Current through Register Vol. 46, No. 19, March 20, 2024
In order to obtain an initial license for an ICF/PMI, the
applicant must comply with the rules and standards contained in Iowa Code
chapter 135C and the standards in 481-Chapter 61. Waivers from 481-Chapter 61
regulations are allowed under rule
481-61.2 (135C). An application
must be submitted to the department which states the type and category of
license for which the facility is applying.
(1) Each application shall include:
a. A floor plan of each floor of the facility
drawn on 8½- x 11-inch paper showing room areas in proportion, room
dimensions, room numbers for all rooms, including bathroom, and designation of
the use to which room will be put and window and door location;
b. A photograph of the front and side
elevation of the facility;
c. The
statutory fee for an intermediate care facility license;
d. Evidence of a certificate signed by the
state fire marshal or deputy state fire marshal as to compliance with fire
safety rules.
(2) A
resume of care with a narrative which includes the following information shall
be submitted:
a. The purpose of the
facility;
b. A description of the
target population and limitations on resident eligibility;
c. An identification and description of the
services the facility will provide. This shall include at least specific and
measurable goals and objectives for each service available in the facility and
a description of the resources needed to provide each service including staff,
physical facilities and funds;
d. A
description of the human service system available in the area, including, but
not limited to, social, public health, visiting nurse, vocational training,
employment services, sheltered living arrangements, and services of private
agencies; and
e. A description of
working relationships with the human service agencies when applicable which
shall include at least how the facility will coordinate with:
(1) The department of human services to
facilitate continuity of care and coordination of services to residents;
and
(2) Other agencies to identify
unnecessary duplication of services and plan for development and coordination
of needed services.
(3) In order to obtain a renewal or change of
ownership license of the ICF/PMI the applicant must:
a. Submit to the department the completed
application form 30 days prior to annual license renewal or change of ownership
date of the ICF/PMI license;
b.
Submit the statutory license fee for an ICF/PMI with the application for
renewal or change of ownership;
c.
Have an approved current certificate signed by the state fire marshal or deputy
state fire marshal as to compliance with fire safety rules; and
d. Submit documentation of review of resume
of care pursuant to subrule 65.2(1), paragraph
"a," and a copy
of any revisions to the plan.
This rule is intended to implement Iowa Code sections
135C.7 and
135C.9.
