570.3(3) The board and dental hygiene committee shall elect…

570.4(1) The dental hygiene committee is composed in accordance with Iowa Code sections 147.14(1)“c” and 153.33A. A simple majority of the members of the committee constitutes a quorum for the purpose of conducting business. 570.4(2) Pursuant to Iowa Code section 153.33A, the com…

570.5(1) Pursuant to Iowa Code chapter 272C and section 153.33, the board may establish and utilize ad hoc advisory committees to conduct business. The board chairperson may appoint committee members and chairpersons. a. The board should annually review its committees to determin…

570.6(1) The board and dental hygiene committee may hold meetings as needed or as requested by the chairperson, the vice chairperson, or a majority of the board or committee. 570.6(2) Written notices stating the time and place of the meetings shall be provided consistent with Iow…

following: 570.7(1) Uniform Rules on Agency Procedure, 481—Chapter 2, 481—Chapter 3, 481—Chapter 4, 481—Chapter 5, 481—Chapter 6. 570.7(2) Military Service, Veteran Reciprocity, and Spouses of Active-Duty Service Members, 481—Chapter 7. 570.7(3) Licensing and Child Support Noncom…

and does not receive an appropriation from the general fund. Pursuant to Iowa Code section 147.80, the department is required to annually prepare an estimate of projected revenues and expenses to ensure that there are sufficient funds to cover projected expenses. The department s…

571.10(1) The department will provide data and mailing lists in electronic format following receipt of payment. a. The standard mailing list includes active licensees, registrants, and resident licensees and faculty permit holders when applicable. b. The standard data list includ…