Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following terms shall
				  have the meanings indicated in this chapter. The definitions set out in Iowa
				  Code section
				  135C.1 shall be
				  considered to be incorporated verbatim in the rules.
"Accommodation"
means the provision of
				  lodging, including sleeping, dining, and living areas.
"Administrator"
means a person approved by
				  the department who administers, manages, supervises, and is in general
				  administrative charge of a three- to five-bed residential care 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 person is physically and mentally
				  capable of traveling a normal path to safety, including the ascent and descent
				  of stairs.
"Basement"
means that part of a building
				  where the finish floor is more than 30 inches below the finish grade of the
				  building.
"Board"
means the regular provision of
				  meals.
"Change of ownership"
means the purchase,
				  transfer, assignment or lease of a licensed three- to five-bed residential care
				  facility.
"Communicable disease"
means a disease
				  caused by the presence within a person's body of a virus or microbial agents
				  which may be transmitted either directly or indirectly to other persons.
"Department"
means the state department of
				  inspections and appeals.
"Interdisciplinary team"
means the group of
				  persons who develop a single, integrated, individual program plan to meet a
				  resident's needs for services. The interdisciplinary team consists of, at a
				  minimum, the resident, the resident's legal guardian if applicable, the
				  resident's advocate if desired by the resident, a referral agency
				  representative, other appropriate staff members, other providers of services,
				  and other persons relevant to the resident's needs.
"Legal representative"
means the resident's
				  guardian or conservator if one has been appointed or the resident's power of
				  attorney.
"Mechanical restraint"
means restriction by
				  the use of a mechanical device of a resident's mobility or ability to use the
				  hands, arms or legs.
"Medication"
means any drug, including
				  over-the-counter substances.
"Nonambulatory"
means the condition of a
				  person who immediately and without the aid of another person is not physically
				  or mentally capable of traveling a normal path to safety, including the ascent
				  and descent of stairs.
"Personal care"
means assistance with the
				  activities of daily living which the recipient can perform only with
				  difficulty. Examples are help in getting in and out of bed, assistance with
				  personal hygiene and bathing, help with dressing and eating, and supervision
				  over medications which can be self-administered.
"Physical restraint"
means direct physical
				  contact on the part of a staff person to control a resident's physical activity
				  for the resident's own protection or for the protection of others.
"Primary care provider"
means any of the
				  following who provide primary care and meet licensure 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.
"Prone restraint"
means a restraint in which
				  a resident is in a face-down position against the floor or another
				  surface.
"Rate"
means that daily fee charged for all
				  residents equally and shall include the cost of all minimum services required
				  in these rules.
"Records"
includes electronic
				  records.
"Responsible party"
means the person who
				  signs or cosigns the residency agreement required by rule
				  481-63.12 (135C) or the
				  resident's legal representative. In the event that a resident has neither a
				  legal representative nor a person who signed or cosigned the resident's
				  residency 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, a religious group, fraternal organization, or foundation
				  that assumes responsibility and advocates for its client patients and pays for
				  their health care.
"Restraints"
means the measures taken to
				  control a resident's physical activity for the resident's own protection or for
				  the protection of others.
"Specialized residential care facility license
				  "
means a license for three- to five-bed residential care facilities
				  serving persons with an intellectual disability, chronic mental illness, a
				  developmental disability or brain injury.