CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.147 Dietary services. (NRS 449.0302) 1. Facilities must serve at least three meals or their equivalent daily, at regular times, with not more than 14 hours between a substantial evening meal and breakfast. A second serving must be provided for those clients who desire one…

NAC 449.150 Records of clients. (NRS 449.0302) 1. Each facility must maintain an organized system for clients’ records. 2. Clients’ records must be available to members of the staff who have authority to review such records. 3. Clients’ records must be available to representative…

NAC 449.15311 Definitions. (NRS 449.0302) As used in NAC 449.15311 to 449.15367, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.15313 to 449.15321, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd. of H…

NAC 449.15313 “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 overall operations of the program of the facility. (Added to NAC by Bd. of Health by R129-99, 11-29-9…

NAC 449.15315 “Client” defined. (NRS 449.0302) “Client” means a resident or patient of a facility. (Added to NAC by Bd. of Health by R129-99, 11-29-99, eff. 1-1-2000)

NAC 449.15317 “Facility” defined. (NRS 449.0302) “Facility” means a facility for modified medical detoxification as defined in NRS 449.00385. (Added to NAC by Bd. of Health by R129-99, 11-29-99, eff. 1-1-2000)

NAC 449.15319 “Overall program” defined. (NRS 449.0302) “Overall program” means tasks that are commonly undertaken by a board of directors, including, without limitation, general fiscal management, fund-raising projects and establishing the general long-term goals of a facility. …

NAC 449.15321 “Program” defined. (NRS 449.0302) “Program” means the program established pursuant to NAC 449.15337. (Added to NAC by Bd. of Health by R129-99, 11-29-99, eff. 1-1-2000)

NAC 449.15323 Proof of certification required; revocation of license. (NRS 449.0302) 1. As a condition of the issuance of a license to a facility, the facility shall provide proof that it is certified by the Division. 2. If the Division revokes or does not renew the certification…

NAC 449.15325 Governing body; bylaws and policies. (NRS 449.0302) 1. Each facility shall have a governing body that has the ultimate authority for the administration of the overall program of the facility. 2. The governing body shall adopt written bylaws and policies that define …

NAC 449.15327 Policies and procedures for services and operation of facility. (NRS 449.0302) 1. Each facility shall have written policies and procedures available to members of the staff, clients and the public that govern the operation of the facility and services provided by th…

NAC 449.15329 Transfer of client. (NRS 449.0302) 1. Except in the case of an emergency, the transfer of a client must not be effected until the client, attending physician of the client, if any, and responsible agency are consulted in advance. 2. Except as otherwise provided in s…

NAC 449.15331 Handling of money of client. (NRS 449.0302) 1. If a facility handles the money of a client, 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. The mon…

NAC 449.15333 Inventory of belongings of client. (NRS 449.0302) If a facility holds or stores the belongings of a client, there must be an inventory of the belongings on admission, made a part of the record of the client and updated as needed. These belongings must be returned to…

NAC 449.15335 Liability insurance. (NRS 449.0302) Liability insurance in a sufficient amount to protect clients, members of the staff, volunteers and visitors, must be maintained by each facility. A certificate of insurance must be furnished to the Division. The certificate must …

NAC 449.15337 Program: Requirements; review. (NRS 449.0302) 1. Each facility shall have a written program outlining short-term and long-term objectives and goals. These goals must be realistic, attainable, and clearly and operationally defined. 2. Each component of the program mu…

NAC 449.15339 Responsibilities and duties of administrator. (NRS 449.0302) 1. The administrator of a facility is responsible to the governing body of the facility for the operation of the facility in accordance with the policies and procedures of the facility. 2. The administrato…

NAC 449.15341 Policies and procedures concerning employees. (NRS 449.0302) 1. Each facility shall 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. All members of th…

NAC 449.15343 Nursing services. (NRS 449.0302) 1. Each facility shall have an organized plan for nursing service that provides nursing services 24 hours per day. The nursing services must be provided or supervised by a registered nurse in compliance with state law, including, wit…

NAC 449.15345 Health services. (NRS 449.0302) 1. Each facility shall provide health services which ensure that each client receives treatment, prescribed medication, adequate diets and other health services consistent with the program administered by the facility. 2. There must b…

NAC 449.15347 Pharmaceutical services. (NRS 449.0302) 1. Each facility shall have a pharmacy directed by a registered pharmacist or a drug room supervised by no less than a currently licensed professional nurse. The pharmacy or drug room must be administered in accordance with al…

NAC 449.15349 Medication and biologicals. (NRS 449.0302) 1. Except as otherwise provided in subsection 2, an order for medication or biologicals for a client must be in writing and signed by the practitioner, or other appropriate professional person authorized by state or federal…

NAC 449.15351 Dietary services. (NRS 449.0302) 1. Facilities shall serve at least three meals or their equivalent daily, at regular times, with not more than 14 hours between a substantial evening meal and breakfast. A second serving must be provided for those clients who desire …

NAC 449.15353 Records of clients. (NRS 449.0302) 1. Each facility shall maintain an organized system for the records of clients. 2. The records of a client must be available to professional members of the staff of the facility who are directly involved with the client. 3. The rec…

NAC 449.15355 Safety and sanitation; temperature. (NRS 449.0302) 1. The premises and equipment of each facility must be maintained in a safe, functional and sanitary condition. Each facility shall have the necessary cleaning and maintenance equipment with sufficient storage areas…

