reglab/statecodes huggingface dataset:
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-9903 - Laboratory Services

Current through Register Vol. 50, No. 6, June 20, 2024
A. The nursing
					 facility shall arrange for the provision of clinical laboratory services to
					 meet the needs of the residents. The nursing facility is responsible for the
					 quality and timeliness of the services and shall:
1. provide or obtain laboratory services only
					 when ordered by the attending physicians;
2. promptly notify the attending physician of
					 the findings; and
3. assist
					 resident in making transportation arrangements to and from the services as
					 needed.
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-9905 - Resident Rooms

Current through Register Vol. 50, No. 6, June 20, 2024
A. Resident
					 bedrooms shall be designed and equipped for adequate nursing care, comfort, and
					 privacy of residents. Each resident bedroom shall have a floor, walls, and
					 ceilings in good repair and so finished as to enable satisfactory
					 cleaning.
B. Each resident's
					 bedroom shall have a floor at or above grade level; accommodate no more than
					 four residents; have a minimum width of not less than 10 feet; have a ceiling
					 height of at least 7 feet; have electrical outlets in accordance with the
National Electrical Code
of which the construction plans were
					 initially approved by DHH and the State Fire Marshal's Office; have direct
					 access to an exit corridor; and be so situated that passage through another
					 resident's bedroom is unnecessary.
C. A ceiling height of at least 8 feet shall
					 be provided in nursing homes or additions to nursing homes in which
					 construction plans were initially approved by DHH and the State Fire Marshal's
					 Office after January 20, 1998.
D.
					 Private resident bedrooms shall measure at least 100square feet of bedroom
					 area.
E. Multiple resident bedrooms
					 shall measure at least 80square feet of bedroom area for each
					 resident.
F. There shall be at
					 least three feet between the sides and foot of the bed and any wall, other
					 fixed obstruction, or other bed, unless the furniture arrangement is the
					 resident's preference and does not interfere with service delivery. In nursing
					 homes or additions to nursing homes in which construction plans were initially
					 approved by DHH and the State Fire Marshal's Office after January 20, 1998,
					 there shall be at least 4 feet between the sides and foot of the bed and any
					 wall, other fixed obstruction, or other bed, unless the furniture arrangement
					 is the resident's preference and does not interfere with service
					 delivery.
G. Each resident's
					 bedroom shall have at least one window opening to the outside atmosphere.
					 Windows with sills less than 30 inches from the floor shall be provided with
					 guard rails.
H. Each resident's
					 bedroom window shall be provided with shades, curtains, drapes, or
					 blinds.
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 99 - Nursing Facilities › Subchapter A - Ancillary Services › Section I-9907 - Resident Room Furnishings

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each
					 resident shall be provided with an individual bed of proper size and height for
					 the convenience of the resident and equipped with:
1. a clean spring in good repair;
2. a clean, comfortable, well-constructed
					 mattress at least 5 inches thick with waterproof ticking and correct size to
					 fit the bed;
3. a clean,
					 comfortable pillow shall be provided for each bed with extra pillows available
					 to meet the needs of the residents;
4. adequate bed rails, when necessary, to
					 meet the needs of the resident; and
5. sheets and covers appropriate to the
					 weather and climate.
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-9909 - Locked Units

