Iowa Administrative Code
Agency 481 - INSPECTIONS AND APPEALS
INSPECTIONS DIVISION
Chapter 57 - RESIDENTIAL CARE FACILITIES
Rule 481-57.15 - Residency agreement
Universal Citation: IA Admin Code 481-57.15
Current through Register Vol. 46, No. 19, March 20, 2024
(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)
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