Iowa Administrative Code

58.7(1) Separate licenses may be issued for distinct parts of a health care facility which are clearly identifiable, containing contiguous rooms in a separate wing or building or on a separate floor of the facility and which provide care and services of separate categories. 58.7(…

58.8(1) Each nursing facility shall have one person in charge, duly licensed as a nursing home administrator or acting in a provisional capacity. (III) 58.8(2) A licensed administrator may act as an administrator for not more than two nursing facilities. a. The distance between t…

58.9(1) The licensee shall: a. Assume the responsibility for the overall operation of the nursing facility; (III) b. Be responsible for compliance with all applicable laws and with the rules of the department; (III) c. Establish written policies, which shall be available for revi…

and 272C.4, the board shall, upon receipt of a complaint or upon its own motion, review and investigate alleged acts or omissions that the board reasonably believes constitute cause under applicable law or administrative rule for licensee or registrant discipline. Pursuant to Iow…

board from the commissioner of insurance, insurance carriers, licensees or registrants involving adverse judgments in a professional malpractice action, and settlement of claims alleging malpractice shall be reviewed and investigated by the board in the same manner as is prescrib…

580.11(1) Pursuant to Iowa Code sections 147.135, 272C.8 and 272C.6(3)“b,” a person shall not be civilly liable in relation to the following: a. Filing a report or complaint with the board; b. Disclosing to the board, its agents or employees, whether or not pursuant to a subpoena…

580.2(1) Complaints should be filed with department staff associated with the board. Complaints may be filed via the board’s online database or via complaint form by email, by fax, by mail, or in person. Contact information for the board is available on the department’s website. …

272C.4, the board may authorize department staff to investigate the allegations of a complaint to determine whether probable cause exists. [ARC 8994C, IAB 3/5/25, effective 4/9/25]

153.33(3)“d” and 272C.6(3), the board has the authority to issue an investigatory subpoena to compel the production of evidence deemed necessary in connection with the investigation of a complaint. A subpoena issued by the board in connection with such investigation may compel th…

board to discuss a pending investigation. By electing to participate in the board appearance, the licensee or registrant waives any objection to a board member’s both participating in the appearance and later participating as a decision maker in a contested case proceeding on the…

complaint for peer review, investigation and report by another licensee, another registrant or a committee established by the board for such purpose. 580.6(1) The board shall determine which licensee, registrant, or peer review committee will review a case involving a dentist or …

580.7(1) A licensee or registrant who serves as a peer reviewer shall comply with the requirements imposed by Iowa Code sections 22.7 and 272C.6 and rule 481—580.9(272C). 580.7(2) The board may provide investigative and related services to designated peer reviewers. 580.7(3) Desi…

481—Chapter 506. [ARC 8994C, IAB 3/5/25, effective 4/9/25]

580.9(1) Complaint and investigation files, all other investigation reports and all other information in the possession of the board or peer reviewers acting under the authority of the board, its employees or its agents that relate to licensee or registrant discipline shall be su…

581.1(1) The board has the authority to impose discipline pursuant to Iowa Code title IV, Iowa Code chapter 272C, Iowa Code sections 147.55 and 153.34, and the rules promulgated thereunder. 581.1(2) The board may impose one or more methods of disciplinary action in accordance wit…

determining the nature and severity of the disciplinary action to be imposed in accordance with Iowa Code section 272C.15: 1. The relative seriousness of the violation as it relates to ensuring the citizens of this state a high standard of professional care. 2. The facts of the p…

272C and sections 147.55, 153.32, 153.34 and 272C.15 and other applicable sections of Iowa law shall constitute grounds for the imposition by the board of disciplinary action pursuant to rule 481—581.1(147,153,272C). This rule is not subject to waiver pursuant to 481—Chapter 6 or…

of a person who is in default or is delinquent on repayment or a service obligation under federal or state postsecondary educational loans or public or private services-conditional postsecondary tuition assistance solely on the basis of such default or delinquency. [ARC 8995C, IA…

conduct tuberculosis screening for health care workers in health care facilities and hospitals and for residents of health care facilities regulated by the department. [ARC 3930C, IAB 8/1/18, effective 9/5/18]

trained to screen for TB and perform TB testing may screen for TB and perform TB testing. [ARC 3930C, IAB 8/1/18, effective 9/5/18] These rules are intended to implement Iowa Code sections 135B.7 and 135C.14. [Filed ARC 0484C (Notice ARC 0353C, IAB 10/3/12), IAB 12/12/12, effecti…

“Bacille Calmette-Guérin vaccination” or “BCG vaccination” means a vaccine for TB. BCG vaccination is used in many countries with a high prevalence of TB to prevent childhood tuberculosis meningitis and miliary disease. BCG vaccination is not generally recommended for use in the …

59.3(1) Annually, a health care facility or hospital shall conduct a TB risk assessment to evaluate the risk for transmission of M. tuberculosis, regardless of whether a person with suspected or confirmed TB disease is expected to be encountered in the facility or hospital. The T…

designated staff in a health care facility or hospital is responsible for determining the type of risk classification. The facility’s or hospital’s risk classification is used to determine frequency of serial TB screening. The facility or hospital risk classification may change d…

59.5(1) All HCWs shall receive baseline TB screening upon employment. Baseline TB screening consists of two components: (1) assessing for current symptoms of active TB disease and (2) testing using the two-step TST procedure or a single IGRA to screen for infection with M. tuberc…

59.6(1) Health care facilities or hospitals classified as low risk. After establishing baseline TB screening of HCWs, serial TB screening of HCWs is not necessary for health care facilities or hospitals classified as low risk. 59.6(2) Health care facilities or hospitals classifie…

