Nursing Facilities

Important Information for Medicaid Providers: Please read carefully

"Nursing facility" or "nursing home" means a private home, institution, building, residence or other place, serving two or more persons who are not related by blood or marriage to the operator, whether operated for profit or not, and including those places operated by a political subdivision of the state of Louisiana, which undertakes, through its ownership or management, to provide maintenance, personal care, or nursing for persons who, by reason of illness or physical infirmity or age, are unable to properly care for themselves. 

The term does not include the following:
(a)  A home, institution, or other place operated by the federal government or agency thereof, or by the state of Louisiana.
(b)  A hospital, sanitarium or other institution whose principal activity or business is the care and treatment of persons suffering from tuberculosis or from mental diseases.
(c)  A hospital, sanitarium or other medical institution whose principal activity or business is the diagnosis, care and treatment of human illness through the maintenance and operation of organized facilities therefor.
(d)  Any municipal, parish or private child welfare agency, maternity hospital or lying-in home required by law to be licensed by some other department or agency.
(e)  Any sanitarium or institution conducted by and for Christian Scientists who rely on the practice of Christian Science for treatment and healing.
(f)  Any nonprofit congregate housing program which promotes independent living by providing assistance with daily living activities such as cooking, eating, dressing, getting out of bed, and the like to persons living in a shared group environment who do not require the medical supervision and nursing assistance provided by nursing homes.  No congregate housing program, except those licensed or operated by the state of Louisiana, shall: (1) use the term "nursing home" or any other term implying that it is a licensed health care facility; or (2) administer medications or otherwise provide any other nursing or medical service.

Licensure

• Fees
• Payment Procedure
• Louisiana Register Vol. 44, No. 12 December 20, 2018- Chapter 41 Expedited Licensing Process for Healthcare Facilities and Providers Licensed by the Department of Health
• Documentation.
  • Any documentation such as the application form, Disclosure of Ownership, OPH reports, must be sent to Health Standards Section at:

    Health Standards Section
    P.O. Box 3767
    Baton Rouge, LA 70821-3767

• Initial License Application/Renewal Form
  • In addition to the initial license application or renewal form, all LTC/SNF must complete this Licensing Application Addendum for LTC/SNF
• Key Personnel Change Form

Regulations

• Minimum Licensing Standards
  • LAC 48:1 Chapters 97-99 Nursing Facilities Licensing Standards 
  • Final Rule – Nursing Facilities LAC 48:1, Chapter 97
  • Virtual Visitation (Use of Monitoring Device in NH)
    • For all questions regarding this guidance, please contact:
      • Tasheka Dukes, RN, Deputy Assistant Secretary: 225-342-4997
      • Juan Michelle Lewis, RN, Long Term Care Supervisor: 225-342-2795
    • CMS Memo 20-30: Phase 3 Implementation, Infection Control, Nursing Home Employee Satisfaction

• Emergency Preparedness Rule 

• Federal Regulations 

• Notice Act 306

• LAC 50 Subpart 3. Standards for Payment Chapter 101 Standards for Payment for Nursing Facilities & Chapter 200 Reimbursement Methodology LAC May 2020

Click here for information regarding the current and upcoming Nursing Facility Regulation Revisions.

 Mandated Reporting

• Guidance for Mandated Reporting Notice Letter- revised 10/04/2018
• Mandated Reporting Flowsheet
• SIMS: Statewide Incident Management Systems
  • To access SIMS: www.ldh.la.gov/sims
  • For more information about SIMS, including training, signup, FAQ: click here
• Online Tracking Incident System (OTIS) for Nursing Facilities (and ICF IIDs)

PASRR Information:

• HIPAA and PASRR
• Resident Review
  • Resident Review Memorandum- 08.28.18
  • Resident Review Request Form

Complaints

Nursing Facilities' Locations

• Providers in Microsoft Excel Spreadsheet Format

Alternate Use Beds- as of 06/18/2018