La. Admin. Code tit. 50 § II-10101
Abuse-the infliction of physical or mental injury or causing deterioration to such an extent that the resident's health, moral, and/or emotional well being is endangered. Cause of such deterioration my include but is not limited to the following: sexual abuse, exploitation, extortion of funds or other things of value, negligence.
Admission-the date a person enters the facility and is admitted as a resident.
Advance Directives-an instruction, such as a living will or durable power of attorney for health care, recognized under state law relating to the provisions of health care when the individual is incapacitated. Although usually done in writing state law provides that under some circumstances these directives may be orally.
Ancillary Services-services provided at or through the facility in addition to nursing services provided which includes, but is not limited to, podiatry, dental, audiology, vision, physical therapy, occupational therapy, psychological, social and planning services.
Applicant-an individual whose written application for Medicaid certification has been submitted to the agency but whose eligibility has not yet been determined.
Assistant Director of Nursing (ADON)-a licensed nurse responsible for providing assistance to the director of nursing (DON) in a nursing facility with a licensed bed capacity of 101 or more.
Attending Physician-a physician, currently licensed by the Louisiana State Board of Medical Examiners, designated by the resident or responsible party as responsible for the direction of overall medical care. This term shall also apply to any physician providing medical care for a resident in the absence of the resident's attending physician.
Bed Capacity-the total number of beds which can be set up in a nursing facility for the use of residents, based on bedroom criteria of square footage. The term "bed capacity" shall include isolation beds.
Bureau of Health Services Financing(BHSF)-the division within the Office of the Secretary of the Department of Health and Hospitals responsible for the administration of the Medicaid Program.
Call System-a system that audibly registers calls electronically from its place of origin (which means the resident's bed) to the place of receivership (which means the nurses' station).
Certification-a determination made by the Louisiana Department of Health and Hospitals, Bureau of Health Services Financing, Health Standards Section that a facility meets the necessary requirements to participate in Louisiana as a provider of Title XVIII (Medicare) and/or Title XIX (Medicaid) as a nursing facility.
Certified Nursing Assistant(CNA)-an individual who has completed an approved course taught by a qualified instructor consisting of at least 40 hours classroom and 40 hours clinical and taken a state approved written/competency. As of 1/1/90, all employed nurse aides must meet these qualifications, and aides employed after that date must complete the approved course within four months of the date of employment.
Change of Ownership(CHOW)-any change in the legal entity responsible for the operation of a nursing facility.
Charge Nurse-an individual who is licensed by the state of Louisiana to practice as an RN or LPN.
Chemical Restraint-the use of any medication listed in the schedules of legend drugs under Louisiana Revised Statute 40:964 as a substance having a depressant effect on the brain or central nervous system activity in order to prohibit inappropriate movement or behavior.
Code of Federal Regulations(CFR)-a publication by the federal government containing nursing requirements which facilities must comply with to receive payment under the Medicare/Medicaid Programs.
Comfortable Temperature-the capability to maintain a temperature for all seasons between 71 degrees and 81 degrees throughout the facility.
Continued Stay-a request for medical certification beyond the date of the currently authorized period.
Controlled Drugs-drugs listed as being subject to the Comprehensive Drug Abuse Prevention and Control Act of 1970.
Dentist-an individual currently licensed to practice dentistry in Louisiana under the provisions of current state statutes.
DHH-abbreviation for the Department of Health and Hospitals in Louisiana.
DHHS-abbreviation for the United States Department of Health and Human Services in Washington, D.C.
Dietary Manager(DM)-an individual who is a qualified dietician or a qualified food serve supervisor.
Dietitian(Qualified Consultant)-an individual certified as a registered dietitian by the Commission on Dietetic Registration and who is currently licensed by the Louisiana Board of Examiners in Dietetics and Nutrition.
Director of Nursing(DON)-a registered nurse licensed and registered by the state of Louisiana who directs and coordinates nursing services in a nursing facility.
Drill-the act or exercise of training employees to be familiar with the emergency actions and signals required under varied conditions.
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 removing an individual dose from a previously dispensed, properly labeled container (including a unit dose container), verifying it with the physician's orders, giving the individual dose to the proper resident, and promptly recording the time and dose given.
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 facility by a licensed pharmacist, physician or dentist.
Existing Buildings-for purposes of ANSI standard No. A 117.1 and minimum patient room size [see 405.1134 (c) and (e)] in nursing facilities or parts thereof whose construction plans are approved and stamped by the appropriate state agency responsible therefore before October 28, 1971.
Facility-an institution which provides services to residents which includes a Medicare skilled nursing facility (SNF), a swing bed hospital, and/or a nursing facility (NF).
