CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.231 First aid and cardiopulmonary resuscitation. (NRS 449.0302) 1. Within 30 days after an administrator or caregiver of a residential facility is employed at the facility, the administrator or caregiver must be trained in first aid and cardiopulmonary resuscitation. The …

NAC 449.232 Telephones; emergency telephone numbers for each resident; listing of facility’s telephone number. (NRS 449.0302) 1. Each residential facility shall have a telephone that the residents may use to make local calls. 2. A list of telephone numbers to be called in case of…

NAC 449.241 Limitations on use of volunteers; requirements concerning residents who volunteer to assist staff or perform other duties. (NRS 449.0302) 1. Volunteers may be used to supplement the services and programs of a residential facility, but may not be used to replace member…

NAC 449.258 Written policies for facility; policy on visiting hours; residents’ mail; compliance with policies. (NRS 449.0302) 1. Written policies for a residential facility that comply with the provisions of NAC 449.156 to 449.27706, inclusive, must be developed. 2. A policy on …

NAC 449.259 Supervision and treatment of residents generally. (NRS 449.0302) 1. A residential facility shall: (a) Provide each resident with protective supervision as necessary; (b) Inform all caregivers of the required supervision; (c) Provide each resident with the opportunity …

NAC 449.260 Activities for residents. (NRS 449.0302) 1. The caregivers employed by a residential facility shall: (a) Ensure that the residents are afforded an opportunity to enjoy their privacy, participate in physical activities, relax and associate with other residents; (b) Pro…

NAC 449.262 Provision of dental, optical and hearing care and social services; report of suspected abuse, neglect, isolation or exploitation; restrictions on use of restraints, confinement or sedatives. (NRS 449.0302) 1. The administrator of a residential facility shall ensure th…

NAC 449.267 Money and property of residents. (NRS 449.0302) 1. An employee of a residential facility shall not handle a resident’s money without first being requested to do so in writing by the resident or his or her representative. 2. An accurate record must be kept of all money…

NAC 449.268 Rights of residents; procedure for filing grievance, complaint or report of incident; investigation and response. (NRS 449.0302) 1. The administrator of a residential facility shall ensure that: (a) The residents are not abused, neglected or exploited by a member of t…

NAC 449.2702 Written policy on admissions; eligibility for residency. (NRS 449.0302) 1. Each residential facility shall have a written policy on admissions which includes: (a) A statement of nondiscrimination regarding admission to the facility and treatment after admission; and …

NAC 449.2704 Disclosure of information concerning rates and payment for services. (NRS 449.0302) The administrator of a residential facility shall, upon request, make the following information available in writing: 1. The basic rate for the services provided by the facility; 2. T…

NAC 449.2706 Transfer of resident whose condition deteriorates. (NRS 449.0302) 1. If a resident’s condition deteriorates to such an extent that: (a) The residential facility is unable to provide the services necessary to treat the resident properly; or (b) The resident no longer …

NAC 449.2707 Transfer of resident: Effective date. (NRS 449.0302) The transfer of a resident from a residential facility occurs: 1. Except as otherwise provided in subsection 2, on the date that the resident is admitted to the facility to which he or she is moved; or 2. If the re…

NAC 449.2708 Discharge of resident; notice of discharge; issuance of notice to quit to resident for improper or harmful behavior. (NRS 449.0302) 1. A resident may be discharged from a residential facility without his or her approval if: (a) The resident fails to pay his or her bi…

NAC 449.271 Residents requiring gastrostomy care or suffering from staphylococcus infection or other serious infection or medical condition. (NRS 439.200, 449.0302) 1. Except as otherwise provided in subsection 2 and NAC 449.2736, a person must not be admitted to a residential fa…

NAC 449.2712 Residents requiring use of oxygen. (NRS 449.0302) 1. A person who requires the use of oxygen must not be admitted to a residential facility or be permitted to remain as a resident of a residential facility unless he or she: (a) Is mentally and physically capable of o…

NAC 449.2714 Residents requiring use of intermittent positive pressure breathing equipment. (NRS 449.0302) 1. A person who requires the use of intermittent positive pressure breathing equipment must not be admitted to a residential facility or be permitted to remain as a resident…

NAC 449.2716 Residents having colostomy or ileostomy. (NRS 449.0302) 1. A person who has a colostomy or ileostomy must not be admitted to a residential facility or be permitted to remain as a resident of a residential facility unless: (a) The resident is mentally and physically c…

NAC 449.2718 Residents requiring manual removal of fecal impactions or use of enemas or suppositories. (NRS 449.0302) 1. A person who requires the manual removal of fecal impactions or the use of enemas or suppositories must not be admitted to a residential facility or be permitt…

NAC 449.272 Residents requiring use of indwelling catheter. (NRS 449.0302) 1. A person who requires the use of an indwelling catheter must not be admitted to a residential facility or be permitted to remain as a resident of a residential facility unless: (a) The resident is physi…

NAC 449.2722 Residents having unmanageable condition of bowel or bladder incontinence; residents having manageable condition of bowel or bladder incontinence. (NRS 449.0302) 1. A person who has an unmanageable condition of bowel or bladder incontinence must not be admitted to a r…

NAC 449.2724 Residents having contractures. (NRS 449.0302) 1. A person who has contractures must not be admitted to a residential facility or be permitted to remain as a resident of a residential facility unless the contractures do not adversely affect the ability of the resident…

NAC 449.2726 Residents having diabetes. (NRS 439.200, 449.0302, 449.0304) 1. A person who has diabetes must not be admitted to a residential facility or be permitted to remain as a resident of a residential facility unless: (a) The resident’s glucose testing is performed by: (1) …

