LAC 48:I.7751. Core Staffing Requirements

A. Each NSA shall ensure that its employees or contracted staff meet the minimum licensing, training, and orientation standards for which those employees or contracted staff are licensed or certified. B. Each NSA shall have a nurse serving as a manager or supervisor of all nurses and certified nurse aides. C. The NSA shall not employ, assign, or refer for use in a healthcare facility in Louisiana, a nurse or CNA unless the nurse or CNA is certified or licensed in accordance with the applicable provision of state and federal laws or regulations, and meets the minimum mandatory qualifications and requirements for CNAs. Each nurse and CNA shall comply with all pertinent regulations of the department relating to the health and other qualifications of employees or contracted staff employed in healthcare facilities. 1. The NSA shall review the Louisiana certified nurse aide registry (LCNAR), the Louisiana adverse actions list, and the Office of Inspector General’s list of excluded individuals and entities (OIG-LEIE), to confirm that there has been no finding that any nurse or CNA has committed exploitation, extortion, abuse, neglect, or misappropriation of property or funds of an individual in the care of the nurse or CNA, prior to hire or contract and monthly thereafter. If such a finding exists, the NSA shall not employ, assign, or refer the nurse or CNA, and existing employments, assignments, or referrals shall be terminated. 2. The NSA shall provide the healthcare facility, of which the nurse or CNA is assigned or referred, with documentation verifying the certification or licensure status of a nurse or CNA, as well as the certification and minimum mandatory qualifications for CNAs, in accordance with the applicable provision of state and federal laws or regulations. D. Administrator/Director Responsibilities. The administrator/director shall: 1. be a full time employee of the NSA provider and shall not be a contract employee; 2. be available in person or by telecommunication at all times for all aspects of NSA operation or designate in writing an individual to assume the authority and control of the NSA if the administrator/director is temporarily unavailable; 3. be responsible for the day-to-day management and supervision of the operations of the NSA; 4. be responsible for compliance with all regulations, laws, policies, and procedures applicable to NSAs; 5. employ qualified employees or contracted staff and ensure adequate staff education; 6. ensure the accuracy of public information and materials; 7. act as liaison between employees or contracted staff, and the governing body; 8. implement an ongoing, accurate, and effective budgeting and accounting system; and 9. ensure that all employees or contracted staff receive proper orientation and training on policies and procedures, as required by law or as necessary to fulfill each employee or contracted staff person’s responsibilities. E. Professional Staff 1. Professional staff employed or contracted by the NSA shall hold a current, valid professional license issued by the appropriate licensing board. 2. The NSA shall maintain proof of annual verification of current, valid professional licensure of all licensed professional staff. 3. All professional services furnished or provided shall be furnished or provided in accordance with professional standards of practice, according to the scope of practice requirements for each licensed discipline.