Current through Register Vol. 50, No. 6, June 20, 2024
A. Nursing homes
					 providing locked units must develop admission criteria. There must be
					 documentation in the resident's record to indicate the unit is the least
					 restrictive environment possible, and placement in the unit is needed to
					 facilitate meeting the resident's needs.
B. Guidelines for admission shall be provided
					 to either the resident, his/her family, and his/her legal
					 representative.
C. Locked units are
					 designed and staffed to provide the care and services necessary for the
					 resident's needs to be met.
D.
					 There must be sufficient staff to respond to emergency situations in the locked
					 unit at all times.
E. The resident
					 on the locked unit has the right to exercise those rights which have not been
					 limited as a result of admission to the unit.
F. Care plans shall address the reasons for
					 the resident being in the unit and how the facility is meeting the resident's
					 needs.
G. Admission to a locked
					 unit must be in compliance with
					 R.S.
					 40:1299.53 and
					 40:2010.8.
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 99 - Nursing Facilities › Subchapter B - Physical Environment › Section I-9911 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 nursing facility shall be designed, constructed, equipped, and maintained to
					 protect the health and safety of residents, personnel, and the
					 public.
B. The nursing facility
					 shall provide a safe, clean, orderly, homelike environment.
C. If the nursing facility determines that a
					 licensing provision of this Subchapter B prohibits the provision of a culture
					 change environment, the nursing facility may submit a written waiver request to
					 the Health Standards Section (HSS) of the Department of Health (LDH), asking
					 that the provision be waived and providing an alternative to the licensing
					 provision of this subchapter. The department shall consider such written waiver
					 request, shall consider the health and safety concerns of such request and the
					 proposed alternative, and shall submit a written response to the nursing
					 facility within 60 days of receipt of such waiver request.
D. Any construction-related waiver or
					 variance request of any provision of the LAC
Title 51, Public
					 Health
-
Sanitary Code
shall be submitted in writing to
					 the state health officer for his/her consideration.
E. No later than June 30, 2023, nursing
					 facilities shall have a generator or other department approved alternate
					 electrical power source in the event of the loss of primary electrical power.
					 The department may grant a one-time extension, not to exceed six months, upon
					 written application by a nursing facility that compliance has been delayed due
					 to extraordinary and unforeseen circumstances. No extension shall be granted if
					 the nursing facility fails to provide sufficient evidence of substantial
					 compliance or good faith efforts to comply with the requirement deadline.
1.  The generator or alternate electrical
					 power source shall have a simultaneous capability of providing sufficient
					 electrical power for all of the following:
a.
					 life safety systems;
b. lighting in
					 patient care areas;
c. medical
					 equipment in patient care areas;
d.
					 electrical components of the approved potable water system;
e. electrical components of the approved
					 sewer systems;
f. operation of the
					 nursing facility's medication dispensing and medication refrigeration
					 systems;
g. operation of the
					 nursing facility's dietary services and related refrigeration; and
h. operation of the nursing facility's
					 laundry services.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 99 - Nursing Facilities › Subchapter B - Physical Environment › Section I-9913 - Nurse/Care Team Work Areas

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each
					 floor and/or household of a nursing facility shall have a nurse/care team work
					 area in locations that are suitable to perform necessary functions. These
					 nurse/care team work areas may be in centralized or decentralized locations, as
					 long as the locations are suitable to perform necessary functions.
1. Each centralized nurse/care team area
					 shall be equipped with working space and accommodations for recording and
					 charting purposes by nursing facility staff with secured storage space for
					 in-house resident records.
a. Exception.
					 Accommodations for recording and charting are not required at the central work
					 area where decentralized work areas are provided.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 99 - Nursing Facilities › Subchapter B - Physical Environment › Section I-9915 - Resident Rooms

Current through Register Vol. 50, No. 6, June 20, 2024
A. Resident
					 bedrooms shall be designed and equipped for adequate nursing care, comfort, and
					 privacy of residents. Each resident bedroom shall have a floor, walls, and
					 ceilings in good repair and so finished as to enable satisfactory
					 cleaning.
B. Each resident's
					 bedroom shall have a floor at or above grade level, shall accommodate a maximum
					 of two residents, and be so situated that passage through another resident's
					 bedroom is unnecessary.
1. Exception.
					 Resident bedrooms in existing nursing facilities shall be permitted to
					 accommodate no more than four residents unless the cost of renovations to the
					 existing nursing facility exceeds the values stipulated by
					 R.S.
					 40:1574.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 99 - Nursing Facilities › Subchapter B - Physical Environment › Section I-9917 - Resident Room Furnishings

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each
					 resident shall be provided with an individual bed of proper size and height for
					 the convenience of the resident and equipped with:
1. a clean supportive frame in good
					 repair;
2. a clean, comfortable,
					 well-constructed mattress at least 5 inches thick with waterproof ticking and
					 correct size to fit the bed;
3. a
					 clean, comfortable pillow shall be provided for each bed with extra pillows
					 available to meet the needs of the residents;
4. adequate bed rails, when necessary, to
					 meet the needs of the resident; and
5. sheets and covers appropriate to the
					 weather and climate.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 99 - Nursing Facilities › Subchapter B - Physical Environment › Section I-9919 - Specialized Care Units, Restraints, and Seclusion

