Iowa Administrative Code

5/10/23.

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…

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. A facility which chooses to provide respite care services must meet the following requirements related to respite care serv…

64.7(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. 64.7(…

indicated in this chapter. The definitions set out in Iowa Code section 135C.1 shall be considered incorporated verbatim in the rules. The use of the words “shall” and “must” indicate these standards are mandatory. “Academic services” means those activities provided to assist a p…

following: 1. No resident shall be admitted or retained who is in need of greater services than the facility can provide. (II, III) 2. Residents shall be admitted only on a written order signed by a physician. (II, III) 3. A preplacement visit shall be completed prior to admissio…

tuberculin test no more than 30 days before admission and a physical examination annually after that. Each annual examination shall be sufficient to ensure the resident has no physical condition which precludes living in the facility. If the resident is admitted directly from a h…

hours of admission. This plan shall be based on information gained from the resident, family, physician or referring facility. Services to be provided shall be addressed. Intervention to be provided, if and when the need arises, shall also be addressed in the IPP. The plan shall …

directed by a person qualified as required by 65.9(3)“d.” 65.13(1) An activity program plan for the facility shall be based on needs identified in IPPs and on other interests expressed by residents. The activity program shall include leisure time management. (III) 65.13(2) Activi…

intervention. (II) These policies and procedures shall be: 1. Directed to maximizing the growth and development of the individual by incorporating a hierarchy of available alternative methods that emphasize positive approaches; (II, III) 2. Available in each program area and livi…

restraints or seclusion. (I, II, III) Restraints are defined as the following: 1. Type I is physical restraint which uses equipment to promote the safety of the individual. It is not applied directly to a person. Examples: divided doors and side rails. 2. Type II is mechanical re…

established and followed. (II, III) 65.16(1) Discharge plan. The decision to discharge a person and the plan for doing so shall be established through the participation of the resident, members of the interdisciplinary team and other resource personnel as appropriate for the welf…

person who is authorized by Iowa law to prescribe. (I, II) 1. Medication orders shall be correctly implemented by qualified personnel. (II) 2. Qualified staff shall ensure that residents are able to take their own medication. (I, II) 3. Each physician order allowing a resident to…

facility or any employee of the facility the right to manage, use, or dispose of any property of the resident except with the written authorization of the resident or the resident’s legal guardian. (II, III) 65.18(1) The admission of a resident shall not grant the ICF/PMI the aut…

the court may manage their personal financial affairs, and to the extent, under written authorization by the residents that the facility assists in management, the management shall be carried out in accordance with Iowa Code section 135C.24. (II) 65.19(1) Written account of resid…

applicant must comply with the rules and standards contained in Iowa Code chapter 135C and the standards in 481—Chapter 61. Waivers from 481—Chapter 61 regulations are allowed under rule 481—61.2(135C). An application must be submitted to the department which states the type and …

65.20(1) Resident record. The licensee shall keep a permanent record about each resident with all entries current, dated, and signed. (II) The record shall include: a. Name and previous address of resident; (III) b. Birth date, sex, and marital status of resident; (III) c. Church…

65.21(1) Physician. Each resident shall have a designated licensed physician who may be called when needed. (III) 65.21(2) Emergency care. Each facility shall have written policies and procedures for emergency medical or psychiatric care to include: a. A written agreement with a …

staffing. 1. The person responsible for planning menus and monitoring the kitchens in each facility shall have completed training, approved by the department, in sanitation and food preparation. (III) 2. In facilities licensed for over 15 beds, food service personnel shall be on …

65.23(1) Housekeeping. The facility shall have written procedures for daily and weekly cleaning (III) which include, but need not be limited to: a. All rooms including furnishings, all corridors, storage areas, linen closets, attics, and basements shall be kept in a clean, orderl…

are written and implemented which include at least provisions in subrules 65.25(1) to 65.25(21). These shall govern all services provided to staff, residents, their families or legal representatives. The policies and procedures shall be available to the public and shall be review…

incompetent residents devolve to the legal guardian when a hearing has been held and the resident is judged incompetent in accordance with state law. (II) A facility is not absolved from advising incompetent residents of their rights to the extent the resident is able to understa…

intermediate care facilities for persons with mental illness must also comply with department of human services rules 441—Chapter 37. Violation of any standard established by the department of human services is a Class II violation pursuant to 481—56.2(135C). This rule is intende…

the provisions in 481—Chapter 56, “Fining and Citations,” to enforce a fine to cite a facility.

