reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.49 - Resident Property

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident may retain and use personal clothing and
				  possessions as space permits and provided such use is not otherwise prohibited
				  by these rules. (II)
(1) Residents
				shall be permitted to keep reasonable amounts of personal clothing and
				possessions for their use while in the facility. The personal property shall be
				kept in a safe location which is convenient to the resident. (II)
(2) Any personal clothing or possessions
				retained by the facility for the resident during the resident's stay shall be
				identified and recorded on admission and a record placed on the resident's
				chart. The facility shall be responsible for secure storage of the items, and
				they shall be returned to the resident promptly upon request or upon discharge
				from the facility. (II)
(3) A
				resident's personal property shall not be used without the written consent of
				the resident or the resident's guardian. (II)
(4) A resident's personal property shall be
				returned to the resident when it has been used without the written consent of
				the resident or the resident's guardian. The department may report findings
				that a resident's property has been used without written consent to the local
				law enforcement agency, as appropriate. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.50 - Family Visits

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident, if married, shall be ensured privacy for
				  visits by the resident's spouse; if both are residents in the facility, they
				  shall be permitted to share a room if available. (II)
(1) The facility shall provide for needed
				privacy in visits between spouses. (II)
(2) Spouses who are residents in the same
				facility shall be permitted to share a room, if available. (II)
(3) Family members shall be permitted to
				share a room, if available, if requested by both parties. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.51 - Choice of Physician and Pharmacy

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident shall be permitted free choice of a physician.
				  Each resident shall have the right to choose the resident's Medicare
				  prescription drug benefit plan (Part D) pursuant to Section 1860D of the Social
				  Security Act, and the facility shall utilize a pharmacy(ies) that recognizes
				  the Part D plans chosen by that facility's Medicare beneficiaries. Each
				  resident shall have free choice of pharmacy as to medications purchased by the
				  resident outside of Part D plan coverage, although the facility may require the
				  pharmacy selected to utilize a drug distribution system compatible with the
				  system currently used by the facility.
A facility shall not require the repackaging of medications
				  dispensed by the Veterans Administration or an institution operated by the
				  Veterans Administration for the purpose of making the drug distribution system
				  compatible with the system used by the facility. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.52 - Incompetent Resident

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Each
				facility shall provide that all rights and responsibilities of the resident
				devolve to the resident's responsible party when a resident is adjudicated
				incompetent in accordance with state law or, in the case of a resident who has
				not been adjudicated incompetent under the laws of the state, in accordance
				with
				42 CFR 483.10.
				This subrule is not intended to limit the authority of any individual acting
				pursuant to Iowa Code chapter 144A. (II)
(2) The fact that a resident has been
				adjudicated incompetent does not absolve the facility from advising the
				resident of these rights to the extent the resident is able to understand them.
				The facility shall also advise the responsible party, if any, and acquire a
				statement indicating an understanding of residents' rights. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.54 - Special Unit or Facility Dedicated to the Care of Persons With Chronic Confusion or a Dementing Illness (CCDI unit or facility)

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A nursing
				facility which chooses to care for residents in a distinct part shall obtain a
				license for a CCDI unit or facility. In the case of a distinct part, this
				license will be in addition to its nursing facility license. The license shall
				state the number of beds in the unit or facility. (III)
a. Application for this category of care
				shall be submitted on a form provided by the department. (III)
b. Plans to modify the physical environment
				shall be submitted to the department. The plans shall be reviewed based on the
				requirements of 481-Chapter 61. (III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.55 - Another Business or Activity in a Facility

