CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.99724 Limitation on number of patients; insurance. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall: (a) Not admit more patients to the facility than the number of beds for which it is licensed at any one time. (b) Maintain a contract of insurance to ensure ad…

NAC 449.99726 Preparations for emergencies; reporting of fire or disaster. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center must have a written disaster preparedness plan for members of the staff and patients to follow in case of fire, explosion or other emergency. 2. The p…

NAC 449.99728 Administration of prescription medications. (NRS 439.200, 449.0302, 449.0303) 1. Prescription medications for a patient admitted to a recovery center shall only be administered by the patient, a registered nurse or another licensed health care professional. 2. A rec…

NAC 449.9973 Control of infections. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall establish and maintain a program for the control of infections within the center. 2. The program required pursuant to subsection 1 must: (a) Be designed to provide a safe, sanitary an…

NAC 449.99732 Meals; hydration; sanitation. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall ensure that each patient admitted to the center receives: (a) Meals at regular intervals; and (b) A therapeutic diet if such a diet is prescribed by the attending physician, p…

NAC 449.99734 Responsibilities for admission and care of patient. (NRS 439.200, 449.0302, 449.0303) 1. A patient may be admitted to a recovery center only upon the written approval of a physician. Upon a patient’s admission to the recovery center, the center shall ensure that ord…

NAC 449.99736 Assessment of needs of patient. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall conduct an initial and ongoing assessment of the needs of each patient admitted to the center. 2. The initial assessment of each patient must be conducted at the time of his…

NAC 449.99738 Plan of care; compliance with professional standards. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall develop for each patient admitted to the center a plan of care, which must include, without limitation: (a) Measureable objectives and timetables to me…

NAC 449.9974 Provision of service or treatment. (NRS 439.200, 449.0302, 449.0303) A recovery center shall provide to each patient admitted to the center any service or treatment that is: 1. Identified in the plan of care developed pursuant to NAC 449.99738; and 2. Necessary to en…

NAC 449.99742 Summary of discharge. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall prepare a summary of discharge for each patient discharged from the center. 2. Each summary of discharge must include, without limitation: (a) A summary of the pertinent information r…

NAC 449.99744 Agreement with hospital for transfer of patients. (NRS 439.200, 449.0302, 449.0303) 1. Except as otherwise provided in subsection 2, a recovery center shall enter into an agreement with at least one licensed hospital that provides for the transfer of patients from t…

NAC 449.99746 Contents, maintenance and confidentiality of medical records. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall maintain a medical record for each patient admitted to the center in accordance with accepted professional principles. 2. A medical record must…

NAC 449.99748 Inspection of records relating to patient. (NRS 439.200, 449.0302, 449.0303) 1. A person who is or was previously admitted to a recovery center or his or her legal representative may submit an oral or written request to the center to inspect all records relating to …

NAC 449.99749 Personnel policies and records. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall adopt written policies for the personnel employed by the center. 2. The written policies required pursuant to subsection 1 must: (a) Include the duties and responsibilities …

NAC 449.99752 Staffing. (NRS 439.200, 449.0302, 449.0303) A recovery center shall ensure that there is a sufficient number of members of the staff on duty at all times to provide care to and attain and maintain the highest practicable physical, mental and psychosocial well-being …

NAC 449.99754 Employment of health care professionals. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall employ full-time, part-time or as consultants such health care professionals as are necessary to provide adequate care for each patient admitted to the center and t…

NAC 449.99756 Specialized rehabilitative services. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall provide to a patient in the center, according to his or her plan of care developed pursuant to NAC 449.99738, specialized rehabilitative services, including, without li…

NAC 449.99758 Pharmaceutical services; labeling and storage of drugs and biologicals; licensure of pharmacy; chart order signed by prescribing practitioner. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall provide such pharmaceutical services, including, without limit…

NAC 449.9976 Laboratory services. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall provide laboratory services to meet the needs of the patients admitted to the center or contract with a laboratory to obtain such services. 2. If a recovery center has its own laborator…

NAC 449.99762 Radiological and other diagnostic services. (NRS 439.200, 449.0302, 449.0303) 1. A recovery center shall provide radiological and other diagnostic services to meet the needs of the patients admitted to the center or contract with qualified outside sources to obtain …

NAC 449.9981 List of interested and qualified persons. (NRS 449.0302) The Division may solicit applications from persons interested in being nominated by the Division as receivers whenever receivership proceedings are brought. The Division shall develop and maintain a list of per…

NAC 449.99811 Experience. (NRS 449.0302) 1. In recommending a person or organization to serve as a receiver in a case, the Division shall, if feasible, nominate a receiver who has experience in the delivery of the type of care, treatment or services provided by the facility for w…

NAC 449.99812 Authority. (NRS 449.0302) A receiver appointed pursuant to NAC 449.9981 to 449.99814, inclusive, may exercise such authority as is granted by the court appointing the receiver and as is consistent with the laws governing the authority of a receiver in this State. (A…

NAC 449.99813 Compensation and payment of bond. (NRS 449.0302) The compensation of the receiver and the expense of any bond he or she is required to furnish must be paid from the revenues of the facility for which the receiver is appointed. (Added to NAC by Bd. of Health, eff. 8-…

NAC 449.99814 Operation of facility. (NRS 449.0302) 1. The Bureau shall provide a receiver appointed by the court with a provisional license to operate the facility during the pendency of the receivership. 2. The receiver is responsible to the court for the operation of the facil…

