Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 51 - Hospitals › Rule 481-51.38 - Long-term Care Service

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Long-term care service definition.
Long-term care service
				means any building or distinct part of a building utilized by the hospital for
				the provision of a service (except as provided by 51.38(2) below) that falls
				within the definition of a health care facility as specified in Iowa Code
				chapter 135C and Iowa Code section
				135C.1(12),
				nursing facility, as it would be applied were it not operating as part of a
				hospital licensed under Iowa Code chapter 135B.
(2)
Long-term care service general
				requirements.
The general requirements for the hospital's long-term
				care service shall be the same as required by Iowa Code chapter 135C and the
				rules promulgated under its authority for the category of health care facility
				involved. Exceptions to those rules requiring distinct parts to be established
				may be waived where it is found to be in the best interest of the long-term
				care resident and of no detriment to the patients in the hospital.
Requests for waivers to other rules for which equivalent
				  health, safety and welfare provisions are provided may be made in accordance
				  with the appropriate health care facility rules. In any case where a distinct
				  part has been established for long-term residents or where the department has
				  given approval for the intermingling of such residents with acute care
				  patients, the same provisions and rules promulgated under Iowa Code chapter
				  135C shall be applicable. These rules include, but are not limited to, the same
				  restrictions, obligations, programs of care, personal and rehabilitative
				  services and all of the conveniences and considerations which the residents
				  would normally have received in a licensed health care facility.
(3)
Long-term care service
				staff.
The staffing requirements for the hospital's long-term care
				service shall be the same as required by Iowa Code chapter 135C and the rules
				promulgated under its authority for the category of health care facility
				involved. Where a hospital operates a freestanding nursing care facility, it
				shall be under the administrative authority of a licensed nursing home
				administrator who will be responsible to the hospital's administrator. Where a
				hospital operates a distinct part long-term care unit under the auspices of the
				hospital license, a licensed nursing home administrator is not
				required.
(4)
Long-term
				care service equipment and supplies.
The equipment and supplies
				required for the hospital's long-term care service shall be the same as
				required by Iowa Code chapter 135C and the rules promulgated under its
				authority for the category of health care facility involved.
(5)
Long-term care service
				space.
The space requirements for the various areas and resident rooms
				of the hospital's long-term care service shall be the same as required by Iowa
				Code chapter 135C and the rules promulgated under its authority for the
				category of health care facility involved.