Culture change reflects a shift from the "one-size-fits-all" traditional medical model to a model that seeks to improve the quality of life for residents, while fostering an atmosphere of community within the nursing home setting for staff and residents alike.
Culture change is sought by individuals who promote the values and mission of the the Pioneer Network. The Pioneer Network is a loosely associated group of providers, regulators, advocates and elders who hold that nursing homes can serve as the starting point for changing society's vision of aging. Their work is premised on the belief that nursing homes can be good places to live and work. Pioneers seek to improve the quality of life for residents and to foster an appreciation of the work of those who care for them by altering the "culture," the sense of community or lack thereof, of the nursing home setting.
Federal regulations used for surveying nursing homes that participate in Medicare & Medicaid programs are available from Code of Federal Regulations, see Title 42 Part 483, Subpart B. You can also find this information on the Centers for Medicare & Medicaid Services (CMS) website. The regulations are in the State Operations Manual and are labeled as Appendix PP. Log onto the following CMS website:
Health and fire-safety inspections with detailed and summary information about deficiencies found during the 3 most recent comprehensive inspections (conducted annually) and the last 3 years of complaint investigations are found on Nursing Home Compare website.
Nursing Home Compare allows consumers to compare information about nursing homes. It contains quality of care information on every Medicare- and Medicaid-certified nursing home in the country, including over 15,000 nationwide.
Note: Nursing homes aren't included on Nursing Home Compare if they aren't Medicare- or Medicaid-certified. These Nursing Homes can be licensed by the state. For information about Louisiana nursing homes not on Nursing Home Compare, or any other nursing home inquiry contact LDH-Health Standards Section, Nursing Home Program Desk, 225-342-0114, or visit the Nursing Home Internet home page.
Nursing Home providers are required to post the results of their most recent inspection in the facility.
Health care providers licensed, by the Louisiana Department of Health (LDH), or certified for participation in Medicaid or Medicare, by the Centers for Medicare and Medicaid Services (CMS), are inspected, or surveyed, periodically by LDH's Health Standards Section (HSS). Life safety code inspections are performed by State Fire Marshals. HSS also performs complaint investigations.
Deficient practices discovered during the inspection or investigation are "cited" on a form called the Statement of Deficiencies, or SOD.
The provider's plan to correct deficient practices is known as the Plan of Correction, or POC. The plan must be submitted to the state agency, HSS, within 10 calendar days from the date the facility receives the Statement of Deficiencies, or SOD.
To obtain a provider's POC submit a Public Records Request (PRR) to Health Standards Section.
Please visit HSS' Procedure for Public Records Request (PRR) Internet web page to learn what information is required for a Public Records Request.
Click here to learn more about CMS Statement of Deficiencies and Plan of Correction forms.
Contact Health Standards Section at 225-342-0138 for additional information.