Current through Register Vol. 47, No. 3, July 24, 2024
A facility is allowed to have another business or activity in
				  a health care facility or in the physical structure of the facility, if the
				  other business or activity meets the requirements of applicable state and
				  federal laws, administrative rules, and federal regulations.
To obtain the approval of the department and the state fire
				  marshal, the facility must submit to the department a written request for
				  approval which identifies the service(s) to be offered by the business and
				  addresses the factors outlined in paragraphs
"a"
through
"f"
of subrule 58.55(1). (I, II, III)
(1) The following factors will be considered
				by the department in determining whether a business or activity will interfere
				with the use of the facility by residents, interfere with services provided to
				residents, or be disturbing to residents:
a.
				Health and safety risks for residents;
b. Noise created by the proposed business or
				activity;
c. Odors created by the
				proposed business or activity;
d.
				Use of the facility's corridors or rooms as thoroughfares to the business or
				activity in regard to safety and disturbance of residents and interference with
				delivery of services;
e. Proposed
				staffing for the business or activity; and
f. Sharing of services and staff between the
				proposed business or activity and the facility.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.56 - Respite Care Services

Current through Register Vol. 47, No. 3, July 24, 2024
Respite care services means an organized program of temporary
				  supportive care provided for 24 hours or more to a person in order to relieve
				  the usual caregiver of the person from providing continual care to the person.
				  A nursing facility which chooses to provide respite care services must meet the
				  following requirements related to respite services and must be licensed as a
				  nursing facility.
(1) A nursing
				facility certified as a Medicaid nursing facility or Medicare skilled nursing
				facility must meet all Medicaid and Medicare requirements including
				42 CFR
				483.15, admission, transfer and discharge
				rights.
(2) A nursing facility
				which chooses to provide respite care services is not required to obtain a
				separate license or pay a license fee.
(3) Rule
				481-58.40 (135C) regarding
				involuntary discharge or transfer rights, does not apply to residents who are
				being cared for under a respite care contract.
(4) Pursuant to rule
				481-58.13 (135C), the facility
				shall have a contract with each resident in the facility. When the resident is
				there for respite care services, the contract shall specify the time period
				during which the resident will be considered to be receiving respite care
				services. At the end of that period, the contract may be amended to extend that
				period of time. The contract shall specifically state the resident may be
				involuntarily discharged while being considered as a respite care resident. The
				contract shall meet other requirements under
				481-58.13 (135C), except the
				requirements under subrule 58.13(7).
(5) Respite care services shall not be
				provided by a health care facility to persons requiring a level of care which
				is higher than the level of care the facility is licensed to provide.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.57 - Training of Inspectors

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				Subject to the availability of funding, all nursing facility inspectors shall
				receive 12 hours of annual continuing education in gerontology, wound care,
				dementia, falls, or a combination of these subjects.
(2) An inspector shall not be personally
				liable for financing the training required under subrule 58.57(1).
(3) The department shall consult with the
				collective bargaining representative of the inspector in regard to the training
				required under this rule.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 59 - Tuberculosis (TB) Screening › Rule 481-59.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The intent of this chapter is to outline requirements and
				  procedures to conduct tuberculosis screening for health care workers in health
				  care facilities and hospitals and for residents of health care facilities
				  regulated by the department.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 59 - Tuberculosis (TB) Screening › Rule 481-59.3 - Tb Risk Assessment

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				Annually, a health care facility or hospital shall conduct a TB risk assessment
				to evaluate the risk for transmission of
M. tuberculosis,
regardless of whether a person with suspected or confirmed TB disease is
				expected to be encountered in the facility or hospital. The TB risk assessment
				shall be utilized to determine the types of administrative, environmental, and
				respiratory protection controls needed and serves as an ongoing evaluation tool
				of the quality of TB infection control and for the identification of needed
				improvements in infection control measures.
(2) The TB risk assessment shall include the
				number of persons with infectious TB encountered in the facility or hospital
				that resulted in the facility's or hospital's conducting a contact
				investigation of exposed HCWs or patients during the previous 12
				months.
(3) TB cases include
				persons who had undiagnosed infectious pulmonary or laryngeal TB while in the
				facility or hospital during the preceding year. This does not include persons
				with LTBI (treated or untreated), persons with extrapulmonary TB disease, or
				persons with pulmonary and laryngeal TB who have met criteria for
				noninfectiousness.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 59 - Tuberculosis (TB) Screening › Rule 481-59.4 - Health Care Facility or Hospital Risk Classification

