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Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.10 - Elevator Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(All provisions in this rule are subject to Exception 2.) All
				  facilities where either resident beds or other facilities for residents are not
				  located on the first floor shall have electric or electrohydraulic elevators as
				  specified in this rule. Facilities for residents include, but are not limited
				  to, diagnostic, recreation, resident dining or therapy rooms. The first floor
				  is the floor first reached from the main front entrance. Elevators shall comply
				  with division of labor services regulations as promulgated under Iowa Code
				  chapter 89A and 347-Chapters 71 to 78. (Ill)
(1) At least one elevator which complies with
				subrule 61.10(5), paragraph
"b,"
shall be installed where I to
				59 resident beds are located on any floor other than the first, or where any
				facilities for residents are located on a floor other than the first.
				(Ill)
(2) At least two elevators,
				one of which complies with subrule 61.10(5), paragraph
"b,"
shall be installed where 60 to 200 resident beds are located on a floor other
				than the first, or where any facilities for residents are located on a floor
				other than the first. (Ill)
(3) At
				least three elevators, one of which complies with subrule 61.10(5),
				paragraph
"b,"
shall be installed where 201 to 350 resident
				beds are located on a floor other than the first, or where any facilities for
				residents are located on a floor other than the first. (Ill)
(4) For facilities with more than 350 beds,
				the number of elevators shall be determined from a study of the facility plan
				and the estimated vertical transportation requirements. (Ill)
(5) The following rules apply to cars and
				platforms:
a. Elevator cars and platforms
				shall be constructed of noncombustible material, except that
				fire-retardant-treated material may be used if all exterior surfaces of the car
				are covered with metal; (II, III)
b. Elevators used to transport a resident in
				a bed shall have inside dimensions that will accommodate the resident's bed and
				attendants. The dimensions shall be at least 5 feet wide by 7 feet 6 inches
				deep. Car doors shall have a clear opening of at least 3 feet 8 inches. (II,
				III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.11 - Mechanical Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Steam
				and hot water heating and domestic water heating systems shall comply with the
				following:
a. Boilers shall be installed to
				comply with the division of labor services rules promulgated under Iowa Code
				chapter 89 and 875-Chapters 90 to 96, Iowa Administrative Code. (Ill)
b. Boiler feed pumps, condensate return
				pumps, fuel oil pumps and hot water heating pumps shall be connected and
				installed to provide standby service if any pump malfunctions. (Ill)
c. Supply and return mains and risers of
				cooling, heating, and steam systems shall have valves which isolate various
				sections of each system. Each piece of equipment shall have a valve at the
				supply and return ends. (Ill) (Exception 2)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 61 - Minimum Physical Standards for Nursing Facilities › Rule 481-61.13 - 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
This 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. (Ill)
(1)
				If the unit or facility is to be a locked unit or facility, all locking devices
				shall meet the life safety code and any 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)
(2) The
				outdoor activity area as required by rule 61.5(135C) shall be secure for the
				unit or facility. Nontoxic plants shall be used in the secured outdoor activity
				area. (I, II)
(3) Within the unit
				or facility there shall be no steps or slopes. (Ill)
(4) Dining and activity areas for the unit or
				facility required by rule 61.6(135C) shall be located within the unit or
				facility and shall not be used by other facility residents. (Ill)
(5) An area shall be provided to allow nurses
				to prepare daily resident reports. (Ill)
(6) If the lounge and activity areas are not
				adjacent to resident rooms, there shall be one unisex resident toilet room for
				each ten residents in clear view of the lounge and activity area.
				(Ill)
(7) The area shall be
				designed to minimize breakable objects within the unit or facility.
				(Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.1 - Applicability

Current through Register Vol. 47, No. 3, July 24, 2024
This chapter relates specifically to the licensing and
				  regulation of residential care facilities for persons with mental illness
				  (RCFs/PMI). Refer to 481-Chapter 57 for the licensing and regulation of all
				  residential care facilities, including RCFs/PMI, and to 481-Chapter 60 for
				  minimum physical standards for all residential care
				  facilities.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.3 - Personnel

