Iowa Code r. 481-69.4 - Nonaccredited program-application content
An application for certification or recertification of a nonaccredited program shall include the following:
(1) A list that includes the names,
addresses, and percentage of stock, shares, partnership or other equity
interest of all officers, members of the board of directors and trustees, as
well as stockholders, partners or any individuals who have greater than a 10
percent equity interest in each of the following, as applicable:
a. The real estate owner or lessor;
b. The lessee; and
c. The management company responsible for the
day-to-day operation of the program.
The program shall notify the department of any changes in the list no later than ten working days after the effective date of the change.
(2) A
statement disclosing whether the individuals listed in subrule 69.4(1) have
been convicted of a felony or an aggravated or serious misdemeanor or found to
be in violation of the child abuse or dependent adult abuse laws of any
state.
(3) A statement disclosing
whether any of the individuals listed in subrule 69.4(1) have or have had an
ownership interest in an assisted living program, adult day services program,
elder group home, home health agency, licensed health care facility as defined
in Iowa Code section 135C.1, or licensed hospital as
defined in Iowa Code section
135B.1, which has been closed in
any state due to removal of program, agency, or facility licensure,
certification, or registration or due to involuntary termination from
participation in either the Medicaid or Medicare program; or have been found to
have failed to provide adequate protection or services to prevent abuse or
neglect of residents, patients, tenants or participants.
(4) The policy and procedure for evaluation
of each tenant. A copy of the evaluation tool or tools to be used to identify
the functional, cognitive and health status of each tenant shall be
included.
(5) The policy and
procedure for service plans.
(6)
The policy and procedure for addressing medication needs of tenants.
(7) The policy and procedure for accidents
and emergency response, including provisions related to head
injuries.
(8) The policies and
procedures for food service, including those relating to staffing, nutrition,
menu planning, therapeutic diets, and food preparation, service and
storage.
(9) The policy and
procedure for activities.
(10) The
policy and procedure for transportation.
(11) The policy and procedure for staffing
and training.
(12) The policy and
procedure for emergencies, including natural disasters. The policy and
procedure shall include an evacuation plan and procedures for notifying legal
representatives in emergency situations as applicable.
(13) The policy and procedure for managing
risk and upholding tenant autonomy when tenant decision making results in poor
outcomes for the tenant or others.
(14) The policy and procedure for reporting
incidents including dependent adult abuse as required in rule
481-67.2
(231B,231C,231D).
(15) The policy
and procedure related to life safety requirements for a dementia-specific
program as required by subrule 69.32(2).
(16) The tenant occupancy agreement and all
attachments.
(17) If the program
contracts for personal care or health-related care services from a certified
home health agency, a mental health center or a licensed health care facility,
a copy of that entity's current license or certification.
(18) A copy of the state license for the
entity that provides food service, whether the entity is the program or an
outside entity or a combination of both.
(19) The fee set forth in Iowa Code section
231C.18.
(20) The policy and procedure for addressing
sexual relationships between tenants and staff, and between tenants with
dementia greater than Stage 5 on the Global Deterioration Scale.
(21) The policy and procedure for
extraordinary lifesaving measures, such as cardiopulmonary resuscitation
(CPR).
(22) The program shall
follow the policies and procedures established.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.