State assisted-living licensing record · Iowa DIAL · record as pulled September 22, 2026· Not the federal nursing home survey

481-67.9-4 · 481—Chapter 67, General Provisions for Elder Group Homes, Assisted Living Programs, and Adult Day Services

Nurse delegation shall, at a minimum, include within 30 days of beginning employment, all program staff…

An assisted living rule from DIAL, cited on Iowa licensure inspections and complaint investigations. TagProof groups it under Staffing and training. DIAL lists each rule cited at a visit with the rule's own text; no severity is attached.

90
Facilities cited
In the last 5 years
151
Individual citations
22
Cited more than once
At separate visits
24%
Repeat rate

Where it is cited

Iowa counties with the most facilities cited on 481-67.9-4
Linn County17Scott County8Johnson County7Polk County6Dubuque County4Black Hawk County3Cerro Gordo Coun…3Dallas County3Muscatine County3Story County3
Iowa counties with the most facilities cited on 481-67.9-4
CountyFacilities cited
Linn County17
Scott County8
Johnson County7
Polk County6
Dubuque County4
Black Hawk County3
Cerro Gordo County3
Dallas County3
Muscatine County3
Story County3

What the rule says

The rule's text as DIAL lists it with the citation, verbatim.

481—67.9(4)b Nurse delegation shall, at a minimum, include within 30 days of beginning employment, all program staff shall receive training by the program's registered nurse(s).

Tag code, title and classification as published by the Iowa Department of Inspections, Appeals, and Licensing, Health Facilities Division. Counts are over Iowa licensed assisted living facilities only; there is no national figure for a state rule.