Current through Register Vol. 47, No. 3, July 24, 2024
In addition to personnel requirements found in 481-Chapter
				  57, the RCF/PMI shall provide for services of a qualified mental health
				  professional, by direct employment or contract, whose responsibilities shall
				  include, but not be limited to: (II, III)
1. Approval of each resident's service plan;
				(II, III)
2. Monitoring the
				implementation of each resident's service plan; (II, III)
3. Recording each resident's progress; and
				(II, III)
4. Participating in a
				periodic review of each resident's service plan. (II, III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.4 - Admission Criteria

Current through Register Vol. 47, No. 3, July 24, 2024
In addition to admission criteria found in 481-Chapter 57,
				  the facility's admission criteria shall include but not be limited to age, sex,
				  diagnosis from the American Psychiatric Association Diagnostic and Statistical
				  Manual of Mental Disorders, substance abuse, dual diagnosis and criteria that
				  are consistent with the resume of care. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.5 - Evaluation Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				Evaluation services shall be provided to each resident. An annual evaluation of
				each resident shall be completed no later than 12 months from the date of the
				last available evaluation. For residents who are on leave from a state mental
				health institution, the institution shall be responsible for the completion of
				the evaluation. The facility shall ensure the completion of the evaluation of
				all other residents. The annual evaluation shall identify physical health and
				current level of functioning and need for services. (II, III)
(2) The portion of the evaluation to identify
				the resident's physical health shall:
a.
				Result in identification of current illness and disabilities and
				recommendations for physical and physiological treatment and services. (II,
				III)
b. Include an evaluation of
				the resident's ability for health maintenance. (Ill)
c. Be performed by a primary care provider.
				(II, III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.6 - Notification Required by the Department

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall be notified:
Within 48 hours, by letter, of any reduction or loss of
				  personal care or dietary staff lasting more than seven days which places the
				  staff ratio below that required for licensing. No additional residents shall be
				  admitted until the minimum staff requirements are achieved. (II, III)
Within 30 days of any proposed change in the resume of care
				  for the RCF/PMI. (II, III)
Thirty days before addition, alteration, or new construction
				  is begun in the residential care facility or on the premises; (III)
Thirty days in advance of closure of the residential care
				  facility for persons with mental illness; (III)
Within two weeks of any change of administrator; (II,
				  III)
Within 30 days when any change in the category of license is
				  sought. (Ill)
Prior to the purchase, transfer, assignment, or lease of a
				  residential care facility the licensee shall:
1. Inform the department in writing of
				pending sale, transfer, assignment, or lease of the facility; (III)
2. Inform the department in writing of the
				name and address of the prospective purchaser, transferee, assignee, or lessee
				at least 30 days before the sale, transfer, assignment, or lease is completed;
				(III)
3. Submit a written
				authorization to the department permitting the department to release
				information of whatever kind from the department's files concerning the
				licensee's residential care facility to the named prospective purchaser,
				transferee, assignee, or lessee. (Ill)
After the authorization has been submitted to the department,
				  the department shall upon request send or give copies of all recent licensure
				  surveys and any other pertinent information relating to the facility's
				  licensure status to the prospective purchaser, transferee, assignee or lessee.
				  Costs for copies requested shall be paid by the prospective purchaser,
				  transferee, assignee or lessee. No information personally identifying any
				  resident shall be provided to prospective purchaser, transferee, assignee or
				  lessee. (II, III)
This rule is intended to implement Iowa Code sections
				  135C.6(3) and 135C.16(2).
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.7 - Administrator

