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

481-69.26-4 · 481—Chapter 69, Assisted Living Programs

The service plan shall be individualized and shall indicate, at a minimum

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.

92
Facilities cited
In the last 5 years
134
Individual citations
25
Cited more than once
At separate visits
27%
Repeat rate

27% of the facilities cited on 481-69.26-4 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 481-69.26-4
Polk County15Linn County11Scott County8Dubuque County6Warren County5Black Hawk County4Johnson County4Carroll County3Lee County3Marshall County3
Iowa counties with the most facilities cited on 481-69.26-4
CountyFacilities cited
Polk County15
Linn County11
Scott County8
Dubuque County6
Warren County5
Black Hawk County4
Johnson County4
Carroll County3
Lee County3
Marshall County3

What the rule says

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

481—69.26(4)a The service plan shall be individualized and shall indicate, at a minimum: a. The tenant's identified needs and preferences for assistance;

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.