Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 68 - Elder Group Homes › Rule 481-68.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
In addition to the definitions in 481-Chapter 67 and Iowa
				  Code chapter 231B, the following definitions apply.
"Applicable requirements"
means Iowa Code
				  chapter 231B, this chapter and 481-Chapter 67 and includes any other applicable
				  administrative rules and provisions of the Iowa Code.
"Change of ownership "
means the purchase,
				  transfer, assignment or lease of a certified elder group home and includes a
				  change in the management company responsible for the day-to-day operation of
				  the program, if the management company is ultimately responsible for any
				  enforcement action taken by the department.
"Committee"
means a resident advocate
				  committee established by 321-Chapter 9.
"Elder "
means a person 60 years of age or
				  older.
"Elder group home "
or
"EGH"
means a single-family residence that is operated by a person who is providing
				  room, board, and personal care and may provide health-related services to three
				  through five elders who are not related to the person providing the service
				  within the third degree of consanguinity or affinity and that is staffed by an
				  on-site manager 24 hours per day seven days per week.
"Household occupant"
means a tenant and all
				  others who reside in the EGH.
"In the proximate area"
means located within
				  a five minutes or less response time.
"Maximal assistance with activities of daily
				  living"
means routine total dependence on staff for the performance of
				  a minimum of four activities of daily living for a period that exceeds 21
				  days.
"Medically unstable "
means that a tenant
				  has a condition or conditions:
1. Indicating physiological frailty as determined by the
				  program's staff in consultation with a physician or physician extender;
2. Resulting in two or more significant hospitalizations
				  within a consecutive three-month period for more than observation; and
3. Requiring supervision by a registered nurse more than once
				  a week of the tenant for more than 21 days.
For example, a tenant who has a condition such as congestive
				  heart failure which results in two or more significant hospitalizations during
				  a quarter and which requires that the tenant receive frequent supervision may
				  be considered medically unstable.
"On-site manager"
means the person on duty
				  responsible for direct supervision or provision of tenant care. The on-site
				  manager may be any household occupant over 18 years of age, except a tenant,
				  who is qualified to perform the necessary duties.
"Personal care provider"
means an individual
				  who, in return for remuneration, assists with the essential activities of daily
				  living which the tenant can perform personally only with difficulty.
"Program"
means an elder group home.
"Unmanageable incontinence "
means a
				  condition that requires staff provision of total care for an incontinent tenant
				  who lacks the ability to assist in bladder or bowel continence care.
"Unmanageable verbal abuse "
means repeated
				  verbalizations against tenants or staff that persist despite all interventions
				  and that negatively affect the program. "Unmanageable verbal abuse" includes
				  but is not limited to threats, frequent use of profane language, or unwelcome
				  sexually oriented remarks.
"Usable floor space "
means open floor space
				  that is not under fixtures, furniture or other barriers and is available for
				  walking or wheelchair use.