CHAPTER 205
FIRE SAFETY REQUIREMENTS FOR HOSPITALS AND
HEALTH CARE FACILITIES
[Prior to 4/2/03, see rules 661—5.550(100) to 661—5.603(100)]
[Prior to 6/22/05, see rules 661—5.900(100) to 661—5.950(135C)]
661—205.1(100) Definitions. The following definitions apply to rules 661—205.1(100) through 661—205.25(100).
“Ambulatory health care facility” means a facility or portion thereof used to provide services or treatment that provides, on an outpatient basis, treatment for one or more patients that renders the patients incapable of taking action for self-preservation under emergency conditions without the assistance of others; or provides, on an outpatient basis, anesthesia that renders the patient incapable of taking action for self-preservation under emergency conditions without the assistance of others.
“Existing” means that a facility (1) has been in continuous operation under its current classification of occupancy since before July 5, 2016, and has not undergone renovation or remodeling, including an addition, on or after July 5, 2016, or (2) received plan approval for initial construction or for its most recent renovation or remodeling project, including an addition, if any, from the building code bureau of the fire marshal division prior to July 5, 2016.
“Hospice” means a facility licensed or seeking licensure pursuant to Iowa Code section 135J.2.
“Hospital” means a facility licensed or seeking licensure pursuant to Iowa Code chapter 135B.
“Intermediate care facility” means a facility licensed or seeking licensure pursuant to Iowa Code section 135C.2(3)“c.”
“New” means that a facility (1) commenced continuous operation under its current classification of occupancy on or after July 5, 2016, (2) has undergone renovation or remodeling, including an addition, on or after July 5, 2016, or (3) received plan approval from the building code bureau of the fire marshal division for the initial construction of the facility or the most recent renovation of or addition to the facility on or after July 5, 2016.
“NFPA” means the National Fire Protection Association, Batterymarch Park, Quincy, MA 02269. References to the form “NFPA xx,” where “xx” is a number, refer to the NFPA standard or pamphlet of the corresponding number.
“Nursing facility” means a facility licensed or seeking licensure pursuant to Iowa Code section 135C.6, including a nursing facility for intermediate care or a nursing facility for skilled care.
[ARC 3526C, IAB 12/20/17, effective 1/24/18]
661—205.2 to 205.4  Reserved.
661—205.5(100) Hospitals.
	205.5(1) New hospitals. NFPA 101, Life Safety Code, 2012 edition, Chapter 18, is adopted by reference as the fire safety rules for new hospitals.
	205.5(2) Existing hospitals. NFPA 101, Life Safety Code, 2012 edition, Chapter 19, is adopted by reference as the fire safety rules for existing hospitals.
[ARC 3526C, IAB 12/20/17, effective 1/24/18]
661—205.6 to 205.9  Reserved.
661—205.10(100) Nursing facilities and hospices.
	205.10(1) New nursing facilities and hospices. NFPA 101, Life Safety Code, 2012 edition, Chapter 18, is adopted by reference as the fire safety rules for new nursing facilities and hospices that provide inpatient care directly.
	205.10(2) Existing nursing facilities and hospices. NFPA 101, Life Safety Code, 2012 edition, Chapter 19, is adopted by reference as the fire safety rules for existing nursing facilities and hospices that provide inpatient care directly.
[ARC 3526C, IAB 12/20/17, effective 1/24/18]
661—205.11 to 205.14  Reserved.
661—205.15(100) Intermediate care facilities for persons with intellectual disabilities and intermediate care facilities for persons with mental illness.
	205.15(1) New intermediate care facilities. New intermediate care facilities for persons with intellectual disabilities and new intermediate care facilities for persons with mental illness shall comply with the provisions of one of the following:
	a. 	NFPA 101, Life Safety Code, 2012 edition, Chapter 18.
	b. 	NFPA 101, Life Safety Code, 2012 edition, Chapter 32.
	205.15(2) Existing intermediate care facilities. Existing intermediate care facilities for persons with intellectual disabilities and existing intermediate care facilities for persons with mental illness shall comply with the provisions of one of the following:
	a. 	NFPA 101, Life Safety Code, 2012 edition, Chapter 19.
	b. 	NFPA 101, Life Safety Code, 2012 edition, Chapter 33.
Note: Any requirement contained in Chapter 33 that is determined on a rating of evacuation capability shall be based upon an evacuation capability rating of “impractical.” Any provision which depends upon an evacuation rating of “prompt” or “slow” shall be unavailable.
[ARC 3526C, IAB 12/20/17, effective 1/24/18]
661—205.16 to 205.19  Reserved.
661—205.20(100) Ambulatory health care facilities.
	205.20(1) New ambulatory health care facilities. NFPA 101, Life Safety Code, 2012 edition, Chapter 20, is adopted by reference as the fire safety rules for new ambulatory health care facilities.
	205.20(2) Existing ambulatory health care facilities. NFPA 101, Life Safety Code, 2012 edition, Chapter 21, is adopted by reference as the fire safety rules for existing ambulatory health care facilities.
[ARC 3526C, IAB 12/20/17, effective 1/24/18]
661—205.21 to 205.24  Reserved.
661—205.25(100) Religious nonmedical health care institutions.
	205.25(1) New religious nonmedical health care institutions. NFPA 101, Life Safety Code, 2012 edition, Chapter 18, is adopted by reference as the fire safety rules for new religious nonmedical health care institutions.
	205.25(2) Existing religious nonmedical health care institutions. NFPA 101, Life Safety Code, 2012 edition, Chapter 19, is adopted by reference as the fire safety rules for existing religious nonmedical health care institutions.
[ARC 3526C, IAB 12/20/17, effective 1/24/18]
These rules are intended to implement Iowa Code section 100.35 and chapters 135B, 135C, 135J and 231C and 42 CFR Parts 403, 416, 418, 482 and 483.
661—205.26 to 205.99  Reserved.
661—205.100(135C) Residential care facilities. Rescinded IAB 11/18/09, effective 1/1/10.
[Filed 9/17/57; amended 10/9/57, 1/5/60]
[Filed 10/12/71; amended 12/31/73]
[Filed 4/4/77, Notice 9/22/76—published 4/20/77, effective 5/25/77]
[Filed 10/10/86, Notice 11/5/86—published 12/31/86, effective 2/4/87]
[Filed 4/1/88, Notice 9/23/87—published 4/20/88, effective 5/25/88]
[Filed 2/2/89, Notice 12/28/88—published 2/22/89, effective 3/29/89]
[Filed 3/16/90, Notice 12/13/89—published 4/4/90, effective 5/9/90]
[Filed 4/24/92, Notice 2/19/92—published 5/13/92, effective 7/1/92]
[Filed 2/24/93, Notice 12/9/92—published 3/17/93, effective 5/1/93]
[Filed emergency 3/10/03—published 4/2/03, effective 3/11/03]
[Filed 10/7/03, Notice 5/28/03—published 10/29/03, effective 1/1/04]
[Filed emergency 3/25/04 after Notice 2/18/04—published 4/14/04, effective 4/1/04]
[Filed emergency 5/23/05 after Notice 4/27/05—published 6/22/05, effective 5/24/05]
[Filed ARC 8307B (Notice ARC 8156B, IAB 9/23/09), IAB 11/18/09, effective 1/1/10]
[Filed ARC 3526C (Notice ARC 3411C, IAB 10/25/17), IAB 12/20/17, effective 1/24/18]