Current through Register Vol. 47, No. 3, July 24, 2024
The infection control team or designated staff in a health
				  care facility or hospital is responsible for determining the type of risk
				  classification. The facility's or hospital's risk classification is used to
				  determine frequency of serial TB screening. The facility or hospital risk
				  classification may change due to an increase or decrease in the number of TB
				  cases during the preceding year. The following criteria are consistent with
				  those of the Centers for Disease Control and Prevention (CDC), TB Elimination
				  Division, as outlined in the MMWR December 30, 2005/Vol.54/No.RR-17,
				  "Guidelines for Preventing the Transmission of
Mycobacterium
				  tuberculosis
in Health-Care Settings, 2005."
(1)
Types of risk
				classifications.
a. "Low risk" means
				that a facility or hospital is one in which persons with active TB disease are
				not expected to be encountered and in which exposure to TB is
				unlikely.
b. "Medium risk" means
				that a facility or hospital is one in which health care workers will or might
				be exposed to persons with active TB disease or to clinical specimens that
				might contain
M. tuberculosis.
c. "Potential ongoing transmission" means
				that a facility or hospital is one in which there is evidence of
				person-to-person transmission of
M. tuberculosis.
This
				classification is a temporary classification. If it is determined that this
				classification applies to a facility or hospital, the facility or hospital
				shall consult with the department of public health's TB control
				program.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 59 - Tuberculosis (TB) Screening › Rule 481-59.5 - Baseline Tb Screening Procedures for Health Care Facilities and Hospitals

Current through Register Vol. 47, No. 3, July 24, 2024
(1) All HCWs shall
				receive baseline TB screening upon employment. Baseline TB screening consists
				of two components:
(1) assessing for current
				symptoms of active TB disease and
(2) testing using the two-step TST procedure
				or a single IGRA to screen for infection with
M. tuberculosis.
If the first-step TST result is negative, the second stage of the two-step TST
				is recommended one to three weeks after the first TST result was read.
				Administration of the second stage of the two-step TST shall not exceed 12
				months after the first TST result was read. If initiation of the second stage
				of the two-step TST is greater than 12 months from when the first TST result
				was read, the two-step procedure must be restarted. If the first-step TST
				result is positive, it is not necessary to perform the second stage of the
				two-step TST.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 59 - Tuberculosis (TB) Screening › Rule 481-59.6 - Serial Tb Screening Procedures for Health Care Facilities and Hospitals

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Health
				care facilities or hospitals classified as low risk.
After
				establishing baseline TB screening of HCWs, serial TB screening of HCWs is not
				necessary for health care facilities or hospitals classified as low
				risk.
(2)
Health care
				facilities or hospitals classified as medium risk.
a. After establishing baseline TB screening,
				HCWs in health care facilities or hospitals classified as medium risk shall
				receive serial TB screening annually. However, an HCW with a previous positive
				TB test result shall only receive annual TB symptom screening in accordance
				with 59.5(5).
b. An HCW with a
				baseline positive or new positive test result for
M.
				tuberculosis
infection or documentation of previous treatment for LTBI
				or TB disease shall receive one chest radiograph result to exclude TB disease.
				Instead of participating in serial testing, HCWs should receive a symptom
				screen annually. This screen should be accomplished by educating HCWs about
				symptoms of TB disease and instructing HCWs to report any such symptoms
				immediately to the occupational health unit. Treatment for LTBI should be
				considered in accordance with CDC guidelines.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 59 - Tuberculosis (TB) Screening › Rule 481-59.8 - Baseline Tb Screening Procedures for Residents of Health Care Facilities

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Baseline TB
				screening is a formal procedure to evaluate residents for LTBI and TB disease.
				Baseline TB screening consists of two components:
(1) assessing for current symptoms of active
				TB disease, and
(2) using the
				two-step TST procedure or a single IGRA to screen for infection with
M.
				tuberculosis.
If the first-step TST result is negative, the second
				stage of the two-step TST is recommended one to three weeks after the first TST
				result was read. Administration of the second stage of the two-step TST shall
				not exceed 12 months after the first TST result was read. If the second stage
				of the two-step TST is greater than 12 months from when the first TST result
				was read, the two-step procedure must be restarted. If the first-step TST
				result is positive, it is not necessary to perform the second stage of the
				two-step TST.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 59 - Tuberculosis (TB) Screening › Rule 481-59.10 - Performance of Screening and Testing

