481—71.8(135G) Required notifications to the department.
	71.8(1) The department shall be notified:
	a. 	Thirty days in advance of any proposed change in the subacute care facility’s functional operation or the addition or deletion of required services;
	b. 	Thirty days before any addition, alteration, or new construction is begun in the subacute care facility or on the premises;
	c. 	Thirty days in advance of any closure of the subacute care facility;
	d. 	Within two weeks of any change in administrator;
	e. 	Within 30 days of the date on which any change in the category of license is sought;
	f. 	Within 30 days of any proposed change in the résumé of care for the subacute care facility.
	71.8(2) Prior to the purchase, transfer, assignment, or lease of a subacute care facility, the licensee shall:
	a. 	Inform the department of the pending sale, transfer, assignment, or lease of the facility; and
	b. 	Inform the department of the name and address of the prospective purchaser, transferee, assignee, or lessee at least 30 days before the sale, transfer, assignment, or lease is completed.
	71.8(3) Within 24 hours, or the next business day, by the most expeditious means available, the department shall be notified:
	a. 	Of any accident causing major injury. “Major injury” shall be defined as any injury which:
	(1)	Results in death; or
	(2)	Requires admission to a higher level of care for treatment, other than for observation; or
	(3)	Requires consultation with the attending physician, designee of the physician, physician assistant, or advanced registered nurse practitioner who determines, in writing, on a form designated by the department, that an injury is a “major injury” based upon the circumstances of the accident, the previous functional ability of the resident, and the resident’s prognosis;
	b. 	When a resident attempts suicide, regardless of injury;
	c. 	When damage to the facility is caused by a natural or other disaster;
	d. 	When a fire occurs in a facility and the fire requires the notification of emergency services, requires full or partial evacuation of the facility, or causes physical injury to a resident;
	e. 	When a defect or failure occurs in the fire sprinkler system for more than 10 hours or fire alarm system for more than 4 hours in a 24-hour period. (This reporting requirement is in addition to the requirement to notify the state fire marshal or the state fire marshal’s designee.)
[ARC 1740C, IAB 11/26/14, effective 12/31/14; ARC 4431C, IAB 5/8/19, effective 6/12/19; ARC 6974C, IAB 4/5/23, effective 5/10/23]