<?xml version="1.0" encoding="UTF-8"?><slim:Document xmlns:slim="urn:legix:slim" xmlns:xhtml="http://www.w3.org/1999/xhtml" xmlns:atipl="http://www.arbortext.com/namespace/PageLayout" class="codeChapter" id="chp155" name="155"><slim:About class="header"><slim:Property type="string" name="taskInfo">1037:C5E3D2CF-3E7C-4076-9C0A-DBF4F52A2719</slim:Property><slim:Property type="string" name="checkinTime">10/17/2025 11:32</slim:Property><slim:Property type="string" name="version">29</slim:Property></slim:About><slim:TOC><slim:Item idref="sec155.1" title="155.1   Definitions."/><slim:Item idref="sec155.2" title="155.2   Composition of board.Repealed by ."/><slim:Item idref="sec155.3" title="155.3   Qualifications for licensure."/><slim:Item idref="sec155.4" title="155.4   Licensing function."/><slim:Item idref="sec155.5" title="155.5   License fees."/><slim:Item idref="sec155.6" title="155.6   Receipt of fees.Repealed by 2006 Acts, ch 1155, §13, 15. "/><slim:Item idref="sec155.7" title="155.7   Organization of board.Repealed by 2009 Acts, ch 56, §12. "/><slim:Item idref="sec155.8" title="155.8   Exclusive jurisdiction of board."/><slim:Item idref="sec155.9" title="155.9   Duties of board  rules for provisional licenses."/><slim:Item idref="sec155.10" title="155.10   Continuing education."/><slim:Item idref="sec155.11" title="155.11   Reciprocity with other states."/><slim:Item idref="sec155.12" title="155.12   Conflict with federal law  effect."/><slim:Item idref="sec155.13" title="155.13   Misdemeanor."/><slim:Item idref="sec155.14" title="155.14   Applications."/><slim:Item idref="sec155.15" title="155.15   Fees.Repealed by ."/><slim:Item idref="sec155.16" title="155.16   Public members.Repealed by ."/><slim:Item idref="sec155.17" title="155.17   Disclosure of confidential information.Repealed by 2009 Acts, ch 56, §12. "/><slim:Item idref="sec155.18" title="155.18   Revocation or suspension.Repealed by 2009 Acts, ch 56, §12. "/><slim:Item idref="sec155.19" title="155.19   Voluntary surrender."/></slim:TOC><slim:Body><slim:Level class="codeChapter" id="chp155"><slim:Heading class="heading"><xhtml:span class="identifier">155</xhtml:span><xhtml:span class="headnote">NURSING HOME ADMINISTRATION</xhtml:span></slim:Heading><xhtml:div class="footnotes"><xhtml:div class="footnote">Enforcement, <xhtml:span class="iowaCodeRef">§147.87</xhtml:span>, <xhtml:span class="iowaCodeRef">147.92</xhtml:span></xhtml:div><xhtml:div class="footnote">Penalty, <xhtml:span class="iowaCodeRef">§147.86</xhtml:span></xhtml:div></xhtml:div><slim:Section class="codeSection" id="sec155.1"><xhtml:div class="heading"><xhtml:span class="identifier">155.1</xhtml:span><xhtml:span class="headnote">Definitions.</xhtml:span></xhtml:div><xhtml:p class="para">For the purposes of <xhtml:span class="iowaCodeRef">this chapter</xhtml:span>:</xhtml:p><xhtml:div class="subsection"><xhtml:div class="heading"><xhtml:span class="identifier">1</xhtml:span></xhtml:div><xhtml:p class="para"><xhtml:span class="term">“Board”</xhtml:span> means the board of nursing home administrators established in <xhtml:span class="iowaCodeRef">chapter 147</xhtml:span>.</xhtml:p></xhtml:div><xhtml:div class="subsection"><xhtml:div class="heading"><xhtml:span class="identifier">2</xhtml:span></xhtml:div><xhtml:p class="para"><xhtml:span class="term">“Nursing home”</xhtml:span> means an institution or facility, or part of an institution or facility, whether proprietary or nonprofit, licensed as a nursing facility, but not including an intermediate care facility for persons with an intellectual disability or an intermediate care facility for persons with mental illness, defined as such for licensing purposes under state law or administrative rule adopted pursuant to <xhtml:span class="iowaCodeRef">section 135C.2</xhtml:span>, including but not limited to, a nursing home owned or administered by the federal or state government or an agency or political subdivision of government.</xhtml:p></xhtml:div><xhtml:div class="subsection"><xhtml:div class="heading"><xhtml:span class="identifier">3</xhtml:span></xhtml:div><xhtml:p class="para"><xhtml:span class="term">“Nursing home administrator”</xhtml:span> means a person who administers, manages, supervises, or is in general administrative charge of a nursing home whether or not such individual has an ownership interest in such home and whether or not the individual’s functions and duties are shared with one or more individuals. A member of a board of directors, unless also serving in a supervisory or managerial capacity, shall not be considered a nursing home administrator.