Current through Register Vol. 50, No. 6, June 20, 2024
A. Specialized Care Units
1. Nursing facilities may establish a
					 distinct unit that benefits residents living with severe dementia, Alzheimer's
					 disease, or other disease process or condition which severely impairs their
					 ability to recognize potential hazards. Such units shall not be established for
					 the sole purpose of housing individuals with mental illness.
2. Specialized care units may involve locking
					 mechanisms provided that such locking arrangements are approved by OSFM and
					 satisfy the requirements established by OSFM.
3. Nursing facilities providing care and
					 services on a specialized care unit shall develop admission and discharge
					 criteria. There shall be documentation in the resident's record to indicate the
					 unit is the least restrictive environment possible, and placement in the unit
					 provides a clear benefit to the resident.
4. Guidelines for admission and discharge
					 shall be provided to the resident, the residents family, and/or the residents
					 legal representative.
5.
					 Specialized care units shall be designed and staffed to provide the care and
					 services necessary for the resident's needs to be met.
a. The unit shall have designated space for
					 dining and/or group and individual activities that is separate and apart from
					 the resident bedrooms and bathrooms.
b. The dining space shall contain tables for
					 eating within the unit.
c. The
					 activities area(s) shall contain seating, and be accessible to the residents
					 within the unit.
6. There
					 shall be sufficient staff to respond to emergency situations in the unit at all
					 times.
7. The facility shall ensure
					 that admission to the specialized care unit imposes restrictions on residents
					 exercise of their rights only to the extent absolutely necessary to protect the
					 health and safety of themselves and other residents.
8. Care plans shall address the reasons for
					 the resident being in the unit and how the nursing facility is meeting the
					 resident's continuing needs.
9. All
					 staff designated to provide care and services on specialized care units shall
					 have training regarding unit policies and procedures, admission and discharge
					 criteria, emergency situations and the individual and special needs of the
					 residents on the unit.
10.
					 Admission to a specialized care unit shall be in compliance with
					 R.S.
					 40:1299.53 and
					 40:2010.8.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 99 - Nursing Facilities › Subchapter B - Physical Environment › Section I-9921 - Hand-Washing Stations, Toilet Rooms and Bathing Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. A hand-washing station shall be provided
					 in each resident room.
1. Omission of this
					 station shall be permitted in a single-bed or two-bed room when a hand-washing
					 station is located in an adjoining toilet room that serves that room
					 only.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 99 - Nursing Facilities › Subchapter B - Physical Environment › Section I-9923 - Dining and Resident Activities

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 The nursing facility shall provide one or more areas designated for resident
					 dining and activities.
B. Smoking
					 is not permitted in the dining room and other public areas as specified by
					 R.S.
					 40:1300.256(B)(11).
C. Dining room(s) or dining area(s) shall be
					 sufficient in space and function to accommodate the needs of the residents
					 without restriction. Dining areas shall be adequately furnished, well lighted,
					 and well ventilated. Dining areas shall be sufficient in space to comfortably
					 accommodate the persons who usually occupy that space, including persons who
					 utilize walkers, wheelchairs and other ambulating aids or devices.
D. There shall be at least one well lighted
					 and ventilated living/community room with sufficient furniture.
E. There shall be sufficient space and
					 equipment to comfortably accommodate the residents who participate in group and
					 individual activities. These areas shall be well lighted and ventilated and be
					 adequately furnished to accommodate all activities.
F. Areas used for corridor traffic or for
					 storage of equipment shall not be considered as areas for dining or
					 activities.
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 B - Physical Environment › Section I-9925 - Linen and Laundry

