Complete your online application  for the Iowa Direct Care Worker Registry and out-of-state reciprocity
The maximum State fine amount for a health facility allowed by law is $10,000. This fine could be doubled or trebled (tripled) for repeat offenses for a maximum fine of $30,000. [See Iowa Code 135C 36-44A]

The following facilities are not State-licensed or subject to State fines: hospitals, rural health clinics, end-stage renal disease centers, home health agencies, hospices, outpatient physical therapy and speech, portable x-ray facilities, comprehensive outpatient rehabilitation facilities, or community mental health centers. For federal fine information, please visit the Quality, Certification, & Oversight reports website.