Current through Register Vol. 47, No. 3, July 24, 2024
Any nurse licensed in Iowa and properly trained to screen for
				  TB and perform TB testing may screen for TB and perform TB
				  testing.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
Definitions in rules
				  481-57.1 (135C) and
				  481-63.1 (135C) are incorporated
				  by reference as part of this chapter. In addition, the following definition
				  shall apply:
"Responsible design professional"
means a
				  registered architect or licensed professional engineer who signs the documents
				  submitted pursuant to rule
				  481-60.3
				  (135C).
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.2 - General Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
Residential care facilities licensed under this chapter shall
				  be built in accordance with the following construction standards:
(1) Construction shall be in conformance with
				661-Chapter 201.
(2) Construction
				shall be in conformance with 661-Chapter 301. Projects meeting the local
				building code shall be deemed to be in compliance with the state building code
				provided that the local jurisdiction has established a building department, has
				adopted a building code by ordinance and enforces the local code through a
				system that includes both plan review and inspection.
(3) Nothing in these rules shall relieve a
				residential care facility from compliance with fire and building codes,
				ordinances and regulations that are enforced by a city, county, state or
				federal jurisdiction.
(4) Any
				alteration or installation of new equipment shall be accomplished as nearly as
				practical in conformance with all applicable codes, ordinances, regulations and
				standards required for new construction. Alteration or installation of new
				equipment shall not diminish the level of compliance with any codes,
				ordinances, regulations or standards below that existed prior to the
				alteration. Any feature that does not meet the requirement for new buildings
				but exceeds the requirement for existing buildings shall not be further
				diminished. Features that exceed requirements for new construction need not be
				maintained. In no case shall any feature be less than that required for
				existing buildings. (III)
(5)
				Existing residential care facilities built in compliance with prior versions of
				this chapter will be deemed in compliance, with the exception of any
				renovations, additions, functional alterations, changes of space utilization,
				or conversions to existing facilities for which construction documents are
				submitted pursuant to rule
				481-60.3 (135C) on or after July
				1, 2023, which shall meet the standards specified in this chapter. Conversion
				of a building or any of the parts not currently licensed as a nursing facility
				must meet the rules governing construction of new facilities.
(6) Final plan approval and final occupancy
				shall be given by the state fire marshal's office.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.3 - Submission of Construction Documents

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Submissions
				of architectural technical documents, engineering documents, and plans and
				specifications to the state fire marshal's office shall be as required by rule
				661-300.4 (103A) and are the
				responsibility of the owner of the building or facility, although the actual
				submission may be completed by an authorized agent of the owner or the
				responsible design professional.
(2) Plans, specifications and other
				supporting information shall be sufficiently clear and complete to show in
				detail that the proposed work will comply with the construction standards
				required by rule 481-60.2 (135C).
(3) Submittals to the state fire marshal's
				office shall be certified or stamped and signed as required by Iowa Code
				chapters 542B and 544A, unless the applicant has certified on the submittal to
				the applicability of a specific exception under Iowa Code section
				544A.18 and the submittal does
				not constitute the practice of engineering as defined by Iowa Code section
				542B.2.
(4) The responsible design professional shall
				certify that the building plans meet the requirements specified in this
				chapter, unless a waiver has been granted pursuant to rule
				481-60.4(135C).
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.4 - Waivers