NAC 449.2728 Residents requiring regular intramuscular, subcutaneous or intradermal injections. (NRS 439.200, 449.0302, 449.0304) 1. Except as otherwise provided by NAC 449.2726, a person who requires regular intramuscular, subcutaneous or intradermal injections must not be admit…

NAC 449.2732 Residents requiring protective supervision. (NRS 449.0302) 1. Except as otherwise provided in subsection 2, a person who requires protective supervision may not be admitted to a residential facility or be permitted to remain as a resident of a residential facility un…

NAC 449.2734 Residents having tracheostomy or open wound requiring treatment by medical professional; residents having pressure or stasis ulcers. (NRS 449.0302) 1. A person who has a tracheostomy or an open wound that requires treatment by a medical professional must not be admit…

NAC 449.2736 Procedure to exempt certain residents from restrictions. (NRS 449.0302) 1. The administrator of a residential facility may submit to the Division a written request for permission to admit or retain a resident who is prohibited from being admitted to a residential fac…

NAC 449.2738 Review of medical condition of resident; relocation or transfer of resident having certain medical needs or conditions. (NRS 449.0302) 1. If, after conducting an inspection or investigation of a residential facility, the Bureau determines that it is necessary to revi…

NAC 449.274 Medical care of resident after illness, injury or accident; periodic physical examination of resident; rejection of medical care by resident; written records. (NRS 449.0302) 1. If a resident of a residential facility becomes ill or is injured, the resident’s physician…

NAC 449.2742 Administration of medication: Responsibilities of administrator, caregivers and employees of facility. (NRS 439.200, 449.0302, 449.0304) 1. The administrator of a residential facility that provides assistance to residents in the administration of medications shall: (…

NAC 449.2744 Administration of medication: Maintenance and contents of logs and records. (NRS 449.0302) 1. The administrator of a residential facility that provides assistance to residents in the administration of medications shall maintain: (a) A log for each medication received…

NAC 449.2746 Administration of medication: Restrictions concerning medication taken as needed by resident; written records. (NRS 449.0302) 1. A caregiver employed by a residential facility shall not assist a resident in the administration of a medication that is taken as needed u…

NAC 449.2748 Medication: Storage; duties upon discharge, transfer and return of resident. (NRS 449.0302) 1. Medication, including, without limitation, any over-the-counter medication, stored at a residential facility must be stored in a locked area that is cool and dry. The careg…

NAC 449.2749 Maintenance and contents of separate file for each resident; confidentiality of information. (NRS 449.0302) 1. A separate file must be maintained for each resident of a residential facility and retained for at least 5 years after he or she permanently leaves the faci…

NAC 449.275 Residential facility which provides residents with hospice care: Responsibilities of staff; retention of resident with special medical needs. (NRS 449.0302) 1. A residential facility that provides services to a resident who elects to receive hospice care shall obtain …

NAC 449.2751 Residential facility which provides assisted living services: Application for endorsement; general requirements. (NRS 449.0302) 1. Each residential facility that wishes to provide assisted living services must apply to the Division to obtain an endorsement on its lic…

NAC 449.2754 Residential facility which provides care to persons with Alzheimer’s disease: Application for endorsement; general requirements. (NRS 449.0302) 1. A residential facility which offers or provides care for a resident with Alzheimer’s disease or related dementia must ob…

NAC 449.2756 Residential facility which provides care to persons with Alzheimer’s disease: Standards for safety; personnel required; training for employees. (NRS 449.0302) 1. The administrator of a residential facility which provides care to persons with Alzheimer’s disease shall…

NAC 449.2758 Residential facility which provides care for elderly persons or persons with disabilities: Training for caregivers. (NRS 449.0302) 1. Within 60 days after being employed by a residential facility for elderly persons or persons with disabilities, a caregiver must rece…

NAC 449.2762 Residential facility which offers or provides care for adults with intellectual disabilities or adults with developmental disabilities: Application for endorsement; training for caregivers. (NRS 449.0302) 1. A residential facility which offers or provides care and pr…

NAC 449.2764 Residential facility which offers or provides care for persons with mental illnesses: Application for endorsement; training for employees. (NRS 449.0302) 1. A residential facility which offers or provides care and protective supervision for a resident with mental ill…

NAC 449.2766 Residential facility which offers or provides care for persons with chronic illnesses and debilitating diseases: Application for endorsement; training for employees. (NRS 449.0302) 1. A residential facility which offers or provides care and protective supervision for…

NAC 449.2768 Residential facility which provides care to persons with dementia: Training for employees. (NRS 449.0302, 449.094) 1. Except as otherwise provided in subsection 2, the administrator of a residential facility which provides care to persons with any form of dementia sh…

NAC 449.27702 Determination of severity and scope of deficiency; assignment of grade. (NRS 449.0302) 1. The Bureau shall determine: (a) The severity of a deficiency of a residential facility in accordance with the provisions of NAC 449.99861; and (b) The scope of a deficiency of …

NAC 449.27704 Placard: Issuance and display; failure to comply. (NRS 449.0302) 1. After the Bureau assigns a grade to a residential facility pursuant to NAC 449.27702, the Bureau shall issue a placard to the residential facility. 2. The administrator shall, within 24 hours after …

NAC 449.27706 Resurvey: Application and fee; failure to comply. (NRS 439.150, 439.200, 449.0302) 1. If the Bureau issues a placard to a residential facility that includes a grade of “B,” the administrator may submit an application to the Bureau for a resurvey of the facility not …

NAC 449.27811 Definitions. (NRS 439.200, 449.0302, 449.0305) As used in NAC 449.27811 to 449.27831, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.27813 to 449.27819, inclusive, have the meanings ascribed to them in those sections. (Added…