Care-facility inspections
How nursing homes and care facilities in Louisiana are inspected, licensed, and held to account.
14 laws · 7 enforcement actions · 3 guides · 1 court decision
See the details
The laws 14
- La. R.S. 40:2009.2, Definitions (for R.S. 40:2009.1 through 2009.19, the nursing home licensing law) — defines "department" as the Louisiana Department of Health, "health care facility" as any Medicaid-approved or licensed-nursing-home prov… legis.la.gov
- La. R.S. 40:2009.3, Licensing of nursing homes; applications; fees; disposition of fees — the core licensure-required provision: no person may open, conduct, manage, or maintain a nursing home without a license or provisional license from t… legis.la.gov
- La. R.S. 40:2009.4, Standards prescribed — requires the department to prescribe and publish minimum standards covering location/construction, staffing, sanitation, diet, and equipment for nursing homes, including hurricane/flood-hardening r… legis.la.gov
- La. R.S. 40:2009.6, Denial, revocation, or nonrenewal of license; grounds — enumerates the grounds on which a nursing home license application may be denied or an existing license revoked/not renewed, including failure to meet minimum stand… legis.la.gov
- La. R.S. 40:2009.10.1, Immediate jeopardy violations in a licensed nursing home — requires LDH to notify the administrator of an immediate-jeopardy finding made during a survey and to offer the facility a same-day opportunity to speak with… legis.la.gov
- La. R.S. 40:2009.11, Violations; penalties; notice; hearings; appeal; collection and distribution of fines, together with R.S. 40:2009.23, Adoption of rules; denial of payments; fines; temporary management; legis.la.gov
- La. R.S. 40:2010.8, Residents' bill of rights, together with R.S. 40:2010.9, Civil enforcement — requires every nursing home to adopt and post a statement of resident rights (civil/religious liberties, private/uncensored communication, etc.… legis.la.gov
- La. R.S. 40:2010.10, Provision of annual licensing survey results to all residents and potential residents of nursing homes — requires nursing homes to notify applicants during admission that they may obtain a copy of the facility's annual… legis.la.gov
- La. R.S. 40:2116.31, Scope; purpose; definitions, together with R.S. 40:2116.32, Licensing of home health agencies; applications; legis.la.gov
- La. R.S. 40:2116.40, Violations; penalties (home health agencies) — makes unlicensed operation of a home health agency, or a knowing/willful violation of the licensing Part or a minimum standard that results in patient harm, a misdemeanor p… legis.la.gov
- La. R.S. 40:2166.1, Short title ("Adult Residential Care Provider Licensing Law"), together with R.S. legis.la.gov
- La. R.S. 40:2166.7, Operation without license; penalty, together with R.S. 40:2166.7.1, Moratorium on licensure of level 4 adult residential care providers — makes unlicensed ARCP operation a misdemeanor ($100/day up to $1,000, and/or up to… legis.la.gov
- La. R.S. 40:2120.41, Purpose, together with R.S. 40:2120.43, Licensure of adult day health care providers — Part II-H, "Licensing of Adult Day Health Care Providers": states the purpose (an alternative to or delay of institutionalization) a… legis.la.gov
- La. R.S. 40:2120.46, Operation without license; penalty (adult day health care) — makes unlicensed ADHC operation a misdemeanor ($100-$500 per offense) with LDH required to refer the violation to the district attorney legis.la.gov
Know your rights 3
- Health Standards Section "Rulemaking" hub — HSS's own index of Act-401-of-2014 rulemaking-activity pages by program (nursing facilities, ARCP, home health, ADHC, etc.), with a standing note that official rule text is certified only via the… ldh.la.gov
- "File a Complaint/Report Abuse" — LDH's own explanation of the Health Standards Section's complaint-investigation jurisdiction: HSS investigates complaints against licensed health care facilities (not billing/reimbursement disputes, and not… ldh.la.gov
- HSS "Provider Directories" page — the index of live, HSS-maintained licensed-provider directories by facility category (Nursing Homes, Adult Residential Care, Adult Day Health Care, Home Health Agencies, Hospice, Hospitals, ICF/IID, etc.),… ldh.la.gov
Enforcement actions 2
- LDH Health Standards Section license-revocation letter, River Palms Nursing and Rehab (Orleans Parish) — one of seven named nursing homes whose state licenses LDH revoked and Medicaid provider agreements terminated on September 7, 2021, aft… ldh.la.gov
- LDH companion Medicaid provider-agreement termination letter for River Palms Nursing and Rehab (Orleans Parish), issued the same September 7, 2021 date as the license-revocation letter above, as part of the same seven-facility Hurricane Ida… ldh.la.gov
Orders & settlements 5
- Louisiana Administrative Code, Title 48, Part I, Chapter 97, "Nursing Facilities" (as republished by LDH-HSS, August 2025 edition) — the full minimum-licensing-standards rule for nursing facilities: definitions (abuse, administrator, etc. ldh.la.gov
- Louisiana Administrative Code, Title 48, Part I, Chapter 68, "Adult Residential Care Providers" (LDH-HSS, May 2024 edition) — minimum licensure standards for ARCPs under R.S. ldh.la.gov
- Louisiana Administrative Code, Title 48, Part I, Chapter 91, "Minimum Standards for Home Health Agencies" (LDH-HSS edition) — definitions at §9101 and §9111 (Denial, Revocation or Denial of License Renewal), which bars a re-application for… ldh.la.gov
- Louisiana Administrative Code, Title 48, Part I, Chapter 42, "Adult Day Health Care" (LDH-HSS, May 2024 edition) — §4201 (Introduction: purpose of ADHC as an alternative to/delay of institutionalization) and §4217 (Denial of License, Revoca… ldh.la.gov
- Louisiana Administrative Code, Title 48, Part I, Chapter 46, "Healthcare Facility Sanctions" (LDH-HSS, August 2026 edition) — the statewide sanctions rule applicable to all HSS-licensed facility types (nursing homes, ARCPs, home health, ADH… ldh.la.gov
Court decisions 1
Official notices 2
- LDH "Public Notices/Hearings" news category — includes recurring "Meeting of the Nursing Home Emergency Preparedness Review Committee" notices (the statutory committee established under R.S. ldh.la.gov
- HSS "Healthcare Facility Sanctions — Rulemaking Activity" notice page — an active Act 401-of-2014 rulemaking notice (dated May 8, 2026) that the Chapter 46 Healthcare Facility Sanctions rule was being amended to clarify workplace-violence s… ldh.la.gov