reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter A - Physician Services › Section I-9811 - Nursing Service Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing home shall provide a sufficient number of nursing service personnel
					 consisting of registered nurses, licensed practical nurses, and nurse aides to
					 provide nursing care to all residents in accordance with resident care plans
					 24hours per day.
1. As a minimum, the nursing
					 home shall provide 1.5hours of care per patient each day.
2. Nursing service personnel shall be
					 assigned duties consistent with their education and experience, and based on
					 the characteristics of the resident load and the kinds of nursing skills needed
					 to provide care to the residents.
3. Nursing service personnel shall be
					 actively on duty. Licensed nurse coverage shall be provided 24 hours per
					 day.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter A - Physician Services › Section I-9813 - Nursing Care

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each resident
					 shall receive personal attention and nursing care in accordance with his/her
					 condition and consistent with current acceptable nursing practice. Residents
					 unable to carry out activities of daily living shall receive the necessary
					 services to maintain good nutrition, grooming, and personal and oral
					 hygiene.
B. Each resident shall be
					 kept clean, dry, well-groomed and dressed appropriately to the time of day and
					 the environment; and good body and oral hygiene shall be maintained. Skin care
					 shall be provided to each resident as needed to prevent dryness, scaling,
					 irritation, itching, and/or pressure sores.
C. Restorative nursing care shall be provided
					 to each resident to achieve and maintain the highest possible degree of
					 function, self-care, and independence. Restorative nursing care shall be
					 provided for the residents requiring such care.
D. Residents requiring assistance at
					 mealtimes shall be assisted when necessary.
E. The nursing home shall endeavor to keep
					 residents free from pressure sores with measures taken toward their
					 prevention.
F. Residents requiring
					 restraints shall be restrained with standard types of devices, applied in a
					 manner consistent with manufacturer's specifications, and that permits speedy
					 removal in the event of an emergency. Each restrained resident shall be
					 monitored every 30 minutes and released for 10 minutes every two hours.
					 Restraints shall not be used for punishment nor convenience of staff.
G. The nursing home shall promptly inform the
					 resident; consult with the resident's attending physician; notify the
					 resident's legal representative or interested family member, if known; and
					 maintain documentation when there is an accident which results in injury and
					 requires physician intervention, or significant change in the resident's
					 physical, mental, or psychosocial status.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.4.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter A - Physician Services › Section I-9815 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing home shall provide each resident with a nourishing, palatable,
					 well-balanced diet that meets the daily nutritional and special dietary needs
					 of each resident.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.4.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter A - Physician Services › Section I-9817 - Dietary Service Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing home shall employ a licensed dietitian either full-time, part-time or
					 on a consultant basis. A minimum consultation time shall be not less than eight
					 hours per month to ensure nutritional needs of residents are addressed timely.
					 There shall be documentation to support that the consultation time was
					 given.
B. If a licensed dietitian
					 is not employed full-time, the nursing home shall designate a full-time person
					 to serve as the dietary manager.
C.
					 Residents at nutritional risk shall have an in-depth nutritional assessment
					 conducted by the consulting dietitian.
D. The nursing home shall employ sufficient
					 support personnel competent to carry out the functions of the dietary
					 services.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.4.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter A - Physician Services › Section I-9819 - Menus and Nutritional Adequacy

Current through Register Vol. 50, No. 6, June 20, 2024
A. Menus shall be planned, approved, signed
					 and dated by a licensed dietitian prior to use in the nursing home to meet the
					 nutritional needs of the residents in accordance with the recommended dietary
					 allowances of the Food and Nutrition Board of the National Research Council and
					 the National Academy of Sciences, taking into account the cultural background
					 and food habits of residents, or as modified in accordance with the orders of
					 the practitioner(s) responsible for the care of the resident:
1. menus shall be written for each
					 therapeutic diet ordered;
2. if
					 cycle menus are used, the cycle shall cover a minimum of three weeks and shall
					 be different each day of the week;
3. each day's menu shall show the actual date
					 served and shall be retained for six months;
4. menus for the current week shall be
					 available to the residents and posted where food is prepared and served for
					 dietary personnel. Portion sizes shall be reflected either on the menu or
					 within the recipe used to prepare the meal.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter A - Physician Services › Section I-9820 - Feeding Assistants

