CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.15527 Agreement between operator of home and resident concerning rates; maintenance of records of residents. (NRS 449.0302) The operator of a home shall: 1. Enter into a written agreement with each resident of the home that sets forth the basic rate for the services of th…

NAC 449.15529 On-site survey of home by Bureau. (NRS 449.0302) The Bureau shall conduct: 1. An initial on-site survey of a home: (a) After the Bureau receives a completed application for a license to operate the home and the fee required pursuant to NAC 449.016; and (b) Before th…

NAC 449.156 Definitions. (NRS 439.200, 449.0302, 449.0304) As used in NAC 449.156 to 449.27706, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.1565 to 449.178, inclusive, have the meanings ascribed to them in those sections. (Supplied in …

NAC 449.1565 “Administer” defined. (NRS 449.0302) “Administer” means the direct application of a drug or medicine referred to in NRS 454.181 to 454.371, inclusive, by injection, inhalation, ingestion or any other means, to the body of a resident of a residential facility. (Added …

NAC 449.157 “Administrator” defined. (NRS 449.0302) “Administrator” means a person: 1. Who is licensed by the Board of Examiners for Long-Term Care Administrators pursuant to chapter 654 of NRS; 2. Whose name appears on a license issued by the Bureau as administrator of record fo…

NAC 449.1575 “Board” defined. (NRS 449.0302) “Board” means the State Board of Health. (Added to NAC by Bd. of Health by R003-97, eff. 10-30-97)

NAC 449.1585 “Caregiver” defined. (NRS 449.0302) “Caregiver” means an employee of a residential facility who provides care, assistance or protective supervision to a resident of the facility. (Added to NAC by Bd. of Health by R003-97, eff. 10-30-97)

NAC 449.1591 “Category 1 resident” defined. (NRS 449.0302) “Category 1 resident” means: 1. In a residential facility with not more than 10 residents, a resident who, without the assistance of any other person, is physically and mentally capable of moving himself or herself from t…

NAC 449.1595 “Category 2 resident” defined. (NRS 449.0302) “Category 2 resident” means: 1. In a residential facility with not more than 10 residents, a resident who, without the assistance of any other person, is not physically or mentally capable of moving himself or herself fro…

NAC 449.1597 “Dietary supplement” defined. (NRS 449.0302) “Dietary supplement” has the meaning ascribed to it in 21 U.S.C. 321(ff) as that section existed on August 17, 1999. (Added to NAC by Bd. of Health by R204-99, eff. 2-10-2000)

NAC 449.1599 “Discharge” defined. (NRS 449.0302) “Discharge” means the release of a resident from a residential facility which does not involve a transfer. (Added to NAC by Bd. of Health by R071-04, eff. 8-4-2004)

NAC 449.160 “Division” defined. (NRS 449.0302) “Division” means the Division of Public and Behavioral Health of the Department of Health and Human Services. (Added to NAC by Bd. of Health, eff. 3-6-86)

NAC 449.161 “Grade” defined. (NRS 449.0302) “Grade” means a letter that is assigned to a residential facility by the Bureau based on the severity and scope scores of the facility as determined by the Bureau. (Added to NAC by Bd. of Health by R122-05, eff. 11-17-2005)

NAC 449.164 “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 by R003-97, eff. 10-30-97)

NAC 449.169 “Medical professional” defined. (NRS 449.0302) “Medical professional” means a physician or a physician assistant, nurse practitioner, registered nurse, physical therapist, occupational therapist, speech-language pathologist or practitioner of respiratory care who is t…

NAC 449.170 “Placard” defined. (NRS 449.0302) “Placard” means a certificate issued to a residential facility by the Bureau that includes the grade assigned to the facility by the Bureau. (Added to NAC by Bd. of Health by R122-05, eff. 11-17-2005)

NAC 449.172 “Residential facility” defined. (NRS 449.0302) “Residential facility” means a residential facility for groups as defined in NRS 449.017. (Added to NAC by Bd. of Health by R003-97, eff. 10-30-97)

NAC 449.173 “Residential facility which provides care to persons with Alzheimer’s disease” defined. (NRS 449.0302) “Residential facility which provides care to persons with Alzheimer’s disease” means a residential facility that provides care and protective supervision for persons…

NAC 449.175 “Severity and scope score” defined. (NRS 449.0302) “Severity and scope score” has the meaning ascribed to it in NAC 449.99839. (Added to NAC by Bd. of Health by R122-05, eff. 11-17-2005)

NAC 449.176 “Staff of a facility” defined. (NRS 449.0302) “Staff of a facility” means the administrator, caregivers and other employees of a residential facility. (Added to NAC by Bd. of Health by R003-97, eff. 10-30-97)

NAC 449.178 “Transfer” defined. (NRS 449.0302) “Transfer” means the movement of a resident from a residential facility to another facility for inpatient or residential care. (Added to NAC by Bd. of Health by R071-04, eff. 8-4-2004) Licensing

NAC 449.179 Submission and approval of plan for new construction or remodeling; inspection; evidence of compliance. (NRS 449.0302) 1. Except for a residential facility with less than 11 beds, before a residential facility is constructed or an existing facility is remodeled, the f…

NAC 449.180 Requirements for purchasing licensed facility. (NRS 449.0302) If an applicant for a license to operate a residential facility desires to purchase a currently licensed facility, the facility must comply with all current state and local requirements relating to health a…

NAC 449.190 License: Contents; validity; transferability; issuance of more than one type. (NRS 449.0302) 1. A license to operate a residential facility must include: (a) The name of the administrator of the facility; (b) The name and address of the facility; (c) The type of facil…

