Louisiana Administrative Code
Title 50 - PUBLIC HEALTH-MEDICAL ASSISTANCE
Part II - Nursing Facilities
Subpart 3 - Standards for Payment
Chapter 101 - Standards for Payment for Nursing Facilities
Subchapter D - Resident Care Services
Section II-10117 - Administrative Services

Universal Citation: LA Admin Code II-10117

Current through Register Vol. 50, No. 9, September 20, 2024

A. Facility Administrator. All facilities are required to have full-time administrators. "Full-time" administrators are persons who are licensed, currently registered and engaged in the day to day management of the facility. A full-time employee functioning in an administrative capacity shall be authorized in writing to act in the administrator's behalf when he/she is absent or when the administrator is functioning as a full-time administrator for two facilities. The administrator's duties shall conform to the following standards.

1. Administrative/management activities shall be the major function of the duties required. The administrator is responsible for the management of the facility.

2. An adequate and reasonable amount of time shall be spend on the premises of the facility. The activity must be the major functions of the person performing the act.

3. A major portion of the time, referred to above, shall be spent during the normal work week of the facility's personnel.

B. Restrictions

1. No individual may function as a full-time administrator for more than two nursing facilities. When a full-time administrator is engaged in the management of two nursing facilities, the facilities' sizes and proximity to one another have considerable bearing on the administrator's ability to adequately manage the affairs of both nursing facilities. The response time to either facility shall be no longer than one hour. If the administrator does serve two facilities, he must spend 20 hours per week at each facility.

2. The full-time administrator of a multi-story facility shall not function as an administrator of another nursing facility. The administrator or his designee is responsible, in writing, for the execution of all policies and procedures. If a change occurs in the individual who is the administrator of a nursing facility, notice shall be provided to BHSF Health Standards Section at the time the change occurs by the facility administrator or, in the absence of an administrator, by the governing body of the facility. Notice shall include the identity of all individuals involved and the specific changes which have occurred. Failure to provide written notice by certified mail within 30 calendar days from the date a change occurs will result in a class C civil money penalty (refer to Subchapter L, Sanctions).

D. The bureau shall allow long term care facilities 30 days from the date of change in the position to fill the resulting vacancy in the administrator position. There shall be no waiver provisions for this position. The governing body of the facility shall appoint a facility designee charged with the general administration of the facility in the absence of a licensed administrator.

E. Failure to fill a vacancy to or notify the Bureau in writing by the thirty-first day of vacancy that the administrator position has been filled shall result in a class C civil money penalty (refer to Subchapter L, Sanctions).

F. Assistant Administrator. A nursing facility with a licensed bed capacity of 161 or more beds must employ an assistant administrator. An assistant administrator shall:

1. be a full-time employee; and

2. function in an administrative capacity.

AUTHORITY NOTE: Promulgated in accordance with R.S. 46:153.

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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