La. Admin. Code tit. 48 § I-6803
Abuse-
Activities of Daily Living-ambulating, transferring, grooming, bathing, dressing, eating, toileting, and for the purposes of this Chapter, taking medication.
Adult-a person who has attained 18 years of age.
Adult Residential Care Provider-a facility, agency, institution, society, corporation, partnership, company, entity, residence, person or persons, or any other group which provides adult residential care for compensation to two or more adults who are unrelated to the licensee or operator.
Alterations, Additions, or Substantial Rehabilitation- rehabilitation that involves structural changes in which hard costs are equal to or exceed the per unit cost for substantial rehabilitation as defined by the Louisiana Housing Finance Authority.
Cessation of Business-provider is non-operational and/or has stopped offering or providing services to the community.
Change of Ownership (CHOW)-the addition, substitution, or removal, whether by sale, transfer, lease, gift, or otherwise, of a licensed health care provider subject to this rule by a person, corporation, or other entity which results in a CHOW or change of controlling interest of assets or other equity interests of the licensed entity may constitute a CHOW of the licensed entity. An example of an action that constitutes a CHOW includes, but is not limited to, the leasing of the licensed entity.
Chemical Restraint-a psychopharmacologic drug that is used for discipline or convenience and not required to directly treat medical symptoms or medical diagnoses. The use of chemical restraints is prohibited in ARCPs.
Common Area (Space)-the interior space(s) made available for the free and informal use by all residents or the guests of the ARCP. Common areas may include activity rooms, libraries, and other areas exclusive of resident's rooms and bathrooms. Corridors, passageways, kitchens and laundry areas are not included as common areas.
Controlled Dangerous Substance (CDS)-a drug, substance, or immediate precursor in schedule I through V of R.S. 40:964.
DAL-Division of Administrative Law or its successor.
Department-the Louisiana Department of Health (LDH).
Direct Care Staff-unlicensed staff who provide personal care or other services and support to persons with disabilities, or to the elderly to enhance their well-being, and who are involved in face-to-face direct contact with the participant.
Director-the person who is in charge of the daily operation of the ARCP.
Facility Need Review (FNR)-Repealed.
Health Care Services-any service provided to a resident by an ARCP or third-party provider that is required to be provided or delegated by a licensed, registered or certified health care professional. Any other service, whether or not ordered by a physician, that is not required to be provided by a licensed, registered or certified health care professional shall not be considered a health care service.
HSS-the LDH, Office of the Secretary, Health Standards Section.
Incident-any occurrence, situation or circumstance affecting the health, safety or well-being of a resident or residents.
Intermittent Nursing Services-services that are provided episodically or for a limited period of time by licensed nursing staff. Intermittent nursing services may be provided by level 4 ARCPs only.
Instrumental Activities of Daily Living-the functions or tasks that are not necessary for fundamental functioning but assist an individual to be able to live in a community setting. These include activities such as:
Level 1 ARCP-an ARCP that provides adult residential care for compensation to two or more residents but no more than eight who are unrelated to the licensee or operator in a setting that is designed similarly to a single-family dwelling.
Level 2 ARCP-an ARCP that provides adult residential care for compensation to nine or more residents, but no more than 16, who are unrelated to the licensee or operator in a congregate living setting.
Level 3 ARCP-an ARCP that provides adult residential care for compensation to 17 or more residents who are unrelated to the licensee or operator in independent apartments equipped with kitchenettes, whether functional or rendered nonfunctional for reasons of safety. Kitchenettes are not required in apartments designated for the specialized dementia care program.
NOTE: Repealed.
Level 4 ARCP-an ARCP that provides adult residential care including intermittent nursing services for compensation to 17 or more residents who are unrelated to the licensee or operator in independent apartments equipped with kitchenettes, whether functional or rendered nonfunctional for reasons of safety. Kitchenettes are not required in apartments designated for the specialized dementia care program.
NOTE: Repealed.
Licensed Nurse-a licensed registered nurse (RN) or a licensed practical nurse (LPN) who is acting within the scope of practice of his/her respective licensing board(s) and/or certifications.
Licensed Practical Nurse (LPN)-a person who practices practical nursing and who is licensed to practice practical nursing in accordance with R.S. 37:961, or current law.
May-Repealed.
Medication Attendant Certified (MAC)-a person certified by LDH to administer medications to licensed long-term care facility residents. A MAC shall be directly employed by or contracted with an approved ARCP for staff administration of medications.
Medication Error-the observed or identified preparation or administration of medications or biologicals that is not in accordance with:
Medication Error Rate-determined by calculating the percentage of medication errors observed during a medication administration observation. The numerator in the ratio is the total number of errors that the HSS survey team observes, both significant and non-significant. The denominator consists of the total number of observations, or opportunities for errors, and includes all the doses the HSS survey team observed being administered plus the doses ordered but not administered. The equation for calculating a medication error rate is as follows: medication error rate equals number of errors observed divided by the opportunities for errors times 100.
Neglect-the failure to provide the proper or necessary medical care, nutrition, or other care necessary for a resident's well-being.
NFPA-National Fire Protection Association.
Non-Operational-the ARCP location is not open for business operation on designated days and hours as stated on the licensing application and business location signage.
Nursing Director-a registered nurse (RN) licensed by the state of Louisiana who directs or coordinates nursing services in the ARCP.
OPH-Office of Public Health.
OSFM-Office of the State Fire Marshal.
PRN-Repealed.
Person-Centered Service Plan (PCSP)-a written description of the functional capabilities of a resident, the resident's need for personal assistance and the services to be provided to meet the resident's needs.
Personal Assistance-services that directly assist a resident with certain activities of daily living and instrumental activities of daily living.
Physical Restraint-any manual method, physical or mechanical device, material, or equipment attached to or adjacent to a resident's body that the individual cannot easily remove which restricts freedom of movement or normal access to the body and is not used as an assistive device. The use of physical restraints is prohibited in ARCPs.
Resident Representative-a person who has been authorized by the resident in writing to act upon the resident's direction regarding matters concerning the resident's health or welfare, including having access to personal records contained in the resident's file and receiving information and notices about the overall care, condition and services for the resident. No member of the governing body, administration or staff or an ARCP or any member of their family shall serve as the resident's representative unless they are related to the resident by blood or marriage.
Registered Nurse (RN)-an individual licensed and/or certified in accordance with R.S. 37:911 et seq., or current law to engage in the practice of nursing as defined in R.S. 37:913, or current law.
Resident Apartment-a separate unit configured to permit residents to carry out, with or without assistance, all the functions necessary for independent living, including:
Resident Representative-a person who has been authorized by the resident in writing to act upon the resident's direction regarding matters concerning the resident's health or welfare, including having access to personal records contained in the resident's file and receiving information and notices about the overall care, condition and services for the resident. No member of the governing body, administration or staff or an ARCP or any member of their family shall serve as the resident's representative unless they are related to the resident by blood or marriage.
Shall-Repealed.
Self-Medication-residents can maintain possession and control of their medications.
Significant Medication Error-one which causes the resident discomfort or jeopardizes health or safety. The significance of medication errors is a matter of professional judgement. A significant medication error shall be determined based on the resident's condition, drug category, and frequency of error.
Specialized Dementia Care Program-as defined in R.S. 40:1101.2, a special program or unit that segregates residents with a diagnosis of probable Alzheimer's disease or a related disorder so as to prevent or limit access by a resident to areas outside the designated or separated area; and that advertises, markets, or otherwise promotes the ARCP as providing specialized Alzheimer's/dementia care services.
La. Admin. Code tit. 48, § I-6803