Facility Administrator-an individual currently licensed and registered with the Board of Examiners for Nursing Facility Administrators and is engaged in the daily administration of a nursing facility.
Fiscal Intermediary-the private fiscal agent with which DHH contracts to operate the Medicaid management information system (MMIS). It processes the title XIX (Medicaid) claims for services provided under the Medicaid Program and issues appropriate payment.
Governing Body-board of directors, board of trustees, or any other comparable designation of an individual or group of individuals who have the purpose of owning, acquiring, constructing, equipping, operating and/or maintaining a nursing facility and exercising control over the affairs of said nursing facility.
Health Care Financing Administration(HCFA)-a division under DHHS responsible for administering the Medicare Program and overseeing and monitoring the state's Medicaid Program.
HSS-Health Standards Section of the Bureau of Health Services Financing.
Licensed Practical Nurse(LPN)-an individual currently licensed by the Louisiana State Board of Nurse Examiners for Practical Nurses.
Long Term Care (LTC)-long term care is a set of health care, personal care, and social services delivered over a sustained period of time to persons who have lost, or never acquired, some degree of physical or cognitive capacity, as measured by an index of functional ability.
MAR-abbreviation for medication administration record.
MDS-abbreviation for minimum data set.
Medicaid-Medicaid assistance provided under the state plan approved under title XIX of Social Security Act.
Medicaid Agency-the single state agency responsible for the administration of the Medicaid Program. In Louisiana, the Department of Health and Hospitals is the single state agency.
Medical Director-a physician licensed in Louisiana who directs and coordinates medical care in a nursing facility.
Medical Record Practitioner (MRP)-qualified consultant. A person who:
Misappropriation of Resident Property-to take possession of, without permission, a resident's personal belongings.
Neglect-neglect is defined as the facility's of employee's failure to provide the proper or required medical care, nutrition, or other care necessary for an applicant/resident's well-being.
Non-Nursing Personnel-facility staff not assigned to give residents direct personal care. This includes administrators, secretaries, activity coordinators, social services designers, bookkeepers, cooks, janitors, maids, laundry workers, and yard maintenance workers.
Nursing Facility(NF)-the term "nursing facility" or "home" shall mean a private home, institution, building, residence, or other place serving two or more persons who are not related by blood or marriage to the administrator, 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:
Nursing Personnel-registered nurses, registered nurse applicants, graduate practical nurses, licensed practical nurses, clinical nurse associates, and ward clerks.
PASAAR-acronym for pre-admission screening and annual resident review.
Pharmacist-a person who:
Physical Restraint-any manual method, 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 the body. It may include a geriatric chair, a locked room unless requested by the resident, bedrails, or any facility practice that meets the definition of a restraint.
Physician-an individual currently licensed by the Louisiana State Board of Medical Examiners.
Plan of Care-the coordinated, integrated treatment plan developed for each resident. It includes each discipline's approach to a specific problem/need, i.e., physician, nursing, social activities, dietary, rehabilitative, etc. Each discipline's approach is a component of the overall plan of care, e.g., social services component of the overall plan of care.
RAI-abbreviation for resident assessment instrument.
RAPS-abbreviation for resident assessment protocol summary.
Recipient-an individual who has been determined eligible for Medicaid.
Regional Health Standards Section-a team of Bureau of Health Services Financing professional staff responsible for conducting licensing and Medicare/Medicaid certification/recertification surveys in nursing facilities, as well as, complaint investigations, and other on-site inspections as needed. These professionals are also responsible for admission review functions in the title XIX nursing facilities and the determination of the medical necessity for levels of care for Medicaid applicants/recipients.
Registered Nurse(RN)-an individual currently licensed by the Louisiana State Board of Nurse Examiners for Registered Nurses. This includes registered nurse applicants.
Representative Payee-an individual designated by the Social Security Administration to receive and disburse benefits in the best interest of and according to the needs of the resident.
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(RAD)-an individual certified as a resident activity director to direct the activity services of the nursing facility.
SNF-abbreviation for skilled nursing facility (Medicare only).
Social Service Designee(SSD)-an individual responsible for arranging or directly providing medically-related social services. (See responsibilities and qualifications under social services section.)
Sponsor-an adult relative, friend, or guardian of a resident who has an interest or responsibility in the resident's welfare.
Staffing-a joint meeting of the resident/responsible party and the facility's staff members involved in planning and implementing the overall plan of care.
SW-abbreviation for social worker.
Vendor Number-a seven digit number assigned to a licensed and certified provider who has enrolled with the state to participate in the Medicaid Program and receive payment for services rendered.
La. Admin. Code tit. 50, § II-10101