Louisiana Administrative Code › Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE › Part II - Nursing Facilities › Subpart 3 - Standards for Payment › Chapter 101 - Standards for Payment for Nursing Facilities › Subchapter C - Administration › Section II-10115 - Physical Environment and Sanitation

Current through Register Vol. 50, No. 6, June 20, 2024
A. The facility must be designed,
					 constructed, equipped, and maintained to protect the health and safety of
					 residents, personnel, and the public as set forth below.
B. Favorable Environment for Residents.
					 Resident living areas are designed and equipped for the comfort and privacy of
					 the resident. Each room is equipped with or conveniently located near adequate
					 toilet and bathing facilities appropriate in number, size, and design to meet
					 the needs of residents. Each resident room contains a suitable bed and
					 functional furniture appropriate to the residents needs.
C. Hot Water. An adequate supply of hot water
					 for resident use is available. Temperature of hot water at plumbing fixtures
					 used by residents is automatically regulated by control valves to assure a
					 temperature between 110 degrees and 120 degrees Fahrenheit at the faucet
					 outlet.
D. Isolation Techniques.
					 Written effective procedures in aseptic and isolation techniques are followed
					 by all personnel. Procedures are reviewed annually and revised when necessary
					 for effectiveness and improvement.
E. Housekeeping. The facility employs
					 sufficient housekeeping personnel and provides all necessary equipment to
					 maintain a safe, clean, and orderly interior. An employee is designated
					 full-time responsibility for this service and for supervision and training of
					 housekeeping personnel. A facility that has a contract with an outside resource
					 for housekeeping services may be found to be in compliance with this standard
					 provided the facility and/or outside resources meet the requirements of the
					 standard.
F. Maintenance of
					 Equipment, Building, and Grounds. The facility establishes a preventive
					 maintenance program to ensure that equipment is operative and that the interior
					 and exterior of the building are clean and orderly. All essential mechanical,
					 electrical, and resident care equipment is maintained in safe operating
					 condition.
G. Nursing Unit. Each
					 nursing unit has at least the following basic service areas: Nurses station,
					 storage and preparation area(s) for drugs and biologicals, and utility and
					 storage rooms that are adequate in size, conveniently located, and well lighted
					 to facilitate staff functioning. The nurses station is equipped to register
					 residents' calls through a communication system from resident areas, including
					 rooms and toilet and bathing facilities.
H. Environment. The facility must provide:
1. a safe, clean, comfortable, and homelike
					 environment, allowing the resident to use his or her personal belongings to the
					 extent possible;
2. housekeeping
					 and maintenance services necessary to maintain a sanitary, orderly, and
					 comfortable interior;
3. clean bed
					 and bath linens that are in good condition;
4. private closet space in each resident room
					 with clothes rack and shelves and/or drawers accessible to the
					 resident;
5. adequate and
					 comfortable lighting levels in all areas;
6. comfortable and safe temperature levels.
					 The facility must provide the capability to maintain a temperature for all
					 seasons between 71 degrees and 81 degrees throughout all occupied resident
					 areas; and
7. for the maintenance
					 of comfortable sound levels.