Iowa Admin. Code r. 481-69.39 - Respite care services
"Respite care services" means an organized
(1) Length of stay. Respite care services shall be
provided for no more than 30 consecutive days and for a total of no more than
60 days in a consecutive 12-month period. The 12-month period begins on the
first day of the respite care individual's stay in the program .
(2) No separate certificate. An assisted
living program that chooses to provide respite care services is not required to
obtain a separate certificate or pay a certification fee.
(3) Assessment. The program nurse shall conduct an
assessment of the respite care individual prior to the respite care
individual's stay. The assessment shall be documented and shall include, at a
minimum:
a. Safety and supervision
needs;
b. Medical needs;
c. Dietary needs; and
d. Bowel and bladder function.
(4) Written direction to staff. The program
nurse shall document the care needs of the respite care individual based on the
assessment conducted pursuant to subrule 69.39(3) and provide the documentation
to staff.
(5) Involuntary
termination of respite care services. The program may terminate the respite
care services for a respite care individual. Rule
481-69.24 (231C) shall not
apply. The program shall make proper arrangements for the welfare of the
respite care individual prior to involuntary termination of respite care
services, including notification of the respite care individual's family or
legal representative.
(6) Contract.
The program shall have a contract with each respite care individual. The
contract shall, at a minimum, include the following:
a. The time period during which the individual will be
considered to be receiving respite care services, not to exceed 30 consecutive
days.
b. A description of all fees,
charges, and rates for respite care services, and any additional and optional
services and their related costs.
c. A statement that respite care services may be
involuntarily terminated. Rule
481-69.24 (231C) shall not
apply.
d. Identification of the
party responsible for payment of fees and identification of the respite care
individual's legal representative, if any.
e. Identification of emergency contacts,
including but not limited to the respite care individual's family member(s) and
physician.
f. A statement that all
respite care individual information shall be maintained in a confidential
manner to the extent required under state and federal law.
g. The refund policy, if applicable.
h. A statement regarding billing and payment
procedures.
(7)
Admission to program .
a. A respite care
individual shall not be considered an admission to the program .
b. A respite care individual shall be
included in the program 's census.
c. The program shall not enter into multiple 30-day
contracts with a respite care individual in order to lengthen the respite care
individual's stay in the program .
d. If a respite care individual remains in the program
beyond 30 consecutive days and is eligible for admission, the department shall
consider the individual a tenant in the program . The program shall follow all
requirements for admission to the program .
(8) Level of care criteria. Respite care individuals
must meet the criteria found in subrule 69.23(1) for admission and retention of
tenants. Respite care services shall not be provided by an assisted living
program to persons requiring a level of care which is higher than the level of
care the program is certified to provide.
(9) Accessibility by the department. The department
shall have the same access to respite care services records as provided in
481-subrule 67.10(2).
Notes
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