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

481-69.39-4 · 481—Chapter 69, Assisted Living Programs

Written direction to staff

An assisted living rule from DIAL, cited on Iowa licensure inspections and complaint investigations. TagProof groups it under Staffing and training. DIAL lists each rule cited at a visit with the rule's own text; no severity is attached.

2
Facilities cited
In the last 5 years
2
Individual citations
0
Cited more than once
At separate visits
0%
Repeat rate

Where it is cited

Iowa counties with the most facilities cited on 481-69.39-4
Black Hawk County1Des Moines County1
Iowa counties with the most facilities cited on 481-69.39-4
CountyFacilities cited
Black Hawk County1
Des Moines County1

What the rule says

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

481—69.39(4) Written direction to staff. The program nurse shall document the care needs of the respite care individual based on the assessment conducted pursuant to subrule 69.39(3) and provide the documentation to staff.

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.