</xhtml:p></xhtml:div><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.118; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.1</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">83 Acts, ch 206, §8</xhtml:span>; <xhtml:span class="iowaActsRef">87 Acts, ch 194, §2</xhtml:span>; <xhtml:span class="iowaActsRef">90 Acts, ch 1039, §12</xhtml:span>; <xhtml:span class="iowaActsRef">90 Acts, ch 1204, §18</xhtml:span></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaCodeRef">C93, §155.1</xhtml:span></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">96 Acts, ch 1129, §113</xhtml:span>; <xhtml:span class="iowaActsRef">2007 Acts, ch 10, §151</xhtml:span>; <xhtml:span class="iowaActsRef">2012 Acts, ch 1019, §19</xhtml:span>; <xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §1</xhtml:span></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.2"><xhtml:div class="heading"><xhtml:span class="identifier">155.2</xhtml:span><xhtml:span class="headnote">Composition of board.</xhtml:span></xhtml:div><xhtml:p class="para">Repealed by <xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §9</xhtml:span>; . See <xhtml:span class="iowaCodeRef">§147.12 –  147.14</xhtml:span>, <xhtml:span class="iowaCodeRef">147.19</xhtml:span>, <xhtml:span class="iowaCodeRef">147.20</xhtml:span>.</xhtml:p></slim:Section><slim:Section class="codeSection" id="sec155.3"><xhtml:div class="heading"><xhtml:span class="identifier">155.3</xhtml:span><xhtml:span class="headnote">Qualifications for licensure.</xhtml:span></xhtml:div><xhtml:p class="para">The board shall have authority to issue licenses to qualified persons as nursing home administrators, and shall establish qualification criteria for such nursing home administrators. No license shall be issued to a person as a nursing home administrator unless:</xhtml:p><xhtml:div class="subsection"><xhtml:div class="heading"><xhtml:span class="identifier">1</xhtml:span></xhtml:div><xhtml:p class="para">The applicant is of sound mental health and physically able to perform the duties.</xhtml:p></xhtml:div><xhtml:div class="subsection"><xhtml:div class="heading"><xhtml:span class="identifier">2</xhtml:span></xhtml:div><xhtml:p class="para">The applicant has presented evidence satisfactory to the board of sufficient education, training, or experience to administer, supervise, and manage a nursing home.</xhtml:p></xhtml:div><xhtml:div class="subsection"><xhtml:div class="heading"><xhtml:span class="identifier">3</xhtml:span></xhtml:div><xhtml:p class="para">The applicant has passed an examination prescribed by the board pursuant to <xhtml:span class="iowaCodeRef">section 147.34</xhtml:span>.</xhtml:p></xhtml:div><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.120; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.3</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaCodeRef">C93, §155.3</xhtml:span></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §2</xhtml:span></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.4"><xhtml:div class="heading"><xhtml:span class="identifier">155.4</xhtml:span><xhtml:span class="headnote">Licensing function.</xhtml:span></xhtml:div><xhtml:p class="para">The board shall license nursing home administrators in accordance with <xhtml:span class="iowaCodeRef">this chapter</xhtml:span>, <xhtml:span class="iowaCodeRef">chapter 147</xhtml:span>, and rules issued by the board. A nursing home administrator’s license shall not be transferable and, if not inactive, shall be valid until revoked pursuant to <xhtml:span class="iowaCodeRef">section 147.55</xhtml:span> or voluntarily surrendered. </xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.121; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.4</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaCodeRef">C93, §155.4</xhtml:span></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">2003 Acts, ch 44, §114</xhtml:span>; <xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §3</xhtml:span></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.5"><xhtml:div class="heading"><xhtml:span class="identifier">155.5</xhtml:span><xhtml:span class="headnote">License fees.</xhtml:span></xhtml:div><xhtml:p class="para">Each person licensed as a nursing home administrator shall be required to pay a license fee in an amount to be fixed by the board. The license shall expire in multiyear intervals determined by the board and be renewable upon payment of a renewal fee. A person who fails to renew a license by the expiration date shall be allowed to do so within thirty days following its expiration, but the board may assess a reasonable penalty.</xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.122; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.5</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaCodeRef">C93, §155.5</xhtml:span></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §4</xhtml:span></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.6"><xhtml:div class="heading"><xhtml:span class="identifier">155.6</xhtml:span><xhtml:span class="headnote">Receipt of fees.