NAC 449.9982 Definitions. (NRS 439.200, 449.0302) As used in NAC 449.9982 to 449.99939, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.99821 to 449.99841, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by B…

NAC 449.99821 “Ban on admissions” defined. (NRS 449.0302) “Ban on admissions” means a prohibition on the provision of care, treatment or services to recipients who are newly admitted. (Added to NAC by Bd. of Health, eff. 8-1-91)

NAC 449.99822 “Cluster” defined. (NRS 449.0302) “Cluster” means a deficiency that involves the same or similar kinds of care, treatment or services as one or more other deficiencies. (Added to NAC by Bd. of Health, eff. 8-1-91)

NAC 449.99823 “Compliance” and “substantially correct the deficiency” defined. (NRS 449.0302) “Compliance” or “substantially correct the deficiency” means that no major deficiency is present and that effective steps have been taken to resolve all deficiencies. (Added to NAC by Bd…

NAC 449.99824 “Costs” defined. (NRS 449.0302) 1. “Costs” means the expenses of implementing and enforcing administrative sanctions and of bringing an action in a court of competent jurisdiction. 2. The term includes, without limitation, filing fees, fees for service of notices or…

NAC 449.99825 “De minimis deficiency” defined. (NRS 449.0302) “De minimis deficiency” means a deficiency rated at a severity level of one or two and at a scope level of one or two. (Added to NAC by Bd. of Health, eff. 8-1-91)

NAC 449.998253 “Division of Health Care Financing and Policy” defined. (NRS 449.0302) “Division of Health Care Financing and Policy” means the Division of Health Care Financing and Policy of the Department of Health and Human Services. (Added to NAC by Bd. of Health by R051-02, e…

NAC 449.998255 “Facility” defined. (NRS 449.0302) “Facility” means a medical facility or facility for the dependent. (Added to NAC by Bd. of Health by R131-99, eff. 11-29-99)

NAC 449.99826 “Immediate family” defined. (NRS 449.0302) “Immediate family” means the spouse, parent, child or sibling of a recipient. (Added to NAC by Bd. of Health, eff. 8-1-91)

NAC 449.99827 “Initial deficiency” defined. (NRS 449.0302) 1. “Initial deficiency” means the first occurrence of a deficiency recorded by the Bureau. 2. The term includes any deficiency found during a standard survey, during an extended survey or in response to a complaint. (Adde…

NAC 449.99828 “Major deficiency” defined. (NRS 449.0302) “Major deficiency” means a deficiency with a combined severity and scope rating of five or more. (Added to NAC by Bd. of Health, eff. 8-1-91; A by R051-02, 7-24-2002)

NAC 449.99829 “Medicaid facility” defined. (NRS 449.0302) “Medicaid facility” means a facility that has entered into an agreement to provide care, services or treatment paid under the joint federal-state Medicaid program described in 42 U.S.C. §§ 1396 et seq. (Added to NAC by Bd.…

NAC 449.9983 “Medicare facility” defined. (NRS 449.0302) “Medicare facility” means a facility that has entered into an agreement to provide care, services or treatment paid by Medicare pursuant to 42 U.S.C. §§ 1395 et seq. (Added to NAC by Bd. of Health, eff. 8-1-91)

NAC 449.99832 “Monitor” defined. (NRS 449.0302) “Monitor” means to observe, advise or supervise a facility on an as-needed basis to ensure compliance with the plan of correction for the facility (Added to NAC by Bd. of Health, eff. 8-1-91; A by R051-02, 7-24-2002)

NAC 449.99833 “New admission” defined. (NRS 449.0302) “New admission” means a person who is admitted to the facility on or after the effective date of a ban on admissions and who has not been admitted before or, if previously admitted, has been discharged or left the facility vol…

NAC 449.99834 “Particular kinds of care, treatment or services” defined. (NRS 449.0302) “Particular kinds of care, treatment or services” includes discrete areas such as bowel and bladder training, catheter care, restraints, injections, parenteral fluid administration, tube feedi…

NAC 449.99835 “Plan of correction” defined. (NRS 449.0302) “Plan of correction” means a plan developed by the facility and approved by the Bureau that: 1. Describes the actions to be taken by the facility to correct one or more deficiencies; and 2. Specifies the date by which tho…

NAC 449.99836 “Provider agreement” defined. (NRS 449.0302) “Provider agreement” means an agreement between a facility and: 1. The Centers for Medicare and Medicaid Services, if the facility is a Medicare facility; or 2. The Division of Health Care Financing and Policy, if the fac…

NAC 449.99837 “Repeated deficiency” defined. (NRS 449.0302) “Repeated deficiency” means a deficiency found by the Bureau again within 18 months, including one found at a follow-up survey, an investigation of a complaint or the next annual survey. (Added to NAC by Bd. of Health, e…

NAC 449.99838 “Resurvey” defined. (NRS 449.0302) “Resurvey” means a subsequent survey conducted to evaluate compliance with a plan of correction. (Added to NAC by Bd. of Health, eff. 8-1-91)

NAC 449.99839 “Severity and scope score” defined. (NRS 449.0302) “Severity and scope score” means the sum of the numerical levels of severity and scope assigned to a deficiency. (Added to NAC by Bd. of Health, eff. 8-1-91)

NAC 449.9984 “Subsequent deficiency” defined. (NRS 449.0302) “Subsequent deficiency” means a deficiency found on a resurvey. (Added to NAC by Bd. of Health, eff. 8-1-91)