Iowa Admin. Code r. 441-177.2
"Client participation" has the meaning assigned to it in rule 441-177.10 (249).
"Nursing care" includes skilled services and personal care services.
"Own home" means an individual's house, apartment, or other living arrangement intended for single or family residential use.
"Personal care services" includes:
1. Services that assist a client with the activities of daily living, such as, but not limited to, helping the client with bathing, toileting, getting in and out of bed, ambulation, hair care, oral hygiene and administering medications that are physician-ordered but ordinarily self-administered.
2. Services that help or retrain the client in necessary skills for daily living.
3. Incidental household services that are essential to the client's health care at home and are necessary to prevent or postpone institutionalization.
"Skilled nursing services" are services for which an individualized assessment of a patient's clinical condition demonstrates that the specialized judgment, knowledge, and skills of a registered nurse or, when provided by regulation, a licensed practical (vocational) nurse ("skilled care") are necessary.
"Skilled services" include skilled nursing services or other services that, based on a physician's certification, are required to be performed under the supervision of a physician, nurse practitioner, clinical nurse specialist, or physician assistant.
"Supervising practitioner" means a physician, nurse practitioner, clinical nurse specialist, or physician assistant qualified to supervise skilled services.
Iowa Admin. Code r. 441-177.2