Current through Register Vol. 50, No. 6, June 20, 2024
A. The nursing
					 facility shall have available, at all times, a quantity of bed and bath linen
					 essential for proper care and comfort of residents.
B. All linen shall be in good
					 condition.
C. All used linen shall
					 be bagged or enclosed in appropriate containers for transportation to the
					 laundry.
D. Soiled linen storage
					 areas shall be ventilated to the outside atmosphere.
E. Linen from residents with a communicable
					 disease shall be bagged, in readily identifiable containers distinguishable
					 from other laundry, at the location where it was used.
F. Linen soiled with blood or body fluids
					 shall be placed and transported in bags that prevent leakage.
G. If hot water is used, linen shall be
					 washed with detergent in water at least 160 degrees Fahrenheit for 25 minutes.
					 If low-temperature (less than or equal to 158 degrees Fahrenheit) laundry
					 cycles are used, chemicals suitable for low-temperature washing, at proper use
					 concentration, shall be used.
H.
					 Clean linen shall be transported and stored in a manner to prevent its
					 contamination.
I. Nursing
					 facilities providing in-house laundry services shall have a laundry system
					 designed to eliminate crossing of soiled and clean linen.
J. Nursing facilities that provide in house
					 laundry services and/or household washers and dryers shall have policies and
					 procedures to ensure safety standards, infection control standards and
					 manufacturers guidelines are met.
K. There shall be hand washing facilities
					 available for use in any designated laundry area.
L. Provisions shall be made for laundering
					 personal clothing of residents.
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 B - Physical Environment › Section I-9927 - Equipment and Supplies

Current through Register Vol. 50, No. 6, June 20, 2024
A. The nursing
					 facility shall maintain all essential mechanical, electrical, and resident care
					 equipment in safe operating condition.
B. Therapeutic, diagnostic, and other
					 resident care equipment shall be maintained and serviced in accordance with the
					 manufacturer's recommendations.
C.
					 Wheelchairs shall be available for emergency use by residents who are not fully
					 ambulatory.
D. Equipment for taking
					 vital signs shall be maintained.
E.
					 At least one oxygen tank or resource of oxygen shall be readily accessible for
					 emergency use.
F. An adequate
					 number of battery-generated lamps or flash lights shall be available for staff
					 use in case of electrical power failure.
G. There shall be at least one telephone
					 adapted for use by residents with hearing impairments at a height accessible to
					 bound residents who use wheelchairs and be available for resident use where
					 calls can be made without being overheard.
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 B - Physical Environment › Section I-9931 - Nursing Care Equipment

Current through Register Vol. 50, No. 6, June 20, 2024
A. Bedpans,
					 urinals, emesis basins, wash basins, and other personal nursing items shall be
					 thoroughly cleaned after each use and sanitized as necessary. Water pitchers,
					 when provided, shall be sanitized as necessary.
B. All catheters, irrigation sets, drainage
					 tubes, or other supplies or equipment for internal use, and as identified by
					 the manufacturer as one-time use only, will be disposed of in accordance with
					 the manufacture's recommendations.
C. Disposable syringes used for feeding
					 purposes shall be disposed of in accordance with the manufacturer's
					 recommendations.
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 99 - Nursing Facilities › Subchapter B - Physical Environment › Section I-9933 - Waste and Hazardous Materials Management

Current through Register Vol. 50, No. 6, June 20, 2024
A. The nursing home shall have a written and
					 implemented waste management program that identifies and controls wastes and
					 hazardous materials. The program shall comply with all applicable laws and
					 regulations governing wastes and hazardous materials.
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 99 - Nursing Facilities › Subchapter C - Infection Control and Sanitation › Section I-9941 - Organization

Current through Register Vol. 50, No. 6, June 20, 2024
A. A nursing
					 facility shall establish and maintain an infection control program designed to
					 provide a safe, sanitary, and comfortable environment and to help prevent the
					 development and transmission of disease and infection.
B. No later than September 1 of each year,
					 the nursing facility shall provide information from the LDH website to the
					 residents on the risks associated with pneumonia and the availability of the
					 pneumococcal immunization.
C. No
					 later than September 1 of each year, the nursing facility shall provide
					 information from the LDH website to the residents on the risks associated with
					 zoster, also known as shingles, and how to protect oneself against the
					 varicella-zoster virus.
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 C - Infection Control and Sanitation › Section I-9943 - Infection Control Program

