Each ICF/PMI shall have one person in charge, duly approved by
the department or acting in a provisional capacity in accordance with these
regulations. (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 licensed in
Iowa as a nursing home administrator, or certified as a residential care
administrator. No residential care facility administrator certified under a
waiver from the department shall administrate an intermediate care facility for
persons with mental illness. The administrator must have at least two years'
experience in direct care or supervision of people with mental illness and at
least one year of experience in an administrative capacity; (II, III)
or
b. Be a qualified mental health
professional (QMHP) with at least one year of experience in an administrative
capacity. (II, III)
If an ICF/PMI is a distinct part of a licensed health care
facility, the administrator of the facility as a whole may serve as the
administrator of the ICF/PMI without meeting the requirements of subrule
65.7(1), paragraph "a" or "b." When this
occurs, the person in charge of the ICF/PMI distinct part shall meet the
requirements of subrule 65.7(1), paragraph "a" or
"b." (II, III)
(2) The administrator of more than one
facility shall be responsible for no more than 150 beds in total. (II, III)
a. The distance between the two farthest
facilities shall be no greater than 50 miles. (II, III)
b. An administrator of more than one facility
must designate an administrative staff person in each facility who shall be
responsible for directing programs in the facility during the administrator's
absence. (II, III)
(3)
The administrative staff person shall be designated in writing and immediately
available to the facility on a 24-hour basis when the administrator is absent
and residents are in the facility. (II, III)
The person(s) designated shall:
a. Have at least two years' experience or
training in a supervisory or direct care position in a mental health setting;
(II, III)
b. Be knowledgeable of
the operation of the facility; (II, III)
c. Have access to records concerned with the
operation of the facility; (II, III)
d. Be capable of carrying out administrative
duties and of assuming administrative responsibilities; (II, III)
e. Be at least 21 years of age;
(III)
f. Be empowered to act on
behalf of the licensee during the administrator's absence concerning the
health, safety and welfare of the residents; (II, III) and
g. Have training to carry out assignments and
take care of emergencies and sudden illnesses of residents. (II, III)
(4) If an administrator serves
more than one facility, a written plan shall be developed, implemented and
available for review by the department designating regular and specific times
the administrator will be available to meet with the staff and residents to
provide direction and supervision of resident care and services. (II,
III)
(5) When a facility has been
unable to replace the administrator, through no fault of its own, a provisional
administrator meeting the qualifications of the administrative staff person may
be appointed on a temporary basis by the licensee to assume the administrative
responsibilities for the facility. This person shall not serve more than three
months without approval from the department. The department must be notified
before the appointment of the provisional administrator. (III)
(6) A facility applying for initial licensing
shall not have a provisional administrator. (III)
This rule is intended to implement Iowa Code section
135C.14(2).
