Iowa Code
Chapter 135C - HEALTH CARE FACILITIES
Section 135C.3 - Nature of care.

135C.3 Nature of care.
1. A licensed nursing facility shall provide an organized twenty-four-hour program of services commensurate with the needs of its residents and under the immediate direction of a licensed nurse. Medical and nursing services must be provided under the direction of either a house physician or an individually selected physician. Surgery or obstetrical care shall not be provided within the facility. An admission to the nursing facility must be based on a physician’s written order certifying that the individual being admitted requires no greater degree of nursing care than the facility to which the admission is made is licensed to provide and is capable of providing. The nursing facility is not required to admit an individual through court order, referral, or other means without the express prior approval of the administrator of the nursing facility.
2. A licensed intermediate care facility for persons with mental illness shall provide an organized twenty-four-hour program of services commensurate with the needs of its residents and under the immediate direction of a licensed registered nurse, who has had at least two years of recent experience in a chronic or acute psychiatric setting. Medical and nursing service must be provided under the direction of either a house physician or an individually selected physician. Surgery or obstetrical care shall not be provided within the facility. An admission to the intermediate care facility for persons with mental illness must be based on a physician’s written order certifying that the individual being admitted requires no greater degree of nursing care than the facility to which the admission is made is licensed to provide and is capable of providing.
[C58, 62, 66, 71, 73, 75, 77, 79, 81, §135C.3]
90 Acts, ch 1039, §7; 96 Acts, ch 1129, §113; 2012 Acts, ch 1079, §3
Referred to in §135C.2, 347B.6

Structure Iowa Code

Iowa Code

Title IV - PUBLIC HEALTH

Chapter 135C - HEALTH CARE FACILITIES

Section 135C.1 - Definitions.

Section 135C.2 - Purpose — rules — special classifications — protection and advocacy agency.

Section 135C.3 - Nature of care.

Section 135C.4 - Residential care facilities.

Section 135C.5 - Limitations on use.

Section 135C.6 - License required — exemptions.

Section 135C.7 - Application — fees.

Section 135C.8 - Scope of license.

Section 135C.9 - Inspection before issuance — notice of deficiencies.

Section 135C.10 - Denial, suspension, or revocation.

Section 135C.11 - Notice — hearings.

Section 135C.12 - Conditional operation.

Section 135C.13 - Judicial review.

Section 135C.14 - Rules.

Section 135C.15 - Time to comply.

Section 135C.16 - Inspections.

Section 135C.16A - Inspectors — conflicts of interest.

Section 135C.17 - Duties of other departments.

Section 135C.18 - Employees.

Section 135C.19 - Public disclosure of inspection findings — posting of citations.

Section 135C.20 - Information distributed.

Section 135C.20A - Report cards — facility inspections — complaint procedures — availability to public — electronic access.

Section 135C.20B - Governor’s award — quality care.

Section 135C.21 - Penalties.

Section 135C.22 - Applicable to governmental units.

Section 135C.23 - Express requirements for admission or residence.

Section 135C.24 - Personal property or affairs of patients or residents.

Section 135C.25 - Resident advocate committee appointments — duties — disclosure — liability.

Section 135C.26 - Director notified of casualties.

Section 135C.27 - Federal funds to implement program.

Section 135C.28 - Conflicting statutes.

Section 135C.29 - License list to county commissioner of elections.

Section 135C.30 - Operation of facility under receivership.

Section 135C.31 - Discharge of Medicaid patients.

Section 135C.31A - Assessment of residents — program eligibility — prescription drug coverage.

Section 135C.32 - Hospice services covered by Medicare.

Section 135C.33 - Employees and certified nurse aide trainees — child or dependent adult abuse information and criminal record check options — evaluations — application to other providers — penalty.

Section 135C.34 - Medication aide — certification.

Section 135C.35 - Training of inspectors.

Section 135C.36 - Violations classified — penalties.

Section 135C.37 - Complaints alleging violations — confidentiality.

Section 135C.38 - Inspections upon complaints.

Section 135C.39 - No advance notice of inspection — exception.

Section 135C.40 - Citations when violations found — penalties — exception.

Section 135C.40A - Issuance of final findings.

Section 135C.41 - Licensee’s response to citation.

Section 135C.42 - Informal conference on contested citation.

Section 135C.43 - Judicial review.

Section 135C.43A - Reduction of penalty amount.

Section 135C.44 - Treble fines for repeated violations.

Section 135C.44A - Double fines for intentional violations.

Section 135C.45 - Refund of penalty.

Section 135C.45A - Notification penalty.

Section 135C.46 - Retaliation by facility prohibited.

Section 135C.47 - Report listing licensees and citations.

Section 135C.48 - Information about complaint procedure.