Current through Register Vol. 47, No. 3, July 24, 2024
Each residential care facility for persons with mental
				  illness shall have one person in charge, duly approved by the department or
				  acting in a provisional capacity in accordance with these rules. (II,
				  III)
(1) The administrator shall be at
				least 21 years of age and shall meet at least one of the following conditions:
a. Be a licensed nursing home administrator,
				or a certified residential care administrator in Iowa. These individuals must
				have at least two years' experience in direct care or supervision of persons
				with mental illness, (II, III) or
b. Be a qualified mental health professional
				(QMHP) with at least one year of experience in an administrative capacity in a
				health care facility, (II, III) or
c. Have completed a one-year educational
				training program approved by the department with emphasis on serving the needs
				of persons with mental illness, and two years' experience in direct care or
				supervision of persons with mental illness. (II, III)
d. Those individuals currently employed as
				administrators on the effective date of these rules (March 30, 1988) shall not
				be required to meet the above criteria during their employment in the current
				facility.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.8 - Administration

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The licensee
				shall:
a. Be responsible for the overall
				operation of the RCF/PMI. (Ill)
b.
				Be responsible for compliance with all applicable laws and with the rules of
				the department. (II, III)
c.
				Establish written policies, which shall be available for review by the
				department or other agencies designated by Iowa Code section
				135C.16(3),
				for the operation of the RCF/PMI including but not limited to: (III)
1. Personnel (III)
2. Admission (III)
3. Evaluation services (II, III)
4. Programming and individual program plan
				(II, III)
5. Crisis intervention
				(II, III)
6. Discharge or transfer
				(III)
7. Medication management
				(II)
8. Resident property (II,
				III)
9. Financial affairs (II,
				III)
10. Records (III)
11. Health and safety (II, III)
12. Nutrition (III)
13. Physical facilities and maintenance (III)
14. Care review (III)
15. Resident rights (II, III)
d. Furnish statistical information
				concerning the operation of the facility to the department within 30 days of
				request. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.9 - Personnel

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The personnel
				policies and procedures shall include the following requirements: (III)
a. Written job descriptions for all employees
				or agreements for all consultants, which include duties and responsibilities;
				education, experience, or other requirements, and supervisory relationships.
				(Ill)
b. Annual performance
				evaluation of all employees and consultants which is dated and signed by the
				employee or consultant and the supervisor. (Ill)
c. Personnel records which are current,
				accurate, complete, and confidential to the extent allowed by law. The record
				shall contain documentation of how the employee's or consultant's education and
				experience are relevant to the position for which hired. (Ill)
d. Roles, responsibilities, and limitation of
				student interns and volunteers. (Ill)
e. An orientation program for all newly hired
				employees and consultants which includes an introduction to the facility's
				personnel policies and procedures, and a discussion of the facility's safety
				plan. (II, III)
f. A plan for a
				continuing education program with a minimum of eight in-service programs per
				year for all employees which shall include a written, individualized staff
				development plan for each employee. This includes, but is not limited to, the
				administrator, department heads, and direct care staff. The plan shall take
				into consideration the needs of the facility as identified in the resume of
				care. The plan shall ensure that each employee has the opportunity to develop
				and enhance skills and to broaden and increase knowledge contributing to
				effective resident care, including but not limited to: (II, III)
(1) First aid. (II, III)
(2) Human needs and behavior. (II,
				III)
(3) Problems and needs of
				persons with mental illness. (II, III)
(4) Medication. (II, III)
(5) Crisis intervention. (II)
(6) Delivery of services in accordance with
				the principles of normalization. (Ill)
(7) Wellness. (Ill)
(8) Fire safety, disaster, and tornado
				preparation. (II, III)
g. Equal opportunity and affirmative action
				employment practices. (Ill)
h.
				Procedures to be used when disciplining an employee. (Ill)
i. Appropriate dress and personal hygiene for
				staff and residents. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.10 - General Admission Policies

