Care-facility inspections
How nursing homes and care facilities in Iowa are inspected, licensed, and held to account.
10 laws · 6 enforcement actions · 4 guides · 2 court decisions
See the details
The laws 10
- Iowa Code 135C.1 & 135C.2, Chapter 135C "Health Care Facilities" — definitions ("department" = the department of inspections, appeals, and licensing; legis.iowa.gov
- Iowa Code 135C.4 & 135C.6 — the operating standard for a licensed residential care facility (a 24-hour organized program of care under an approved/certified administrator, admission conditioned on a physician's order that the resident does… legis.iowa.gov
- Iowa Code 135C.10, "Denial, suspension, or revocation" — the department of inspections, appeals, and licensing's authority to deny, suspend, or revoke a health care facility license for repeated noncompliance or for specific enumerated grou… legis.iowa.gov
- Iowa Code 135C.36, "Violations classified — penalties" — the three-tier violation classification the department must use for every health care facility violation: Class I (imminent danger/substantial probability of death or physical harm, $… legis.iowa.gov
- Iowa Code 135C.40, "Citations when violations found — penalties — exception" — the director's authority and procedure to issue a written citation within five working days of an inspection/investigation finding, service requirements, the $50… legis.iowa.gov
- Iowa Code 231C.1 & 231C.2, Chapter 231C "Assisted Living Programs" — legislative findings/purpose (a safe, homelike, consumer-driven alternative for individuals who need assistance short of continuous 24-hour health-related care) and chapte… legis.iowa.gov
- Iowa Code 231C.10, "Denial, suspension, or revocation — conditional operation" — grounds on which the department may deny, suspend, or revoke an assisted living program's certificate (substantial/repeated noncompliance, misappropriation of… legis.iowa.gov
- Iowa Code 231C.14 & 231C.15 — civil penalties the department may impose by rule against an assisted living program (imminent-danger noncompliance, continued failure to correct a health/safety-related deficiency after notice, interference wi… legis.iowa.gov
- Iowa Code 231D.1 & 231D.2, Chapter 231D "Adult Day Services" — the definition of an adult day services program (an organized program of health-related care, social services, and support for 16 hours or less in a 24-hour period, for two or m… legis.iowa.gov
- Iowa Code 231D.5, "Denial, suspension, or revocation" — the department's authority to deny, suspend, or revoke adult day services certification for substantial/repeated noncompliance or specific grounds including founded dependent adult abu… legis.iowa.gov
Know your rights 4
- DIAL "Health Facilities" guidance page — a plain-language overview of every facility/program type DIAL licenses or oversees (adult day services, ambulatory surgical centers, assisted living programs, ESRD/dialysis facilities, elder group ho… dial.iowa.gov
- DIAL "File a Complaint" guidance page, Health Facilities and Adult Abuse section — how to file a complaint about a DIAL-regulated health facility, a facility staff member, or dependent adult abuse in an Iowa health facility or program; dial.iowa.gov
- Iowa HHS "Report Abuse & Fraud" guidance page, Nursing Home and Home Health / Provider Fraud sections — explains what constitutes Medicaid provider fraud (false/misleading statements to obtain reimbursement, billing for services not provide… hhs.iowa.gov
- Iowa HHS Medicaid "Program Integrity" guidance page — explains the Program Integrity and Compliance Bureau's role (reviewing fraud/waste/abuse reports, auditing claims and billing, checking provider exclusion lists) and that credible cases… hhs.iowa.gov
Enforcement actions 2
- DIAL Health Facilities Division ("DIAL HFD") public Assessed Fines Report — a live, run-on-demand report of state civil money penalties assessed against NAMED, licensed Iowa health care facilities (nursing facilities/SNFs, residential care… dia-hfd.iowa.gov
- Iowa Office of the Attorney General press release (2026) announcing the Governor-established Medicaid Fraud Elimination Task Force's inaugural meeting, chaired by Attorney General Brenna Bird, tasked with a 120-day statewide strategy/final… iowaattorneygeneral.gov
Orders & settlements 4
- Iowa Administrative Code 481—57, "Residential Care Facilities" — DIAL's current administrative rule chapter implementing Iowa Code ch. legis.iowa.gov
- Iowa Administrative Code 481—58, "Nursing Facilities" — DIAL's current administrative rule chapter implementing Iowa Code ch. legis.iowa.gov
- Iowa Administrative Code 481—69, "Assisted Living Programs" — DIAL's current administrative rule chapter implementing Iowa Code ch. legis.iowa.gov
- Iowa Administrative Code 481—70, "Adult Day Services" — DIAL's current administrative rule chapter implementing Iowa Code ch. legis.iowa.gov
Court decisions 2
Official notices 2
- DIAL press release (2025-10-10), "DIAL Again Meets Federal Requirements for Long-term Care Surveys in 2025" — the state survey agency's own bulletin reporting it met CMS's federal fiscal-year 2025 state-survey-agency performance requirement… dial.iowa.gov
- DIAL press release (2026-09-09) naming Fellowship Village of Inwood as the recipient of the second 2026 Iowa Governor's Quality Award for Health Care Facilities — the statutorily-created (Iowa Code 135C.20B) recognition program administered… dial.iowa.gov