Current through Register Vol. 50, No. 9, September 20, 2024
A. Facility
Administrator. Each nursing facility shall have a full time administrator. The
administrator shall be licensed by the Louisiana Board of Examiners of Nursing
Facility Administrators.
1. The administrator
is the person responsible for the onsite, daily implementation and supervision
of the nursing facility's overall operation commensurate with the authority
conferred by the governing body.
2.
The nursing facility shall be administered in a manner that enables it to use
its resources effectively and efficiently to attain or maintain the highest
practicable physical, mental and psychosocial well-being of each
resident.
B. A full-time
employee functioning in an administrative capacity shall be authorized in
writing to act in the administrators behalf when he/she is absent or
functioning as a full-time administrator for two facilities.
C. Administrator Responsibilities and
Restrictions
1. No individual shall function
as a full-time administrator for more than two nursing facilities. When an
individual functions as a full-time administrator of two nursing facilities,
the department shall consider such factors including but not limited to size
and proximity with regard to the administrators ability to sufficiently manage
the affairs of both nursing facilities.
a. The
response time to either nursing facility shall be no longer than one hour. The
administrators response to either of the facilities shall include
communication, either telephonic or electronic and\or by physical presence at
the facility. Any consideration requiring administrators response shall be
reviewed on a case-by-case basis.
b. If an individual functions as an
administrator of two nursing facilities, he/she shall spend 20 hours per week
at each nursing facility.
2. The administrator, or his designee, is
responsible, in writing, for the execution of all policies and
procedures.
3. The administrator is
responsible for ensuring the nursing facility has a plan to conduct
comprehensive risk assessments to determine the potential adverse impact of
equipment, supplies and other factors relating to the health, safety and
welfare of residents. Results of the risk assessments shall be used to develop
and implement procedures to address the potential adverse impact and safety
risk in the entire facility including but not limited to locked or specialized
care units.
4. Written notice shall
be provided to HSS for any personnel change in the administrator position. This
notice shall be provided within 30 calendar days from the date of change by the
facility administrator or, in the absence of an administrator, by the governing
body of the nursing facility at the time the change occurs.
a. Notice shall include the identity of all
individuals involved and the specific changes which have occurred.
b. The department shall allow nursing
facilities 30 days from the date of the change in the position to fill the
resulting vacancy in the administrator position. There shall be no exemption to
the administrator position requirement.
c. Failure to either fill a vacancy, or to
notify the department in writing within 30 days from the date of the change may
result in a class C civil fine.
D. Assistant Administrator. A nursing
facility with a licensed bed capacity of 161 or more beds shall employ an
assistant administrator. An assistant administrator shall be a full-time
employee and function in an administrative capacity.
AUTHORITY NOTE:
Promulgated in accordance with
R.S.
40:2009.1-2116.
