Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 57 - Residential Care Facilities › Rule 481-57.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
The following definitions apply to this chapter and to
				  481-Chapter 62. The definitions set out in Iowa Code section
				  135C.1 shall be
				  considered to be incorporated verbatim in these rules.
"Accommodation"
means the provision of
				  lodging, including sleeping, dining, and living areas.
"Activities of daily living"
means the
				  following self-care tasks: bathing, dressing, grooming, eating, transferring,
				  toileting and ambulation.
"Administrator"
means a person approved by
				  the department who administers, manages, supervises, and is in general
				  administrative charge of a residential care facility, whether or not such
				  person has an ownership interest in the facility, and whether or not the
				  functions and duties are shared with one or more other persons.
"Ambulatory"
means the condition of a person
				  who immediately and without the 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 residential care facility.
"Communicable disease"
means a disease
				  caused by the presence within a person's body of a virus or microbial agent
				  which may be transmitted either directly or indirectly to other persons.
"Department"
means the department of
				  inspections and appeals.
"Distinct part"
means a clearly identifiable
				  area or section containing contiguous rooms within a health care
				  facility.
"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, ordered and administered under the direction of
				  the primary care provider.
"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 the daily fee that is charged
				  for all residents equally and that includes the cost of all minimum services
				  required in these rules and regulations.
"Records"
includes electronic
				  records.
"Responsible party"
means the person who
				  signs or cosigns the residency agreement required in rule
				  481-57.15 (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.