{"ref":"LA-HSP-FAC-01","title":"Hospice Care in Nursing Facilities, Assisted Living and Other Residential Settings","category":"Hospice care","summary":"Sets out how the Agency serves patients living in nursing facilities, assisted living and other residential settings: facility licensure and the written agreement, the rights and the patient-specific care plan Louisiana required from 2026 (R.S. 40:2009.26), coordination and the information facilities receive, the food and fluid log, transfers with a new care plan within 24 hours, visitation, reporting alleged violations to the facility administrator within 24 hours, orientation of facility staff, and nonprofit end-of-life homes.","inShort":["A patient in a nursing facility or assisted living gets the same hospice care as at home, under a written agreement with the facility.","At the start of care, complete Form LA-HSP-FAC-01-B with the facility: who is the hospice, who controls medical orders, who gives daily food, fluids and routine care, and who the family contact is.","The facility tells us at once about any change in the patient. We decide any change in hospice care or level of care.","Review the facility’s food and fluid log at least weekly. If a patient moves to another facility, a new care plan is due within 24 hours.","Report any suspected abuse by facility staff or others to the facility administrator within 24 hours, and make your own report as Policy LA-HSP-ANE-01 requires."],"primaryCitation":"R.S. 40:2009.26","citations":["R.S. 40:2009.26","LAC 48:I §8235.D.2.c, m-o","LAC 48:I §8221.C.6","LAC 48:I §8229.B.4","LAC 48:I §8237.C, E, G","LAC 48:I §8201 (Residential Care; Facility-Based Care)","R.S. 40:2183.1","R.S. 40:2009.20"],"federalCitations":["42 CFR §418.112"],"surveyorAsks":["Show me your written agreement with this nursing facility and when it was last reviewed.","Where is this resident’s care plan that names the hospice, the provider that controls medical orders, the provider responsible for hydration, nutrition and routine care, and the family contact?"],"forms":[{"ref":"LA-HSP-FAC-01-A","title":"Facility Hospice Coordination Checklist"},{"ref":"LA-HSP-FAC-01-B","title":"Facility Hospice Care Plan Responsibilities Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (R.S. 40:2009.26)","5. Before Serving Residents of a Facility","6. What the Written Agreement Contains","7. Patient Rights in a Facility","8. The Patient-Specific Care Plan","9. Coordination and Communication","10. Hydration, Nutrition and the Food and Fluid Log","11. Transfers Between Facilities","12. Visitation and Access","13. Reporting Alleged Violations","14. Orientation of Facility Staff and Bereavement","15. Payment for Room and Board","16. Department Complaint Surveys","17. Nonprofit End-of-Life Homes","18. Responsibilities","19. Records and Compliance Monitoring","20. Staff Training","21. References","22. Related Policies and Forms","23. Approval","24. Revision History"],"version":"1.0","sample":false,"pack":"la-hospice","state":"Louisiana","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}