Current through Register Vol. 50, No. 6, June 20, 2024
A. Prior to
					 assisting nursing facility residents with feeding, the assistant must have
					 successfully completed the state-approved training course published by the
					 American Health Care Association,
Assisted Dining: The Role and Skills
					 of Feeding Assistants.
1. Licensed
					 personnel qualified to teach the course include:
a. registered nurses;
b. licensed practical nurses;
c. dieticians; and
d. speech therapists.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter B - Nursing Services › Section I-9821 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing facility shall have sufficient nursing staff to provide nursing and
					 related services that meet the needs of each resident. The nursing facility
					 shall assure that each resident receives treatments, medications, diets and
					 other health services as prescribed and planned, all hours of each
					 day.
B. Release of a Body by a
					 Registered Nurse. In the absence of a physician in a setting other than an
					 acute care facility, when an anticipated death has apparently occurred,
					 registered nurses may have the decedent removed to the designated funeral home
					 in accordance with the standing order of a medical director/consultant setting
					 forth basic written criteria for a reasonable determination of death. This is
					 not applicable in cases where the death was unexpected.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter B - Nursing Services › Section I-9823 - Nursing Service Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing facility shall provide a sufficient number of nursing service personnel
					 consisting of registered nurses, licensed practical nurses, medication
					 attendants certified, and certified nurse aides to provide nursing care to all
					 residents in accordance with resident care plans 24 hours per day.
1. At a minimum, the nursing facility shall
					 provide 2.35 hours of care per patient per day. The director of nursing (DON),
					 the assistant director of nursing (ADON), and nursing department directors may
					 be counted towards the minimum staffing requirements only for the time spent on
					 the shift providing direct and/or hands on resident care services. A maximum of
					 eight ward clerk hours per day can be utilized in the calculation of care hours
					 per resident day.
2. The facility
					 shall post the following information on a daily basis:
a. the facility name;
b. the current date;
c. the resident census; and
d. the total number and the actual hours
					 worked by the following categories of licensed and unlicensed nursing staff
					 directly responsible for resident care per shift:
i. registered nurses;
ii. licensed practical nurses; and
iii. certified nurse aides.
3. The facility shall
					 post the nurse staffing data specified above on a daily basis at the beginning
					 of each shift. The data shall be posted:
a.
					 in a clear and readable format; and
b. in a prominent place readily accessible to
					 residents and visitors.
4. The facility shall, upon oral or written
					 request, make nurse staffing data available to the public for review at a cost
					 not to exceed the community standard.
5. Nursing service personnel shall be
					 assigned duties consistent with their education and experience, and based on
					 the characteristics of the resident census and acuity, and nursing skills
					 required to provide care to the residents.
6. Licensed nurse coverage shall be provided
					 24 hours per day in the nursing facility. The facility shall develop a policy
					 regarding the nursing services provided by licensed nurses. The policy shall be
					 developed in consideration of the following:
a. the physical layout of the nursing
					 facility;
b. the acuity of the
					 residents; and
c. the resident
					 census.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter B - Nursing Services › Section I-9825 - Nursing Care

