Legal/Regulatory ARCHIVE
Home HealthCan’t find what you are looking for here? Try our Search function on the home page of our website to search past IHCA Bulletin articles.
Regulatory Resources
- Handling Communicable Disease Exposure in the Workplace
- Guide to Home Health Help Desks
- Considerations for Medicinal Marijuana in Iowa’s Nursing Facilities, Assisted Living and Home Care Settings
- Understanding the Employee Role in the Survey Process
- Veterans Home Care Conference Call
- Iowa Department of Inspections & Appeals - Medicare/Medicaid Status Verification
- Department of Inspections & Appeals
- Department of Human Services
- Department of Public Health
- CDAC Information
- State Operations Manual Chapter 2 - The Certification Process
- State Operations Manual Appendix B - Guidance to Surveyors: Home Health Agencies
- Medicare Enrollment Application
- How to Become Medicare Certified
- Medicare Claims Billing Manual
- Medicare Benefit Policy Manual
- Home Health Conditions of Participation
Can’t find what you are looking for here? Try our Search function on the home page of our website to search past IHCA Bulletin articles.
Assisted Living Law and Regulations
Download list of all here or select specific links below.
Final Statutory Language (Iowa Law)
- Minimum Physical Standards For Residential Care Facilities (481 - 60.1)
- Fining and Citations (481 - 56.1)
- Intermediate Care Facilities For the Intellectually Disabled (481 - 64.1)
- Landlord and Tenant Law (562A)
- Dependent Adult Abuse in Facilities and Programs (235E)
- Dependent Adult Abuse Services (235B)
- Department of Aging – LTC Ombudsman (231)
- Food Establishments (137F)
- Criminal Record Checks (135C.33)
- Assisted Living Programs (231C)
Iowa Administrative Rules
- Fire and Life Safety Code Purchase Online
- General Fire Safety Requirements (Chapter 201) Fire and Life Safety Code Purchase Online
- Fire Marshall Administration (Chapter 200)
- Dependent Adult Abuse (Chapter 176)
- Dependent Adult Abuse in Facilities and Programs (Chapter 52)
- Health Care Facilities Administration (Chapter 50)
- Food and Consumer Safety (Chapter 30)
- Contested Hearings (Chapter 10)
- Long-Term Care Resident’s Advocate/Ombudsman (Chapter 8)
- General Provisions for Elder Group Homes, Assisted Living Programs and Adult Day Services (Chapter 67)
- Assisted Living Programs (Chapter 69)
Abuse
Adverse Events
- Tools to Prevent and Address Resident to Resident Mistreatment
- Adverse Event Action Plan Responses for Assisted Living
- Sample Policy: Assisted Living and Residential Care Dependent Adult Abuse Prevention, Identification, Investigation, and Reporting Policy
CPR & DNR Resources
- Establishing CPR Policies in Assisted Living Programs
- Addendum to Occupancy Agreement - No CPR
- DNR Acknowledgement Order
- DNR Acknowledgement Form
Firearms
Food Service
Grievances
Infection Control
Involuntary Discharge
Life Safety
- Door Security and Safety Foundation presentations
- Door Security and Safety Foundation overview
- Door inspection examples - State Fire Marshall presentation
- Door assembly inspection
- Annual inspection guides for swinging fire doors
- Door Security and Safety Foundation education
- Does painting or refinishing a fire door in the field void the label?
- Do you qualify to perform inspections of fire door assemblies according to NFPA 80?
- Fire door inspections - What are we learning?
