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Table of Contents

Title 48

PUBLIC HEALTHGENERAL

Part I. General Administration

Subpart 3. Licensing and Certification

Part I. General Administration 25

Subpart 3. Licensing and Certification 25

Chapter 90. Psychiatric Residential Treatment Facilities (under 21) 25

Subchapter A. General Provisions 25

§9001. Purpose 25

§9003. Definitions 25

Subchapter B. Licensing 27

§9007. General Provisions 27

§9009. Initial Licensing Application Process 28

§9011. Types of Licenses 29

§9013. Deemed Status 30

§9015. Licensing Surveys 30

§9017. Changes in Licensee Information or Personnel 31

§9019. Cessation of Business 31

§9021. Renewal of License 32

§9023. Denial of License, Revocation of License, Denial of License Renewal 32

§9025. Notice and Appeal of License Denial, License Revocation, License Non-Renewal, and Appeal of Provisional License 33

§9027. Complaint Surveys 35

§9029. Statement of Deficiencies 36

Subchapter C. Organization and Administration 36

§9031. General Provisions [Formerly §9027] 36

§9033. Governing Body [Formerly §9029] 36

§9035. Administrative Policies and Records
[Formerly §9031] 37

§9037. Notifications [Formerly §9033] 40

Subchapter D. Human Resources 41

§9041. Personnel [Formerly §9043] 41

§9043. Personnel Qualifications and Responsibilities 41

§9045. Personnel Orientation and Training 42

§9047. Personnel Requirements 43

§9049. Personnel Records 43

§9051. Volunteers 43

Subchapter E. Facility Operations 43

§9061. Food and Diet
[Formerly §9079] 43

§9063. Admission, Transfer and Discharge Requirements 44

§9065. Health Care and Nursing Services
[Formerly §9081] 45

§9067. Delivery of Services
[Formerly §9083] 46

§9069. Transportation 48

§9071. Resident Rights and Grievance Procedure
[Formerly §9085] 49

Subchapter F. Physical Environment 50

§9075. General Provisions
[Formerly §9061] 50

§9077. Interior Space
[Formerly §9063] 51

§9079. Facility Exterior
[Formerly §9065] 53

§9081. Equipment
[Formerly §9067] 53

Subchapter G. Emergency Preparedness 54

§9083. Safety and Emergency Preparedness 54

§9085. Emergency Plan Activation, Review, and Summary 55

§9087. Notification 56

§9089. Authority to Re-Open After an Evacuation, Temporary Relocation or Temporary Cessation of Operation 56

Subchapter H. Additional Requirements for Mental Health PRTFs 58

§9091. General Provisions 58

§9093. Personnel Qualifications, Responsibilities, and Requirements 58

Subchapter I. Additional Requirements for Addictive Disorder PRTFs 59

§9095. General Provisions 59

§9097. Personnel Qualifications, Responsibilities, and Requirements for Addictive Disorder PRTFs 59

