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

481-69.21-2 · 481—Chapter 69, Assisted Living Programs

In addition to the requirements of Iowa Code section 231C.5, the written occupancy agreement shall…

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

4
Facilities cited
In the last 5 years
10
Individual citations
1
Cited more than once
At separate visits
25%
Repeat rate

25% of the facilities cited on 481-69.21-2 have been cited on it again at a later visit. A finding that recurs is usually a gap in the routine that produces the record — the same check missed, or done and not documented in a form the surveyor accepts — rather than a new fault.

Where it is cited

Iowa counties with the most facilities cited on 481-69.21-2
Polk County2Carroll County1Woodbury County1
Iowa counties with the most facilities cited on 481-69.21-2
CountyFacilities cited
Polk County2
Carroll County1
Woodbury County1

What the rule says

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

481—69.21(2) In addition to the requirements of Iowa Code section 231C.5, the written occupancy agreement shall include, but not be limited to, the following information in the body of the agreement or in the supporting documents and attachments: a. The telephone number for filing a complaint with the department. b. The telephone number for the office of long-term care ombudsman. c. The telephone number for reporting dependent adult abuse. d. A copy of the program's statement on tenants' rights. e. A statement that the tenant landlord law applies to assisted living programs. f. A statement that the program will notify the tenant at least 90 days in advance of any planned program cessation, which includes voluntary decertification, except in cases of emergency.

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.