NAC 449.15357 Laundry requirements. (NRS 449.0302) 1. Each facility shall have the proper equipment for the sanitary washing and finishing of linen and other washable goods or shall maintain a written agreement with a commercial establishment to provide laundry services. 2. The l…

NAC 449.15359 New construction or remodeling: Submission and approval of building plans; prerequisites to approval of facility for licensure. (NRS 449.0302) 1. Except as otherwise provided in subsection 4, before any new construction of a facility or any remodeling of an existing…

NAC 449.15361 Design, construction, equipment and maintenance. (NRS 449.0302) 1. Each 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.…

NAC 449.15363 Accommodations for clients. (NRS 449.0302) 1. No room or space of a facility may be occupied for sleeping, living or dining that is accessible only by a ladder, by folding stairs or through a trapdoor. 2. If a basement of a facility is used for living and dining, at…

NAC 449.15365 Safety from fire. (NRS 449.0302) 1. Devices for the detection of combustion other than heat detectors must be installed on the ceiling of each story of a facility, in front of doors to stairways in a facility, and at not more than 30 feet apart in the corridors of a…

NAC 449.15367 Preparations for disasters; reporting of fire or disaster. (NRS 449.0302) 1. Each facility shall develop a written plan for disasters that outlines procedures for members of the staff and clients to follow in case of fire or another emergency and provides for meetin…

NAC 449.154 Definitions. (NRS 449.0302, 449.0303) As used in NAC 449.154 to 449.15485, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.15415 to 449.15438, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd…

NAC 449.15415 “DEA” defined. (NRS 449.0302, 449.0303) “DEA” means the Drug Enforcement Administration of the United States Department of Justice. (Added to NAC by Bd. of Health by R229-97, eff. 4-15-98)

NAC 449.1542 “Facility for treatment with narcotics” defined. (NRS 449.0302, 449.0303) “Facility for treatment with narcotics” means any person or any public or private facility that provides a narcotic treatment program described in 42 C.F.R. Part 8. (Added to NAC by Bd. of Heal…

NAC 449.1543 “Medical director” defined. (NRS 449.0302, 449.0303) “Medical director” means a physician who is licensed to practice medicine in this State and who is responsible for the administration of all medical services at a facility for treatment with narcotics or a medicati…

NAC 449.15435 “Medication unit” defined. (NRS 449.0302, 449.0303) “Medication unit” means any person or any public or private facility that: 1. Is established as part of or operates in conjunction with a facility for treatment with narcotics but is separated geographically from t…

NAC 449.15438 “SAMHSA” defined. (NRS 449.0302, 449.0303) “SAMHSA” means the Substance Abuse and Mental Health Services Administration of the United States Department of Health and Human Services. (Added to NAC by Bd. of Health by R053-02, eff. 7-24-2002)

NAC 449.1544 Division is state authority for certain federal regulations. (NRS 449.0302, 449.0303) The Division is the state authority for the purposes of 42 C.F.R. Part 8. (Added to NAC by Bd. of Health by R229-97, eff. 4-15-98; A by R053-02, 7-24-2002) Licensing

NAC 449.15445 License and federal certification required to operate facility or unit. (NRS 449.0302, 449.0303) 1. A person or a public or private facility shall not operate or provide the services of a facility for treatment with narcotics or represent that it operates or provide…

NAC 449.1545 Filing requirements; recommendation for certification. (NRS 449.0302, 449.0303) 1. If a person or a public or private facility wants to operate a facility for treatment with narcotics or a medication unit, the person or the public or private facility must: (a) File w…

NAC 449.15455 Investigation and prelicensure survey. (NRS 449.0302, 449.0303) 1. If an application for a license is filed pursuant to NAC 449.1545, the Bureau shall conduct pursuant to NAC 449.0112: (a) An investigation; and (b) A prelicensure survey. 2. The investigation and any…

NAC 449.1547 Suspension, revocation or cancellation of license; provisional license; denial of application. (NRS 449.0302, 449.0303) 1. The Division may suspend or revoke a license issued pursuant to NAC 449.154 to 449.15485, inclusive, or cancel such a license and issue a provis…

NAC 449.1548 General operational requirements. (NRS 449.0302, 449.0303) In addition to all other requirements set forth in NAC 449.154 to 449.15485, inclusive, each facility for treatment with narcotics and each medication unit shall: 1. Have a medical director who has a valid an…

NAC 449.15485 Continuing review of operations; investigation of complaints. (NRS 449.0302, 449.0303) 1. The operation of a facility for treatment with narcotics or a medication unit is subject to continuing review by the Division. 2. The Division shall investigate all complaints …

NAC 449.1549 Definitions. (NRS 449.0302) As used in NAC 449.1549 to 449.154945, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.154901, 449.154903 and 449.154905 have the meanings ascribed to them in those sections. (Added to NAC by Bd. of…

NAC 449.154901 “Administrator” defined. (NRS 449.0302) “Administrator” means a person: 1. Whose name appears on a license issued by the Bureau as administrator of record for a facility; and 2. Who is legally responsible for the management of the facility. (Added to NAC by Bd. of …

NAC 449.154903 “Client” defined. (NRS 449.0302) “Client” means a person who is admitted to a facility. (Added to NAC by Bd. of Health by R123-01, 12-17-2001, eff. 1-1-2002)