CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.411 “Psychiatric residential treatment facility” defined. (NRS 449.0302, 449.0303) “Psychiatric residential treatment facility” means a facility, other than a hospital, that provides a range of psychiatric services to treat residents under the age of 21 years on an inpati…

NAC 449.4115 “Resident” defined. (NRS 449.0302, 449.0303) “Resident” means a person who resides in a psychiatric residential treatment facility and receives psychiatric services at the facility. (Added to NAC by Bd. of Health by R046-14, eff. 10-24-2014) Licensing

NAC 449.414 License required to operate facility. (NRS 449.0302, 449.0303) A person or a public or private facility shall not operate or provide the services of a psychiatric residential treatment facility or represent that the person or the public or private entity operates or p…

NAC 449.4145 Application for accreditation required; recognition as accrediting organization by Board; failure of facility to attain or maintain accreditation. (NRS 449.0302, 449.0303) 1. If a person or a public or private facility wants to operate a psychiatric residential treat…

NAC 449.416 Prelicensure investigation and site inspection. (NRS 449.0302, 449.0303) After it receives a properly completed application, accompanied by the appropriate fee, the Division shall conduct an investigation of the applicant and inspect the proposed psychiatric residenti…

NAC 449.417 Issuance of license. (NRS 449.0302, 449.0303) The Division shall issue a license to operate a psychiatric residential treatment facility to the applicant if, after investigation, the Division finds that the applicant is in substantial compliance with the provisions of…

NAC 449.419 Personnel: Written policies required; evidence of licensure or certification and tuberculosis testing required. (NRS 449.0302, 449.0303) 1. A psychiatric residential treatment facility shall have written policies concerning the qualifications, responsibilities and con…

NAC 449.420 Compliance with state, federal and local laws, regulations and ordinances; failure to comply is ground for suspension or revocation of license. (NRS 449.0302, 449.0303) 1. During the term of a license to operate a psychiatric residential treatment facility, the licens…

NAC 449.421 Suspension, revocation or cancellation of license; provisional license. (NRS 449.0302, 449.0303) The Division may suspend or revoke a license issued pursuant to NAC 449.410 to 449.4495, inclusive, or cancel such a license and issue a provisional license based upon any…

NAC 449.423 Written scope of services; policies and procedures; responsibilities and duties of administrator. (NRS 449.0302, 449.0303) 1. A psychiatric residential treatment facility must be administered in a manner that enables the psychiatric residential treatment facility to u…

NAC 449.424 Quality improvement program. (NRS 449.0302, 449.0303) 1. The administrator shall ensure that the psychiatric residential treatment facility has an effective, comprehensive quality improvement program to evaluate the provision of care to its residents. 2. The quality i…

NAC 449.426 Construction and maintenance of facility; plan for emergency preparedness; safety from fire and other disasters. (NRS 449.0302, 449.0303) 1. The buildings of a psychiatric residential treatment facility must be solidly constructed with adequate space and safeguards fo…

NAC 449.427 Limitation on number of residents. (NRS 449.0302, 449.0303) A psychiatric residential treatment facility shall not have more residents than the number of beds for which it is licensed. (Added to NAC by Bd. of Health by R046-14, eff. 10-24-2014)

NAC 449.428 Access of residents to their belongings; accommodations, equipment and supplies for residents; lighting and temperature levels. (NRS 449.0302, 449.0303) 1. A psychiatric residential treatment facility shall provide residents access to their belongings as is appropriat…

NAC 449.429 Housekeeping services; cleaning and laundry requirements. (NRS 449.0302, 449.0303) 1. A psychiatric residential treatment facility shall establish organized housekeeping services planned, operated and maintained to provide a pleasant, safe and sanitary environment. Ad…

NAC 449.430 Prevention, control and investigation of infections and communicable diseases. (NRS 449.0302, 449.0303) A psychiatric residential treatment facility shall: 1. Provide a sanitary environment to avoid sources and transmission of infections and communicable diseases; 2. …

