CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.154913 General operational guidelines. (NRS 449.0302) An administrator shall ensure that: 1. Alcohol or drugs are not allowed on the premises of the facility; 2. The policies, procedures and rules established pursuant to NAC 449.154911 are carried out; 3. Each client comp…

NAC 449.154915 Policies and procedures: Establishment; maintenance of manual. (NRS 449.0302) 1. An administrator shall establish written policies and procedures concerning: (a) The manner in which records of clients will be maintained and protected against unauthorized use; (b) T…

NAC 449.154917 Limitation on admissions. (NRS 449.0302) An administrator shall ensure that the facility does not admit more clients to the facility than the number of beds for which it is licensed. (Added to NAC by Bd. of Health by R123-01, 12-17-2001, eff. 1-1-2002)

NAC 449.154919 Health and sanitation. (NRS 449.0302) 1. An administrator shall ensure that the facility: (a) Has a safe and sufficient supply of water, adequate drainage and an adequate system for the disposal of sewage; and (b) Complies with all local ordinances and state and fe…

NAC 449.154921 Laundry facilities. (NRS 449.0302) 1. An administrator shall ensure that laundry facilities are provided in the facility commensurate with the number of clients in the facility. At least one washer and at least one dryer must be provided in the facility. 2. The lau…

NAC 449.154923 Kitchens; storage of food. (NRS 449.0302) 1. The kitchen in a facility and the equipment in the kitchen must be clean and must allow for the sanitary preparation of food. The equipment must be in good working condition. 2. Perishable food must be refrigerated at a …

NAC 449.154925 Bedrooms; bedding. (NRS 449.0302) 1. A bedroom in a facility that is used by more than one client must have at least 45 square feet of floor space for each client who resides in the bedroom. A bedroom that is occupied by only one client must have at least 80 square…

NAC 449.154927 Use of certain areas as bedroom prohibited. (NRS 449.0302) A hall, stairway, unfinished attic, garage, storage area or shed or other similar area of a facility must not be used as a bedroom. Any other room must not be used as a bedroom if it is used for any other p…

NAC 449.154929 Bathrooms and toilet facilities; toilet articles. (NRS 449.0302) 1. All bathrooms and toilet facilities in the facility must be sufficiently lighted. 2. Each client must have his or her own towels and washcloths. Paper towels may be used for hand towels. The towels…

NAC 449.154931 Accommodations for residents with restricted mobility. (NRS 449.0302) A facility that has a client who uses a wheelchair or a walker must: 1. Have hallways, doorways and exits wide enough to accommodate a wheelchair or walker; and 2. Have ramps at all primary exits…

NAC 449.154933 First aid. (NRS 449.0302) 1. A first-aid kit must be available at the facility. The first-aid kit must include, without limitation: (a) A germicide safe for use by humans; (b) Sterile gauze pads; (c) Adhesive bandages, rolls of gauze and adhesive tape; (d) Disposab…

NAC 449.154935 Medication. (NRS 449.0302) 1. Except as otherwise provided in NAC 449.154933, an administrator or another client shall not administer or assist in the administration of medication to a client. 2. Medication for self-administration may be kept at the facility. That …

NAC 449.154937 Telephones; listing of facility’s telephone number. (NRS 449.0302) An administrator shall ensure that: 1. The facility has at least one telephone that is in good working condition in the facility; and 2. The telephone number of the facility is listed in the telepho…

NAC 449.154939 Notification to Bureau under certain circumstances. (NRS 449.0302) An administrator shall notify the Bureau within 24 hours after the occurrence of an incident that: 1. Involved significant harm to a client of the facility if the client of the facility required med…

NAC 449.154941 Rights of clients. (NRS 449.0302) An administrator shall ensure that: 1. A client of the facility is not abused, neglected or exploited by another client of the facility or any person who is visiting the facility; 2. A client is not prohibited from speaking to any …

NAC 449.154943 Client files: Maintenance; contents; confidentiality. (NRS 449.0302) 1. An administrator shall ensure that the facility maintains a separate file for each client of the facility and retains the file for at least 5 years after the client permanently leaves the facil…

NAC 449.154945 Safety from fire. (NRS 449.0302) 1. An administrator shall ensure that the facility complies with the regulations adopted by the State Fire Marshal pursuant to chapter 477 of NRS and any local ordinances relating to safety from fire. The facility must be approved f…

NAC 449.154951 Definitions. (NRS 449.0302) As used in NAC 449.154951 to 449.154999, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.154953 to 449.154959, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd.…

NAC 449.154953 “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 449.154955 “Facility” defined. (NRS 449.0302) “Facility” means a facility for transitional living for released offenders as defined in NRS 449.0055. (Added to NAC by Bd. of Health by R094-06, eff. 7-14-2006)

NAC 449.154957 “Resident” defined. (NRS 449.0302) “Resident” means a person who: 1. Is a person who has been released from prison as that term is defined in subsection 2 of NRS 449.0055; and 2. Is admitted to a facility. (Added to NAC by Bd. of Health by R094-06, eff. 7-14-2006)

NAC 449.154959 “Supportive services” defined. (NRS 449.0302) 1. “Supportive services” mean services provided by a facility, directly or indirectly through arrangements with other providers, which are intended to assist a resident with reintegration into the community. 2. Those se…

NAC 449.154961 Administrator: Qualifications. (NRS 449.0302) An administrator must: 1. Be at least 21 years of age; 2. Have the physical examination or certification required by paragraph (a) of subsection 3 of NAC 441A.375 for a person employed in a facility for the dependent; a…

NAC 449.154963 Administrator: General duties. (NRS 449.0302) An administrator shall: 1. Post the license issued by the Bureau in a conspicuous place within the facility. 2. Organize and manage the facility. 3. Establish policies, procedures and rules for the operation of the faci…