Current through Register Vol. 47, No. 3, July 24, 2024
There shall be admission policies which address the
				  following:
1. No resident shall be
				admitted or retained who is in need of greater services than the facility can
				provide. (II, III)
2. Residents
				shall be admitted only on a written order signed by a physician certifying that
				the individual requires no more than personal care and supervision and does not
				require nursing care. (II, III)
3.
				A preplacement visit shall be completed prior to admission, except in case of
				an emergency admission or readmission, to familiarize the applicant with the
				facility and services offered. The policies and procedures may allow for
				waiving the requirement at the request of a person seeking admission when the
				completion of the visit would create a hardship for the person seeking
				admission. If the distance to be traveled makes it impossible to complete the
				visit in an eight-hour day, this may be considered to create a hardship.
				(Ill)
4. Prior to admission of an
				applicant, the facility shall obtain sufficient information to determine if its
				program is appropriate and adequate to meet the person's needs. (Ill)
5. Admission criteria shall include but not
				be limited to age, sex, diagnosis, from the American Psychiatric Association
				Diagnostic and Statistical Manual of Mental Disorders, substance abuse, dual
				diagnosis and criteria that are consistent with the resume of care.
				(Ill)
6. Each facility shall
				maintain a waiting list with selection priorities identified. (Ill)
7. No RCF/PMI may admit more residents than
				the number of beds for which it is licensed. (II, III)
8. There shall be a written, organized
				orientation program for all residents which shall be planned and implemented to
				resolve or reduce personal, family, business, and emotional problems that may
				interfere with the health care, recovery, and rehabilitation of the individual
				and which shall be available for review by the department. (Ill)
9. Infants and children under the age of 18
				shall not be admitted to an RCF/PMI for adults unless given prior written
				approval by the department. A distinct part of an RCF/PMI, segregated from the
				adult section, may be established based on a resume of care submitted by the
				licensee or applicant which is commensurate with the needs of the residents of
				the health care facility and has received the department's review and approval.
				(Ill)
This rule is intended to implement Iowa Code sections 135C.3
				  and 135C.23.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.11 - Evaluation Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Each
				resident admitted shall have had a physical examination prior to admission and
				annually thereafter. (II, III)
a. If the
				resident is admitted directly from a hospital, a copy of the hospital admission
				physical and discharge summary may be part of the record in lieu of an
				additional physical examination. (II, III)
b. The record of the admission physical
				examination shall portray the current medical status of the resident and shall
				include the resident's name, sex, age, medical history, physical examination,
				diagnosis, statement of chief complaints, and results of any diagnostic
				procedure. (II, III)
c. Screening
				and testing for tuberculosis shall be conducted pursuant to 481-Chapter 59.
				(II, III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.12 - Programming

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Individual
				program plan. An individual program plan (IPP) for each resident shall be
				developed by an interdisciplinary team. Services to the resident shall be
				appropriate to address the short-term transitional or long-term residential
				needs of the resident. The resident or the resident's legal guardian has the
				ultimate authority to accept or reject the plan unless otherwise determined by
				the court. The IPP shall be approved and implementation monitored by the QMHP.
				(II, III)
a. The IPP shall be based on the
				individual service plan of the referring agency, if available, the information
				contained in the social history, the need for services identified in the
				evaluation, and any other pertinent information. (Ill)
b. The facility shall assist the resident in
				obtaining access to academic, community living skills training, legal,
				self-care training, support, transportation, treatment, and vocational training
				services to the resident as needed. These services may be provided by the
				facility or obtained from other providers. (Ill)
c. Services to the resident shall be provided
				in the least restrictive environment and shall incorporate the principle of
				normalization. (Ill)
d. If needed
				services are not available and accessible, the facility shall document the
				actions which were taken to locate and access or deliver those services. The
				documentation shall include the identification of the type of needs which will
				not be met due to the lack of available services. (Ill)
e. The IPP shall be developed within 30 days
				following admission to the facility and renewed at least annually. (II,
				III)
f. The IPP shall be in
				writing, dated, signed by the interdisciplinary team members, and maintained in
				the resident's record. (Ill)
g.
				Written notice of the meeting to develop an IPP shall be sent to all persons to
				be included in the interdisciplinary team conference in advance of the
				scheduled meeting. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.13 - Crisis Intervention