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each resident
					 shall receive personal attention and nursing care and services in accordance
					 with his/her condition and consistent with current acceptable standards of
					 nursing practice. Each resident shall receive a comprehensive assessment, and a
					 plan of care shall be developed to meet his/her needs. The plan of care shall
					 be developed within 21 days of admission of the resident to the nursing
					 facility and revised as needed to meet the initial and ongoing needs of the
					 resident.
B. Each resident shall be
					 kept clean, dry, well groomed, and dressed appropriately for the time of day
					 and the environment, recognizing the residents rights and wishes. Proper body
					 and oral hygiene shall be maintained. Skin care shall be provided to each
					 resident as needed to maintain skin integrity and prevent dryness, scaling,
					 irritation, itching and/or pressure sores.
C. Residents unable to carry out activities
					 of daily living shall receive the necessary services to maintain good
					 nutrition, grooming, personal and oral hygiene.
D. Other Nursing Services. Nursing services
					 shall be provided to the resident to ensure that the needs of the resident are
					 met. These services include the following.
1.
					 Drug Administration. Medications shall be administered only by a licensed
					 physician, licensed/applicant nurse, or the resident (with the approval of the
					 interdisciplinary team as documented in the comprehensive care plan).
2. The nursing facility shall be cognizant of
					 the mental status of the resident's roommate(s), or other potential problems
					 which could result in abuses of any drugs used by the residents for
					 self-administration.
3. Medications
					 shall be administered in accordance with the nursing facility's established
					 written procedures and the written policies of the pharmaceutical services
					 committee to ensure the following criteria are met:
a. Drugs to be administered are checked
					 against physician's orders.
b. The
					 resident is identified before administering the drug.
c. All medications/treatments are
					 administered and properly charted in accordance with standards of nursing
					 practice. For any medications/treatments not administered, the reason for each
					 medication/treatment omission shall be recorded in the resident's active
					 medical record.
i. The drug dosage shall be
					 prepared, administered and recorded by the same person.
ii. Medications prescribed for one resident
					 shall not be administered to any other person.
iii. Medication errors and adverse drug
					 reactions shall be immediately reported to the attending physician and recorded
					 in the medical record.
iv. Current
					 medication reference texts or sources shall be kept in all nursing
					 facilities.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter B - Nursing Services › Section I-9827 - Consultant

Current through Register Vol. 50, No. 6, June 20, 2024
A. If the nursing
					 home does not employ a licensed pharmacist, it shall have a designated
					 consultant pharmacist that provides services in accordance with accepted
					 pharmacy principles and standards. The minimum consultation time shall not be
					 less than one hour per quarter, which shall not include drug regimen review
					 activities.
B. There shall be
					 documentation to support that the consultation time was given.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.4.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter B - Nursing Services › Section I-9829 - Labeling

Current through Register Vol. 50, No. 6, June 20, 2024
A. All drug and
					 biological containers shall be properly labeled by a licensed pharmacist
					 following the guidelines established by the Louisiana State Board of
					 Pharmacy.
B. The label on
					 prepackaged (unit dose) containers shall follow the established guidelines of
					 the Louisiana State Board of Pharmacy.
C. Over-the-counter (nonprescription)
					 medications and biologicals, may be purchased in bulk packaging and shall be
					 plainly labeled with the medication name and strength and any additional
					 information in accordance with the nursing home's policies and procedures.
					 Over-the-counter medications specifically purchased for a resident shall be
					 labeled as previously stipulated to include the resident's name. The
					 manufacturer's labeling information shall be present in the absence of
					 prescription labeling.
D. The
					 nursing home shall develop procedures to assure proper labeling for medications
					 provided a resident for a temporary absence.
E. The nursing home shall have a procedure
					 for the proper identification and labeling of medication brought into the
					 nursing home from an outside source.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.4.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter C - Dietetic Services › Section I-9831 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing facility shall provide each resident with a nourishing, palatable,
					 well-balanced diet that meets the daily nutritional and dietary needs of each
					 resident.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter C - Dietetic Services › Section I-9833 - Dietary Service Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing facility shall employ a licensed dietitian either full-time, part-time
					 or on a consultant basis. A minimum dietary consultation time of not less than
					 eight hours per month shall be required to ensure nutritional needs of
					 residents are addressed timely. There shall be documentation to support that
					 the consultation time was given.
B.
					 If a licensed dietitian is not employed full-time, the nursing facility shall
					 designate a full-time person to serve as the dietary manager.
C. Residents at nutritional risk shall have a
					 complete nutritional assessment conducted by the consulting
					 dietitian.
D. The nursing facility
					 shall employ sufficient competent support personnel to carry out the functions
					 of the dietary services.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter C - Dietetic Services › Section I-9835 - Menus and Nutritional Adequacy