Chapter 91. Minimum Standards for Home Health Agencies 61

§9101. Definitions 61

§9103. Personnel Qualifications and Responsibilities 63

§9105. State Licensure 69

§9107. Fees 70

§9109. Changes 71

§9111. Denial, Revocation or Nonrenewal of License 71

§9113. Informal Dispute Resolution Process, Notice and Appeal Procedure 72

§9115. Agency Operations 72

§9117. Operation of Branch Offices 73

§9119. Personnel Policies and Records 73

§9121. Emergency Preparedness 74

§9123. Patient Care Standards 74

§9125. Patient Rights 76

§9127. Contract Services 77

§9129. Clinical Records 77

§9131. Continuous Quality Improvement 78

Chapter 92. Direct Service Worker Registry 78

Subchapter A. General Provisions 78

§9201. Definitions 78

§9202. Introduction 79

Subchapter B. Training and Competency Requirements 79

§9211. General Provisions 79

§9213. Trainee Responsibilities 80

§9215. Training Curriculum 80

§9217. Training Coordinators 81

§9219. Competency Evaluation 81

§9221. Compliance with Training and Competency Evaluation 81

Subchapter C. Provider Participation 81

§9231. Provider Responsibilities 81

Subchapter D. Violations 82

§9271. Disqualification of Training Programs 82

§9273. Allegations of Direct Service Worker Wrong-Doing 82

§9275. Notice of Violation 82

§9277. Informal Dispute Resolution 82

Subchapter E. Administrative Hearings 83

§9285. General Provisions 83

§9287. Preliminary Conferences 84

§9289. Witnesses and Subpoenas 84

§9291. Continuances or Further Hearings 84

§9293. Failure to Appear at Administrative Hearings 85

Chapter 93. Hospitals 85

Subchapter A. General Provisions 85

§9301. Purpose 85

§9303. Definitions 85

§9305. Licensing Process 87

§9307. Hospital Closure 91

§9309. Exceptions 91

§9311. Enforcement 91

Subchapter B. Hospital Organization and Services 91

§9317. Governing Body 91

§9319. Patient Rights and Privacy 92

§9321. Medical Staff 93

§9323. Administration 94

§9325. Staff Orientation, Training, Education and Evaluation 94

§9327. Emergency Services 94

§9329. After Life Care 95

§9331. Organ or Tissue Donation 96

§9333. Specialty Units 96

§9335. Emergency Preparedness 97

§9337. Smoking Prohibition 98

Subchapter C. Nursing Services 98

§9343. Organization and Staffing 98

§9345. Delivery of Services 98

Subchapter D. Pharmaceutical Services 99

§9349. General Provisions 99

§9351. Organization and Staffing 99

§9353. Delivery of Services 99

§9355. Environment 100

Subchapter E. Radiologic Services 100

§9361. General Provisions 100

§9363. Safety 100

§9365. Personnel 100

§9367. Records 101

Subchapter F. Laboratory Services 101

§9371. Organization and Staffing 101

§9373. Equipment and Records 101

Subchapter G. Food and Dietetic Services 101

§9377. General Provisions 101

§9379. Organization and Staffing 102

§9381. Menus and Therapeutic Diets 102

§9383. Sanitary Conditions 102

Subchapter H. Medical Record Services 103

§9387. Organization and Staffing 103

§9389. Content 104

§9391. Registers and Reports 104

§9393. Confidentiality 104

§9395. Retention 104

Subchapter I. Quality Assessment and Improvement 105

§9399. General Provisions 105

§9401. Clinical Plan 105

§9403. Implementation 105

§9405. Patient Care Services 105

Subchapter J. Physical Environment 106

§9409. General Provisions 106

§9411. Buildings 106

§9413. Nursing Units 106

§9415. Patient Rooms 106

§9417. Patient Room Furnishings 107

§9419. Equipment 107

Subchapter K. Infection Control 107

§9423. Organization and Policies 107

§9425. Responsibilities 107

§9427. Laundry Services 107

§9429. Central Supply 108

§9431. Isolation 108

§9433. Waste and Hazardous Materials Management 108

Subchapter L. Surgical Services (Optional) 108

§9437. General Provisions 108

§9439. Organization and Staffing 108

§9441. Delivery of Service 109

§9443. Surgery Suite and Equipment 109

§9445. Post-Operative Area 110

Subchapter M. Anesthesia Services (Optional) 110

§9449. General Provisions 110

§9451. Organization and Staffing 110

§9453. Delivery of Service 110

Subchapter N. Nuclear Medicine Services (Optional) 111

