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

481-69.21-3 · 481—Chapter 69, Assisted Living Programs

The occupancy agreement shall be reviewed and updated as necessary to reflect any change in services or…

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.

5
Facilities cited
In the last 5 years
6
Individual citations
1
Cited more than once
At separate visits
20%
Repeat rate

Where it is cited

Iowa counties with the most facilities cited on 481-69.21-3
Black Hawk County1Fayette County1Johnson County1Warren County1Woodbury County1
Iowa counties with the most facilities cited on 481-69.21-3
CountyFacilities cited
Black Hawk County1
Fayette County1
Johnson County1
Warren County1
Woodbury County1

What the rule says

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

481—69.21(3) The occupancy agreement shall be reviewed and updated as necessary to reflect any change in services or financial arrangements.

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.