Current through Register Vol. 47, No. 3, July 24, 2024
(1) There
				shall be written policies and procedures concerning crisis intervention. (II)
				These policies and procedures shall be:
a.
				Directed to maximizing the growth and development of the individual by
				incorporating a hierarchy of available alternative methods that emphasize
				positive approaches; (II, III)
b.
				Available in each program area and living unit; (II, III)
c. Available to individuals and their
				families; and (II, III)
d.
				Developed with the participation, as appropriate, of individuals served. (II,
				III)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.14 - Discharge or Transfer

Current through Register Vol. 47, No. 3, July 24, 2024
Procedures for the discharge or transfer of the resident
				  shall be established and followed: (II, III)
(1)
Discharge plan.
The
				decision to discharge a person and the plan for doing so shall be established
				through the participation of the resident, members of the interdisciplinary
				team and other resource personnel as appropriate for the welfare of the
				individual. (II, III)
a. Discharge planning
				shall begin within 30 days of admission and be carried out in accordance with
				the IPP. (II, III)
b. As changes
				occur in a resident's physical or mental condition, necessitating services or
				care which cannot be adequately provided by the facility, the resident shall be
				transferred promptly to another appropriate facility pursuant to 62.10(1) "a. "
				(I, II)
c. Notification shall be
				made to the resident's family, the resident's legal representative, primary
				care provider, and sponsoring agency, if any, prior to transfer or discharge of
				any resident. (Ill)
d. Proper
				arrangements shall be made for the welfare of the resident prior to the
				transfer or discharge in the event of an emergency or inability to reach the
				resident's family or the resident's legal representative. (Ill)
e. The licensee shall not refuse to discharge
				or transfer a resident when directed by the primary care provider, resident,
				legal representative, or court. (II, III)
f. Advance notification by telephone shall be
				made to the receiving facility prior to the transfer of any resident.
				(Ill)
g. When a resident is
				transferred or discharged, the current evaluation and treatment plan and
				progress notes for the last 30 days, as set forth in these rules, shall
				accompany the resident. (II, III)
h. Prior to the transfer or discharge of a
				resident to another health care facility, arrangements to provide for
				continuity of care shall be made with the facility to which the resident is
				being sent. (II, III)
i. A
				discharge or transfer authorization and summary shall be prepared for each
				resident who has been discharged or transferred from the facility and shall be
				disseminated to appropriate persons to ensure continuity of care and in
				accordance with the requirements to ensure confidentiality. (II, III)
j. A transfer to a part of a facility that
				has a different license must be handled the same way as a transfer to another
				facility, and not as an intrafacility transfer.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.15 - Medication Management

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				Medications shall be prescribed on an individual basis by one who is authorized
				by Iowa law to prescribe. (I, II)
a.
				Medication orders shall be correctly implemented by qualified personnel.
				(II)
b. Qualified staff shall
				ensure that residents are able to take their own medication. (I, II)
c. Each physician order allowing a resident
				to take their own medications shall specify whether this self-medication shall
				be without supervision or under the supervision of qualified staff as defined
				in 62.15(2). (I, II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.16 - Resident Property

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
				admission of a resident does not give the facility or any employee of the
				facility the right to manage, use, or dispose of any property of the resident
				except with the written authorization of the resident or the resident's legal
				guardian. (II, III)
(2) The
				admission of a resident shall not grant the RCF/PMI the authority or
				responsibility to manage the personal affairs of the resident except as may be
				necessary for the resident's safety and for safe and orderly management of the
				residential care facility as required by these rules and in accordance with the
				IPP (III)
(3) An RCF/PMI shall
				provide for the safekeeping of personal effects, funds, and other property of
				its residents. The facility may require that items of exceptional value or
				which would convey unreasonable responsibilities to the licensee be removed
				from the premises of the facility for safekeeping. (Ill)
(4) Resident's funds held by the RCF/PMI
				shall be in a trust account and kept separate from funds of the facility.
				(Ill)
(5) No administrator,
				employee or representative thereof shall act as guardian, trustee, or
				conservator for any resident or the resident's property, unless the resident is
				related to the person acting as guardian within the third degree of
				consanguinity. (Ill)
(6) If a
				facility is a county care facility and upon the verified petition of the county
				board of supervisors, the district court may appoint the administrator of a
				county care facility as conservator or guardian or both of a resident of that
				county care facility without fee. The administrator may establish either
				separate or common bank accounts for cash funds of these residents. (Ill)
This rule is intended to implement Iowa Code section
				  135C.24.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.17 - Financial Affairs