NAC 449.154965 Operation of facility. (NRS 449.0302) An administrator shall ensure that: 1. Alcohol or drugs are not allowed on the premises of the facility; 2. The policies, procedures and rules established pursuant to NAC 449.154963 are carried out; 3. Each resident complies wi…

NAC 449.154967 Policies and procedures. (NRS 449.0302) 1. An administrator shall establish written policies and procedures concerning: (a) The manner in which records of residents will be maintained and protected against unauthorized use; (b) The disclosure of confidential inform…

NAC 449.154969 Preparations for disasters and other emergencies. (NRS 449.0302) 1. An administrator shall develop a written plan for disasters that outlines procedures for members of the staff of the facility and residents of the facility to follow in case of a disaster or other …

NAC 449.154971 Limitation on number of admissions. (NRS 449.0302) An administrator shall ensure that the facility does not admit more residents to the facility than the number of beds for which it is licensed. (Added to NAC by Bd. of Health by R094-06, eff. 7-14-2006)

NAC 449.154973 Prerequisites to provision of particular services. (NRS 449.0302) 1. In addition to satisfying the requirements of NAC 449.011, an applicant for a license to operate a facility must include with his or her application a statement indicating whether he or she will b…

NAC 449.154975 Sanitation, safety and comfort. (NRS 449.0302) 1. An administrator shall ensure that the facility: (a) Has a safe and sufficient supply of water, adequate drainage and an adequate system for the disposal of sewage; and (b) Complies with all local ordinances and sta…

NAC 449.154977 Laundry facilities. (NRS 449.0302) 1. An administrator shall ensure that laundry facilities are provided in the facility commensurate with the number of residents in the facility. At least one washer and at least one dryer must be provided in the facility. 2. The l…

NAC 449.154979 Kitchens; preparation and storage of food. (NRS 449.0302) 1. The kitchen in a facility and the equipment in the kitchen must be clean and must allow for the sanitary preparation of food. The equipment must be in good working condition. 2. Perishable food must be re…

NAC 449.154981 Bedrooms and bedding. (NRS 449.0302) 1. A bedroom in a facility that is used by more than one resident must have at least 50 square feet of floor space for each resident who resides in the bedroom. A bedroom that is occupied by only one resident must have at least …

NAC 449.154983 Use of certain areas as bedroom prohibited. (NRS 449.0302) A hall, stairway, unfinished attic, garage, storage area or shed or other similar area of a facility must not be used as a bedroom. Any other room must not be used as a bedroom if it is used for any other p…

NAC 449.154985 Bathrooms and toilet facilities; toiletries. (NRS 449.0302) 1. All bathrooms and toilet facilities in the facility must be sufficiently lighted. 2. Each facility must have: (a) A flush toilet and lavatory for each four residents; and (b) A tub or shower for each si…

NAC 449.154987 First aid. (NRS 449.0302) 1. A first-aid kit must be available at the facility. The first-aid kit must include, without limitation: (a) A germicide safe for use by humans; (b) Sterile gauze pads; (c) Adhesive bandages, rolls of gauze and adhesive tape; (d) Disposab…

NAC 449.154989 Medication. (NRS 449.0302) 1. Medication for self-administration may be kept at the facility. That medication must: (a) Except as otherwise provided in subsection 3, be disposed of immediately when it expires or when a physician orders the medication to be disconti…

NAC 449.154991 Telephones; listing of facility’s telephone number. (NRS 449.0302) An administrator shall ensure that: 1. The facility has at least one telephone that is in good working condition in the facility; and 2. The telephone number of the facility is listed in the telepho…

NAC 449.154993 Notification of occurrence of certain incidents. (NRS 449.0302) 1. An administrator shall notify the Bureau within 24 hours after the occurrence of an incident that: (a) Involved significant harm to a resident of the facility if the resident of the facility require…

NAC 449.154995 Rights of residents. (NRS 449.0302) An administrator shall ensure that: 1. A resident of the facility is not abused, neglected or exploited by another resident of the facility or any person who is visiting the facility; 2. A resident is not prohibited from speaking…

NAC 449.154997 Files for residents. (NRS 449.0302) 1. An administrator shall ensure that the facility maintains a separate file for each resident of the facility and retains the file for at least 5 years after the resident permanently leaves the facility. The file must be kept lo…

NAC 449.154999 Safety from fire. (NRS 449.0302) 1. An administrator shall ensure that the facility complies with the regulations adopted by the State Fire Marshal pursuant to chapter 477 of NRS and any local ordinances relating to safety from fire. 2. A facility with more than 16…

NAC 449.15511 Definitions. (NRS 449.0302) As used in NAC 449.15511 to 449.15529, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.15513 to 449.15519, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd. of H…

NAC 449.15513 “Caregiver” defined. (NRS 449.0302) “Caregiver” means a person who provides care, assistance and protective supervision to a resident of a home. (Added to NAC by Bd. of Health by R131-99, eff. 11-29-99)

NAC 449.15515 “Director” defined. (NRS 449.0302) “Director” means a person: 1. Whose name appears on a license issued by the Bureau as the director of record for a home; and 2. Who is legally responsible for the care of the residents and the daily operation of the home. (Added to…

NAC 449.15517 “Home” defined. (NRS 449.0302) “Home” means a home for individual residential care. (Added to NAC by Bd. of Health by R131-99, eff. 11-29-99)

NAC 449.15519 “Protective supervision” defined. (NRS 449.0302) “Protective supervision” means supervision that protects the residents of a home from potential danger to their physical and mental well-being. (Added to NAC by Bd. of Health by R131-99, eff. 11-29-99)