</xhtml:span></xhtml:div><xhtml:p class="para">Repealed by <xhtml:span class="iowaActsRef">2006 Acts, ch 1155, §13, 15</xhtml:span>. </xhtml:p></slim:Section><slim:Section class="codeSection" id="sec155.7"><xhtml:div class="heading"><xhtml:span class="identifier">155.7</xhtml:span><xhtml:span class="headnote">Organization of board.</xhtml:span></xhtml:div><xhtml:p class="para">Repealed by <xhtml:span class="iowaActsRef">2009 Acts, ch 56, §12</xhtml:span>. </xhtml:p></slim:Section><slim:Section class="codeSection" id="sec155.8"><xhtml:div class="heading"><xhtml:span class="identifier">155.8</xhtml:span><xhtml:span class="headnote">Exclusive jurisdiction of board.</xhtml:span></xhtml:div><xhtml:p class="para">The board shall have authority to determine the qualifications, skill, and fitness of any person to serve as an administrator of a nursing home under the provisions of <xhtml:span class="iowaCodeRef">this chapter</xhtml:span>, and the holder of a license under the provisions of <xhtml:span class="iowaCodeRef">this chapter</xhtml:span> shall be deemed qualified to serve as the administrator of a nursing home.</xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.125; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.8</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:p class="p"><xhtml:span class="iowaCodeRef">C93, §155.8</xhtml:span></xhtml:p></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.9"><xhtml:div class="heading"><xhtml:span class="identifier">155.9</xhtml:span><xhtml:span class="headnote">Duties of board <xhtml:span class="em-dash"/> rules for provisional licenses.</xhtml:span></xhtml:div><xhtml:p class="para">In addition to the duties and responsibilities provided in <xhtml:span class="iowaCodeRef">chapters 147</xhtml:span> and <xhtml:span class="iowaCodeRef">272C</xhtml:span>, the board shall adopt rules for granting a provisional license to an administrator appointed on a temporary basis by a nursing home’s owner or owners in the event the regular administrator of the nursing home is unable to perform the administrator’s duties or the nursing home is without a licensed administrator because of death or other cause. Such provisional license shall allow the provisional licensee to perform the duties of a nursing home administrator. An individual shall not hold a provisional license for more than twenty-four total combined months, and the board may revoke or otherwise discipline a provisional licensee for cause after due notice and a hearing on a charge or complaint filed with the board.</xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.126; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.9</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaCodeRef">C93, §155.9</xhtml:span></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">2004 Acts, ch 1168, §10</xhtml:span>; <xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §5</xhtml:span>; <xhtml:span class="iowaActsRef">2024 Acts, ch 1099, §1</xhtml:span></xhtml:div></xhtml:div><xhtml:div class="footnotes"/></slim:Section><slim:Section class="codeSection" id="sec155.10"><xhtml:div class="heading"><xhtml:span class="identifier">155.10</xhtml:span><xhtml:span class="headnote">Continuing education.</xhtml:span></xhtml:div><xhtml:p class="para">Each person licensed as a nursing home administrator shall be required to complete continuing education as a condition of license renewal. Such continuing education requirements shall be determined by the board.</xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.127; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.10</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaCodeRef">C93, §155.10</xhtml:span></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §6</xhtml:span></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.11"><xhtml:div class="heading"><xhtml:span class="identifier">155.11</xhtml:span><xhtml:span class="headnote">Reciprocity with other states.</xhtml:span></xhtml:div><xhtml:p class="para">The board may issue a nursing home administrator’s license, without examination, to any person who holds a current license as a nursing home administrator from another jurisdiction if reciprocal agreements are entered into with another jurisdiction under <xhtml:span class="iowaCodeRef">sections 147.44</xhtml:span>, <xhtml:span class="iowaCodeRef">147.48</xhtml:span>, <xhtml:span class="iowaCodeRef">147.49</xhtml:span>, and <xhtml:span class="iowaCodeRef">147.53</xhtml:span>.</xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.128; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.11</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:p class="p"><xhtml:span class="iowaCodeRef">C93, §155.11</xhtml:span></xhtml:p><xhtml:p class="p"><xhtml:span class="iowaActsRef">2008 Acts, ch 1088, §109</xhtml:span></xhtml:p></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.12"><xhtml:div class="heading"><xhtml:span class="identifier">155.12</xhtml:span><xhtml:span class="headnote">Conflict with federal law <xhtml:span class="em-dash"/> effect.