Current through Register Vol. 50, No. 6, June 20, 2024
A. An infection
					 control committee shall be established consisting of the medical director and
					 representatives from at least administration, nursing, dietary and housekeeping
					 personnel.
B. The committee shall
					 establish policies and procedures for investigating, controlling and preventing
					 infections in the nursing facility, and monitor staff performance to ensure
					 proper execution of policies and procedures.
C. The committee shall approve and implement
					 written policies and procedures for the collection, storage, handling, and
					 disposal of medical waste.
D. The
					 committee shall meet at least quarterly, documenting the content of its
					 meetings.
E. Reportable diseases as
					 expressed in the
LAC Title 51, Public Health-Sanitary Code
shall be reported to the local parish health unit of OPH and other agencies as
					 required by state and/or federal laws, statutes, and ordinances.
F. Coronavirus Disease 2019 (COVID-19)
					 Reporting. The facility, in addition to any state and/or local reporting,
					 shall:
1. electronically report information
					 about COVID-19 in the standardized format, and at the frequency, required by
					 the Centers for Medicare and Medicaid Services (CMS) and the Centers for
					 Disease Control and Prevention (CDC); and
2. inform residents, their representatives,
					 and families of those residing in facilities, of the conditions of residents in
					 the facility, within the timeframe and requirements as specified by CMS
					 regulations and CDC reporting guidelines.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 99 - Nursing Facilities › Subchapter C - Infection Control and Sanitation › Section I-9945 - Employee Health Policies and Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. Nursing facility employees with a
					 communicable disease or infected skin lesions shall be prohibited from direct
					 contact with residents or their food, if direct contact will transmit the
					 disease.
B. The nursing facility
					 shall require staff to wash their hands after each direct resident contact for
					 which hand washing is indicated. An antimicrobial gel or waterless cleaner may
					 be used between resident contact, when appropriate. The nursing facility shall
					 follow the current Centers for Disease Control's
Guideline for Hand
					 Washing
.
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 C - Infection Control and Sanitation › Section I-9947 - Isolation

Current through Register Vol. 50, No. 6, June 20, 2024
A. When the
					 infection control program determines that a resident needs isolation to prevent
					 the spread of infection, the nursing facility shall isolate the resident
					 according to the most current Centers for Disease Controls
					 recommendations.
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 C - Infection Control and Sanitation › Section I-9949 - Housekeeping and Maintenance

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Housekeeping and maintenance services necessary to maintain a sanitary,
					 orderly, and safe interior shall be provided.
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 C - Infection Control and Sanitation › Section I-9951 - Nursing Care Equipment

Current through Register Vol. 50, No. 6, June 20, 2024
A. Bedpans,
					 urinals, emesis basins, wash basins and other personal nursing items shall be
					 thoroughly cleaned after each use and sanitized as necessary. Water pitchers
					 shall be sanitized as necessary.
B.
					 All catheters, irrigation sets, drainage tubes or other supplies or equipment
					 for internal use, and as identified by the manufacturer as one time use only,
					 shall be disposed of in accordance with the manufactures
					 recommendations.
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 C - Infection Control and Sanitation › Section I-9953 - Waste and Hazardous Materials Management

Current through Register Vol. 50, No. 6, June 20, 2024
A. The nursing facility shall have a written
					 and implemented waste management program that identifies and controls wastes
					 and hazardous materials. The program shall comply with all applicable laws and
					 regulations governing wastes and hazardous materials.
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 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter A - General Provisions › Section I-10001 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
Abuse
-
1. the willful infliction of physical or
					 mental injury;
2. causing
					 deterioration by means including, but not limited to:
a. sexual abuse;
b. exploitation; or
c. extortion of funds or other things of
					 value to such an extent that the resident's health, moral or emotional
					 well-being is endangered; or
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter B - Training and Competency Requirements › Section I-10011 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
					 nurse aide training and competency evaluation programs shall be approved by the
					 department.
B. Training and
					 competency evaluation programs may be provided by:
1. community colleges;
2. vocational-technical programs;
					 and
3. other educational
					 entities.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter B - Training and Competency Requirements › Section I-10013 - Certification Criteria for Nursing Professionals, Nursing Students and Military Personnel

