La. Admin. Code tit. 48 § I-9701
Abuse-the willful infliction of injury or the causing of the deterioration of a resident by means including, but not limited to, physical, verbal, emotional, psychological, sexual abuse, exploitation, or extortion of funds or other things of value to such an extent that the residents health, moral, or emotional well-being is endangered.
Administrator-any individual who is or may be charged with the general administration of a nursing facility and who has been licensed and registered by the Board of Examiners of Nursing Home Administrators in accordance with the provisions of Louisiana Revised Statute 37:2501.
Advanced Practice Registered Nurse (APRN)-a licensed registered nurse who is certified by a nationally recognized certifying body as having an advanced nursing specialty and who meets the criteria for an advanced practice registered nurse as established by the Louisiana State Board of Nursing. An advanced practice registered nurse shall include:
Alzheimer's Special Care Unit-any nursing facility as defined in R.S. 40:2009.2, that segregates or provides a special program or special unit for residents with a diagnosis of probable Alzheimer's disease or related disorder so as to prevent or limit access by a resident to areas outside the designated or separated area, or that advertises, markets, or otherwise promotes the nursing facility as providing specialized Alzheimer/dementia care services.
Ancillary Service-a service such as, but not limited to:
Applicant-the legal entity that applies for the license to open, conduct, manage or maintain a nursing facility.
Biological-a preparation used in the treatment or prevention of disease that is derived from living organisms or their by-product.
Change of Information (CHOI)-any change in facility information required by regulation or statute to be submitted to the department that does not change the ownership structure and/or respective ownership interests held by stakeholders of the current legal entity.
Change of Ownership (CHOW)-any change in the legal entity responsible for the operation of the nursing facility. Management agreements are generally not changes of ownership if the former owner continues to retain policy responsibility and approve or concur in decisions involving the nursing facility's operation. However, if these ultimate legal responsibilities, authorities and liabilities are surrendered and transferred from the former owner to the new manager, then a change of ownership has occurred. Examples of actions that constitute a change of ownership include, but are not limited to:
Charge Nurse-an individual who is licensed by the state of Louisiana to practice as an RN or LPN and designated as a charge nurse by the nursing facility.
Chemical Restraint-a psychopharmacologic drug that is used for discipline or convenience and not required to treat medical symptoms.
Controlled Dangerous Substance-a drug, substance or immediate precursor in schedule I through V of R.S. 40:964.
Coronavirus disease 2019 (COVID-19)-a communicable, contagious, and infectious disease/virus (more specifically, a coronavirus) identified as the cause of an outbreak of respiratory illness first detected in Wuhan, China. COVID-19 is a new disease, caused by a novel (or new) coronavirus that has not previously been seen in humans. Persons with COVID-19 have had a wide range of symptoms reported-ranging from mild symptoms to severe illness.
Culture Change-the common name given to the national movement for the transformation of older adult services, based on person-directed values and practices where the voices of elders and those working with them are considered and respected. Core person-directed values are:
Designated Contact-residents legal representative or interested family member.
Dietary Manager-a person who:
Director of Nursing (DON)-a registered nurse, licensed by the state of Louisiana, who directs and coordinates nursing services in a nursing facility.
Drug Administration-an act in which a single dose of a prescribed drug or biological is given to a resident by an authorized person in accordance with all laws and regulations governing such acts. The complete act of administration entails:
Drug Dispensing-an act which entails the interpretation of an order for a drug or biological and, pursuant to the order, the proper selection, measuring, labeling, packaging, and issuance of the drug or biological for a resident or for a service unit of the nursing facility by a licensed pharmacist, physician or dentist.
Legal Representative-a residents legal guardian or other responsible person as determined by the specific legally recognized status of the relationship (e.g., full interdiction, partial interdiction, continuing tutorship, competent major, or other legally recognized status).
Licensed Bed-a bed set up, or capable of being set up, within 24 hours in a nursing facility for the use of one resident.
Licensed Dietitian-a dietitian who is licensed to practice by the Louisiana Board of Examiners in Dietetics and Nutrition.
Licensed Practical Nurse (LPN)-an individual currently licensed by the Louisiana State Board of Practical Nurse Examiners to practice practical nursing in Louisiana.
Local Office of Emergency Preparedness (OEP)-a parish office of homeland security and emergency preparedness established pursuant to R.S. 29:727.