- Cases of inaccurate door inspections
- Understanding recent door inspection and maintenance codes
Medicinal Marijuana
Nursing
- ICAL Guidance for Dementia Training Required
- Head Injury Factors to Consider
- Head Injury Policy and Procedure Guidelines
Nurse Delegation Resources
- ICAL Service Plan Interventions
- ICAL ADL Skills Competencies
- ICAL Staff Communication Report in Word
- ICAL Staff Communication Report in PDF
- Chapter 67 Staff Training Requirements
- Guidance for AL Nurse Delegation and Staff Training Rules
Occupancy Agreements
- Assisted Living Program Respite Care Agreement
- Assisted Living Program Occupancy Agreement
- Addendum to Occupancy Agreement (No CPR)
Regulations & Survey Guidance
- Understanding the Employee Role in the Survey Process
- Van Transportation Guidance
- Incident Reporting
- Transportation/Smoking/Activities/Food Service Form
- Group Interview Form
- Employee File Review Checklist
- ALP Monitoring Entrance Form
- Quality Assurance Checklist Tool
- Quality Assurance Checklist
- Tenant Documents
- Medication Pass Monitoring Tool
- Program Face Sheet/Tenant-Staff List
- Regulatory Compliance Audit
- MAR/TAR Checklist
Motorized Cart Policies
Residents’ Rights
- Sexual Relationship Policy Between Tenants and Staff
- Sexual Consent Verbal Assessment Form
- Sexual Consent Sample Policy (Tenants)
- Pets, Service and Emotional Support Animals in Assisted Living
Can’t find what you are looking for here? Try our Search function on the home page of our website to search past IHCA Bulletin articles.
Abuse Prevention
- Adverse Event Action Plan Responses for Nursing Facilities
- Tools to Prevent and Address Resident to Resident Mistreatment
- Verbal Informed Sexual Consent Assessment Tool
- Sample Sexual Consent Policy
- Sample Abuse Prevention, Identification, Investigation and Reporting Policy
Accident and Abuse Reporting Requirements
- Notice of Rights and Responsibilities under the Federal Elder Justice Act
- Reporting Letter to Law Enforcement - TEMPLATE
- 50.7 Accident/Fall Reporting Flowsheet
- Sample Reporting Flowchart
- Notice of Rights and Responsibilities under the Federal Elder Justice Act Poster - TEMPLATE
- Reporting Letter to Law Enforcement - TEMPLATE
- Facility Suspected Crime Report - TEMPLATE
- Policy & Procedure for Reporting Suspected Crimes - DRAFT
- Elder Justice Act Information and Toolkit
- Accident/Fall Reporting Flow Chart
- Sample Abuse Prevention, Identification, Investigation and Reporting Policy
Admissions
Arbitration
Bedhold/Transfer and Discharge Notices
- Transfer and Bedhold Notice
- Transfer and Bedhold Notice Instructions
- Notice of Transfer Form to Long Term Care Ombudsman
Bed Rail Guidance
- Clinical Guidance for the Assessment and Implementation of Bed Rails in Hospitals, Long-term care Facilities, and Home Care Settings
- Guidance on Industry and FDA Staff
- Direct Supply Bed Entrapment Guide
- CMS Clarification on Bed Rails
CMP (Civil Money Penalties)
- Immediate Jeopardy Citation Guidance
- Revisions to Appendix Q, Guidance on Immediate Jeopardy
- Notice of Final Rule Adjusting Civil Monetary Penalties for Inflation
CMS Five-Star Ratings
- Design for Nursing Home Compare Five-Star Quality Rating System Technical Users’ Guide
- Improvements to Nursing Home Compare and the Five-Star Rating System
CMS PBJ (Payroll-Based Journal)
CMS QRP Submissions
CNA In-service Requirements
Cocktail Drug Administration
Corporate Compliance and Ethics Program Guidance
- Suggested E-referral Vendor Amendment
- OIG Advisory Opinion
- AHCA toolkit: RoP Compliance and Ethics Program
CPR & DNR Guidance & Tools
CPR should always be initiated unless: a valid DNR order is in place; there are obvious signs of clinical death which include rigor mortis, dependent lividity, decapitation, transection, or decomposition; or in cases where initiating CPR could cause injury or peril to the rescuer. Providers are at risk for severe regulatory sanctions if residents who have chosen CPR, are not promptly provided with resuscitation efforts unless facilities clearly document signs of clinical death as outlined in the CMS guidance.