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 Individuals applying for nurse aide certification shall complete the
					 application form designated by the department and submit documentation as
					 deemed necessary by the department to determine eligibility.
B. Registered nurses (RNs) and licensed
					 practical nurses (LPNs) who have completed online courses shall provide an
					 official transcript to determine eligibility to test.
C. Registered nurse (RN) and licensed
					 practical nurse (LPN) students shall provide an official transcript and any
					 other documentation needed to determine eligibility.
D. Registered nurses (RNs) and licensed
					 practical nurses (LPNs) who trained in other countries, and are requesting
					 certification to the registry, shall be required to test.
E. RN and LPN students who have completed a
					 nursing course, or have completed sufficient course content to meet eligibility
					 criteria for certification, shall be required to test if their request for
					 certification is received within three years of taking the nursing
					 course.
F. An individual who
					 trained in another state but did not test, shall test and certify to the
					 registry in that state before transferring to Louisiana, or shall retrain and
					 test in Louisiana.
G. Military
					 personnel shall provide a copy of their military transcript and any other
					 documentation needed to determine eligibility.
H. Licensed nurses on probation or suspended
					 status shall provide documentation as deemed necessary by the department to
					 determine eligibility.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						36:254 and P.L.
						100-203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter B - Training and Competency Requirements › Section I-10015 - Training Curriculum /Program Approval

Current through Register Vol. 50, No. 6, June 20, 2024
A. Training Curriculum
1. Providers applying to have a training
					 program after the effective date of this Rule shall use one of the state
					 approved curriculums or any subsequent editions issued by the publisher or any
					 future state approved curriculums.
2. The curriculum shall be a minimum of 80
					 hours in length, which includes 40 classroom hours and 40 clinical
					 hours.
3. Each additional unit
					 objective added to the approved curriculum, above the minimum 80 hours, shall
					 be behaviorally-stated for each topic of instruction. Each objective shall
					 state performance criteria which are measurable and shall serve as a basis for
					 the competency evaluation.
a. The unit
					 objectives shall be reviewed with the trainees at the beginning of each unit so
					 each trainee will know what is expected of him/her in each part of the
					 training.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter B - Training and Competency Requirements › Section I-10017 - Coordinators, Instructors and Trainers

Current through Register Vol. 50, No. 6, June 20, 2024
A. Program Coordinator. Every nurse aide
					 training program shall have a program coordinator who provides general
					 supervision of the training received by the nurse aide trainees.
1. The program coordinator shall be a
					 registered nurse (RN) and shall have the following experience and
					 qualifications:
a. a minimum of two years of
					 nursing experience, of which at least one year must be in caring for the
					 elderly or chronically ill, obtained through employment in any of the
					 following:
i. a nursing
					 facility/unit;
ii. a geriatrics
					 department;
iii. a chronic care
					 hospital;
iv. other long-term care
					 setting; or
v. experience in varied
					 responsibilities including, but not limited to, direct resident care or
					 supervision and staff education; and
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter B - Training and Competency Requirements › Section I-10019 - Training Program Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. Each nurse aide trainee shall be at least
					 16 years old.
B. Each nurse aide
					 trainee shall be clearly identified as a trainee at all times during clinical
					 training. Identification shall be recognizable to residents, family members,
					 visitors and staff.
C. Each nurse
					 aide training program shall provide all trainees with an orientation of the
					 clinical training site of at least four hours that is not included in the
					 required 80 hours of core curriculum. The orientation shall include but is not
					 limited to:
1. an explanation of the
					 facility's organizational structure;
2. the facility's policies and
					 procedures;
3. discussion of the
					 facility's philosophy of care;
4.
					 description of the resident population;
5. employee rules; and
6. what constitutes abuse, neglect, and
					 misappropriation, including the consequences imposed if found guilty of
					 such.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter B - Training and Competency Requirements › Section I-10021 - Competency Evaluation

