Section 481.71.3. Application for licensure.

         71.3(1) Initial application and licensing. In order to obtain an initial license for a subacute care facility, the applicant must meet all the requirements of the rules, regulations, and standards contained in Iowa Code chapter 135G and in this chapter and must make application at least 30 days prior to the proposed licensure date of the subacute care facility on forms provided by the department. The applicant must:

            a.               Submit a résumé of care with a narrative which includes the following information:

             (1)             The purpose of the facility.

             (2)             A description of the target population and limitations on resident eligibility.

             (3)             Identification and description of the services the facility will provide, which shall minimally include specific and measurable goals and objectives for each of the services to be made available by the facility and a description of the resources needed to provide each of the services, including staff, physical facilities and funds.

             (4)             A description of the human services system available in the area including, but not limited to, social, public health, visiting nurse, vocational training, and employment services, residential living arrangements, and services of private agencies.

             (5)             A description of working relationships with human services agencies when applicable, which shall include at a minimum:

            1.      A description of how the facility will coordinate with human services agencies to facilitate continuity of care and coordination of services to residents; and

            2.      A description of how the facility will coordinate with human services agencies to identify unnecessary duplication of services and plan for development and coordination of needed services;

            b.               Submit a floor plan of each floor of the facility drawn on 8½- × 11-inch paper showing room areas in proportion, room dimensions, room numbers for all rooms, including bathrooms, the designation of the use to which each room will be put, and window and door location;

            c.               Submit a photograph of the front and side elevation of the facility;

            d.               Submit the statutory fee for a subacute care facility license;

            e.               Show evidence of a certificate signed by the state fire marshal or deputy state fire marshal certifying compliance with fire safety rules.

         71.3(2) Conversion from an intermediate care facility for persons with mental illness. An intermediate care facility for persons with mental illness may be converted to a subacute care facility pursuant to Iowa Code section 135G.4(2) if the facility:

            a.               Provides written notice to the department that the facility has employed a full-time psychiatrist and desires to make the conversion; and

            b.               Submits an application to the department.

         71.3(3) Renewal application or change of ownership. In order to obtain a renewal or change of the subacute care facility license, the applicant must:

            a.               Submit to the department the completed application form 30 days prior to the annual license renewal or change of ownership date;

            b.               Submit the statutory license fee for a subacute care facility with the application for renewal or change of ownership;

            c.               Have an approved, current certificate signed by the state fire marshal or deputy state fire marshal certifying compliance with fire safety rules and regulations; and

            d.               Submit appropriate changes in the résumé of care to reflect any changes in the resident care program or other services.

         71.3(4) Issuance of license. Licenses are issued to the person or governmental unit with responsibility for the operation of the facility and authority to comply with all applicable statutes, rules or regulations. The person or governmental unit must be the owner of the facility or, if the facility is leased, the lessee.

         71.3(5) Department of human services approval. Prior to issuance of the license, the department of human services must submit to the department written approval of the application based upon the process used by the department of human services to identify the best-qualified providers.

         71.3(6) Licensed beds limit. The total number of publicly funded subacute care facility beds licensed under this chapter shall not exceed 75.

         71.3(7) Beds per facility. A single facility shall not be licensed for more than 16 beds.

[ARC 1740C, IAB 11/26/14, effective 12/31/14; ARC 2068C, IAB 7/22/15, effective 8/26/15]