Current through Register Vol. 50, No. 6, June 20, 2024
A. Menus shall be planned, approved, signed
					 and dated by a licensed dietitian prior to use in the nursing facility to
					 ensure that the menus meet the nutritional needs of the residents in accordance
					 with the recommended dietary allowances of the Food and Nutrition Board of the
					 National Research Council and the National Academy of Sciences, taking into
					 account the cultural background and food habits of residents. Residents
					 preferences shall be taken into consideration in the development of menus.
1. Menus shall be written for any therapeutic
					 diet ordered.
2. If cycle menus are
					 used, the cycle shall cover a minimum of three weeks and shall be different
					 each day of the week.
3. Each day's
					 menu shall show the actual date served and shall be retained for six
					 months.
4. Menus for the current
					 week shall be available to the residents and posted where food is prepared and
					 served for dietary personnel. Portion sizes shall be reflected either on the
					 menu or within the recipe used to prepare the meal.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter C - Dietetic Services › Section I-9837 - Feeding Assistants

Current through Register Vol. 50, No. 6, June 20, 2024
A. Prior to
					 assisting nursing facility residents with feeding, the assistant shall have
					 successfully completed the state-approved training course published by the
					 American Health Care Association,
Assisted Dining: The Role and Skills
					 of Feeding Assistants
.
1. Licensed
					 personnel qualified to teach the course include:
a. registered nurses;
b. licensed practical nurses;
c. dieticians; and
d. speech therapists.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter C - Dietetic Services › Section I-9839 - Equipment and Supplies

Current through Register Vol. 50, No. 6, June 20, 2024
A. Special
					 eating equipment and utensils shall be provided for residents who need them. At
					 least a one-week supply of staple food with a three-day supply of perishable
					 food conforming to the approved menu shall be maintained on the
					 premises.
B. An approved lavatory
					 shall be convenient and properly equipped for dietary services staff
					 use.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter C - Dietetic Services › Section I-9841 - Sanitary Conditions

Current through Register Vol. 50, No. 6, June 20, 2024
A. All food
					 shall be procured, stored, prepared, distributed and served under sanitary
					 conditions to prevent food borne illness. This includes keeping all readily
					 perishable food and drinks according to the LAC
Title 51, Public
					 Health
-
Sanitary Code.
B. Refrigerator temperatures shall be
					 maintained according to the LAC
Title 51, Public
					 Health
-
Sanitary Code.
C. Hot foods shall leave the kitchen or steam
					 table according to the LAC
Title 51, Public
					 Health
-
Sanitary Code.
D. In room delivery temperatures shall be
					 maintained according to the LAC
Title 51, Public
					 Health
-
Sanitary Code.
E. Food shall be transported to residents'
					 rooms in a manner that protects it from contamination while maintaining
					 required temperatures.
F.
					 Refrigerated food which has been opened from its original package shall be
					 covered, labeled and dated.
G. All
					 food shall be procured from sources that comply with all laws and regulations
					 related to food and food labeling.
H. Food shall be in sound condition, free
					 from spoilage, filth or other contamination and shall be safe for human
					 consumption.
I. All equipment and
					 utensils used in the preparation and serving of food shall be properly
					 cleansed, sanitized and stored. This includes:
1. maintaining a water temperature in
					 dishwashing machines at 140 degrees Fahrenheit during the wash cycle (or
					 according to the manufacturer's specifications or instructions) and 180 degrees
					 Fahrenheit for the final rinse;
2.
					 maintaining water temperature in low temperature machines at 120 degrees
					 Fahrenheit (or according to the manufacturer's specification or instructions)
					 with a minimum of 50 ppm (parts per million) of hypochlorite (household bleach)
					 on dish surfaces; or
3. maintaining
					 a wash water temperature of 75 degrees Fahrenheit, for manual washing in a
					 three-compartment sink, with a minimum of 25 ppm of hypochlorite or equivalent,
					 or a minimum of 12.5 ppm of iodine in the final rinse water; or a hot water
					 immersion at 170 degrees Fahrenheit for at least 30 seconds shall be
					 maintained.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter C - Dietetic Services › Section I-9843 - Activities Program