Current through Register Vol. 50, No. 6, June 20, 2024
A. Written
					 or oral examinations shall be provided by an entity or organization approved by
					 the department. The examination shall reflect the content and emphasis of the
					 training program and shall be developed in accordance with accepted educational
					 principles.
B. The written
					 evaluation component shall be given in English unless the aide will be working
					 in a facility in which the predominant language is something other than
					 English. In this case, the examination may be taken in the written predominant
					 language used in the facility, dependent upon the availability of a translator
					 who shall maintain the integrity of the examination.
C. A substitute examination, including an
					 oral component, shall be developed for those nurse aides with limited literacy
					 skills. This examination shall contain all of the content that is included in
					 the written examination and shall include a written reading comprehension
					 portion that shall determine competency to read job-related
					 information.
D. Trainees of
					 non-facility based programs shall take the competency evaluation (through
					 skills demonstration and either written or oral examination) within 30 days
					 after completion of the training program.
E. Trainees shall be provided a maximum of
					 three opportunities within one year following completion of the training
					 program to successfully complete the competency evaluation.
F. The evaluation program shall be developed
					 and conducted to ensure that each nurse aide, at a minimum, is able to
					 demonstrate competencies listed in §10015 C
G. For the skills training component of the
					 evaluation program, each nurse aide training program shall develop a
					 performance record of duties/skills taught which shall verify proficiency
					 attained.
1. The performance record shall
					 consist of, at a minimum:
a. a listing of the
					 duties/skills expected to be learned in the program; and
b. space to note satisfactory or
					 unsatisfactory performance of each task including:
i. the date of the performance; and
ii. the name of the instructor supervising
					 the performance.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter B - Training and Competency Requirements › Section I-10023 - Compliance with Federal and State Regulations

Current through Register Vol. 50, No. 6, June 20, 2024
A. The department shall review all components
					 of a training and competency evaluation program for compliance with federal and
					 state regulations.
B. Programs not
					 meeting minimum requirements may be terminated if the program does not provide
					 an acceptable plan for correcting deficiencies.
C. Programs not accessible or refusing to
					 permit unannounced visits by the department shall be terminated.
D. A program that has not conducted training
					 or certified trainees to the registry within a two year period shall be
					 closed.
E. Operational Requirements
1. In order to be considered operational and
					 retain approval to conduct a training program, providers shall have at least
					 one employee on duty at the business location during the hours of operation
					 reported on the training program application submitted to the DHH Health
					 Standards Section.
2. All nurse
					 aide training providers (facility based and non-facility based) shall maintain
					 a current, operational telephone number, fax number and e-mail address and
					 shall keep the department informed of any changes.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter B - Training and Competency Requirements › Section I-10025 - Nurse Aide Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
					 nurse aide shall be responsible for notifying the registry of current contact
					 information such as address, telephone number, and e-mail address.
B. A nurse aide shall perform at least eight
					 hours of nursing or nursing-related services in an approved setting during
					 every consecutive 24-month period for pay after completion of a training and
					 competency evaluation program to maintain certification.
C. If a nurse aide does not have proof of the
					 required eight hours of paid employment in an approved setting in a 24-month
					 period needed for recertification, he/she may retest with the two years
					 immediately following the expiration. If the nurse aide fails to retest within
					 the allotted time period, they shall retrain.
AUTHORITY NOTE:
						Promulgated in accordance with
						R.S.
						36:254 and P.L.
						100-203.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter C - Louisiana Certified Nurse Aide Registry › Section I-10033 - General Provisions

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
					 Department of Health (LDH) shall develop and maintain the Louisiana Certified
					 Nurse Aide Registry (LCNAR) for individuals who have successfully completed a
					 nurse aide training and/or competency evaluation program. Each individual
					 listed on the LCNAR will have the following information maintained and
					 retrievable:
1. name;
2. address;
3. Social Security number;
4. phone number;
5. place of employment;
6. date of employment;
7. date employment ceased;
8. state certification number;
9. documentation of any investigation
					 including codes for specific findings of a resident's:
a. abuse;
b. neglect;
c. misappropriated property; and
d. an accurate summary of findings only after
					 actions on findings are final;
10. current e-mail address; and
11. status of certification, which includes
					 the:
a. certified date;
b. recertified date; and
c. expiration date.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter C - Louisiana Certified Nurse Aide Registry › Section I-10035 - Certification by Reciprocity

