State assisted-living licensing record · Iowa DIAL · record as pulled September 22, 2026· Not the federal nursing home survey
481-69.23-1 · 481—Chapter 69, Assisted Living Programs
A program shall not knowingly admit or retain a tenant who
An assisted living rule from DIAL, cited on Iowa licensure inspections and complaint investigations. TagProof groups it under Resident care. DIAL lists each rule cited at a visit with the rule's own text; no severity is attached.
44
Facilities cited
In the last 5 years
57
Individual citations
10
Cited more than once
At separate visits
23%
Repeat rate
Where it is cited
| County | Facilities cited |
|---|---|
| Linn County | 6 |
| Scott County | 6 |
| Johnson County | 5 |
| Polk County | 5 |
| Lee County | 3 |
| Woodbury County | 3 |
| Clinton County | 2 |
| Des Moines County | 2 |
| Black Hawk County | 1 |
| Cass County | 1 |
What the rule says
The rule's text as DIAL lists it with the citation, verbatim.
481—69.23(1) A program shall not knowingly admit or retain a tenant who: a. Is bed-bound; or b. Requires routine, two-person assistance with standing, transfer or evacuation; or c. Is dangerous to self or other tenants or staff, including but not limited to a tenant who: (1) Despite intervention chronically elopes, is sexually or physically aggressive or abusive, or displays unmanageable verbal abuse or aggression; or (2) Displays behavior that places another tenant at risk; or d. Is in an acute stage of alcoholism, drug addiction, or uncontrolled mental illness; or e. Is under the age of 18; or f. Requires more than part-time or intermittent health-related care; or g. Has unmanageable incontinence on a routine basis despite an individualized toileting program; or h. Is medically unstable; or i. Requires maximal assistance with activities of daily living; or j. Despite intervention, chronically urinates or defecates in places that are not considered acceptable according to societal norms, such as on the floor or in a potted plant.
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.