Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following terms shall
				  have the meaning indicated in this chapter. The definitions set out in Iowa
				  Code section 135C.1 shall be considered to be
				  incorporated verbatim in the rules. The use of the words "shall" and "must"
				  indicates those standards are mandatory. The use of the words "should" and
				  "could" indicates those standards are recommended.
"Accommodation"
means the provision of
				  lodging, including sleeping, dining, and living areas.
"Administrator"
means a person licensed
				  pursuant to Iowa Code chapter 147 who administers, manages, supervises, and is
				  in general administrative charge of a nursing facility, whether or not such
				  individual has an ownership interest in such facility, and whether or not the
				  functions and duties are shared with one or more individuals.
"Ambulatory"
means the condition of a person
				  who immediately and without aid of another is physically or mentally capable of
				  traveling a normal path to safety, including the ascent and descent of stairs
				  if applicable to the facility.
"Basement"
means that part of a building
				  where the finish floor is more than 30 inches below the finish grade.
"Board"
means the regular provision of
				  meals.
"Communicable disease"
means a disease
				  caused by the presence of viruses or microbial agents within a person's body,
				  which agents may be transmitted either directly or indirectly to other
				  persons.
"Department"
means the state department of
				  inspections and appeals.
"Distinct part"
means a clearly identifiable
				  area or section within a health care facility, consisting of at least a
				  residential unit, wing, floor, or building containing contiguous rooms.
"Medication"
means any drug including
				  over-the-counter substances ordered and administered under the direction of the
				  physician.
"Nonambulatory"
means the condition of a
				  person who immediately and without aid of another is not physically or mentally
				  capable of traveling a normal path to safety, including the ascent and descent
				  of stairs.
"Nourishing snack"
is defined as a verbal
				  offering of items, single or in combination, from the basic food groups.
				  Adequacy of the "nourishing snack" will be determined both by resident
				  interviews and by evaluation of the overall nutritional status of residents in
				  the facility.
"Person directed care environment"
means the
				  provision of care and services provided in a facility that promotes decision
				  making and choices by the resident, enhances the primary caregiver's capacity
				  to respond to each resident's needs, and promotes a homelike environment.
				  Examples of a person directed care environment include, but are not limited to,
				  the Green House concept, the Eden alternative, service houses and
				  neighborhoods.
"Personal care"
means assistance with the
				  activities of daily living which the recipient can perform only with
				  difficulty. Examples are assistance in getting in and out of bed, assistance
				  with personal hygiene and bathing, assistance with dressing, meal assistance,
				  and supervision over medications which can be self-administered.
"Potentially hazardous food"
means a food
				  that is natural or synthetic and that requires temperature control because it
				  is in a form capable of supporting the rapid and progressive growth of
				  infectious or toxigenic microorganisms, the growth and toxin production of
				  clostridium botulinum, or in raw shell eggs, the growth of salmonella
				  enteritidis. Potentially hazardous food includes an animal food (a food of
				  animal origin) that is raw or heat-treated; a food of plant origin that is
				  heat-treated or consists of raw seed sprouts; cut melons; and garlic and oil
				  mixtures that are not acidified or otherwise modified at a food processing
				  plant in a way that results in mixtures that do not support growth of
				  bacteria.
"Primary care provider"
means any of the
				  following who provide primary care and meet certification standards:
1. A physician who is a family or general
				practitioner or an internist.
2. An
				advanced registered nurse practitioner.
3. A physician assistant.
"Program of care"
means all services being
				  provided for a resident in a health care facility.
"Qualified intellectual disabilities
				  professional"
means a psychologist, physician, physician assistant,
				  registered nurse, educator, social worker, physical or occupational therapist,
				  speech therapist or audiologist who meets the educational requirements for the
				  profession, as required in the state of Iowa, and having one year's experience
				  working with persons with an intellectual disability.
"Qualified nurse"
means a registered nurse
				  or a licensed practical nurse, as defined in Iowa Code chapter 152.
"Rate"
means that daily fee charged for all
				  residents equally and shall include the cost of all minimum services required
				  in these rules and regulations.
"Responsible party"
means the person who
				  signs or cosigns the admission agreement required in
				  481-58.13 (135C) or the
				  resident's guardian or conservator if one has been appointed. In the event that
				  a resident does not have a guardian, conservator or other person signing the
				  admission agreement, the term "responsible party" shall include the resident's
				  sponsoring agency, e.g., the department of human services, the U.S. Department
				  of Veterans Affairs, religious groups, fraternal organizations, or foundations
				  that assume responsibility and advocate for their client patients and pay for
				  their health care.
"Restraints"
means any chemical, manual
				  method or physical or mechanical device, material, or equipment attached to the
				  resident's body that the individual cannot remove easily which restricts
				  freedom of movement or normal access to one's body.
"Substantial evening meal"
is defined as an
				  offering of three or more menu items at one time, one of which includes a high
				  protein such as meat, fish, eggs or cheese. The meal would represent no less
				  than 20 percent of the day's total nutritional requirements.