Current through Register Vol. 50, No. 6, June 20, 2024
A. Nurse
					 aides may become certified by reciprocity from other states. Applicants shall,
					 at a minimum, submit to the Nurse Aide Registry the following information
					 either on forms or via electronic submissions approved by the department:
1. his/her name;
2. his/her Social Security number;
3. the certification number in the other
					 state;
4. the address of the other
					 state's registry;
5. his/her former
					 place of employment;
6. the date of
					 employment and termination;
7.
					 his/her e-mail address;
8. a copy
					 of his/her social security card; and
9. a copy of his/her official Louisiana
					 identification, such as a driver's license, identification card, etc.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter D - Provider Participation › Section I-10045 - Employer Responsibilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
					 person shall not be employed as a nurse aide or nurse aide trainee by a nursing
					 facility or hospital based SNF unit for more than 60 days unless he/she has
					 satisfactorily completed an approved training and competency evaluation
					 program.
B. A person shall not be
					 employed as a nurse aide or nurse aide trainee if there is a final
					 administrative or judicial court decision that the nurse aide or trainee has:
1. committed abuse, neglect or mistreatment
					 of the elderly, infirm or nursing facility resident;
2. misappropriated a resident's property;
					 or
3. as specified in R.S
					 40:1300.53.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter E - Violations › Section I-10055 - Disqualification of Training Programs

Current through Register Vol. 50, No. 6, June 20, 2024
A. The department prohibits nursing
					 facilities from offering nurse aide training programs when the facilities have:
1. been determined to be out of compliance by
					 the Medicaid or Medicare Programs until the end of a two-year period during
					 which time no survey or investigation finds any deficiencies; or
2. operated under a waiver granted on the
					 basis of a demonstration that the facility is unable to provide RN coverage in
					 excess of 48 hours during a week.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter E - Violations › Section I-10057 - Allegations of Nurse Aide Wrong-Doing

Current through Register Vol. 50, No. 6, June 20, 2024
A. The department, through its Division of
					 Administrative Law or successor entity, has provided for a process for the
					 review and investigation of all allegations of wrong-doing by nurse aides
					 employed in nursing facilities. Certified nurse aides and nurse aide trainees
					 must not:
1. use verbal, mental, sexual or
					 physical abuse, corporal punishment or involuntary seclusion on a resident in a
					 nursing facility; nor
2. neglect a
					 resident or commit misappropriation of a resident's property or
					 funds.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter E - Violations › Section I-10059 - Notice of Violation

Current through Register Vol. 50, No. 6, June 20, 2024
A. When
					 there are substantiated charges against the nurse aide, either through oral or
					 written evidence, the department shall notify the individual(s) implicated in
					 the investigation of the following information by certified mail:
1. the nature of the violation(s) and the
					 date and time of each occurrence;
2. the department's intent to report the
					 violation(s) to the Nurse Aide Registry; and
3. the right to request an informal dispute
					 resolution and/or the right to an administrative hearing.
Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 100 - Nurse Aide Training and Competency Evaluation Program › Subchapter E - Violations › Section I-10061 - Informal Dispute Resolution

Current through Register Vol. 50, No. 6, June 20, 2024
A.
					 When a nurse aide feels that he/she has been wrongly accused, the following
					 procedure shall be followed.
1. The nurse
					 aide may request an informal dispute resolution (IDR) within 15 calendar days
					 of the receipt of the agency's notice of violation. The request for an IDR must
					 be made to the department in writing.
2. The IDR is designed:
a. to provide an opportunity for the nurse
					 aide to informally review the situation;
b. for the agency to offer alternatives based
					 on corrections or clarifications, if any; and
c. for the nurse aide to evaluate the
					 necessity for seeking an administrative hearing.
3. An IDR meeting shall be arranged within 20
					 days of the request.
4. During the
					 IDR, the nurse aide shall be afforded the opportunity to:
a. talk with agency personnel involved in the
					 situation;
b. review pertinent
					 documents on which the alleged violation is based;
c. ask questions;
d. seek clarifications; and
e. provide additional information.