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Procedures
				in rule 481-57.2 (135C) for requesting a
				waiver are incorporated by reference as part of this chapter.
(2) Waivers are limited to the specific
				project under consideration and do not establish a precedent for similar
				acceptance in other cases. The type of license, occupancy, and function of the
				building will be considered with respect to a request for waiver. In specific
				cases, waivers may be granted by the director after the following conditions
				are met:
a. The design and planning for the
				specific property offer improved or compensating features that provide
				equivalent desirability and utility;
b. Alternate or special construction methods,
				techniques, and mechanical equipment offer equivalent durability, utility,
				safety, structural strength and rigidity, sanitation, and odor control;
				protection from corrosion, decay and insect attack; and quality of workmanship;
				and
c. The health, safety or
				welfare of any resident is not endangered.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.5 - Additional Notification Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) When new
				construction or renovation, addition, functional alteration, change of space
				utilization, or conversion of an existing building is contemplated, the
				licensee or applicant for a license shall:
a.
				File a detailed and comprehensive program of care, as set forth in rule
				481-57.3(135C), which includes a description of the specific needs of the
				residents to be served, and any other information the department may require.
				(III)
b. Receive written approval
				from the state fire marshal's office before starting construction. The
				applicant is responsible for ensuring that construction proceeds according to
				approved plans and specifications.
c. Meet requirements for new construction if
				the project includes changes to structural and life safety components of the
				building or changes for accessibility of persons with disabilities. Only that
				portion of the building that is part of the project must meet requirements for
				new construction.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.6 - Construction Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
General provisions.
a.
				Projects shall be constructed in compliance with 661-Chapter 201. Projects
				required to meet the provisions of the state building code shall be deemed to
				be in compliance with the fire safety requirements of the state building code
				if the residential care facility is in compliance with the provisions of
				661-Chapter 205.
b. Projects shall
				be constructed in compliance with 661-Chapter 301. Projects meeting the local
				building code shall be deemed to be in compliance with the state building code
				provided that the local jurisdiction has established a building department, has
				adopted a building code by ordinance and enforces the local code through a
				system that includes both plan review and inspection.
c. Final plan approval and final occupancy
				shall be given by the state fire marshal's office.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.7 - Typical Construction

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Details and
				finishes shall be designed to provide a high degree of safety for the occupants
				by minimizing the opportunity for accidents. Hazards such as sharp corners
				shall be avoided. (III)
(2) No door
				shall swing into the exit corridor except doors to spaces such as small closets
				that are not subject to occupancy. Each resident bedroom shall have a door that
				is a swing type and swings in, unless the door is fully recessed.
(3) All doors opening into corridors shall be
				swing-type doors, except elevator doors. (III)
(4) All sinks shall have towel dispensers
				that hold non-reusable towels. (III)
(5) Partition, floor, and ceiling
				construction in resident areas shall comply with noise reduction criteria in
				the following table. The requirements set forth in this table assume
				installation methods that will not appreciably reduce the efficiency of the
				assembly as tested. Location of electrical receptacles, grills, ductwork, and
				other mechanical items, and blocking and sealing of partitions at floors and
				ceilings shall not compromise the sound isolation required. (III)
Table 1
Airborne Sound Transmission Class
							 (STC)*
Partitions
Floors
Resident's room to resident's room
35
35
Corridor to resident's room
35
35
Public space to resident's room**
40
40
Service areas to resident's room***
50
50
*STC shall be determined by tests in accordance with methods
				  set forth in ASTM Standard E 90 and ASTM Standard E 413.
**Public space includes lobbies, dining rooms, recreation
				  rooms, treatment rooms, and similar places.
***Service areas include kitchens, elevators, elevator
				  machine rooms, laundries, garages, maintenance rooms, boiler and mechanical
				  equipment rooms, and similar spaces of high noise. Mechanical equipment located
				  on the same floor or above residents' rooms, offices, nurses stations, and
				  similar occupied spaces shall be effectively isolated from the
				  floor.
(6) Doors,
				sidelights, borrowed lights, and windows in which the glazing extends below 31
				inches from the floor shall have a horizontal mullion or railing at 31 to 34
				inches above the finished floor and be glazed with safety glass, plastic
				glazing material, or wire glass where required by the state fire marshal. All
				replacement glass shall meet this code with no exception.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.8 - Sleeping, Bathing, and Medication Rooms

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Facilities
				shall have a medication room that is well-lighted and has the following: (III)
a. A drug cabinet;
b. A work counter;
c. Refrigerator storage;
d. A chest or compartment with a lock for
				storage of Schedule II drugs as defined by Iowa Code chapter 124; and
e. A sink.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.9 - Dining, Activity, and Storage Rooms

