Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 57 - Residential Care Facilities › Rule 481-57.15 - Residency Agreement

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Each
				residency agreement shall:
a. State the base
				rate or scale per day or per month, the services included, and the method of
				payment. (Ill)
b. Contain a
				complete schedule of all offered services for which a fee may be charged in
				addition to the base rate. (Ill) Furthermore, the agreement shall:
(1) Stipulate that no further additional fees
				shall be charged for items not contained in the complete schedule of services;
				(III)
(2) State the method of
				payment for additional charges; (III)
(3) Contain an explanation of the method of
				assessment of such additional charges and an explanation of the method of
				periodic reassessment, if any, resulting in changing such additional charges;
				(III)
(4) State that additional
				fees may be charged to the resident for nonprescription drugs, other personal
				supplies, and services provided by a barber, beautician, and such.
				(Ill)
c. Contain an
				itemized list of services to be provided to the resident based on an assessment
				at the time of the resident's admission and in consultation with the
				administrator and including the specific fee the resident will be charged for
				each service and the method of payment. (Ill)
d. Include the total fee to be charged
				initially to the resident. (Ill)
e.
				State the conditions whereby the facility may make adjustments to its overall
				fees for resident care as a result of changing costs. (II, III) Furthermore,
				the agreement shall provide that the facility shall give:
(1) Written notification to the resident, or
				the responsible party when appropriate, of changes in the overall rates of both
				base and additional charges at least 30 days prior to the effective date of
				such changes; (II, III)
(2)
				Notification to the resident, or the responsible party when appropriate, of
				changes in additional charges, based on a change in the resident's condition.
				Notification must occur prior to the date such revised additional charges
				begin. If notification is given orally, subsequent written notification must
				also be given within a reasonable time, not to exceed one week, listing
				specifically the adjustments made. (II, III)
f. State the terms of agreement in regard to
				a refund of all advance payments in the event of the transfer, death, or
				voluntary or involuntary discharge of the resident. (II, III)
g. State the terms of agreement concerning
				the holding of and charging for a bed when a resident is hospitalized or leaves
				the facility temporarily for recreational or therapeutic reasons. The terms
				shall contain a provision that the bed will be held at the request of the
				resident or the resident's responsible party. (II, III)
(1) The facility shall ask the resident or
				responsible party whether the resident's bed should be held. This request shall
				be made before the resident leaves or within 48 hours after the resident
				leaves. The inquiry and the response shall be documented. (II, III)
(2) The facility shall inform the resident or
				responsible party that, when requested, the bed may be held beyond the number
				of days designated by the funding source, as long as payments are made in
				accordance with the agreement. (II, III)
h. State the conditions under which the
				involuntary discharge or transfer of a resident would be effected. (II,
				III)
i. Set forth any other matters
				deemed appropriate by the parties to the agreement. No agreement or any
				provision thereof shall be drawn or construed so as to relieve any health care
				facility of any requirement or obligation imposed upon it by this chapter or
				any standards or rules in force pursuant to this chapter. (II, III)