Iowa Administrative Code

Chapters 68, 69, and 70. “Accredited” means that the program has received accreditation from an accreditation entity. “Activities of daily living” means the following self-care tasks: bathing, dressing, grooming, eating, transferring, toileting, and ambulation. “Ambulatory” or “a…

procedure. 67.11(1) Complaints. The process for filing a complaint is as follows: a. Any person with concerns regarding the operation or service delivery of a program may file a complaint with the Department of Inspections, Appeals, and Licensing, Complaints Unit, 6200 Park Avenu…

67.12(1) Exit interview. The department will provide an exit interview pursuant to Iowa Code sections 231B.8 and 231C.8. 67.12(2) Final report. The department will issue the final report pursuant to Iowa Code sections 231B.8(2) and 231C.8(2). 67.12(3) Plan of correction. Within t…

pursuant to Iowa Code sections 231B.9A, 231C.9A, and 231D.9A in the following manner. 67.13(1) If not contesting. If the program does not seek an informal conference or contest the final report and civil penalty, if assessed, the program shall remit to the department the amount o…

67.14(1) Notice and request for hearing. The denial, suspension or revocation of a certificate shall be effected by delivering to the applicant or certificate holder by restricted certified mail or by personal service a notice setting forth the particular reasons for such actions…

67.15(1) Conditional certification. In lieu of denial, suspension or revocation of a certificate, the department may issue a conditional certificate for a period of up to one year. Notwithstanding subrule 67.14(4), a conditional certificate shall be issued only when regulatory in…

67.16(1) When civil penalties may be issued. Civil penalties may be issued when the director finds that any of the following has occurred: a. A program that does not comply with applicable requirements and the noncompliance results in imminent danger or a substantial probability …

Code chapter 17A and 7—Chapter 2506. [ARC 0063D, IAB 2/4/26, effective 3/11/26; Editorial change: IAC Supplement 8/5/26]

67.18(1) Definitions. The following definitions apply for the purposes of this rule. “Background check” or “record check” means criminal history, child abuse and dependent adult abuse record checks. “Comprehensive preliminary background check” means a criminal history check of al…

health or safety of tenants is in jeopardy and the tenants need to be removed from the program, the department will use the following procedures to ensure a safe and orderly transfer. 67.19(1) The department will notify HHS, the tenant advocate, the appropriate area agency on agi…

67.2(1) A program’s policies and procedures must meet the minimum standards set by applicable requirements. All programs shall have policies and procedures related to the following: a. Reporting of incidents, including allegations of dependent adult abuse on incident report forms…

67.20(1) A program may add an employee to the direct care worker registry by calling 515.281.4077 or by registering through the website at dia-hfd.iowa.gov. 67.20(2) A program shall complete and submit to the department a direct care worker registry application for each certified…

67.21(1) Public information. a. Public disclosure of findings. The program shall provide copies of the final report resulting from a monitoring in a prominent public place. Copies are available upon request from the Department of Inspections, Appeals, and Licensing, Adult Service…

67.3(1) To be treated with consideration, respect, and full recognition of personal dignity and autonomy. 67.3(2) To receive care, treatment and services that are adequate and appropriate. 67.3(3) To receive respect and privacy in the tenant’s medical care program. Personal and m…

designee shall be notified within 24 hours, or the next business day, by the most expeditious means available: 67.4(1) Of any accident causing major injury, including a substantial injury. a. “Major injury” is defined as any injury that: (1) Results in death; or (2) Requires admi…

67.5(1) If a program handles, stores, or administers controlled substances, the program shall be registered with the Iowa board of pharmacy as a care facility in accordance with 481—Chapter 551. 67.5(2) Each program shall follow its own written medication policy, including the fo…

67.6(1) A business or activity serving persons other than tenants of a program is allowed in a designated part of the physical structure in which the program is located if the other business or activity meets the requirements of applicable state and federal codes, administrative …

retention of a tenant in a program shall be filed in accordance with 7—Chapter 2504. [ARC 0063D, IAB 2/4/26, effective 3/11/26; Editorial change: IAC Supplement 8/5/26]

67.9(1) Number of staff. A sufficient number of trained staff shall be available at all times to fully meet tenants’ identified needs. 67.9(2) Emergency procedures. All program staff shall be able to implement the accident, fire safety, and emergency procedures. 67.9(3) Documenta…

231B, the following definitions apply: “Applicable requirements” means the requirements in Iowa Code chapter 231B, this chapter and 481—Chapter 67 and any other applicable administrative rules and provisions of the Iowa Code. “Household occupant” means a tenant and all others who…

68.10(1) Certification, unless conditionally issued, suspended or revoked, may be transferable. If the program’s certification has been conditionally issued, the department must approve a change of ownership prior to the transfer of the certification. 68.10(2) In order to transfe…

68.11(1) The program shall provide, at least 90 days in advance of cessation, unless there is some type of emergency, written notification to the department and the tenant advocate of the date on which the program will cease operation. 68.11(2) At the time a program decides to ce…

