Definitions Below you will find a list of definitions as outlined by our team. We have written these definitions from years of experience in the field of ICF/ID settings and we have provided these definitions for clarification to those who may be unfamiliar with certain abbreviations as found on our opening page. Please scroll down to the word you are looking for.


Intermediate Care Facility for Individuals with Intellectual Disabilities. These facilities are governed by Federal and State "tags" and monitored by various surveying organizations. For example, in Texas, DADS or The Department of Aging and Disability Services governs the ICF/ID settings.


A person holding at least a Bachelor's Degree in the Human Service Field. The QIDP stands for Qualified Intellectual Disabilities Professional and must have a minimum of one years experience directly working with people who have developmental disabilities. May also be seen as QDDP for Qualified Developmental Disabilities Professional.


RN is a Registered Nurse and is the nurse required in Texas to take call for most ICF/IID programs. An RN is required to complete delegations, supervise and oversee medication issues and concerns, and provide training to direct care staff, LVNs and others on the correct implementation of care for individuals living in the ICF setting.


LVN is a Licensed Vocational Nurse. LVN is the designation for this level nurse in Texas and California. Most other states use the designation LPN or LIcensed Practical Nurse. ICF's require many task to be completed by an LVN. For example, an LVN is required to initial dose new medications or take physician orders. Note: There is an alternative to the LVN known as an LPN in some states. This stands for Licensed Practical Nurse and he or she may complete all the task of an LVN. Some states such as Texas have implemented requirements that an R.N. (Registered Nurse) now function in the capacity of the nurse for the ICF/ID.

Directed Inservice Training (DIT)

Directded Inservice Training or a DIT is a state issued directive that requires an ICF program to obtain additional training in specific areas as outlined in the plan provided by the state. That additional training usually must come from an outside serivce. An outside service might be a program like My QIDP or another such consulting program offering training.

Immediate and Serious Threats

Still known among providers as "IJ" or "Immediate Jeopardy" an Immediate and Serious Threat requires prompt action by the facility in question. This is serious problem within an ICF that could result in the ICF's license being revoked. These are initiated in most states by State Surveyors and generally surveyors will not leave the ICF during an Immediate and Serious Threat without a plan and correction in place. If the surveyor does leave the facility before the Immediate and Serious Threat has been resolved, or at least on its way to being resolved, then surveyors generally recommend a 23 Day Termination.

23 Day Termination

In many views a 23 Day Termination is as dangerous as an Immediate and Serious Threat. The facility is placed on a time period of 23 days to correct a problem viewed by the state as highly significant and the facility must show progress toward correcting the problem. Because most facilities take action once they have been notified of an Immediate and Serious Threat, the 23 Day Terminations are not usually issued, instead the 90 Day Termination is issued.

90 Day Termination

Most of the time the facility has had a serious issue or Immediate and Serious Threat that has been temporarily fixed or a suitable plan has been put in place while surveyors are on-site. However, the facility still must show significant progress within the time period allowed or there could be a termination of a license just as is found with the 23 Day Termination.


An IDR is an Informal Dispute Resolution. An IDR is completed when the facility disagrees strongly with a cited deficient practice or a set of cited deficient practice tags. In Texas the surveyor on-site should give the provider information about the IDR process at the exit.


POC stands for Plan of Correction. Once a survey or state complaint visit is complete, it is not unusual for deficient practices to be cited. Once those cited tags are received by the facility, the facility is required to submit a Plan of Correction and complete that plan of correction within an allotted time frame.


LON means Level of Need. A LON determines how much money a facility receives to care for an individual. LON changes for less money are typically easier and require less paperwork than an LON for an increase. A facility is required to provide all proof that a person now requires more care and therefore needs a LON change to the state.

Annual Staffing

An Annual Staffing meeting is required at least once a year for individuals served in an ICF/ID setting. The meeting generally reviews past IPPs, sets up an IPP for the next year, reviews medical conditions, Living Options, and other requirements as outlined by the state and federal regulations.


Individual Program Plans are the results of Annual Staffings and other Interim Staffing meetings. An IPP outlines how in the coming year, generally, a facility proposes to assist an individual served in gaining the most independence that he or she can. An IPP is a federal requirements and is done in all states with ICF/ID settings.

Data implementation

Data or goals are terms used sometimes interchangeable for the documentation taken to prove that an IPP has been implemented. Different facilities use different programs, forms, or word processor programs to ensure they have proof that data has been implemented for individuals served in the facility.