135C.4 - RESIDENTIAL CARE FACILITIES.

        135C.4  RESIDENTIAL CARE FACILITIES.
         Each facility licensed as a residential care facility shall
      provide an organized continuous twenty-four-hour program of care
      commensurate with the needs of the residents of the home and under
      the immediate direction of a person approved and certified by the
      department whose combined training and supervised experience is such
      as to ensure adequate and competent care.  All admissions to
      residential care facilities shall be based on an order written by a
      physician certifying that the individual being admitted does not
      require nursing services or that the individual's need for nursing
      services can be avoided if home and community-based services, other
      than nursing care, as defined by this chapter and departmental rule,
      are provided.  For the purposes of this section, the home and
      community-based services to be provided shall be limited to the type
      included under the medical assistance program provided pursuant to
      chapter 249A, shall be subject to cost limitations established by the
      department of human services under the medical assistance program,
      and except as otherwise provided by the department of inspections and
      appeals with the concurrence of the department of human services,
      shall be limited in capacity to the number of licensed residential
      care facilities and the number of licensed residential care facility
      beds in the state as of December 1, 2003.  
         Section History: Early Form
         [C50, 54, § 135C.9; C58, 62, 66, 71, 73, 75, 77, 79, 81, § 135C.4]
      
         Section History: Recent Form
         2004 Acts, ch 1085, §2, 11
         Referred to in § 135C.2, 347B.6