Current through Register Vol. 47, No. 3, July 24, 2024
Each resident who has not been assigned a guardian or
				  conservator by the court may manage the resident's personal financial affairs,
				  and to the extent, under written authorization by the resident that the
				  facility assists in management, the management shall be carried out in
				  accordance with Iowa Code section
				  135C.24.
				  (II)
(1) The facility shall maintain a
				written account of all the resident's funds received by or deposited with the
				facility. (II)
a. An employee shall be
				designated in writing to be responsible for resident accounts. (II)
b. The facility shall keep on deposit
				personal funds over which the resident has control.
c. If the resident requests these funds, they
				shall be given to the resident with a receipt maintained by the facility and a
				copy to the resident. If a conservator or guardian has been appointed for the
				resident, the conservator or guardian shall designate the method of disbursing
				the resident's funds. (II)
d. If
				the facility makes a financial transaction on a resident's behalf, the resident
				or the resident's legal guardian or conservator must receive or acknowledge
				having seen an itemized accounting of disbursements and current balances at
				least quarterly. A copy of this statement shall be maintained in the resident's
				financial or business record. (II)
e. A resident's personal funds shall not be
				used without the written consent of the resident or the resident's guardian.
				(II)
f. A resident's personal funds
				shall be returned to the resident when the funds have been used without the
				written consent of the resident or the resident's guardian. The department may
				report findings that resident funds have been used without written consent to
				the audits division or the local law enforcement agency, as appropriate.
				(II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.18 - Records

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Resident record.
The licensee shall keep a permanent record
				about each resident with all entries current, dated, and signed. (II) The
				record shall include:
a. Name and previous
				address of resident; (III)
b. Birth
				date, sex, and marital status of resident; (III)
c. Church affiliation; (III)
d. Physician's name, telephone number, and
				address; (III)
e. Dentist's name,
				telephone number, and address; (III)
f. Name, address and telephone number of next
				of kin or legal representative; (III)
g. Name, address and telephone number of the
				person to be notified in case of emergency; (III)
h. Funeral director, telephone number, and
				address; (III)
i. Pharmacy name,
				telephone number, and address; (III)
j. Results of evaluation pursuant to
				62.11(135C); (III)
k. Certification
				by the physician that the resident requires no more than personal care and
				supervision, but does not require nursing care; (III)
l. Physician's orders for medication and
				treatments shall be in writing and signed by the physician quarterly; diet
				orders shall be renewed yearly; (III)
m. A notation of yearly or other visits to
				physician or other professionals, all consultation reports and progress notes;
				(III)
n. Any change in the
				resident's condition; (II, III)
o.
				A notation describing the resident's condition on admission, transfer, and
				discharge; (III)
p. In the event of
				a resident's death, notations in the resident's record shall include the date
				and time of the resident's death, the circumstances of the resident's death,
				the disposition of the resident's body, and the date and time that the
				resident's family and physician were notified of the resident's death;
				(III)
q. A copy of instructions
				given to the resident, legal representative, or facility in the event of
				discharge or transfer; (III)
r.
				Disposition of personal property; (III)
s. Copy of IPP pursuant to 62.12(1);
				(III)
t. Progress notes pursuant to
				62.12(4) and 62.12(5). (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.19 - Health and Safety