NAC 449.432 Administration of medication; security. (NRS 449.0302, 449.0303) 1. Only members of the staff of the psychiatric residential treatment facility who are legally authorized to administer medications may do so. 2. Security of all medications must be maintained in accorda…

NAC 449.4325 Orders for medication and biologicals. (NRS 449.0302, 449.0303) 1. Except as otherwise provided in this section, an order for a medication or biological for a resident must be in writing and signed by the practitioner, or other appropriate professional person authori…

NAC 449.433 Reporting of problems concerning administration of drug to resident and misuses and losses of controlled substances; information concerning drugs must be available to professional members of staff. (NRS 449.0302, 449.0303) 1. Errors in administering a drug to a reside…

NAC 449.435 Dietary services: General requirements. (NRS 449.0302, 449.0303) A psychiatric residential treatment facility shall: 1. Provide each resident with a nourishing, palatable, well-balanced diet that meets the daily nutritional and dietary needs of the resident. 2. Ensure…

NAC 449.436 Dietary services: Facilities; standards; permits. (NRS 449.0302, 449.0303) A psychiatric residential treatment facility shall ensure that: 1. Adequate space for the preparation and service of food is provided; 2. Adequate space is maintained to accommodate equipment, …

NAC 449.438 Dietary services: Sanitary conditions required; supplies. (NRS 449.0302, 449.0303) 1. A psychiatric residential treatment facility shall store, prepare, distribute and serve food under sanitary conditions. 2. A psychiatric residential treatment facility shall maintain…

NAC 449.439 Dietary services: Therapeutic diets. (NRS 449.0302, 449.0303) A psychiatric residential treatment facility shall ensure that a resident receives a therapeutic diet when it is determined that he or she has a nutritional problem. (Added to NAC by Bd. of Health by R046-1…

NAC 449.441 Dietary services: Personnel. (NRS 449.0302, 449.0303) 1. A psychiatric residential treatment facility shall maintain an organized dietary service that is staffed by an adequate number of personnel. The dietary service must be integrated with the other departments, uni…

NAC 449.442 Policies and procedures for protection of rights of residents; duties of employee or independent contractor who believes resident has been abused or neglected. (NRS 439.200, 449.0302, 449.0303) 1. A psychiatric residential treatment facility shall develop and carry ou…

NAC 449.445 Policies and procedures for admission of residents; provision of certain information to resident or person legally responsible for resident. (NRS 449.0302, 449.0303) A psychiatric residential treatment facility shall: 1. Develop and carry out policies and procedures f…

NAC 449.447 Records of residents. (NRS 449.0302, 449.0303) A psychiatric residential treatment facility shall: 1. Maintain a record for each resident evaluated or treated in the psychiatric residential treatment facility. 2. Ensure that each record is accurately written, promptly…

NAC 449.448 Assessment and appropriate care of residents. (NRS 449.0302, 449.0303) 1. To provide a resident with the appropriate care at the time that the care is needed, the needs of the resident must be assessed by qualified personnel of the psychiatric residential treatment fa…

NAC 449.4495 Discharge planning. (NRS 449.0302, 449.0303) A psychiatric residential treatment facility shall: 1. Have a process for discharge planning that applies to all residents; 2. Develop and carry out policies and procedures regarding the process for discharge planning; 3. …

NAC 449.450 “Facility” defined. (NRS 449.0302) As used in NAC 449.450 to 449.4526, inclusive, unless the context otherwise requires, “facility” means a facility for refractive surgery as defined in NRS 449.00387. (Added to NAC by Bd. of Health by R052-02, eff. 7-24-2002; A by R04…

NAC 449.4504 Administrator: Appointment; duties; qualifications. (NRS 449.0302) 1. A licensee of a facility shall appoint an administrator to be legally responsible for: (a) The daily operation of the facility; and (b) Compliance with the applicable provisions of NAC 449.002 to 4…