Current through Register Vol. 50, No. 6, June 20, 2024
A. A nursing
					 home shall provide for an ongoing program of diverse and meaningful activities
					 designed to meet the interests and the physical, mental, and psychosocial
					 wellbeing of each resident.
B. The
					 activities program encourages each resident's voluntary participation and
					 choice of activities based upon his/her specific needs and interest.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.4.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter C - Dietetic Services › Section I-9845 - Activity Service Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 The activities program shall be directed by a resident activities director. The
					 resident activities director shall be responsible to the administrator or
					 his/her designee for administration and organization of the activities
					 program.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.4.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter C - Dietetic Services › Section I-9847 - Social Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. A nursing
					 home shall provide medically-related social services to meet the needs of each
					 resident.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.4.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter D - Pharmaceutical Services › Section I-9851 - General Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing facility shall provide pharmaceutical services in accordance with
					 accepted professional standards and all appropriate federal, state and local
					 laws and regulations. Only licensed medical personnel shall be allowed to
					 receive and sign for delivery of controlled drugs.
B. The nursing facility is responsible for
					 ensuring the timely availability of drugs and biologicals for its
					 residents.
C. Prescription drugs
					 not covered by Medicaid or Medicare shall be at the expense of the resident.
					 However, attempts should be made to get the attending physician to order a
					 covered medication before the resident incurs any expense.
D. The nursing facility shall provide
					 emergency drugs and biologicals to its residents as necessary and as ordered by
					 a licensed practitioner.
E. The
					 nursing facility shall have an emergency drug kit.
F. The nursing facility shall obtain a permit
					 from the Board of Pharmacy for each emergency drug kit.
G. The most current edition of drug reference
					 materials shall be available.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter D - Pharmaceutical Services › Section I-9853 - Consultant

Current through Register Vol. 50, No. 6, June 20, 2024
A. If the nursing
					 facility does not employ a licensed pharmacist, it shall have a designated
					 consultant pharmacist that provides services in accordance with accepted
					 pharmacy principles and standards. The minimum consultation time shall not be
					 less than one hour per quarter which shall not include drug regimen review
					 activities.
B. There shall be
					 documentation to support that the consultation time was given.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter D - Pharmaceutical Services › Section I-9855 - Labeling

Current through Register Vol. 50, No. 6, June 20, 2024
A. All drug and
					 biological containers shall be properly labeled by a licensed pharmacist
					 following the guidelines established by the state Board of Pharmacy.
B. The label on prepackaged (unit dose)
					 containers shall follow the established guidelines of the state Board of
					 Pharmacy.
C. Over-the-counter
					 (non-prescription) medications and biologicals, may be purchased in bulk
					 packaging and shall be plainly labeled with the medication name and strength
					 and any additional information in accordance with the nursing facility's
					 policies and procedures. Over-the-counter medications specifically purchased
					 for a resident shall be labeled as previously stipulated to include the
					 residents name. The manufacturer's labeling information shall be present in the
					 absence of prescription labeling.
D. The nursing facility shall develop
					 procedures to assure proper labeling for medications provided a resident for a
					 temporary absence.
E. Labeling of
					 Drugs and Biologicals
1. The labeling of
					 drugs and biologicals is based on currently accepted professional principles
					 and includes:
a. the resident's full
					 name;
b. physician's
					 name;
c. full name of pharmacist
					 dispensing;
d. prescription
					 number;
e. name and strength of
					 drug;
f. date of issue and
					 expiration date of all time-dated drugs;
g. name, address, and telephone number of
					 pharmacy issuing the drug; and
h.
					 appropriate accessory and cautionary instructions.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter D - Pharmaceutical Services › Section I-9857 - Storage and Preparation