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Physician.
Each resident shall have a designated licensed
				physician who may be called when needed. (Ill)
(2)
Emergency care.
The
				facility shall have written policies and procedures for emergency medical or
				psychiatric care to include:
a. A written
				agreement with a hospital or psychiatric facility or documentation of attempt
				to obtain a written agreement for the timely admission of a resident who, in
				the opinion of the attending physician, requires inpatient services; (II,
				III)
b. Provisions consistent with
				Iowa Code chapter 229; (II, III)
c.
				Immediate notification by the person in charge to the physician or QMHP, as
				appropriate, of any accident, injury or adverse change in the resident's
				condition. (I, II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.20 - Nutrition

Current through Register Vol. 47, No. 3, July 24, 2024
(1) There shall be
				policies and procedures written and implemented for dietary staffing.
a. The person responsible for planning menus
				and monitoring the kitchens in each facility shall have completed training,
				approved by the department, in sanitation and food preparation. (Ill)
b. In facilities licensed for over 15 beds,
				food service personnel shall be on duty during a 12-hour span extending from
				the preparation of breakfast through supper (III)
c. There shall be written work schedules and
				time schedules covering each type of job in the food service department for
				facilities over 15 beds. These work and time schedules shall be posted or kept
				in a notebook which is available for use in the food service area.
				(Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.21 - Physical Facilities and Maintenance

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Housekeeping.
The
				facility shall have written procedures for daily and weekly cleaning (III) to
				include but need not be limited to:
a. All
				rooms including furnishings, all corridors, storage areas, linen closets,
				attics, and basements shall be kept in a clean, orderly condition, free of
				unserviceable furniture and equipment or accumulations of refuse.
				(Ill)
b. All resident bedrooms,
				including furnishings, shall be cleaned and sanitized before use by another
				resident. (Ill)
c. Polishes used on
				floors shall provide a slip-resistant finish. (Ill)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.22 - Care Review Committee

Current through Register Vol. 47, No. 3, July 24, 2024
Each facility shall have a care review committee in
				  accordance with Iowa Code section
				  135C.25, which shall
				  operate within the scope of the rules for care review committees promulgated by
				  the department of elder affairs. (II)
(1) Role of committee in complaint
				investigations.
a. The department shall
				notify the facility's care review committee of a complaint from the public. The
				department shall not disclose the name of a complainant.
b. The department may refer complaints to the
				care review committee for initial evaluation or investigation by the committee
				pursuant to rules promulgated by the department of elder affairs. Within ten
				days of completion of the investigation, the committee shall report to the
				department in writing the results of the evaluation of the
				investigation.
c. When the
				department investigates a complaint, upon conclusion of its investigation, it
				shall notify the care review committee and the department of elder affairs of
				its findings, including any citations and fines issued.
d. Results of all complaint investigations
				addressed by the care review committee shall be forwarded to the department
				within ten days of completion of the investigation.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.23 - Residents' Rights in General

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Each facility shall ensure that policies
				and procedures are written and implemented which include, at a minimum, all of
				the following provisions (subrules 62.23(2) to 62.23(22)) and which govern all
				areas of service provided to staff, residents, their families or legal
				representatives and shall be available to the public and shall be reviewed
				annually. (II)
(2) Grievances.
				Written policies and procedures shall include a method for submitting
				grievances and recommendations by residents or their responsible party and for
				ensuring a response and disposition by the facility. The written procedure
				shall ensure protection of the resident from any form of reprisal or
				intimidation and shall include:
a. An
				employee or an alternate designated to be responsible for handling grievances
				and recommendations; (II) and
b.
				Methods to investigate and assess the validity of a grievance or
				recommendation, resolve grievances, and take action. (II)
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.24 - County Care Facilities

