Current through Register Vol. 46, No. 19, March 20, 2024
(1)
Housekeeping. The
facility shall have written procedures for daily and weekly cleaning (III)
which include, but need not be limited to:
a.
All rooms including furnishings, all corridors, storage areas, linen closets,
attics, and basements shall be kept in a clean, orderly condition, free of
unserviceable furniture and equipment or accumulations of refuse.
(Ill)
b. All resident bedrooms,
including furnishings, shall be cleaned and sanitized before use by another
resident. (Ill)
c. Polishes used on
floors shall provide a slip-resistant finish. (Ill)
(2)
Equipment. Housekeeping
and maintenance personnel shall be provided with well-constructed and properly
maintained equipment appropriate to the function for which it is to be used.
(Ill)
a. All facilities shall be provided with
clean and sanitary storage for cleaning equipment, supplies, and utensils. In
facilities over 15 beds, a janitor's closet shall be provided. It shall be
equipped with water for filling scrub pails and a janitor's sink for emptying
scrub pails. A hallway or corridor shall not be used for storage of equipment.
(Ill)
b. Sufficient numbers of
noncombustible trash containers, which have covers, shall be available.
(Ill)
c. All containers for trash
shall be watertight, rodent-proof, and have tight-fitting covers and shall be
thoroughly cleaned each time a container is emptied. (Ill)
d. All wastes shall be properly disposed of
in compliance with the local ordinances and state codes. (Ill)
(3)
Bedrooms.
Each resident shall be provided with a bed, substantially constructed and in
good repair (III)
a. Rollaway beds, metal
cots, or folding beds are not acceptable. (Ill)
b. Each bed shall be equipped with the
following: casters or glides; clean springs in good repair; a clean,
comfortable, well-constructed mattress approximately 5 inches thick and
standard in size for the bed; and clean, comfortable pillows of average bed
size. (Ill)
c. There shall be a
comfortable chair, either a rocking chair or arm chair, per resident bed. The
resident's personal wishes shall be considered and documented. (Ill)
d. There shall be drawer space for each
resident's clothing. In a multiple bedroom, drawer space shall be assigned each
resident. (Ill)
e. There shall be a
bedside table with a drawer and a reading lamp for each resident.
(Ill)
f. All furnishings and
equipment shall be durable, cleanable, and appropriate to its function.
(Ill)
g. All resident areas shall
be decorated, painted, and furnished to provide a homelike atmosphere and in a
manner which is age and culture appropriate. (Ill)
h. Upholstery materials shall be moisture-
and soil-resistant, except on furniture which is provided and owned by the
resident. (Ill)
i. Beds and other
furnishings shall not obstruct free passage to and through doorways.
(Ill)
j. Beds shall not be placed
with the side of the bed against a radiator or in close proximity to it unless
the radiator is covered to protect the resident from contact with it or from
excessive heat. (Ill)
(4)
Bath and toilet
facilities. All lavatories shall have nonreusable towels or an air
dryer and an available supply of soap. (Ill)
(5)
Dining and living rooms.
Dining rooms and living rooms shall be available for use by residents at
appropriate times to allow social, diversional, individual, and group
activities. (Ill)
a. Every facility shall have
a dining room and a living room easily accessible to all residents which are
never used as bedrooms. (Ill)
b. A
combination dining room and living room may be permitted if the space
requirements of a multipurpose room as provided in 481-subrule 61.6(2) are met.
(Ill)
c. Living rooms shall be
suitably furnished and maintained for the use of residents and their visitors
and may be used for recreational activities. (Ill)
d. Dining rooms shall be furnished with
dining tables and chairs appropriate to the size and function of the facility.
These rooms and furnishings shall be kept clean and sanitary. (Ill)
(6)
Family and employee
accommodations. Resident bedrooms shall not be occupied by employees,
family members of employees, or family members of the licensee. (Ill)
a. In facilities where the total occupancy of
family, employees, and residents is five or fewer, one toilet and one tub or
shower is the minimum requirement. (Ill)
b. In all health care facilities, if the
family or employees live within the facility, living quarters shall be required
for the family or employees separate from areas provided for residents.
(Ill)
(7)
Pets-policies. Any facility in which a pet is living shall
implement written policies and procedures addressing the following:
a. Vaccination schedule; (III)
b. Veterinary visit schedule; (III)
c. Housing or sleeping quarters; (III)
and
d. Assignment of responsibility
for feeding, bathing and cleanup. (Ill)
(8)
Maintenance. Each
facility shall establish a program to ensure continued maintenance of the
facility, to promote good housekeeping procedures, and to ensure sanitary
practices throughout. In facilities over 15 beds, this program shall be in
writing and be available for review by the department. (Ill)
a. The buildings, furnishings and grounds
shall be maintained in a clean, orderly condition and be in good repair
(III)
b. The buildings and grounds
shall be kept free of flies, other insects, rodents, and their breeding areas.
(Ill)
(9)
Buildings, furnishings, and equipment.
a. Battery-operated, portable emergency
lights in good working condition shall be available at all times, at a ratio of
one light per employee on duty from 6 p.m. to 6 a.m. (Ill)
b. All windows shall be supplied with
curtains and shades or drapes which are kept in good repair (III)
c. Wherever glass sliding doors or
transparent panels are used, they shall be marked conspicuously and
decoratively. (Ill)
(10)
Water supply. Every facility shall have an adequate water
supply from an approved source. A municipal source of water shall be considered
as meeting this requirement. Private sources of water to a facility shall be
tested annually and the report submitted with the annual application for
license. (Ill)
a. A bacterially unsafe source
of water shall be grounds for denial, suspension, or revocation of license.
(Ill)
b. The department may require
testing of private sources of water to a facility at its discretion in addition
to the annual test. The facility shall supply reports of tests as directed by
the department. (Ill)
This rule is intended to implement Iowa Code section
135C.14.
