Louisiana: Overview of Assisted Living Licensing

What types of facilities provide assisted living services for seniors in Louisiana?

In the state of Louisiana there are several types of facilities that provide care services for adults. Facilities that provide assisted living services are called an adult residential care provider.

  • Adult residential care providers provides adult residential care, which includes assistance with activities of daily living, room and board, medication administration and intermittent nursing services to two or more adults as per Louisiana Revised Statutes (RS) 40:2166.3. There are four different types of adult residential care providers as per RS 40:2166.5.
    • Personal care homes (Level 1) serve two to eight residents in a congregate living and dining setting, and residents may live in a share or private room.
    • Shelter care homes (Level 2) serve nine or more residents in a congregate living and dining setting, and residents may live in a share or private room.
    • Assisted living home/facilities (Level 3) serve two or more residents who live in an individual living unit which has at least a kitchenette and private bathroom.
    • Adult residential care provider (Level 4) provides services which include lodging, housekeeping, laundry and assistance with personal hygiene. There is currently a moratorium on licensing of this care level through July 1, 2017.

Who licenses Adult Residential Care Providers in Louisiana?

The Department of Health & Hospitals’ Health Standards Section is responsible for licensing and inspection adult residential care providers.

  • As per RS 40:2166.4 an adult residential care provider facility is required to post its license on a conspicuous place within the facility.

What is required to obtain an Adult Residential Care Providers license?

To open an adult residential care provider facility, licensees are required first to obtain approval from the Office of the State Fire Marshal by receiving a Health Care Licensing Plan Review approval. Once that approval is obtained, the licensee is required to submit document that include the ARCP Licensing Application form, disclosure of ownership, copies of criminal background checks for the owners of the facility and proof of financial viability.

How do I know an Adult Residential Care Providers is licensed in Louisiana?

A directory of the licensed adult residential care provider facilities is available on the Department of Health & Hospital’s directory page. Each facility has its license number and level, capacity and the facility’s contact information.

There are three types of licenses as per Louisiana Administrative Code (LAC) 48 Chapter 88 §8803(D):

  • A full license is issued when there are no substantial licensing deficiencies and is valid for a period no more than one year.
  • An extended license may be issued when the license cannot be renewed in time through no fault of the licensee.
  • Provisional licenses are issued when a facility has deficiencies that do not pose detrimental risk to the health and safety of the residents but which require correction.

How frequently is an Adult Residential Care Providers inspected?

Upon approval of the initial license application, an on-site survey and inspection is conducted. A license is then issued if the facility meets the licensing requirements as per RS 40:2166.6. Licenses are valid for one year and successfully renewing the license is contingent upon an on-site inspection during the renewal process.

  • Currently facilities are not required to post a copy of the inspection survey. However, new regulations, which will take effect August 15, 2015, will require facilities to post any statement of deficiencies in a readily accessible place within the facility.

Where can I find the inspection reports of an Adult Residential Care Provider?

Currently the records are not available online so they must be requested via a public records request from the Health Standards Section.

How long is an Adult Residential Care Provider required to retain their copy of the inspection reports?

Although LAC 48 Chapter 88 §8817(K) does specify that facilities are required to retain and dispose of all records in accordance with state laws, the statute does not specify how the retention of the inspection reports.

How can I file a complaint against an Adult Residential Care Providers and what is the complaint process?

The Health Standards Section provides a form that may be filled out and faxed or mailed to their office. Once the complaint is received, the office will determine whether there is are reasonable grounds for investigation and prioritize the complaints to investigate. Complaints that involve a resident’s life in danger are designed high priority while others may fall within a 30-day priority period.