§9457. General Provisions 111

§9459. Organization and Staffing 111

§9461. Delivery of Service 112

§9463. Facilities 112

§9465. Records 112

Subchapter O. Outpatient Services (Optional) 112

§9469. General Provisions and Organization 112

§9471. Personnel 113

§9473. Facilities 113

Subchapter P. Rehabilitation Services (Optional) 113

§9477. General Provisions 113

§9479. Organization and Staffing 113

§9481. Delivery of Services 114

§9483. Facilities―Physical Space 114

Subchapter Q. Respiratory Care Services (Mandatory) 114

§9487. General Provisions 114

§9489. Organization and Staffing 114

§9491. Delivery of Services 115

Subchapter R. Psychiatric Services (Optional) 115

§9495. General Provisions 115

§9497. Facilities 115

§9499. Supplies and Equipment 116

§9501. Staffing 117

Subchapter S. Obstetrical and Newborn Services (Optional) 117

§9505. General Provisions 117

§9507. Obstetrical Units 117

§9509. Obstetrical Unit Functions 117

§9511. Medical Staff 120

§9513. Neonatal Unit Functions 120

§9515. Additional Support Requirements 121

Subchapter T. Pediatric Services (Optional) 122

§9525. General Provisions 122

§9527. Personnel 122

§9529. Pediatric Intensive Care Units 122

§9531. Facilities 123

§9533. Patient Rooms 123

§9535. Medical Staff 123

§9537. Staffing 124

§9539. Supplies and Equipment 124

§9541. Miscellaneous 124

Chapter 96. Hospitals—Crisis Receiving Centers 125

Subchapter A. General Provisions 125

§9601. Introduction 125

§9603. Licensure Requirements 125

§9605. Licensing Process 125

§9607. Discharges, Referrals or Transfers 126

§9609. Training Requirements 126

Subchapter B. Level I Crisis Receiving Centers 127

§9615. General Provisions 127

§9617. Level I Services 127

§9619. Staffing Requirements 129

§9621. Physical Environment 129

Subchapter C. Level II Crisis Receiving Centers 130

§9631. General Provisions 130

§9633. Level II Services 131

§9635. Staffing Requirements 131

§9637. Physical Environment 132

Chapter 97. Nursing Facilities 133

Subchapter A. General Provisions 133

§9701. Definitions 133

§9703. Licensing Process 135

§9704. Alzheimer's Special Care Disclosure 135

§9705. License Denial, Revocation; or Nonrenewal of License 136

§9707. Approval of Plans 136

§9709. Fire Protection 137

§9711. Sanitation and Patient Safety 137

Subchapter B. Organization and General Services 137

§9713. Delivery of Services 137

§9715. Governing Body 137

§9717. Administration 138

§9719. Personnel 138

§9721. Criminal History Provisions; Screening 138

§9723. Policies and Procedures 139

§9725. Assessments and Care Plans 139

§9727. Staff Orientation, Training and Education 139

§9729. Emergency Preparedness 141

§9731. Complaint Process 141

Subchapter C. Resident Rights 143

§9733. Statement of Rights and Responsibilities 143

§9734. Resident Personal Fund Account 145

§9735. Authority and Scope 145

§9737. Considerations 146

§9739. Repeat Violations 146

§9741. Notice and Appeal Procedure 146

§9743. Civil Money Penalties (Fines) 147

§9745. Classes of Violations Defined 148

§9747. Collection of Civil Fines Assessed 148

§9749. Revocation of License 148

Chapter 98. Nursing Homes 149

Subchapter A. Physician Services 149

§9801. Medical Director 149

§9803. Physician Supervision 149

§9805. Physician Visits and Responsibilities 149

§9807. Standing Orders 150

Subchapter B. Nursing Services 150

§9809. General Provisions 150

§9811. Nursing Service Personnel 150

§9813. Nursing Care 150

Subchapter C. Dietetic Services 151

§9815. General Provisions 151

§9817. Dietary Service Personnel 151

§9819. Menus and Nutritional Adequacy 151

§9820. Feeding Assistants 152

§9821. Equipment and Supplies 152

§9823. Sanitary Conditions 152

Subchapter D. Pharmaceutical Services 153

§9825. General Requirements 153

§9827. Consultant 153

§9829. Labeling 154

§9831. Storage 154

§9833. Disposition 154

§9835. Administration 155

§9837. Drug Regimen Review 155

§9839. Emergency Medication Kit 155

§9841. Medication Record Keeping 155

Subchapter E. Activity Services 156