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…

are clearly identifiable parts of a health care facility, containing contiguous rooms in a separate wing or building or on a separate floor of the facility, which provide care and services of separate categories. The following requirements shall be met for a separate licensing of…

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. A facility which chooses to provide respite care services must meet the following requirements related to respite care serv…

when: 1. The need for a waiver has been established consistent with the résumé of care or the resident’s individual program plan. 2. There is no danger to the health, safety, welfare or rights of any resident. 3. The waiver will apply only to a specific intermediate care facility…

65.5(1) A valid license shall be posted in each facility so the public can easily see it. (III) 65.5(2) Each license is valid only for the premises and person named on the license and is not transferable. 65.5(3) The posted license shall accurately reflect the current status of t…

hours, by letter, of any reduction or loss of personal care or dietary staff lasting more than seven days which places the staff ratio below that required for licensing. No additional residents shall be admitted until the minimum staff requirements are achieved. (II, III) 65.6(1)…

department or acting in a provisional capacity in accordance with these regulations. (II, III) 65.7(1) The administrator shall be at least 21 years of age and shall meet at least one of the following conditions: a. Be licensed in Iowa as a nursing home administrator, or certified…

65.8(1) The licensee shall: a. Be responsible for the overall operation of the ICF/PMI; (III) b. Be responsible for compliance with all applicable laws and with the rules of the department; (II, III) c. Establish written policies, which shall be available for review by the depart…

65.9(1) The personnel policies and procedures shall include the following requirements: a. Written job descriptions for all employees or agreements for all consultants, which include duties and responsibilities, education, experience, or other requirements, and supervisory relati…

medicine: “Acupuncture” means a form of health care developed from traditional and modern oriental medical concepts that employs oriental medical diagnosis and treatment, and adjunctive therapies and diagnostic techniques, for the promotion, maintenance, and restoration of health…

of Iowa Code chapters 147, 148, 148E, and 272C with regard to the practice of medicine and surgery, osteopathic medicine and surgery, and acupuncture. [ARC 9109C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]

650.3(1) The board: a. Makes policy relative to matters involving medical and acupuncture education, licensure, practice, and discipline. b. Conducts business according to board-approved policy. c. Elects a chairperson, vice chairperson and a secretary from its membership at the …

requests, should be addressed to the Executive Director, Iowa Board of Medicine, 6200 Park Avenue, Suite 100, Des Moines, Iowa 50321. [ARC 9109C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]

p.m., Monday through Friday of each week, except holidays. [ARC 9109C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]

meetings may be obtained from the board’s office or on the board’s website at dial.iowa.gov. Except as otherwise provided by statute, all board meetings are open, and the public is permitted to attend the meetings. [ARC 9109C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC…

following: 1. Uniform Rules on Agency Procedure, 7—Chapters 2501 through 2505. 2. Military Service, Veteran Reciprocity, and Spouses of Active-Duty Service Members, 481—Chapter 7. 3. Licensing and Child Support Noncompliance, Student Loan Repayment Noncompliance, and Nonpayment o…

“Board” means the Iowa board of medicine. “Online transaction fee” means a fee of $7 assessed by the board for completing an online purchase. The online transaction fee is in addition to the actual service provided. [ARC 9111C, IAB 4/16/25, effective 5/21/25; Editorial change: IA…

are not refundable except by board action in unusual instances. [ARC 9111C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]

not subject to waiver. [ARC 9111C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]

to cover the board’s expenses to monitor a licensee’s compliance with a settlement agreement or final decision and order. [ARC 9111C, IAB 4/16/25, effective 5/21/25; Editorial change: IAC Supplement 6/11/25]