NAC 449.191 Denial, suspension or revocation of endorsement: Grounds. (NRS 449.0302, 449.165) In addition to the grounds set forth in NRS 449.160 and NAC 449.1915, the Division may deny an application for an endorsement made pursuant to NAC 449.2751 to 449.2768, inclusive, on a l…

NAC 449.1915 Suspension or revocation of license and endorsement if residential facility has been assigned grade of D on two or more consecutive surveys or resurveys, or both. (NRS 449.0302, 449.165) In addition to the grounds set forth in NRS 449.160 and NAC 449.0118, 449.191, 4…

NAC 449.194 Responsibilities of administrator. (NRS 449.0302) The administrator of a residential facility shall: 1. Provide oversight and direction for the members of the staff of the facility as necessary to ensure that residents receive needed services and protective supervisio…

NAC 449.196 Qualifications and training of caregivers. (NRS 449.0302) 1. A caregiver of a residential facility must: (a) Be at least 18 years of age; (b) Be responsible and mature and have the personal qualities which will enable him or her to understand the problems of elderly p…

NAC 449.197 Medical services may be provided only by medical professional. (NRS 439.200, 449.0302, 449.0304) Except as otherwise provided in NAC 449.1985, a member of the staff of a residential facility shall not provide medical services to a resident of the facility unless the m…

NAC 449.1985 Performance of certain tasks by caregiver. (NRS 439.200, 449.0302, 449.0304) 1. A caregiver of a residential facility may perform a task described in NRS 449.0304 if the caregiver: (a) Before performing the task, annually thereafter and when any device used for perfo…

NAC 449.199 Staffing requirements; limitation on number of residents; written schedule for each shift; direct supervision of certain employees. (NRS 449.0302) 1. The administrator of a residential facility shall ensure that a sufficient number of caregivers are present at the fac…

NAC 449.200 Personnel files. (NRS 449.0302) 1. Except as otherwise provided in subsection 2, a separate personnel file must be kept for each member of the staff of a facility and must include: (a) The name, address, telephone number and social security number of the employee; (b)…

NAC 449.202 Rights of staff members during investigation of facility; duties of investigator. (NRS 449.0302) 1. Upon the request of the administrator of a residential facility or any other member of the staff of the facility, a person who is conducting an investigation of the fac…

NAC 449.204 System of financial accounting; insurance. (NRS 449.0302) 1. A residential facility shall: (a) Maintain a recognized system of financial accounting; and (b) Maintain a contract of insurance for protection against liability to third persons in amounts appropriate for t…

NAC 449.205 Advertising and promotional materials. (NRS 449.0302) Advertising and promotional materials for a residential facility must be accurate and not misrepresent accommodations, services or programs offered by the facility. (Added to NAC by Bd. of Health, eff. 3-6-86; A by…

NAC 449.208 Restrictions on conducting other businesses or providing other services on premises. (NRS 449.0302) No other business may be conducted or other services may be provided on the premises of a residential facility if the business or services would interfere with the oper…

NAC 449.209 Health and sanitation. (NRS 449.0302) 1. A residential facility must: (a) Have a safe and sufficient supply of water, adequate drainage and an adequate system for the disposal of sewage; and (b) Comply with all local ordinances and state and federal laws and regulatio…

NAC 449.211 Automatic sprinkler systems. (NRS 449.0302) 1. After January 14, 1997, the Division shall withhold the issuance of an initial license to operate a residential facility that does not have an automatic sprinkler system which complies with the provisions of chapter 477 o…

NAC 449.213 Laundry and linen services. (NRS 449.0302) 1. A residential facility shall: (a) Provide laundry and linen services on the premises of the facility; or (b) Contract with a commercial laundry for the provision of those services. 2. A residential facility that provides i…

NAC 449.216 Common areas; dining rooms. (NRS 449.0302) 1. A residential facility must have at least one centrally located common area in which residents may socialize and participate in recreational activities. A common area may include, without limitation, a living room, dining …

NAC 449.217 Kitchens; storage of food; adequate supplies of food; permits; inspections. (NRS 449.0302) 1. The equipment in a kitchen of a residential facility and the size of the kitchen must be adequate for the number of residents in the facility. The kitchen and the equipment m…

NAC 449.2175 Service of food; seating; menus; special diets; nutritional requirements; dietary consultants. (NRS 449.0302) 1. A residential facility shall have adequate facilities and equipment for the preparation, service and storage of food. 2. Tables and chairs must be of prop…

NAC 449.218 Bedrooms: Floor space; windows and doors; privacy; storage space; bedding; personal furnishings; lighting. (NRS 439.200, 449.0302) 1. A bedroom in a residential facility that is shared by two or three residents must have at least 60 square feet of floor space for each…

NAC 449.220 Bedroom doors. (NRS 449.0302) 1. A bedroom door in a residential facility which is equipped with a lock must open with a single motion from the inside unless the lock provides security for the facility and can be operated without a key or any special knowledge. 2. A b…

NAC 449.221 Use of certain areas in facility as bedroom prohibited. (NRS 449.0302) A hall, stairway, unfinished attic, garage, storage area or shed or other similar area of a residential facility must not be used as a bedroom. Any other room must not be used as a bedroom if it: 1…

NAC 449.222 Bathrooms and toilet facilities; toilet articles. (NRS 449.0302) 1. Each residential facility with less than seven residents that was issued an initial license before January 14, 1997, must have bathroom facilities in sufficient number to accommodate the residents, th…

NAC 449.224 Housing for staff members. (NRS 449.0302) 1. Bedrooms must be provided for any members of the staff of a residential facility and their families who live at a residential facility. The bedrooms must comply with the provisions of subsections 2 to 8, inclusive, of NAC 4…