{"id":"IA-073","kind":"order","level":"sector-regulator","jurisdiction":"Iowa","state":"IA","metro":"","industry":"","agency":"","eco":"","issuer":"Iowa Department of Public Health and Iowa Department of Inspections and Appeals","authority":"Iowa Code chs. 135, 135C; CMS QSO-20-30-NH; Governor\u0027s proclamations suspending Iowa Admin. Code r. 481-58.47 (in-person visitation)","instrument":"Iowa Guidance on Phased Easing of Restrictions for Long-Term Care Facilities (LTC Reopening Phases and Testing, FINAL 06/04/20)","title":"Three-phase framework for Iowa nursing facilities: Phase 1 generally prohibiting visitors, restricting non-essential personnel, limiting communal dining and requiring screening, masks and cohorting; metrics (14 days without cases, staffing, PPE, hospital capacity, county trend) before Phase 2 limited visitation","dateIssued":"2020-06-04","effective":"2020-06-04","end":"Updated September 2020 and October 2020 (compassionate-care visits); superseded by CMS QSO-20-39-NH revisions","startDate":"2020-06-04","endDate":"2020-12-31","quarters":["2020Q2","2020Q3","2020Q4"],"types":["HC"],"addressees":["Iowa nursing facilities and long-term care facilities"],"clause":"Per BrownWinick\u0027s summary of the guidance: Phase 1 \u0027generally prohibiting visitors with certain exceptions; restricting entry of non-essential healthcare personnel; utilizing telemedicine whenever possible; limiting communal dining; routine staff and resident screening; requiring face masks; and cohorting residents who are symptomatic or test positive\u0027; facilities must meet metrics (\u002714 days since last positive or suspected case identified; adequate staffing levels; adequate supply of PPE; ability of local hospital to accept referrals/transfers; capability of cohorting residents; and a downward trend in number of cases over past 14 days in the county\u0027) before Phase 2.","enforcement":"DIA survey and enforcement under Iowa Code ch. 135C and CMS conditions of participation","functions":["VS visitation prohibited or limited","DN dining and activities limited","IC screening and cohorting","IN admissions","HC in-home and hospice access to facilities"],"notes":"The State\u0027s implementation of the visitation restriction that began with the March 26, 2020 proclamation\u0027s suspension of the in-person visitation rule (IA-005).","sourceUrl":"https://lai.memberclicks.net/assets/LTC%20Reopening%20Phases%20and%20Testing_FINAL_06_04_20.pdf","snapshot":"http://web.archive.org/web/20200713162211/https://lai.memberclicks.net/assets/LTC%20Reopening%20Phases%20and%20Testing_FINAL_06_04_20.pdf","fileExists":false,"fileBytes":0,"grade":"secondary","character":"","description":"","collection":"IA","url":"/library/IA-073","exhibitUrl":null,"citation":"Iowa Department of Public Health and Iowa Department of Inspections and Appeals, Iowa Guidance on Phased Easing of Restrictions for Long-Term Care Facilities (LTC Reopening Phases and Testing, FINAL 06/04/20) (June 4, 2020) (Ex. IA-073)","stateName":"Iowa","related":["IA-005"]}