§9843. Activities Program 156

§9845. Activity Service Personnel 156

Subchapter F. Social Services 156

§9847. Social Services 156

§9851. Social Service Personnel 156

Subchapter G. Rehabilitation Services 156

§9853. Delivery of Service 156

§9855. Record Keeping 156

Subchapter H. Resident Clinical Records 156

§9857. General Provisions 156

§9859. Maintenance of Records 156

§9861. Content 157

§9863. Confidentiality 157

§9865. Retention 157

Chapter 99. Nursing Homes 157

Subchapter A. Physical Environment 157

§9901. General Provisions 157

§9903. Nurses' Station 157

§9905. Resident Rooms 158

§9907. Resident Room Furnishings 158

§9909. Locked Units 158

§9911. Toilet, Hand Washing and Bathing Facilities 159

§9913. Dining and Resident Activities 159

§9915. Linen and Laundry 159

§9917. Equipment and Supplies 160

§9919. Other Environmental Conditions 160

Subchapter B. Infection Control and Sanitation 161

§9921. Organization 161

§9923. Infection Control Program 161

§9925. Employee Health Policies and Procedures 161

§9927. Isolation 161

§9929. Housekeeping 161

§9931. Nursing Care Equipment 161

§9933. Waste and Hazardous Materials Management 161

Chapter 100. Nurse Aide Training and Competency Evaluation Program 162

Subchapter A. General Provisions 162

§10001. Definitions 162

Subchapter B. Training and Competency Requirements 162

§10011. General Provisions 162

§10013. Certification Criteria for Nursing Professionals, Nursing Students and Military Personnel 163

§10015. Training Curriculum/Program Approval 163

§10017. Coordinators, Instructors and Trainers 165

§10019. Training Program Responsibilities 165

§10021. Competency Evaluation 166

§10023. Compliance with Federal and State Regulations 167

§10025. Nurse Aide Responsibilities 167

Subchapter C. Nurse Aide Registry 168

§10033. General Provisions 168

§10035. Certification by Reciprocity 168

Subchapter D. Provider Participation 168

§10045. Employer Responsibilities 168

Subchapter E. Violations 169

§10055. Disqualification of Training Programs 169

§10057. Allegations of Nurse Aide Wrong-Doing 169

§10059. Notice of Violation 170

§10061. Informal Dispute Resolution 170

Subchapter F. Administrative Hearings 170

§10071. General Provisions 170

§10073. Preliminary Conferences 171

§10075. Witnesses and Subpoenas 172

§10077. Continuances or Further Hearings 172

§10079. Failure to Appear at Administrative Hearings 172

Subchapter G. Medication Attendant Certified 172

§10080. Definitions 172

§10081. General Provisions 173

§10082. General Requirements 174

§10083. Trainee Responsibilities 174

§10084. Training Curriculum 175

§10085. Competency Evaluation 176

§10086. Authorized Duties 176

§10087. Prohibited Duties 177

§10088. Provider Participation and Responsibilities 177

§10089. Allegations of Medication Attendant Certified Wrong-Doing 178

§10090. Suspension, Revocation or Non-Renewal 178

Part I. General Administration 181

Subpart 5. Health Planning 181

Chapter 101. Introduction 181

§10101. Introduction 181

§10103. Background 181

§10105. Statutory Authority 182

§10107. Purposes of the Plan 183

Chapter 103. Overview of the State 183

Subchapter A. Physical Description 183

§10301. Geographic and Climatic Characteristics 183

§10303. Geographic Divisions for Planning 184

Subchapter B. Population Description 185

§10305. Population 185

§10307. Demographic Characteristics 186

§10309. Health Status 193

Chapter 105. Statewide Health Priorities 202

§10501. National and State Priorities 202

§10503. Priority Selection Methodology 204

§10505. Use of Statewide Health Priorities 205

Chapter 107. Program Inventory: Priority Areas 205

§10701. Introduction 205

§10703. Inventories 206

Chapter 109. Implementation Strategies 216

Subchapter A. Developing the Implementation Plans 216

§10901. Introduction 216

Subchapter B. Implementation Plans 216

§10905. Division of Policy, Planning and Evaluation Implementation Activities 216

§10907. Department of Health and Human Resources Health-Related Offices Implementation Activities 217