59.7(1) HCWs transferring from a low-risk health care facility or hospital to another low-risk health care facility or hospital. HCWs with documentation of baseline TB screening who are transferring from a low-risk health care facility or hospital to another low-risk health care …

59.8(1) Baseline TB screening is a formal procedure to evaluate residents for LTBI and TB disease. Baseline TB screening consists of two components: (1) assessing for current symptoms of active TB disease, and (2) using the two-step TST procedure or a single IGRA to screen for in…

baseline TB screening is accomplished, serial TB screening of residents is not recommended. [ARC 3930C, IAB 8/1/18, effective 9/5/18]

6.1(1) Scope and applicability. Pursuant to Iowa Code section 17A.9A, this chapter outlines generally applicable standards and procedures for the waiver of rules adopted by the department. The intent of this chapter is to allow persons to seek exceptions to the application of rul…

481—6.1(10A,17A) shall contain all information specified therein. Unless the department provides a particular form or online portal for the submission of a petition for waiver, the petition is not required to conform to a particular format. The following form is provided as an ex…

incorporated by reference as part of this chapter. In addition, the following definition shall apply: “Responsible design professional” means a registered architect or licensed professional engineer who signs the documents submitted pursuant to rule 481—60.3(135C). [ARC 7036C, IA…

60.10(1) Definition of a service area. The size of a service area shall depend upon the number and types of beds within the supervised unit. A service area shall contain the following rooms or areas: (III) a. Dietetic service area, b. Janitor’s closet, c. Laundry area, d. General…

upon the needs of the facility. An administration and staff area shall contain the following rooms or areas (III): 1. An administration office. 2. An area containing storage for office equipment and supplies. This area shall be secure and contain work space for charting and recor…

within the facility to make personal calls. It shall also contain a separate bathroom for the public, including a toilet and sink. (III) [ARC 7036C, IAB 5/31/23, effective 7/5/23]

illness (memory care unit or facility). A memory care unit or facility shall be designed in accordance with the standards set forth in 661—Chapter 201. The following provisions shall also apply (III): 60.13(1) A memory unit or facility shall be designed so that residents, staff, …

located on other than the first floor shall have one or more electric or electrohydraulic elevators, as required. For purposes of this requirement, resident facilities include, but are not limited to, diagnostic, recreation, activity, resident dining, and therapy rooms or additio…

built in accordance with the following construction standards: 60.2(1) Construction shall be in conformance with 661—Chapter 201. 60.2(2) Construction shall be in conformance with 661—Chapter 301. Projects meeting the local building code shall be deemed to be in compliance with t…

60.3(1) Submissions of architectural technical documents, engineering documents, and plans and specifications to the state fire marshal’s office shall be as required by rule 661—300.4(103A) and are the responsibility of the owner of the building or facility, although the actual s…

60.4(1) Procedures in rule 481—57.2(135C) for requesting a waiver are incorporated by reference as part of this chapter. 60.4(2) Waivers are limited to the specific project under consideration and do not establish a precedent for similar acceptance in other cases. The type of lic…

60.5(1) When new construction or renovation, addition, functional alteration, change of space utilization, or conversion of an existing building is contemplated, the licensee or applicant for a license shall: a. File a detailed and comprehensive program of care, as set forth in r…

60.6(1) General provisions. a. Projects shall be constructed in compliance with 661—Chapter 201. Projects required to meet the provisions of the state building code shall be deemed to be in compliance with the fire safety requirements of the state building code if the residential…

60.7(1) Details and finishes shall be designed to provide a high degree of safety for the occupants by minimizing the opportunity for accidents. Hazards such as sharp corners shall be avoided. (III) 60.7(2) No door shall swing into the exit corridor except doors to spaces such as…

60.8(1) Facilities shall have a medication room that is well-lighted and has the following: (III) a. A drug cabinet; b. A work counter; c. Refrigerator storage; d. A chest or compartment with a lock for storage of Schedule II drugs as defined by Iowa Code chapter 124; and e. A si…

60.9(1) Where space is provided for multipurpose dining, activities, or recreational purposes, the area shall total at least 30 square feet per licensed bed for the first 100 beds and 27 feet per licensed bed for all beds in excess of 100. An open area of sufficient size shall be…

of this chapter. In addition, the following definition shall apply: “Responsible design professional” means a registered architect or licensed professional engineer who signs the documents submitted pursuant to rule 481—61.3(135C). [ARC 0763C, IAB 5/29/13, effective 7/3/13]

accordance with the following construction standards: 61.2(1) Construction shall be in conformance with 661—Chapter 205, Fire Safety Requirements for Hospitals and Health Care Facilities. Projects required to meet the provisions of the state building code shall be deemed to be in…

61.3(1) Submissions of architectural technical documents, engineering documents, and plans and specifications to the state fire marshal’s office shall be as required by rule 661—300.4(103A) and are the responsibility of the owner of the building or facility, although the actual s…

61.4(1) Procedures in rule 481—58.2(135C) for requesting a waiver are incorporated by reference as part of this chapter. 61.4(2) Certain resident populations, conditions in the area, or the site may justify waivers. In specific cases, waivers to the rules may be granted by the di…

61.5(1) When new construction or renovation, addition, functional alteration, change of space utilization, or conversion of an existing building is contemplated, the licensee or applicant for a license shall: a. File a detailed and comprehensive program of care, as set forth in r…

of the building. 61.6(1) General provisions. a. Projects shall be constructed in compliance with 661—Chapter 205, Fire Safety Requirements for Hospitals and Health Care Facilities. Projects required to meet the provisions of the state building code shall be deemed to be in compli…