231C.2 - DEFINITIONS.
231C.2 DEFINITIONS.
As used in this chapter, unless the context otherwise requires:
1. "Adult day services" means adult day services as defined
in section 231D.1.
2. "Assisted living" means provision of housing with services
which may include but are not limited to health-related care,
personal care, and assistance with instrumental activities of daily
living to three or more tenants in a physical structure which
provides a homelike environment. "Assisted living" also includes
encouragement of family involvement, tenant self-direction, and
tenant participation in decisions that emphasize choice, dignity,
privacy, individuality, shared risk, and independence. "Assisted
living" includes the provision of housing and assistance with
instrumental activities of daily living only if personal care or
health-related care is also included. "Assisted living" includes
twenty-four hours per day response staff to meet scheduled and
unscheduled or unpredictable needs in a manner that promotes maximum
dignity and independence and provides supervision, safety, and
security.
3. "Department" means the department of inspections and
appeals or the department's designee.
4. "Governmental unit" means the state, or any county,
municipality, or other political subdivision or any department,
division, board, or other agency of any of these entities.
5. "Health-related care" means services provided by a
registered nurse or a licensed practical nurse, on a part-time or
intermittent basis, and services provided by other licensed health
care professionals, on a part-time or intermittent basis.
6. "Instrumental activities of daily living" means those
activities that reflect the tenant's ability to perform household and
other tasks necessary to meet the tenant's needs within the
community, which may include but are not limited to shopping,
cooking, housekeeping, chores, and traveling within the community.
7. "Medication setup" means assistance with various steps of
medication administration to support a tenant's autonomy, which may
include but is not limited to routine prompting, cueing and
reminding, opening containers or packaging at the direction of the
tenant, reading instructions or other label information, or
transferring medications from the original container into suitable
medication dispensing containers, reminder containers, or medication
cups.
8. "Occupancy agreement" means a written agreement entered
into between an assisted living program and a tenant that clearly
describes the rights and responsibilities of the assisted living
program and a tenant, and other information required by rule.
"Occupancy agreement" may include a separate signed lease and
signed service agreement.
9. "Personal care" means assistance with the essential
activities of daily living which may include but are not limited to
transferring, bathing, personal hygiene, dressing, grooming, and
housekeeping that are essential to the health and welfare of the
tenant.
10. "Recognized accrediting entity" means a nationally
recognized accrediting entity that the department recognizes as
having specific assisted living program standards equivalent to the
standards established by the department for assisted living programs.
11. "Significant change" means a major decline or improvement
in the tenant's status which does not normally resolve itself without
further interventions by staff or by implementing standard
disease-related clinical interventions that have an impact on the
tenant's mental, physical, or functional health status.
12. "Substantial compliance" means a level of compliance with
this chapter and rules adopted pursuant to this chapter such that any
identified insufficiencies pose no greater risk to tenant health or
safety than the potential for causing minimal harm. "Substantial
compliance" constitutes compliance with the rules of this chapter.
13. "Tenant" means an individual who receives assisted living
services through a certified assisted living program.
14. "Tenant advocate" means the office of long-term care
resident's advocate established in section 231.42.
15. "Tenant's legal representative" means a person appointed
by the court to act on behalf of a tenant or a person acting pursuant
to a power of attorney. Section History: Recent Form
96 Acts, ch 1192, §2; 2000 Acts, ch 1004, §14, 22; 2003 Acts, ch
165, §19; 2003 Acts, ch 166, §8, 9; 2005 Acts, ch 60, §3--5, 21; 2005
Acts, ch 179, §121; 2007 Acts, ch 215, §161; 2009 Acts, ch 156, §11
Referred to in § 142D.2, 249H.3