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

481-69.26-3 · 481—Chapter 69, Assisted Living Programs

When a tenant needs personal care or health-related care, the service plan shall be updated within 30 days…

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.

102
Facilities cited
In the last 5 years
154
Individual citations
28
Cited more than once
At separate visits
27%
Repeat rate

27% of the facilities cited on 481-69.26-3 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 481-69.26-3
Linn County12Scott County12Polk County11Johnson County7Pottawattamie Co…5Black Hawk County4Woodbury County4Fayette County3Lee County3Warren County3
Iowa counties with the most facilities cited on 481-69.26-3
CountyFacilities cited
Linn County12
Scott County12
Polk County11
Johnson County7
Pottawattamie County5
Black Hawk County4
Woodbury County4
Fayette County3
Lee County3
Warren County3

What the rule says

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

481—69.26(3) When a tenant needs personal care or health-related care, the service plan shall be updated within 30 days of the tenant's occupancy and as needed with significant change, but not less than annually.

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.