Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 69 - Assisted Living Programs › Rule 481-69.29 - Staffing

Current through Register Vol. 47, No. 3, July 24, 2024
In addition to the general starring requirements in rule
				  481-67.9
				  (231B,231C,231D), the following requirements apply to staffing in
				  programs.
(1) Each tenant shall have
				access to a 24-hour personal emergency response system that automatically
				identifies the tenant in distress and can be activated with one
				touch.
(2) In lieu of providing
				access to a personal emergency response system, a program serving one or more
				tenants with cognitive disorder or dementia shall follow a system, program, or
				written staff procedures that address how the program will respond to the
				emergency needs of the tenant(s).
(3) The owner or management corporation of
				the program is responsible for ensuring that all personnel employed by or
				contracting with the program receive training appropriate to assigned tasks and
				target population.
(4) A
				dementia-specific assisted living program shall have one or more staff persons
				who monitor tenants as indicated in each tenant's service plan. The staff shall
				be awake and on duty 24 hours a day on site and in the proximate area. The
				staff shall check on tenants as indicated in the tenants' service
				plans.
A non-dementia-specific assisted living program shall have
				  one or more staff persons who monitor tenants as indicated in each tenant's
				  service plan. The staff shall be able to respond to a call light or other
				  emergent tenant needs and be in the proximate area 24 hours a day on site. The
				  staff shall check on tenants as indicated in the tenants' service plans.
(5) All programs employing a new program
				manager after January 1, 2010, shall require the manager within six months of
				hire to complete an assisted living management class whose curriculum includes
				at least six hours of training specifically related to Iowa rules and laws on
				assisted living programs. Managers who have completed a similar training prior
				to January 1, 2010, shall not be required to complete additional training to
				meet this requirement.
(6) All
				programs employing a new delegating nurse after January 1, 2010, shall require
				the delegating nurse within six months of hire to complete an assisted living
				manager class or assisted living nursing class whose curriculum includes at
				least six hours of training specifically related to Iowa rules and laws on
				assisted living. A minimum of one delegating nurse from each program must
				complete the training. If there are multiple delegating nurses and only one
				delegating nurse completes the training, the delegating nurse who completes the
				training shall train the other delegating nurses in the Iowa rules and laws on
				assisted living. As of January 1, 2011, all programs shall have a minimum of
				one delegating nurse who has completed the training described in this
				subrule.
(7) The program shall
				notify the department in writing within ten business days of a change in the
				program's manager.