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
					 drugs and biologicals shall be stored in a locked area/cabinet and kept at
					 proper temperatures and lighting. The medicine room or medication preparation
					 area shall have an operable sink with hot and cold water, paper towels and a
					 soap dispenser.
1. In nursing facilities with
					 drugs and biologicals stored in a locked area/cabinet in the residents room,
					 the lavatory located in the room or immediately adjacent shall be deemed
					 acceptable under this provision.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter D - Pharmaceutical Services › Section I-9859 - Disposition

Current through Register Vol. 50, No. 6, June 20, 2024
A. Prescription and
					 over-the-counter (OTC) medications and biologicals are to be disposed of in the
					 following manner:
1. if medication(s) and/or
					 biological(s) are discontinued, or the resident is discharged to the hospital,
					 the nursing facility will retain the medication(s) for up to 60 days and then
					 be destroyed as described in §9859. C.2 Such medications shall be stored
					 in a locked storage area approved by the DON and consultant
					 pharmacist.
2. If the resident is
					 deceased, the medication will be disposed of as described in §9859. C 2,
					 unless there is a written order of the attending physician specifying
					 otherwise.
3. If the resident is
					 transferred to another facility, the medication will accompany the resident to
					 the receiving facility on the written order of the attending
					 physician.
4. If the resident is
					 discharged to facility, the remaining supply of ordered and filled medication,
					 including controlled drugs, will accompany the resident facility on the written
					 order of the attending physician.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter D - Pharmaceutical Services › Section I-9861 - Administration

Current through Register Vol. 50, No. 6, June 20, 2024
A. Drugs and
					 biologicals shall not be administered to residents unless ordered by a
					 practitioner duly licensed to prescribe drugs. Such orders shall be in writing
					 and shall include the practitioner's signature. Each order shall include the
					 following:
1. name of the
					 medication;
2. strength of the
					 medication;
3. specific dose of the
					 medication (not a dose range);
4.
					 route of administration;
5. reason
					 for administration;
6. frequency of
					 administration; and
7. maximum
					 dosage or number of times to be administered in a specific time frame when
					 applicable.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter D - Pharmaceutical Services › Section I-9863 - Drug Regimen Review

Current through Register Vol. 50, No. 6, June 20, 2024
A. The drug
					 regimen of each resident shall be reviewed as often as dictated by the
					 resident's condition. Drug irregularities shall be reported, in writing, to the
					 resident's attending physician and director of nursing, and these reports shall
					 be acted upon.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter D - Pharmaceutical Services › Section I-9865 - Medication Record Keeping

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 General Records
1. All medication
					 administered to residents shall be recorded on a medication administration
					 record (MAR). Each medication shall be documented to include:
a. name, strength and dosage of the
					 medication;
b. method of
					 administration to include site, if applicable;
c. time of administration. The time of
					 administration is defined as one hour before to one hour after the ordered time
					 of administration; and
d. the
					 initials of persons administering the medication along with a legend of the
					 initials.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter E - Activity Services › Section I-9871 - Activities Program