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Where space
				is provided for multipurpose dining, activities, or recreational purposes, the
				area shall total at least 30 square feet per licensed bed for the first 100
				beds and 27 feet per licensed bed for all beds in excess of 100. An open area
				of sufficient size shall be provided to permit group activities, such as
				religious meetings or presentation of demonstrations or entertainment.
				(III)
(2) Where space is provided
				to be used only for activities and recreational purposes, the area shall be at
				least 15 square feet per licensed bed. At least 50 percent of the required area
				must be in one room. (III)
(3)
				Where the dining and the lounge recreation areas are separated, each area shall
				provide a minimum of 180 square feet of usable floor space and be not less than
				10 feet in any one dimension. Where space is provided to be used only for
				dining, the area shall total at least 15 square feet per licensed bed.
				(III)
(4) An equipment storage room
				shall be provided. (III)
(5)
				Enclosed clothing storage of at least 2 linear feet per bed for storage of
				off-season clothing shall be provided.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.10 - Service Area

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Definition of a service area.
The size of a service area shall
				depend upon the number and types of beds within the supervised unit. A service
				area shall contain the following rooms or areas: (III)
a. Dietetic service area,
b. Janitor's closet,
c. Laundry area,
d. General storage area,
e. Mechanical room,
f. Maintenance shop,
g. Yard equipment storage
				area.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.11 - Administration and Staff Area

Current through Register Vol. 47, No. 3, July 24, 2024
The size of an administration and staff area depend upon the
				  needs of the facility. An administration and staff area shall contain the
				  following rooms or areas (III):
1. An
				administration office.
2. An area
				containing storage for office equipment and supplies. This area shall be secure
				and contain work space for charting and record storage and may contain
				medication storage.
3. A lounge
				shall be provided for staff. Toilet rooms with sink and toilet shall be
				provided for staff.
4. Closets or
				compartments for the safekeeping of coats and personal effects of
				staff.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.12 - Public Area

Current through Register Vol. 47, No. 3, July 24, 2024
A public area shall contain a public telephone accessible to
				  the residents within the facility to make personal calls. It shall also contain
				  a separate bathroom for the public, including a toilet and sink.
				  (III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.13 - Specialized Unit or Facility for Persons With Chronic Confusion or a Dementing Illness (memory care unit or facility)

Current through Register Vol. 47, No. 3, July 24, 2024
A memory care unit or facility shall be designed in
				  accordance with the standards set forth in 661-Chapter 201. The following
				  provisions shall also apply (III):
(1)
				A memory unit or facility shall be designed so that residents, staff, and
				visitors will not pass through the unit in order to reach exits or other areas
				of the facility unless in an emergency.
(2) If the unit or facility is to be a locked
				unit or facility, all locking devices shall meet the requirements of the state
				fire marshal. If the unit or facility is to be unlocked, a system of security
				monitoring is required.
(3) The
				outdoor activity area for the unit or facility shall be secure. Nontoxic plants
				shall be used in the secured outdoor activity area.
(4) There shall be no steps inside the memory
				care unit or facility.
(5) Dining
				and activity areas for the unit or facility shall be located within the unit or
				facility and shall not be used as the primary dining or activity area by other
				facility residents.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 60 - Minimum Physical Standards for Residential Care Facilities › Rule 481-60.14 - Elevator Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
All residential care facilities where resident facilities are
				  located on other than the first floor shall have one or more electric or
				  electrohydraulic elevators, as required. For purposes of this requirement,
				  resident facilities include, but are not limited to, diagnostic, recreation,
				  activity, resident dining, and therapy rooms or additional resident bedrooms.
				  The first floor is that floor first reached from the main front entrance.
				  Elevators, where installed, shall comply with the division of labor rules as
				  promulgated in Iowa Code chapter 89A and 875-Chapters 71 to 73.
				  (III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
Definitions in rule
				  481-58.1 (135C) are
				  incorporated by reference as part of this chapter. In addition, the following
				  definition shall apply:
"Responsible design professional"
means a
				  registered architect or licensed professional engineer who signs the documents
				  submitted pursuant to rule
				  481-61.3
				  (135C).
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.3 - Submission of Construction Documents

