Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 58 - Nursing Facilities › Rule 481-58.12 - Admission, Transfer, and Discharge

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
General admission policies.
a. No resident shall be admitted or retained
				in a nursing facility who is in need of greater services than the facility can
				provide. (II, III)
b. No nursing
				facility shall admit more residents than the number of beds for which it is
				licensed, except guest rooms for visitors. (II, III)
c. There shall be no more beds erected than
				is stipulated on the license. (II, III)
d. There shall be no more beds erected in a
				room than its size and other characteristics will permit. (II, III)
e. The admission of a resident to a nursing
				facility shall 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 representative.
				(III)
f. The admission of a
				resident shall not grant the nursing facility the authority or responsibility
				to manage the personal affairs of the resident except as may be necessary for
				the safety of the resident and safe and orderly management of the facility as
				required by these rules. (III)
g.
				Residents have a right to retain and use personal possessions, including
				furnishings and clothing, as space permits, unless to do so would infringe upon
				the rights or health and safety of other residents. (III)
h. Rescinded, effective 7/14/82.
i. Funds or properties received by the
				nursing facility belonging to or due a resident, expendable for the resident's
				account, shall be trust funds. (III)
j. Infants and children under the age of 16
				shall not be admitted to health care facilities for adults unless given prior
				written approval by the department. A distinct part of a health care facility,
				segregated from the adult section, may be established based on a program 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. (III)
k. No health care facility, and no owner,
				administrator, employee or representative thereof shall act as guardian,
				trustee, or conservator for any resident's property, unless such resident is
				related to the person acting as guardian within the third degree of
				consanguinity.
l. Within 30 days of
				a resident's admission to a health care facility receiving reimbursement
				through the medical assistance program under Iowa Code chapter 249A, the
				facility shall ask the resident or the resident's personal representative
				whether the resident is a veteran and shall document the response. If the
				facility determines that the resident is a potential veteran, the facility
				shall report the resident's name along with the names of the resident's spouse
				and any dependent children, as well as the name of the contact person for this
				information, to the Iowa department of veterans affairs. Where appropriate, the
				facility may also report such information to the Iowa department of human
				services.
If a resident is eligible for benefits through the United
				  States Department of Veterans Affairs or other third-party payor, the facility
				  first shall seek reimbursement from the identified payor source before seeking
				  reimbursement from the medical assistance program established under Iowa Code
				  chapter 249A.
The provisions of this paragraph shall not apply to the
				  admission of an individual as a resident to a state mental health institute for
				  acute psychiatric care or to the admission of an individual to the Iowa
				  Veterans Home. (II, III)