Chapter 111. Area Level Planning 222

§11101. Introduction 222

§11103. Acute Care 222

§11105. Ambulatory Care 224

§11107. Long Term Care 227

§11109. Mental Health/Substance Abuse 230

§11111. Emergency Medical Services 231

§11113. Health Status 232

Chapter 113. State Health Policy Analysis 234

Subchapter A. Statutory Sources for Louisiana Health Policy 234

§11301. Introduction 234

§11303. Methodology 234

§11305. Conclusion 235

Chapter 115. Health Resource requirements 243

Subchapter A. Introduction 243

§11501. Introduction 243

§11503. General Criteria and Standards for Section 1122 Review 244

Subchapter B. Facility or Service—Specific Criteria and Standards 244

§11505. General Acute Care Hospital Beds 244

§11507. Psychiatric Beds 252

§11509. Chemical Dependency Services 254

§11511. Open Heart Surgery 255

§11513. Cardiac Catheterization Units 256

§11515. Radiation Therapy 257

§11517. Computed Tomography 259

§11519. End Stage Renal Disease Services 260

§11521. Emergency Medical Services A. Definition/Description 264

§11523. Long Term Care Beds 267

§11525. Ambulatory Surgery 275

§11527. Preventive Health 276

§11529. Comprehensive Physical Rehabilitation Facilities (Inpatient) 278

§11531. Home Health Services 281

§11533. Magnetic Resonance Imaging 282

§11535. Acquired Immunodeficiency Syndrome 284

Chapter 117. Louisiana Medical Facilities Inventory 284

§11701. Explanation 284

Chapter 119. Health Care Manpower 285

§11901. Introduction 285

§11903. Physicians 285

§11905. Dentists 288

§11907. Registered Nurses 290

§11909. Allied Health Professionals 292

Chapter 121. Health Care Education Programs 292

§12101. Inventory of Health Care Education Programs 292

Chapter 123. Glossary 297

§12301. Definitions of Words and Phrases Applicable to Health Planning 297

Chapter 125. Facility Need Review 304

Subchapter A. General Provisions 304

§12501. Definitions 304

§12503. General Information 305

§12505. Application and Review Process 306

Subchapter B. Determination of Bed, Unit, Facility or Agency Need 307

§12507. Intermediate Care Facilities for the Developmentally Disabled 307

§12509. Emergency Community Home Bed Pool Exception 309

§12511. Nursing Facilities 310

§12513. Alternate Use of Licensed Approved Title XIX Beds 312

§12515. Additional Beds for Replacement Facility 312

§12517. Adult Residential Care Provider 312

§12519. Conversion of Medicaid Approved Nursing Facility Beds to Adult Residential Care Provider Units 313

§12521. Architectural and Licensing Compliance 314

§12523. Home and Community-Based Service Providers 314

§12524. Outpatient Abortion Facilities 314

§12525. Adult Day Health Care Providers 315

§12526. Hospice Providers 316

Subchapter C. Revocation of Facility Need Review Approvals 316

§12527. General Provisions 316

Subchapter D. Relocation of Nursing Facility Beds 317

§12529. General Provisions 317

Subchapter E. Nursing Facility Bed Abeyance 318

§12531. General Provisions 318

Subchapter F. Exception Criteria for Bed Approvals 319

§12533. General Provisions 319

Subchapter G. Administrative Appeals 320

§12541. Appeal Procedures 320

§12543. Preliminary Conferences 321

§12545. Responsibilities of the Administrative Law Judge 321

§12547. Witnesses and Subpoenas 321

§12549. Continuances or Further Hearings 322

§12551. Proposed and Final Decisions 322

§12553. Failure to Appear at Administrative Hearings 322

Chapter 129. Opioid Treatment Program (OTP) Need and Application Reviews 323

Subchapter A. General Provisions 323

§12901. Definitions 323

§12903. General Information 323

Subchapter B. Determination of Need 324

§12905. Opioid Treatment Program Need Review 324

Subchapter C. Procedure for Selection of Opioid Treatment Program 324

§12907. Opioid Treatment Program Application Review 324

Subchapter D. Administrative Appeals 326

§12909. Appeal Procedures 326

§12911. Licensing and Certification Compliance 327

Subchapter E. Rescission of OTP Need Review Application Approvals 327

§12913. General Provisions 327




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