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Submissions of architectural technical
				documents, engineering documents, and plans and specifications to the state
				fire marshal's office shall be as required by rule 661-300.4(103A) and are the
				responsibility of the owner of the building or facility, although the actual
				submission may be completed by an authorized agent of the owner or the
				responsible design professional.
(2) Plans, specifications and other
				supporting information shall be sufficiently clear and complete to show in
				detail that the proposed work will comply with the construction standards
				required by rule 481-61.2 (135C).
(3) Submittals to the state fire marshal's
				office shall be certified or stamped and signed as required by Iowa Code
				chapters 542B and 544A unless the applicant has certified on the submittal to
				the applicability of a specific exception under Iowa Code section
				544A.18 and the
				submittal does not constitute the practice of engineering as defined by Iowa
				Code section
				542B.2.
(4) The responsible design professional shall
				certify that the building plans meet the requirements specified in this
				chapter, unless a waiver has been granted pursuant to rule
				481-61.4 (135C).
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.4 - Waivers

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Procedures in
				rule 481-58.2 (135C) for requesting a
				waiver are incorporated by reference as part of this chapter.
(2) Certain resident populations, conditions
				in the area, or the site may justify waivers. In specific cases, waivers to the
				rules may be granted by the director after the following conditions are met:
a. The design and planning for the specific
				property shall offer improved or compensating features which provide equivalent
				desirability and utility;
b.
				Alternate or special construction methods, techniques, and mechanical equipment
				shall offer equivalent durability, utility, safety, structural strength and
				rigidity, sanitation, odor control, protection from corrosion, decay and insect
				attack, and quality of workmanship;
c. The health, safety or welfare of any
				resident shall not be endangered;
d. Variations are limited to the specific
				project under consideration and shall not be construed as establishing a
				precedent for similar acceptance in other cases;
e. The occupancy and function of the building
				shall be considered; and
f. The
				type of licensure shall be considered.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.5 - Additional Notification Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) When new construction or renovation,
				addition, functional alteration, change of space utilization, or conversion of
				an existing building is contemplated, the licensee or applicant for a license
				shall:
a. File a detailed and comprehensive
				program of care, as set forth in rule
				481-58.3
				(135C), which includes a description of the specific needs of the residents to
				be served, and any other information the department may require.
				(III)
b. Receive written approval
				from the state fire marshal's office before starting construction. The
				applicant is responsible for ensuring that construction proceeds according to
				approved plans and specifications. If construction is not started within 12
				months of the date of final approval of the working drawings and
				specifications, the approval shall be void and the plans and specifications
				shall be resubmitted. Multiphase projects shall be completed within a time
				period approved by the state fire marshal's office.
c. Meet requirements for new construction if
				the project includes changes to structural and life safety components of the
				building or changes for accessibility of persons with disabilities. Only that
				portion of the building that is part of the project must meet requirements for
				new construction.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.6 - Construction Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
This rule contains construction requirements for all areas of
				  the building.
(1)
General
				provisions.
a. Projects shall be
				constructed in compliance with 661-Chapter 205, Fire Safety Requirements for
				Hospitals and Health Care Facilities. Projects required to meet the provisions
				of the state building code shall be deemed to be in compliance with the fire
				safety requirements of the state building code if the nursing facility is in
				compliance with the provisions of 661-Chapter 205, Fire Safety Requirements for
				Hospitals and Health Care Facilities.
b. Projects shall be constructed in
				compliance with 661-Chapter 301, State Building Code-General Provisions.
				Projects meeting the local building code shall be deemed to be in compliance
				with the state building code provided that the local jurisdiction has
				established a building department, has adopted a building code by ordinance and
				enforces the local code through a system which includes both plan review and
				inspection.
c. Projects shall be
				constructed in compliance with the standards set forth in the Guidelines for
				Design and Construction of Residential Health, Care, and Support Facilities,
				2018 edition, published by the Facility Guidelines Institute.
d. Final plan approval and final occupancy
				shall be given by the state fire marshal's office.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.7 - Nursing Care Unit