Locked Unit or Specialized Care Unit-a restricted section or area of the nursing facility which limits free access of residents suffering from severe dementia, Alzheimer's 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.
Louisiana Department of Health (LDH)-the 'department', previously known as the Department of Health and Hospitals or DHH.
LSC Appeal-equivalent method of compliance related to Life Safety Code (LSC) requirements for participation, granted or approved by state and/or federal certification agencies.
Major Alteration-any repair or replacement of building materials and equipment which does not meet the definition of minor alteration.
Medication Attendant Certified (MAC)-a person certified by LDH to administer medications to nursing facility residents.
Medical Director-a physician licensed in Louisiana who directs and coordinates medical care in a nursing facility.
Minor Alteration-repair or replacement of building materials and equipment with materials and equipment of a similar type that does not diminish the level of construction below that which existed prior to the alteration. This does not include any alteration to the function or original design of the construction.
Misappropriation-taking possession of a residents personal belongings without the residents permission to do so, or the deliberate misplacement, exploitation or wrongful temporary or permanent use of a residents belongings or money without the residents consent.
Neglect-the failure to provide the proper or necessary medical care, nutrition or other care necessary for a residents well-being, unless the resident exercises his/her right to refuse the necessary care.
Nursing Facility-Repealed.
Nursing Home and/or Nursing Facility-a nursing home or nursing facility as defined in R.S. 40:2009.2 that is licensed by the Department of Health (LDH) in accordance with the requirements of R.S. 40:2009.3.
Physical Restraint-any physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body.
Physician-an individual currently licensed by the Louisiana State Board of Medical Examiners to practice medicine and/or surgery in Louisiana.
Physician Assistant-a person who is a graduate of a program accredited by the Council on Medical Education of the American Medical Association or its successors, or who has successfully passed the national certificate examination administered by the National Commission on the Certification of Physicians' Assistants, or its predecessors, and who is approved and licensed by the Louisiana Board of Medical Examiners to perform protocol services under the supervision of a physician or group of physicians approved by the board to supervise such assistant.
Reasonable Person Concept-the degree of actual or potential harm one would expect a reasonable person in a similar situation to suffer as a result of alleged abuse, neglect or misappropriation of a residents funds.
Registered Nurse (RN)-an individual currently licensed by the Louisiana State Board of Nursing to practice professional nursing in Louisiana.
Registered Pharmacist-an individual currently licensed by the Louisiana Board of Pharmacy to practice pharmacy in Louisiana.
Resident-an individual admitted to the nursing facility by, and upon, the recommendation of a physician, and who is to receive the medical and nursing care ordered by the physician.
Resident Activities Director-an individual responsible for directing or providing the activity services of a nursing facility.
Resident Communication System-a system that registers calls electronically from its place of origin (the resident's bed, toilet or bathing facility) to the place of receivership.
Restorative Care-activities designed to resolve, diminish or prevent the needs that are inferred from the resident's problem; includes the planning, implementation and evaluation of said activities.
Sheltering in Place-the election to stay in place rather than evacuate when an executive order or proclamation of emergency or disaster is issued for the parish in which the nursing facility is located and a voluntary or mandatory evacuation has been declared for its geographic location.
Social Service Designee-an individual responsible for arranging or directly providing medically-related social services in the facility to assist in attaining and maintaining the highest practicable physical, mental, and psychosocial well-being of each resident.
Specialized Mental Health Services-for the purposes of pre-admission screening and resident review (PASRR), specialized services means any service or support recommended by an individualized level II determination that a particular nursing facility resident requires due to mental illness, intellectual disability or related condition, that supplements the scope of services that the nursing facility must provide under reimbursement as nursing facility services.
Specialized Rehabilitative Services-include, but are not limited to:
Sponsor-an adult relative, friend or guardian of a resident who has an interest or responsibility in the resident's welfare.
State Fire Marshal (OSFM)-Louisiana Department of Public Safety and Corrections, Office of the State Fire Marshal.
Unlicensed Sheltering Site-any location within or outside the state of Louisiana that is not licensed as a nursing facility by the LDH in accordance with the R.S. 40:2009.3, or not licensed as a nursing facility by another state, when such location is used for evacuation purposes.
Written Notification-notification in hard copy or electronic format.
La. Admin. Code tit. 48, § I-9701