Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 57 - Residential Care Facilities › Rule 481-57.44 - Respite Care Services

Current through Register Vol. 47, No. 3, July 24, 2024
"Respite care services" means an organized program of
				  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. "Respite care services" does not include crisis stabilization services
				  provided pursuant to 2014 Iowa Acts, chapter 1044 (to be codified at Iowa Code
				  section 225C. 19A). "Respite care individual" means a person receiving respite
				  care services. A residential care facility which chooses to provide respite
				  care services must meet the following requirements related to respite services
				  and must be licensed as a residential care facility. (II, III)
(1)
Length of stay.
Respite
				care may be provided for no more than 30 consecutive days and for a total of no
				more than 60 days in a consecutive 12-month period. The 12-month period begins
				on the first day of the respite care individual's stay at the facility. (II,
				III)
(2)
No separate
				license.
A residential care facility which chooses to provide respite
				care services is not required to obtain a separate license or pay a license
				fee.
(3)
Involuntary
				termination of respite services.
The facility may terminate the
				respite services for a respite care individual. Rule
				481-57.14
				(135C) shall not apply. The facility shall make proper arrangements for the
				welfare of the respite care individual prior to involuntary termination of
				respite services, including notification of the respite care individual's
				family or legal representative. (II, III)
(4)
Contract.
Pursuant to
				rule
				481-57.15
				(135C), the facility shall have a contract with each resident in the facility.
				When an individual is there for respite care services, the contract shall
				specify the time period during which the individual will be considered to be
				receiving respite care services. At the end of that period, the contract may be
				amended to extend that period of time. The contract shall specifically state
				that respite care services may be involuntarily terminated. The contract shall
				meet other requirements under rule
				481-57.15
				(135C), except the requirements under subrule 57.15(7). (II, III)
(5)
Admission as a resident.
a. An individual being cared for under a
				respite care contract shall not be considered an admission to the
				facility.
b. A respite care
				individual shall be included in the facility's census.
c. The facility shall not enter into multiple
				30-day contracts with an individual being cared for under a respite care
				contract in order to lengthen the individual's stay at the facility. (II,
				III)
d. If an individual being
				cared for under a respite care contract remains in the facility beyond 30
				consecutive days and is eligible for admission, the department shall consider
				the individual a resident in the facility. The facility shall follow all
				requirements for the individual's admission to the facility. (II,
				III)