CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.0173 “Governing body” defined. (NRS 449.0302) “Governing body” means the person or group of persons responsible for carrying out and monitoring the administration of a program of hospice care or for the operation of a facility for hospice care. (Added to NAC by Bd. of Hea…

NAC 449.0175 “Hospice care” defined. (NRS 449.0302) “Hospice care” has the meaning ascribed to it in NRS 449.0115. (Added to NAC by Bd. of Health, eff. 7-20-90)

NAC 449.0176 “Medical director” defined. (NRS 449.0302) “Medical director” means the physician who is responsible for acting as a medical resource to an interdisciplinary team which provides hospice care. (Added to NAC by Bd. of Health, eff. 7-20-90)

NAC 449.01765 “Palliative services” defined. (NRS 449.0302) “Palliative services” has the meaning ascribed to it in NRS 449.0156. (Added to NAC by Bd. of Health by R041-06, eff. 7-14-2006)

NAC 449.0177 “Patient” defined. (NRS 449.0302) “Patient” means a person who is terminally ill and who is receiving hospice care. (Added to NAC by Bd. of Health, eff. 7-20-90)

NAC 449.0178 “Terminally ill” defined. (NRS 449.0302) “Terminally ill” has the meaning ascribed to it in NRS 449.0195. (Added to NAC by Bd. of Health, eff. 7-20-90; A by R041-06, 7-14-2006) Licensing

NAC 449.0183 Report of change in ownership, address or staff of program of hospice care. (NRS 449.0302) An applicant for a license to administer a program of hospice care or a person licensed to administer such a program shall immediately advise the Division of any change in: 1. …

NAC 449.0184 Governing body required; duties of governing body and administrator. (NRS 449.0302) Every facility which provides a program of hospice care must have a governing body which shall: 1. Appoint an administrator of the program of hospice care. The administrator shall be …

NAC 449.0185 Requirements for program of hospice care. (NRS 449.0302) A program of hospice care must comply with the following requirements: 1. A qualified person must be available when required to evaluate the dietary patterns of each patient and plan diets to meet the individua…

NAC 449.0186 Requirements for plan of care. (NRS 449.0302) 1. The medical director of a program of hospice care shall cause a written plan of care to be established for each patient in the program. Any person who furnishes care for the patient shall adhere to the plan. 2. A plan …

NAC 449.0187 Requirements for operation of facility for hospice care. (NRS 439.200, 449.0302) A facility for hospice care must comply with the following requirements: 1. A program of hospice care must be provided for each inpatient pursuant to a written plan of care established p…

NAC 449.01875 New construction or remodeling: Submission and approval of building plans; prerequisites for approval of facility for licensure. (NRS 439.200, 439.0302) 1. Except as otherwise provided in subsection 2, before any construction of a new facility for hospice care or re…

NAC 449.0188 Continuity of service to patients required. (NRS 449.0302) A person licensed to administer a program of hospice care or to operate a facility for hospice care shall maintain the continuity of service provided to each patient pursuant to NAC 449.017 to 449.0188, inclu…

NAC 449.019 Definitions. (NRS 449.0302) As used in NAC 449.019 to 449.150, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.022 to 449.072, inclusive, have the meanings ascribed to them in those sections. (Supplied in codification; A by Bd.…

NAC 449.022 “Administrator” defined. (NRS 449.0302) “Administrator” means the person who is appointed by the governing body of a facility who has primary responsibility for the operations of the overall program of the facility. [Bd. of Health, Alcohol and Drug Abuse Treatment Fac…

NAC 449.025 “Alcohol or other substance use disorder treatment” defined. (NRS 449.0302) “Alcohol or other substance use disorder treatment” means a program concerned with substance use disorder treatment directed towards achieving the mental and physical restoration of persons wi…

NAC 449.030 “Case management services” defined. (NRS 449.0302) “Case management services” means a multistep process by which clients may receive assistance in accessing services, including, without limitation, services concerning health, mental health, education, vocation, employ…

NAC 449.031 “Client” defined. (NRS 449.0302) “Client” means a resident or patient of a facility. [Bd. of Health, Alcohol and Drug Abuse Treatment Facilities Art. 1 § 1.8, eff. 3-27-76]—(NAC A by R077-01, 10-18-2001)

NAC 449.034 “Detoxification” defined. (NRS 449.0302) “Detoxification” means the process of eliminating the toxic effects of alcohol and drugs from the body. [Bd. of Health, Alcohol and Drug Abuse Treatment Facilities Art. 1 § 1.1.3, eff. 3-27-76; A 3-30-77]—(NAC A by R077-01, 10-…

NAC 449.043 “Facility” defined. (NRS 449.0302) “Facility” means a facility for the treatment of alcohol or other substance use disorders as defined in NRS 449.00455. [Bd. of Health, Alcohol and Drug Abuse Treatment Facilities Art. 1 § 1.1, eff. 3-27-76; A 3-30-77]—(NAC A by R077-…

NAC 449.044 “Facility for modified medical detoxification” defined. (NRS 449.0302) “Facility for modified medical detoxification” has the meaning ascribed to it in NRS 449.00385. (Added to NAC by Bd. of Health by R077-01, eff. 10-18-2001)

NAC 449.046 “Governing body” defined. (NRS 449.0302) “Governing body” means a body that has the ultimate authority for the administration of the overall program at a facility pursuant to NAC 449.085. (Added to NAC by Bd. of Health by R077-01, eff. 10-18-2001)

NAC 449.060 “Medically managed intensive detoxification program” defined. (NRS 449.0302) “Medically managed intensive detoxification program” means a program which provides 24-hour medical monitoring of treatment and detoxification services in a licensed hospital pursuant to NAC …

