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Ex. IA-073 Order Confirmed from a secondary source

Iowa Guidance on Phased Easing of Restrictions for Long-Term Care Facilities (LTC Reopening Phases and Testing, FINAL 06/04/20)

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

Iowa Department of Public Health and Iowa Department of Inspections and Appeals · Iowa (Sector regulator)

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The COVID Project

The record

Jurisdiction
Iowa
Level
Sector regulator
Authority
Iowa Code chs. 135, 135C; CMS QSO-20-30-NH; Governor's proclamations suspending Iowa Admin. Code r. 481-58.47 (in-person visitation)
Issued
2020-06-04 June 4, 2020
Effective
2020-06-04
End
Updated September 2020 and October 2020 (compassionate-care visits); superseded by CMS QSO-20-39-NH revisions (read as 2020-12-31)
In force
June 4, 2020 to Dec. 31, 2020
Quarters
2020 Q22020 Q32020 Q4
Limitation types
Health care orders
Addressees
  • Iowa nursing facilities and long-term care facilities
Functions reached
  • VS visitation prohibited or limited
  • DN dining and activities limited
  • IC screening and cohorting
  • IN admissions
  • HC in-home and hospice access to facilities
Collection
Iowa IA

Operative words

Per BrownWinick's summary of the guidance: Phase 1 'generally 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'; facilities must meet metrics ('14 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') before Phase 2.

Enforcement

DIA survey and enforcement under Iowa Code ch. 135C and CMS conditions of participation

Notes

The State's implementation of the visitation restriction that began with the March 26, 2020 proclamation's suspension of the in-person visitation rule (IA-005).

Retrieval note

Existence, date and content from BrownWinick (June 2020), Iowa Public Radio and The Gazette; the LeadingAge Iowa mirror of the IDPH document failed to download; if the batch-4 retry succeeded, the file field is updated.

A record of The COVID Project. The instrument's text is the source's; the summary fields are The COVID Project's reading of it. Not legal advice.