NAC 449.4505 Administrator of facility that performs intraocular lens implants: Duties. (NRS 449.0302) The administrator of a facility that performs intraocular lens implants shall: 1. Ensure that equipment and supplies are sufficient so that intraocular lens implants are perform…

NAC 449.4506 Staffing requirements; personnel files. (NRS 449.0302) The administrator of a facility shall ensure that: 1. The facility is adequately staffed with qualified personnel who: (a) Meet the needs of and ensure the safety of each person who visits the facility; and (b) S…

NAC 449.4508 Maintenance of patient records. (NRS 449.0302) 1. The administrator of a facility shall ensure that the facility establishes and maintains a record of each patient admitted to the facility which includes an assessment of the health needs of the patient and a descript…

NAC 449.451 Written policies and procedures. (NRS 449.0302) 1. The administrator of a facility shall ensure that the facility has written policies and procedures available to members of the staff, patients and the public which govern the operation of the facility and services pro…

NAC 449.4512 Program of quality improvement. (NRS 449.0302) The administrator of a facility shall ensure that the facility has a program of quality improvement in place which: 1. Monitors and evaluates the quality of patient care; 2. Evaluates methods to improve patient care; 3. …

NAC 449.4514 Rights of patients; informed consent. (NRS 449.0302) The administrator of a facility shall ensure that: 1. Each patient admitted to the facility is treated with respect, consideration and dignity. 2. Each patient admitted to the facility is provided appropriate priva…

NAC 449.4516 Equipment and supplies. (NRS 449.0302) 1. The administrator of a facility shall ensure that: (a) The facility is adequately equipped; (b) Any equipment used in the facility is periodically inspected and, if appropriate, tested, calibrated, serviced or repaired accord…

NAC 449.4518 Liability for use of leased equipment. (NRS 449.0302) If a licensee leases a laser or other equipment to another ophthalmologist for the surgical treatment of patients by photorefractive keratectomy and laser in situ keratomeleusis, the licensee remains responsible f…

NAC 449.4522 Sanitation and hygiene; space and storage. (NRS 449.0302) 1. The administrator of a facility shall ensure that all parts of the facility, including its premises and equipment, are maintained in a neat and clean condition which is free of insects, rodents, litter and …

NAC 449.4524 Medical care of patients. (NRS 449.0302) 1. The administrator of a facility shall ensure that: (a) Only local anesthesia and oral medication which is administered to a patient to relieve anxiety in the patient, if the medication is not given in a dosage which is suff…

NAC 449.4526 Application for indemnification for certain damages; claims against surety bond or substitute thereof. (NRS 449.0302) 1. A person who has sustained damages as a result of the bankruptcy of or any breach of contract by a facility may file an application for indemnific…

NAC 449.501 Definitions. (NRS 449.0302) As used in NAC 449.501 to 449.5795, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.502 to 449.519, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd. of Health by …

NAC 449.502 “Advanced practice registered nurse” defined. (NRS 449.0302) “Advanced practice registered nurse” has the meaning ascribed to it in NAC 632.020. (Added to NAC by Bd. of Health by R130-99, eff. 8-1-2001)

NAC 449.504 “Charge nurse” defined. (NRS 449.0302) “Charge nurse” has the meaning ascribed to it in NAC 632.033. (Added to NAC by Bd. of Health by R130-99, eff. 8-1-2001)

NAC 449.5045 “Competency” defined. (NRS 449.0302) “Competency” means the demonstrated ability to carry out a specified task or activity with reasonable skill and safety in accordance with the prevailing standard of practice of the community in which the task or activity is carrie…

NAC 449.505 “Dialysis” defined. (NRS 449.0302) “Dialysis” means the method by which a dissolved substance is removed from the body of a patient by diffusion, osmosis and convection from one fluid compartment to another fluid compartment across a semipermeable membrane. (Added to …