NAC 449.064 “Overall program” defined. (NRS 449.0302) “Overall program” means all aspects of alcohol or other substance use disorder treatment, including general fiscal management, fund-raising projects and the general long-term goals of a facility which are defined in writing. […

NAC 449.068 “Qualified social worker” defined. (NRS 449.0302) “Qualified social worker” means a person who is licensed by the Board of Examiners for Social Workers to practice as a social worker. [Bd. of Health, Alcohol and Drug Abuse Treatment Facilities Art. 1 § 1.11, eff. 3-27…

NAC 449.069 “Residential program” defined. (NRS 449.0302) “Residential program” means a treatment program for alcohol or other substance use disorders which takes place in a 24-hour residential setting and which encompasses organized services staffed by designated treatment perso…

NAC 449.072 “Social model detoxification program” defined. (NRS 449.0302) “Social model detoxification program” means a treatment program that concentrates on providing psychosocial services and nonmedical detoxification. (Added to NAC by Bd. of Health by R077-01, eff. 10-18-2001…

NAC 449.079 Denial, revocation or suspension of license if facility not certified by Division; appeal. (NRS 449.0302) 1. If a facility is not certified by the Division pursuant to paragraph (d) of subsection 1 of NRS 458.025, the Division shall deny an application for a license o…

NAC 449.081 New construction or remodeling: Submission and approval of building plans; prerequisites to approval of licensing. (NRS 449.0302) 1. Building plans for new construction or remodeling must be submitted to the entity designated to review such plans by the Division pursu…

NAC 449.085 Governing body; bylaws. (NRS 449.0302) 1. Every facility must have a governing body which has the ultimate authority for the administration of the overall program. 2. The governing body shall adopt written bylaws and policies that define the powers and duties of the g…

NAC 449.088 Policies and procedures. (NRS 449.0302) 1. A facility must have written policies and procedures available to members of the staff, clients and the public which govern the operation of the facility and services provided by the facility. 2. The policies must: (a) Ensure…

NAC 449.091 Transfer of client to another facility. (NRS 449.0302) 1. Except in the case of an emergency, the transfer of a client to another facility must not be effected until the client, attending physician, if any, and responsible agency are notified in advance. 2. If a clien…

NAC 449.094 Money of clients. (NRS 449.0302) 1. If a facility handles a client’s money, a written ledger account of all deposits, disbursements or other transactions must be maintained. A record must be made available to the client at least quarterly. 2. A client’s money must be …

NAC 449.098 Preparations for disasters; reporting of fire or disaster. (NRS 449.0302) 1. Each facility shall develop a written plan for disasters which outlines procedures for members of the staff and clients to follow in case of fire or another emergency and which provides for m…

NAC 449.102 Inventory and return of client’s belongings. (NRS 449.0302) If a facility holds or stores a client’s belongings, there must be an inventory of the belongings on admission, made a part of the client’s record, and updated as needed. These belongings must be returned to …

NAC 449.105 Insurance. (NRS 449.0302) Liability insurance in a sufficient amount to protect clients, members of the staff, volunteers, and visitors, must be maintained. A certificate of insurance must be furnished to the Division. The certificate must include provision for 30 day…

NAC 449.108 General requirements for programs. (NRS 449.0302) 1. A residential program must be certified by the Division pursuant to NAC 458.108 and must comply with any applicable regulations adopted pursuant to paragraph (d) of subsection 1 of NRS 458.025. 2. At the time of adm…

NAC 449.111 Administrator: Duties. (NRS 449.0302) 1. The administrator is responsible to the governing body for the operation of the facility in accordance with established policy. 2. The administrator shall: (a) Organize the administrative functions of the program, delegate duti…

NAC 449.114 Employees: General requirements. (NRS 449.0302) 1. A facility must have on duty, all hours of each day, members of the staff sufficient in number and qualifications to carry out policies, responsibilities and program continuity. 2. Each member of the counseling staff …

NAC 449.117 Employees: Proof of compliance with provisions concerning tuberculosis. (NRS 449.0302) All persons employed in a facility must have documentation showing that they are in compliance with any applicable provisions of chapter 441A of NAC concerning tuberculosis. [Bd. of…

NAC 449.121 Certain facilities authorized to offer program. (NRS 449.0302) A social model detoxification program may be offered to clients in: 1. Residential programs that offer detoxification services; 2. A licensed facility for modified medical detoxification pursuant to NAC 44…

NAC 449.1214 General requirements. (NRS 449.0302) 1. A facility that offers a social model detoxification program: (a) Must have a physician, nurse practitioner, registered nurse or physician assistant conduct a physical assessment and a review of the general medical and drug his…

NAC 449.1218 Program of ongoing quality improvement. (NRS 449.0302) 1. A social model detoxification program must have a program of ongoing quality improvement designed to: (a) Monitor and evaluate, objectively and systematically, the quality and appropriateness of client care; (…

NAC 449.123 General sanitary requirements. (NRS 449.0302) 1. Each facility must meet all state and local environmental health standards. 2. A facility which provides dietary services must have food service equipment of appropriate quality and type for the type of food service pro…

NAC 449.126 Laundry requirements. (NRS 449.0302) 1. A facility must maintain: (a) A laundry with equipment which is adequate for the sanitary washing and finishing of linen and other washable goods; or (b) A written agreement with a commercial establishment to provide laundry ser…

NAC 449.129 Design, construction, equipment and maintenance. (NRS 449.0302) 1. A facility must be designed, constructed, equipped and maintained in a manner that protects the health and safety of the clients and personnel of the facility and members of the general public. 2. Each…

NAC 449.132 Accommodations for clients. (NRS 449.0302) 1. No room or space in a facility may be occupied for sleeping, living or dining which is accessible only by a ladder, by folding stairs or through a trapdoor. 2. If a basement is used for living and dining, at least one exit…