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A seclusion
				room may be used in an intermediate care facility for persons with mental
				illness.
(2) When a seclusion room
				is used, it must meet the following standards. A seclusion room shall:
a. Be located where direct care staff can
				provide direct supervision; (I, II, III)
b. Have only one door which swings out but
				does not swing into a corridor; (II, III)
c. Have only locking devices that are
				approved by the state fire marshal; (I, II, III)
d. Have unbreakable, fire-safe vision panels
				arranged to permit observation of the resident. The arrangement shall ensure
				resident privacy and prevent casual observation by visitors or other residents;
				(I, II, III)
e. House only one
				resident at a time; (I, II, III)
f.
				Have an area of at least 60 square feet, but not more than 100 square feet;
				(II, III)
g. Be constructed to
				protect against the possibility of hiding, escape, injury and suicide; (I, II,
				III)
h. Have construction of the
				room area, including floor, walls, ceilings, and all openings, approved in
				writing by the state fire marshal prior to construction or alteration of a
				room. Padding materials, if used, shall be approved in writing by the state
				fire marshal; (I, II, III)
i.
				Contain only vandal- and tamper-resistant fixtures and hardware; (I, II,
				III)
j. Contain no electrical
				receptacles; (I, II, III)
k.
				Contain an exhaust ventilation system with a fan located at the discharge end
				of the system, with exhaust discharging to the outside; (II, III)
l. Have electrical switches for the light and
				exhaust ventilation systems installed outside the room; (I, II, III)
m. Have an emergency call system for staff
				located outside the room near the observation window; (II, III) and
n. Be built with materials that are easily
				maintained and sanitized. (III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.8 - Dietetic and Other Service Areas

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Dietetic service area.
The construction and installation of equipment of the dietetic service area
				shall comply with the requirements of the Food and Drug Administration Food
				Code adopted under provisions of Iowa Code section
				137F.2.
				(III)
(2)
General storage
				areas.
General storage areas totaling not less than 14 square feet per
				bed shall be provided. If each resident has a 4-foot wide closet in the
				bedroom, the general storage area per bed may be reduced from 14 square feet to
				10 square feet per bed. Storage areas are not required to be located in only
				one room. (III)
a. Storage areas for linens,
				janitor's supplies, sterile nursing supplies, activities supplies, library
				books, office supplies, kitchen supplies and mechanical plant accessories shall
				not be included as part of the general storage area and are not required to be
				located in the same area. (III)
b.
				Thirty percent of the general storage area may be provided in a building
				outside the facility if the building is easily accessible to personnel.
				(III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.9 - Specialized Unit or Facility for Persons With Chronic Confusion or a Dementing Illness (CCDI unit or facility)

Current through Register Vol. 47, No. 3, July 24, 2024
A CCDI unit or facility shall be designed in accordance with
				  the standards set forth in the Guidelines for Design and Construction of
				  Residential Health, Care, and Support Facilities, 2018 edition, published by
				  the Facility Guidelines Institute. The following provisions shall also
				  apply:
(1) A CCDI unit or facility
				shall be designed so that residents, staff and visitors will not pass through
				the unit in order to reach exits or other areas of the facility unless in an
				emergency. (Ill)
(2) If the unit or
				facility is to be a locked unit or facility, all locking devices shall meet the
				requirements of the state fire marshal. If the unit or facility is to be
				unlocked, a system of security monitoring is required. (I, II, III)
(3) The outdoor activity area for the unit or
				facility shall be secure. Nontoxic plants shall be used in the secured outdoor
				activity area. (I, II)
(4) There
				shall be no steps inside the CCDI unit or freestanding CCDI facility.
				(Ill)
(5) Dining and activity areas
				for the unit or facility shall be located within the unit or facility and shall
				not be used as the primary dining or activity area by other facility residents.
				(Ill)
(6) An area shall be provided
				to allow nurses to prepare daily resident reports. (Ill)
(7) If the lounge and activity areas are not
				adjacent to resident rooms, there shall be in clear view of the lounge and
				activity area one unisex resident toilet room for each ten residents.
				(Ill)