Immediate Jeopardy Process, Nursing Facilities (1401DP) - Inspections, Appeals, and Licensing, Department of

This bill requires Iowa's Department of Inspections, Appeals, and Licensing (DIAL) to create a process for reviewing nursing facility deficiencies *before* issuing citations for "immediate jeopardy" (serious risk of harm or death) or substandard care. Nursing facilities will now be able to provide context and evidence to DIAL during this pre-citation review, rather than only after receiving a citation. The change aims to ensure consistent application of federal and state inspection standards and regulatory requirements. It directly affects nursing facilities subject to DIAL inspections and the department's citation procedures.