Iowa Admin. Code r. 481-57.15 - Residency agreement
(1) Each
residency agreement shall:
a. State the base
rate or scale per day or per month, the services included, and the method of
payment. (Ill)
b. Contain a
complete schedule of all offered services for which a fee may be charged in
addition to the base rate . (Ill) Furthermore, the agreement shall:
(1) Stipulate that no further additional fees shall be
charged for items not contained in the complete schedule of services;
(III)
(2) State the method of
payment for additional charges; (III)
(3) Contain an explanation of the method of assessment
of such additional charges and an explanation of the method of periodic
reassessment, if any, resulting in changing such additional charges;
(III)
(4) State that additional
fees may be charged to the resident for nonprescription drugs, other personal
supplies, and services provided by a barber, beautician, and such.
(Ill)
c. Contain an
itemized list of services to be provided to the resident based on an assessment
at the time of the resident's admission and in consultation with the
administrator and including the specific fee the resident will be charged for
each service and the method of payment. (Ill)
d. Include the total fee to be charged initially to
the resident. (Ill)
e. State the
conditions whereby the facility may make adjustments to its overall fees for
resident care as a result of changing costs. (II, III) Furthermore, the
agreement shall provide that the facility shall give:
(1) Written notification to the resident, or the
responsible party when appropriate, of changes in the overall rates of both
base and additional charges at least 30 days prior to the effective date of
such changes; (II, III)
(2)
Notification to the resident, or the responsible party when appropriate, of
changes in additional charges, based on a change in the resident's condition.
Notification must occur prior to the date such revised additional charges
begin. If notification is given orally, subsequent written notification must
also be given within a reasonable time, not to exceed one week, listing
specifically the adjustments made. (II, III)
f. State the terms of agreement in regard to a refund
of all advance payments in the event of the transfer, death, or voluntary or
involuntary discharge of the resident. (II, III)
g. State the terms of agreement concerning the holding
of and charging for a bed when a resident is hospitalized or leaves the
facility temporarily for recreational or therapeutic reasons. The terms shall
contain a provision that the bed will be held at the request of the resident or
the resident's responsible party . (II, III)
(1) The facility shall ask the resident or responsible
party whether the resident's bed should be held. This request shall be made
before the resident leaves or within 48 hours after the resident leaves. The
inquiry and the response shall be documented. (II, III)
(2) The facility shall inform the resident or
responsible party that, when requested, the bed may be held beyond the number
of days designated by the funding source, as long as payments are made in
accordance with the agreement. (II, III)
h. State the conditions under which the involuntary
discharge or transfer of a resident would be effected. (II, III)
i. Set forth any other matters deemed
appropriate by the parties to the agreement. No agreement or any provision
thereof shall be drawn or construed so as to relieve any health care facility
of any requirement or obligation imposed upon it by this chapter or any
standards or rules in force pursuant to this chapter. (II, III)
(2) Each party to the
residency agreement shall receive a copy of the signed agreement. (II,
III)
Notes
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