- DNR Acknowledgement Order
- DNR Acknowledgement Form
- Sample Facility CPR Policy (updated January 2017)
- S&C: 14-01NH Cardiopulmonary Resuscitation (CPR) in Nursing Homes
Diversity Awareness
- Forge – Transgender Aging Network
- National Center for Transgender Equality
- National LGBTQ Task Force
- Lambda Legal
- Sage – Advocacy & Services for LGBT Elders
- HHS Nondiscrimination in Health Programs and Activities Final Rule
Fall Prevention
- Preventing and Reducing Falls Using Malpractice Claims Data
- Falls Investigation Guide Toolkit: How-to Guide
Firearms
Food Service Resources
- Preparation of Eggs in Nursing Homes
- Revised ALP Food Establishment License Flow Sheet
- Revised NF Food Establishment License Flow Sheet
Grievances
Guardianship and Conservatorship
Infection Control
Involuntary Discharge
Legionella Risk Management
Life Safety
- Door Security and Safety Foundation presentations
- Door Security and Safety Foundation overview
- Door inspection examples - State Fire Marshall presentation
- Door assembly inspection
- Annual inspection guides for swinging fire doors
- Door Security and Safety Foundation education
- Does painting or refinishing a fire door in the field void the label?
- Do you qualify to perform inspections of fire door assemblies according to NFPA 80?
- Fire door inspections - What are we learning?
- Cases of inaccurate door inspections
- Understanding recent door inspection and maintenance codes
Medicinal Marijuana
NHA Licensure
OSHA
PASRR (Preadmission Screening and Resident Review) Requirements
Pet and Service Animal Guidance
Record Retention Guidance
- Administrative Record Retention Policy
- General Guidance for Record Retention
- Record Retention Policy Care Facility
Resident’s Bill of Rights
RoP Compliance
48-hour Baseline Care Plan Tool and Permission Form – This tool is free, however, it does require each facility to complete the permission form to use the tool. Once the permission form is submitted, AANAC/AADNS will provide an email as written permission to the reprint tool.
Sex Offender Tools & Resources
- Policy: Sex Offender Registry Checks
- Sex Offender Registry Issues and Abuse Prevention
- Sex Offenders In Your Facility
Staffing Levels
Survey Readiness
As facilities participate in the DIA survey process, it is not uncommon for employees to be interviewed by the inspectors.
- Protection of QAPI Materials
- DIA Additional Documents Entrance Form
- CMS Survey Resources
- Understanding the Employee Role in the Survey Process
- Employee Rights During the Survey Process
- Forms Required for Partial Extended Surveys
- Survey Matrix Form 802
- Survey Protocols and Interpretive Guidelines
TB Testing
- TB Symptom Screening Questionnaire
- Baseline Individual TB Risk Assessment
- TB Testing in Health Care Facilities (Chapter 59)
NURSING HOME LINKS
- Board of Nursing
- Certificate of Need
- Clinical Laboratory Improvement Amendments (CLIA)
- State Operations Manual – CMS Guidance to Surveyors for LTC Facilities
- Iowa Code 135C, Health Care Facilities
- DHS Nursing Facility Rules – Chapter 81
- Iowa Department of Veterans Affairs
- Iowa Sex Offender Registry
- Health Care Facilities Administration, DIA – Chapter 50
- Nursing Facility State Rules, DIA – Chapter 58
- Physical Standards, DIA – Chapter 61
- Professional Licensure
STATE AGENCY WEBSITES
- Department on Aging
- Department of Human Services
- Department of Inspections and Appeals (DIA)
- DIA Health Facilities Division Long-Term Care Facility Contacts
- Department of Public Health
- Office of the State Long-Term Care Ombudsman
- State Fire Marshal’s Office