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.
         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.  
         Section History: Early Form
         [C58, 62, 66, 71, 73, 75, 77, 79, 81, § 135C.3] 
         Section History: Recent Form
         90 Acts, ch 1039, §7; 96 Acts, ch 1129, § 113
         Referred to in § 135C.2, 347B.6