Current through Register Vol. 50, No. 6, June 20, 2024
A. A nursing
					 facility shall provide for an ongoing program of diverse and meaningful
					 activities designed to meet the interests and the physical, mental, and
					 psychosocial well-being of each resident.
B. The activities program shall be designed
					 to allow and encourage each resident's voluntary participation and choice of
					 activities based upon his/her specific needs and interest.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter E - Activity Services › Section I-9873 - Activity Service Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 activities program shall be directed by a resident activities director (RAD).
					 The resident activities director shall be responsible to the administrator or
					 his/her designee for administration and organization of the activities
					 program.
B. Responsibilities of the
					 RAD include the following tasks:
1.
					 scheduling and coordinating group activities and special events inside and
					 outside the nursing facility;
2.
					 developing and using outside resources and actively recruiting volunteers to
					 enhance and broaden the scope of the activities program;
3. posting monthly activity calendars in
					 places of easy viewing by applicants/residents and staff; and
4. planning and implementing individual and
					 group activities designed to meet the applicants/residents' needs and
					 interests.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter F - Social Services › Section I-9877 - Social Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. A nursing
					 facility shall provide medically related social services to attain or maintain
					 the highest practicable physical, mental, and psychosocial well-being of each
					 resident.
B. It is the
					 responsibility of the nursing facility to identify the medically-related social
					 service needs of the resident and assure that the needs are met by the
					 appropriate disciplines.
C. A
					 nursing facility with more than 120 beds shall employ a qualified psychosocial
					 worker on a full-time basis.
1. Qualifications
					 of a Social Worker. A qualified social worker shall have:
a. a bachelors degree in social work or a
					 bachelors degree in a human services field including but not limited to:
					 sociology, special education, rehabilitation counseling, and psychology;
					 and
b. one year of supervised
					 social work experience in a health care setting working directly with
					 individuals.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter G - Rehabilitation Services › Section I-9881 - Delivery of Services

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Rehabilitative services, when provided in the nursing facility, shall be
					 delivered in a safe and accessible area. Rehabilitation services shall be
					 provided under the written order of the resident's attending physician. These
					 services shall be provided by appropriately credentialed individuals.
B. Specialized services shall be specified in
					 the residents plan of care. The nursing facility shall verify that the resident
					 is receiving the specialized services as determined by the level II
					 authority.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter G - Rehabilitation Services › Section I-9883 - Record Keeping

Current through Register Vol. 50, No. 6, June 20, 2024
A. An initial
					 assessment established by the appropriate therapist and a written
					 rehabilitation plan of care shall be developed. The resident's progress shall
					 be recorded by the therapist at the time of each visit. This information shall
					 be maintained in the residents clinical record.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter H - Resident Clinical Records and Financial Information › Section I-9887 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing facility shall maintain a clinical record on each resident in
					 accordance with accepted professional standards and practices. Each resident's
					 clinical record shall be complete, accurately documented, readily accessible
					 and systematically organized to facilitate retrieving and compiling
					 information.
B. Each residents
					 personal financial information shall be protected in compliance with all
					 applicable federal, state and local laws, rules and regulations.
C. Resident records that are created,
					 modified, maintained archived, retrieved or transmitted in an electronic format
					 shall be in compliance with all applicable federal, state and local laws, rules
					 and regulations.
D. Availability of
					 Records. The nursing facility shall make necessary records available to
					 appropriate state and federal personnel at reasonable times. Records shall
					 include but shall not be limited to the following:
1. personal property and financial
					 records;
2. all medical records;
					 and
NOTE: This includes records of all treatments, drugs, and
						services for which vendor payments have been made, or which are to be made,
						under the Medical Assistance Program. This includes the authority for and the
						date of administration of such treatment, drugs, or services. The nursing
						facility shall provide sufficient documentation to enable LDH to verify that
						each charge is due and proper prior to payment.
3. all other records which LDH finds
					 necessary to determine a nursing facility's compliance with any federal or
					 state law, rule, or regulation promulgated by the Department of Health and
					 Human Services (DHHS) or by LDH.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter H - Resident Clinical Records and Financial Information › Section I-9889 - Maintenance of Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. The overall
					 supervisory responsibility for the resident record service shall be assigned to
					 a responsible employee of the nursing facility.
B. All hand-written or typed entries in the
					 clinical record shall be legible, dated and signed.
C. If electronic signatures are used, the
					 nursing facility shall develop a procedure to assure the confidentiality of
					 each electronic signature and to prohibit the improper or unauthorized use of
					 any computer generated signature.
D. If a facsimile communications system (fax)
					 is used, the nursing facility shall take precautions when thermal paper is used
					 to ensure that a legible copy is retained as long as the clinical record is
					 retained.
E. A nursing facility
					 record may be kept in any written, photographic, microfilm or other similar
					 method or may be kept by any magnetic, electronic, optical or similar form of
					 data compilation which is approved for such use by the department.
F. No magnetic, electronic, optical or
					 similar method shall be approved unless it provides reasonable safeguards
					 against erasure or alteration.
G. A
					 nursing facility may, at its discretion, cause any nursing facility record or
					 part to be microfilmed, or similarly reproduced, in order to accomplish
					 efficient storage and preservation of nursing facility records.
H. Upon an oral or written request, the
					 nursing facility shall give the resident or his/her legal representative access
					 to all records pertaining to himself/herself including current clinical records
					 within 24 hours excluding weekends and holidays. After receipt of his/her
					 records for inspection, the nursing facility shall provide upon request and two
					 working days notice, at a cost consistent with the provisions of
					 R.S.
					 40:1299(A)(2)(b),
					 photocopies of the records or any portions thereof.
I. The nursing facility shall ensure that all
					 clinical records are completed within 90 days of discharge, transfer or death.
					 All information pertaining to a resident's stay shall be centralized in the
					 clinical record.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter H - Resident Clinical Records and Financial Information › Section I-9891 - Content

