Iowa Administrative Code

69.14(1) The department designates CARF as a recognized accrediting entity for programs. 69.14(2) To apply for designation by the department as a recognized accrediting entity for programs, an entity shall submit a letter of request, and its standards shall meet the applicable re…

by the department shall: 69.15(1) Provide the department a copy of all survey reports, including outcomes, quality improvement plans and annual conformance to quality reports generated or received, as applicable, within ten working days of receipt of the reports. 69.15(2) Notify …

69.16(1) An accredited program will continue to be recognized for certification by the department if both of the following requirements are met: a. The program complies with the requirements outlined in rule 481—69.15(231C). b. The program maintains its voluntary accreditation st…

69.17(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. 69.17(2) In order to transfe…

69.18(1) Before a building is constructed or remodeled for use in a new program, the state building code and fire safety bureau of the department shall review the construction documents and do fire inspections for compliance with requirements pursuant to this chapter. Constructio…

69.19(1) Before a building for a certified program is remodeled as defined in subrule 69.18(1), the building code bureau will review the construction documents for compliance with requirements set forth in rule 481—69.35(231C). 69.19(2) A certified program shall submit constructi…

requirements or may be voluntarily accredited by a recognized accreditation entity. 69.2(1) Posting requirements. A program’s current certificate shall be visibly displayed within the designated operation area of the program. The latest monitoring report, fire safety bureau repor…

69.20(1) At least 90 days in advance of cessation, the program shall provide to the department and the office of long-term care ombudsman written notification of the date on which the program will cease operation or decertify. 69.20(2) At the time a program decides to cease opera…

69.21(1) The occupancy agreement shall be in 12-point type or larger, written in plain language using commonly understood terms and be easy for the tenant or the tenant’s legal representative to understand. 69.21(2) In addition to the requirements of Iowa Code section 231C.5, the…

69.22(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 taking occupancy of a dwelling unit in order to determine the tenant’s eligibility for the …

69.23(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, two-person assistance with standing, transfer or evacuation; or c. Is dangerous to self or other tenants or staff, including …

69.24(1) Program initiation of transfer. The program shall comply with Iowa Code section 231C.6 and the following: a. The program will provide the tenant, or the tenant’s legal representative, the contact information for the office of long-term care ombudsman. b. The program will…

69.25(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 occupancy; name, address and telephone number of health professional(s); diagn…

69.26(1) A service plan shall be developed for each tenant based on the evaluations conducted in accordance with rule 481—69.22(231C) and be designed to meet the specific needs of the individual tenant. 69.26(2) Prior to the tenant’s signing the occupancy agreement and taking occ…

69.27(1) If a tenant does not receive personal or health-related care but an observed significant change in the tenant’s condition occurs, a nurse review shall be conducted. 69.27(2) If a tenant receives personal or health-related care, the program shall provide for a registered …

69.28(1) The program shall provide or coordinate with other community providers to provide a hot or other appropriate meal(s) at least once a day or arrange for the availability of meals. 69.28(2) Meals and snacks provided by the program but not prepared on site shall be obtained…

481—67.9(231B,231C,231D), the following requirements apply to staffing in programs. 69.29(1) Each tenant will have access to a 24-hour personal emergency response system that automatically identifies the tenant in distress and can be activated with one touch. 69.29(2) In lieu of …

69.3(1) The applicant shall complete an application packet obtained from the department’s 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; o…

69.30(1) All personnel employed by or contracting with a dementia-specific program shall receive a minimum of eight hours of dementia-specific education and training within 30 days of either employment or the beginning date of the contract, as applicable. 69.30(2) The dementia-sp…

have a managed risk policy that will be provided to the tenant along with the occupancy agreement and include: 69.31(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…

requirements. 69.32(1) The program shall submit to the department and follow written emergency policies and procedures, including: a. An emergency plan with procedures for natural disasters that is located for easy reference; b. Fire safety procedures; c. Other general or persona…

with the program, the following shall apply: 69.33(1) The vehicle will be accessible and appropriate to the tenants who use it, with consideration for any physical disabilities and impairments. 69.33(2) Every tenant transported will have a seat in the vehicle, except for a tenant…

following: 69.34(1) The program will provide appropriate activities for each tenant reflecting individual differences in age, health status, sensory deficits, lifestyle, ethnic and cultural beliefs, religious beliefs, values, experiences, needs, interests, abilities and skills by…