Current through Register Vol. 47, No. 3, July 24, 2024
In addition to Chapter 62 licensing rules, county care
				  facilities licensed as residential care facilities for persons with mental
				  illness must also comply with department of human services rules, 441-Chapter
				  37. Violation of any standard established by the department of human services
				  is a class II violation pursuant to
				  481-56.2
				  (135C).
This rule is intended to implement Iowa Code section
				  227.4.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.25 - 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 same physical structure of the facility, if
				  the other business or activity is under the control of and is directly related
				  to and incidental to the operation of the health care facility, or the business
				  or activity is approved by the department and the state fire marshal.
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
"j"
of this rule. (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. Compatibility of the proposed business or
				activity with the facility program;
c. Noise created by the proposed business or
				activity;
d. Odors created by the
				proposed business or activity;
e.
				Use of entrances and exits for the business or activity in regard to safety and
				disturbance of residents and interference with delivery of services;
f. 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;
g. Proposed staffing for the business or
				activity;
h. Sharing of services
				and staff between the proposed business or activity and the facility;
i. Facility layout and design; and
j. Parking area utilized by the business or
				activity.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 62 - Residential Care Facilities for Persons With Mental Illness (RCFs/PMI) › Rule 481-62.26 - 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 facility which chooses to provide respite care services must meet the
				  following requirements related to respite care services and must be licensed as
				  a health care facility.
(1) A facility
				which chooses to provide respite care services is not required to obtain a
				separate license or pay a license fee.
(2) Rules regarding involuntary discharge or
				transfer rights do not apply to residents who are being cared for under a
				respite care contract.
(3) 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 for contracts between
				a health care facility and resident, except the requirements concerning the
				holding and charging for a bed when a resident is hospitalized or leaves the
				facility temporarily for recreational or therapeutic reasons.
(4) Respite care services shall not be
				provided by a 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 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.2 - Waiver

Current through Register Vol. 47, No. 3, July 24, 2024
A waiver from these rules may be granted by the director of
				  the department in accordance with 481-Chapter 6. A request for waiver will be
				  granted or denied by the director within 120 calendar days of
				  receipt.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.3 - Application for Licensure

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Application and licensing
-
new facility or change of
				ownership.
In order to obtain a specialized residential care facility
				license for a facility not currently licensed as a specialized residential care
				facility or for a specialized residential care facility when a change of
				ownership is contemplated, the applicant must:
a. Make application at least 30 days prior to
				the proposed opening date of the facility. Application shall be made on forms
				provided by the department.
b. Meet
				all of the rules, regulations, and standards contained in this chapter and in
				481- Chapter 50.
c. Submit a letter
				of intent and a written rÃ©sumÃ© of care. The rÃ©sumÃ©
				of care shall meet the requirements of subrule 63.3(2).
d. Submit a floor plan of each floor of the
				residential care facility. The floor plan of each floor shall be drawn on
				8½" x 11" paper, show room areas in proportion, room dimensions, window
				and door locations, designation of the use of each room, and the room numbers
				for all rooms, including bathrooms.
e. Submit a photograph of the front and side
				of the residential care facility.
f. Submit the fee for a specialized
				residential care facility license in accordance with 481-paragraph 50.3(2)
"a."
g. Comply
				with all other local statutes and ordinances in existence at the time of
				licensure.
h. Submit a certificate
				signed by the state or local fire inspection authority as to compliance with
				fire safety rules and regulations.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.4 - Issuance of License

Current through Register Vol. 47, No. 3, July 24, 2024
Licenses are issued to the person, entity or governmental
				  unit with responsibility for the operation of the facility and for compliance
				  with all applicable statutes, rules and regulations.
Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 63 - Residential Care Facility-three- to Five-bed Specialized License › Rule 481-63.5 - General Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
				The license shall be displayed in the facility in a conspicuous place which is
				accessible to the public. (Ill)
(2)
				The license shall be valid only in the possession of the licensee to whom it is
				issued.
(3) The posted license
				shall accurately reflect the current status of the facility. (Ill)
(4) The license shall expire one year after
				the date of issuance or as indicated on the license.
(5) The licensee shall:
a. Assume the responsibility for the overall
				operation of the facility. (I, II, III)
b. Be responsible for compliance with all
				applicable laws and with the rules of the department. (I, II, III)
c. Provide an organized continuous 24-hour
				program of care commensurate with the needs of the residents. (I, II,
				III)