68.12(1) The occupancy agreement shall be in 12-point type or larger and written in plain language using commonly understood terms that are easy for the tenant or the tenant’s legal representative to understand. 68.12(2) In addition to the requirements of Iowa Code section 231B.5…

68.13(1) Evaluation prior to occupancy. A program shall evaluate each prospective tenant’s functional, cognitive and health status prior to the tenant’s signing the occupancy agreement and becoming a household occupant to determine the tenant’s eligibility for the program, includ…

68.14(1) Persons who may not be admitted or retained. A program shall not knowingly admit or retain a tenant who: a. Is bed-bound; or b. Requires routine, one-person assistance with standing, transfer or evacuation; or c. Is dangerous to self or other tenants or staff, including …

68.15(1) Program initiation of transfer. The program shall comply with Iowa Code section 231B.6 and provide notification to the tenant advocate by certified mail and the tenant’s treating physician, if any. 68.15(2) Transfer pursuant to results of monitoring or complaint or progr…

68.16(1) Documentation for each tenant shall be maintained by the program and include: a. An occupancy record including the tenant’s name, birth date, and home address; identification numbers; date of beginning participation; name, address and telephone number of health professio…

68.17(1) A service plan shall be developed for each tenant based on the evaluations conducted in accordance with subrules 68.13(1) and 68.13(2) and be designed to meet the specific needs of the individual tenant. 68.17(2) Prior to the tenant’s signing the occupancy agreement and …

observed significant change in the tenant’s condition occurs, a nurse review shall be conducted. If a tenant receives personal or health-related care, the program shall provide for a registered nurse or a licensed practical nurse via nurse delegation: 68.18(1) To monitor, at leas…

481—67.9(231B,231C,231D), the following requirements apply to staffing in programs: 68.19(1) The program will be staffed by an on-site manager 24 hours per day, seven days per week. 68.19(2) Personal care providers will have completed a home care aide training program that meets …

68.2(1) Certification. A program may obtain certification by meeting all applicable requirements. 68.2(2) Posting requirements. A program’s current certificate shall be visibly displayed within the designated operation area of the program. The latest monitoring report, fire safet…

have a managed risk policy that will be provided to the tenant along with the occupancy agreement and include: 68.20(1) An acknowledgment of the shared responsibility for identifying and meeting the needs of the tenant and the process for managing risk and for upholding tenant au…

with the program the following shall apply: 68.21(1) The vehicle will be accessible and appropriate to the tenants who use it, with consideration for any physical disabilities and impairments. 68.21(2) Every tenant transported will have a seat in the vehicle, except for a tenant …

68.22(1) Within 30 days of a tenant’s participation in an elder group home that receives reimbursement through the medical assistance program under Iowa Code chapter 249A, the program shall ask the tenant or the tenant’s personal representative whether the tenant is a veteran or …

requirements. 68.24(1) The program shall submit to the department and follow written emergency policies and procedures, including the following: a. An emergency plan, with procedures for natural disasters that is located for easy reference; b. Fire safety procedures; c. Other gen…

68.25(1) The EGH shall be safe, sanitary, well-ventilated, and properly lighted, heated, and cooled; and comply with all applicable state and local housing ordinances for family residences and with fire safety rules promulgated by the fire safety bureau. 68.25(2) In addition to m…

68.3(1) The applicant shall complete an application packet obtained from the department health facilities division website at dia-hfd.iowa.gov; by mail from the Department of Inspections, Appeals, and Licensing, Adult Services Bureau, 6200 Park Avenue, Des Moines, Iowa 50321; or …

an EGH shall include the following: 68.4(1) The names, addresses, and percentage of stock, shares, partnership or other equity interest of all officers, members of the board of directors and trustees, as well as stockholders, partners or any individuals who have greater than a 10…

68.5(1) Upon receipt of all completed documentation, including fire safety bureau approval and structural and evacuation review approval, the department will determine whether or not the proposed program meets applicable requirements. 68.5(2) If the department determines the prop…

revoked, certification of a program will expire at the end of the time period specified on the certificate. [ARC 0064D, IAB 2/4/26, effective 3/11/26]

68.7(1) Submit one copy of the completed application, including the information from rule 481—68.4(231B), associated documentation, and the recertification fee as listed in Iowa Code section 231B.17 to the department at the address stated in subrule 68.3(1) at least 90 calendar d…

68.8(1) The department will review the application and associated documentation and fees. If the application is incomplete, the department will contact the program to request the additional information. After all finalized documentation is received, including fire safety bureau a…

programs, which is available online at dia-hfd.iowa.gov. [ARC 0064D, IAB 2/4/26, effective 3/11/26]

[ARC 0065D, IAB 2/4/26, effective 3/11/26]

231C, the following definitions apply: “Applicable requirements” means the requirements in Iowa Code chapter 231C, this chapter, and 481—Chapter 67 and includes any other applicable administrative rules and provisions of the Iowa Code. “CARF” means the Commission on Accreditation…

An application for certification or recertification of an accredited program shall comply with rule 481—69.3(231C) and include a copy of the current accreditation outcome from the recognized accrediting entity. [ARC 0065D, IAB 2/4/26, effective 3/11/26]