</xhtml:span></xhtml:div><xhtml:p class="para">If any provision of <xhtml:span class="iowaCodeRef">this chapter</xhtml:span> is in conflict with the requirements of section 1908 of the <xhtml:span class="USActsRef">United States Social Security Act</xhtml:span> codified at <xhtml:span class="USCRef">42 U.S.C. §1396g</xhtml:span>, relative to a state program for licensing of administrators of nursing homes, and except for such conflict the state would be entitled to receive contributions from the United States for payment of assistance under the program established pursuant to Tit. XIX of the <xhtml:span class="USActsRef">United States Social Security Act</xhtml:span>, codified at <xhtml:span class="USCRef">42 U.S.C. §1396 – 1396g</xhtml:span>, such provision of <xhtml:span class="iowaCodeRef">this chapter</xhtml:span> so in conflict with said statute of the United States shall be considered as suspended and of no effect until sixty days after the convening of the next regular session of the general assembly after such conflict is discovered.</xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.129; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.12</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaCodeRef">C93, §155.12</xhtml:span></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">2010 Acts, ch 1061, §31</xhtml:span></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.13"><xhtml:div class="heading"><xhtml:span class="identifier">155.13</xhtml:span><xhtml:span class="headnote">Misdemeanor.</xhtml:span></xhtml:div><xhtml:p class="para">It shall be a serious misdemeanor for any person to act or serve in the capacity of a nursing home administrator unless the person is the holder of a license as a nursing home administrator issued in accordance with the provisions of <xhtml:span class="iowaCodeRef">this chapter</xhtml:span>.</xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C71, 73, 75, §147.130; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.13</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:p class="p"><xhtml:span class="iowaCodeRef">C93, §155.13</xhtml:span></xhtml:p></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.14"><xhtml:div class="heading"><xhtml:span class="identifier">155.14</xhtml:span><xhtml:span class="headnote">Applications.</xhtml:span></xhtml:div><xhtml:p class="para">Applications for licensure and for license renewal shall be in the format prescribed by the board. </xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:p class="p">[C75, §147.131; C77, 79, <xhtml:span class="iowaCodeRef">81, §135E.14</xhtml:span>]</xhtml:p></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaCodeRef">C93, §155.14</xhtml:span></xhtml:div><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §7</xhtml:span></xhtml:div></xhtml:div></slim:Section><slim:Section class="codeSection" id="sec155.15"><xhtml:div class="heading"><xhtml:span class="identifier">155.15</xhtml:span><xhtml:span class="headnote">Fees.</xhtml:span></xhtml:div><xhtml:p class="para">Repealed by <xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §9</xhtml:span>; . See <xhtml:span class="iowaCodeRef">§147.80</xhtml:span>.</xhtml:p></slim:Section><slim:Section class="codeSection" id="sec155.16"><xhtml:div class="heading"><xhtml:span class="identifier">155.16</xhtml:span><xhtml:span class="headnote">Public members.</xhtml:span></xhtml:div><xhtml:p class="para">Repealed by <xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §9</xhtml:span>; . See <xhtml:span class="iowaCodeRef">§147.21(1)</xhtml:span>.</xhtml:p></slim:Section><slim:Section class="codeSection" id="sec155.17"><xhtml:div class="heading"><xhtml:span class="identifier">155.17</xhtml:span><xhtml:span class="headnote">Disclosure of confidential information.</xhtml:span></xhtml:div><xhtml:p class="para">Repealed by <xhtml:span class="iowaActsRef">2009 Acts, ch 56, §12</xhtml:span>. </xhtml:p></slim:Section><slim:Section class="codeSection" id="sec155.18"><xhtml:div class="heading"><xhtml:span class="identifier">155.18</xhtml:span><xhtml:span class="headnote">Revocation or suspension.</xhtml:span></xhtml:div><xhtml:p class="para">Repealed by <xhtml:span class="iowaActsRef">2009 Acts, ch 56, §12</xhtml:span>. </xhtml:p></slim:Section><slim:Section class="codeSection" id="sec155.19"><xhtml:div class="heading"><xhtml:span class="identifier">155.19</xhtml:span><xhtml:span class="headnote">Voluntary surrender.</xhtml:span></xhtml:div><xhtml:p class="para">The board may accept the voluntary surrender of a license if accompanied by a written statement of intention. The voluntary surrender, when accepted, shall have the same force and effect as an order of revocation.</xhtml:p><xhtml:div class="history"><xhtml:div class="historyItem"><xhtml:span class="iowaActsRef">2012 Acts, ch 1113, §8</xhtml:span></xhtml:div></xhtml:div></slim:Section></slim:Level></slim:Body></slim:Document>