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

481-69.25-1 · 481—Chapter 69, Assisted Living Programs

Tenant Documents

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.

76
Facilities cited
In the last 5 years
128
Individual citations
24
Cited more than once
At separate visits
32%
Repeat rate

32% of the facilities cited on 481-69.25-1 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 481-69.25-1
Linn County17Johnson County8Dubuque County6Polk County6Black Hawk County5Scott County5Fayette County3Clinton County2Des Moines County2Lee County2
Iowa counties with the most facilities cited on 481-69.25-1
CountyFacilities cited
Linn County17
Johnson County8
Dubuque County6
Polk County6
Black Hawk County5
Scott County5
Fayette County3
Clinton County2
Des Moines County2
Lee County2

What the rule says

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

481—69.25(1)i Documentation for each tenant shall be maintained by the program and shall include: i. When any personal or health-related care is delegated to the program, the medical information sheet; documentation of health professionals’ orders, such as those for treatment, therapy, and medication; and nurses’ notes written by exception;

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.