Current through Register Vol. 50, No. 6, June 20, 2024
A. The clinical
					 record shall contain sufficient information to identify the resident clearly,
					 to justify the diagnosis and treatment, and to document the results
					 accurately.
B. At a minimum, each
					 clinical record shall contain:
1. sufficient
					 information to identify the resident;
2. physician orders;
3. progress notes by all practitioners and
					 professional personnel providing services to the resident;
4. a record of the resident's
					 assessments;
5. the plan of
					 care;
6. entries describing
					 treatments and services provided; and
7. reports of all diagnostic tests and
					 procedures.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter H - Resident Clinical Records and Financial Information › Section I-9893 - Confidentiality

Current through Register Vol. 50, No. 6, June 20, 2024
A. The nursing
					 facility shall safeguard clinical record information against loss, destruction
					 or unauthorized use. The nursing facility shall ensure the confidentiality of
					 resident records, including information in a computerized record system, except
					 when release is required by transfer to another health care institution, law,
					 third party payment contract or the resident. Information from, or copies of,
					 records may be released only to authorized individuals, and the nursing
					 facility shall ensure that unauthorized individuals cannot gain access to or
					 alter resident records.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 98 - Nursing Facilities › Subchapter H - Resident Clinical Records and Financial Information › Section I-9895 - Retention

Current through Register Vol. 50, No. 6, June 20, 2024
A. Clinical records
					 shall be retained for a minimum of five years following a resident's discharge
					 or death, unless the records are pertinent to a case in litigation. In such
					 instance, they shall be retained indefinitely or until the litigation is
					 resolved.
B. A nursing facility
					 which is closing shall notify the department of their plan for the disposition
					 of residents clinical records in writing at least 14 days prior to cessation of
					 operation.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						40:2009.1-2116.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 99 - Nursing Facilities › Subchapter A - Ancillary Services › Section I-9901 - Radiology and other Diagnostic Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The nursing facility shall arrange for the
					 provision of radiology and other diagnostic services to meet the needs of its
					 residents. The nursing facility is responsible for the quality and timeliness
					 of the services and shall:
1. arrange for the
					 provisions of radiology and other diagnostic services only when ordered by the
					 attending physician;
2. promptly
					 notify the attending physician of the findings;
3. assist resident in making transportation
					 arrangements to and from the source of service as needed;
4. file in the resident's clinical record
					 signed and dated reports of X-ray and other diagnostic
					 services.