69.35(1) General requirements. a. The structure of the program will be designed and operated to meet the needs of the tenants. b. The buildings and grounds will be well-maintained, clean, safe and sanitary. c. Programs will have private dwelling units with a single-action, lockab…

exempt from the requirements in subrules 69.35(2) through 69.35(4) as follows: 69.36(1) For a program built in a family or neighborhood design: a. Each dwelling unit used for single occupancy will have a total square footage of not less than 150 square feet of floor area, excludi…

69.38(1) Within 30 days of a tenant’s admission to an assisted living program 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 …

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, or on request of the tenant as a trial of the program. An assisted living program that chooses to provide respite…

recertification of a nonaccredited program shall include the following: 69.4(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 in…

69.5(1) Upon receipt of all completed documentation, including building code and fire safety bureau approval and structural and evacuation review approval, the department will determine whether the proposed program meets applicable requirements. 69.5(2) If the department determin…

issued, suspended or revoked, certification of a program will expire at the end of the time period specified on the certificate. [ARC 0065D, IAB 2/4/26, effective 3/11/26]

program shall: 69.7(1) Submit one copy of the completed application, associated documentation, and the recertification fee as listed in Iowa Code section 231C.18 to the department at least 30 calendar days prior to the expiration of the program’s certification. 69.7(2) Submit add…

69.8(1) The department will review the application and associated documentation and fees. After all finalized documentation is received, including building code and fire safety bureau approval, the department will determine the program’s compliance with applicable requirements. 6…

applicant for certification or recertification of a program accredited by a recognized accrediting entity shall: 69.9(1) Submit a completed application packet obtained from the department health facilities division website at dia-hfd.iowa.gov; by mail from the Department of Inspe…

the administrative authority of the department pursuant to Iowa Code chapter 10A unless that licensing authority has separate rulemaking authority and has adopted governing rules. As used in this chapter: “Department” means the department of inspections, appeals, and licensing. “…

apply for credit for verified military education, training, or service toward any experience or educational requirement for licensure in accordance with Iowa Code chapter 272C by submitting a military service application form to the licensing authority. 7.2(1) The application may…

7.3(1) A veteran or spouse with an unrestricted professional license in another jurisdiction may apply for licensure in Iowa through reciprocity in accordance with Iowa Code chapter 272C. A veteran or spouse must pass any examinations required for licensure to be eligible for lic…

70.5(5) The department will make a final certification decision based on the results of the monitoring and review of an acceptable plan of correction. 70.5(6) The department will notify the program of a final certification decision within ten working days following the finalizati…

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

An application for certification or recertification of an accredited program shall comply with rule 481—70.4(231D) and include a copy of the current accreditation outcome from the recognized accrediting entity. [ARC 0066D, IAB 2/4/26, effective 3/11/26]

70.11(1) Within 20 working days of receiving all finalized documentation, including building code and fire safety bureau approval, the department will notify the accredited program whether the accredited program meets applicable requirements and whether certification will be issu…

70.12(1) To obtain recertification, an accredited program shall comply with rule 481—70.9(231D) at least 30 calendar days prior to the expiration of the program’s certification. 70.12(2) If the facility is in good standing, a full certification shall be issued for the term of the…

programs, which is available online at dia-hfd.iowa.gov/DIA_HFD/Home.do. [ARC 0066D, IAB 2/4/26, effective 3/11/26]

70.14(1) The department designates CARF as a recognized accrediting entity for programs. 70.14(2) To apply for designation by the department as a recognized accrediting entity for programs, an accrediting entity shall submit a letter of request and its standards shall meet the ap…

by the department shall: 70.15(1) Provide the department a copy of all survey reports including outcomes, quality improvement plans and annual conformance to quality reports generated or received, as applicable, within ten working days of receipt of the reports. 70.15(2) Notify t…

70.16(1) An accredited program will continue to be recognized for certification by the department if both of the following requirements are met: a. The program complies with the requirements outlined in rule 481—70.15(231D). b. The program maintains its voluntary accreditation st…

70.17(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. 70.17(2) In order to transfe…