CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.613945 Establishment of criteria and protocols concerning pregnancy; requirements for birth at birthing center; exception. (NRS 439.200, 449.0302) 1. The director of a freestanding birthing center shall establish: (a) Criteria for determining whether the risk of a pregnan…

NAC 449.61395 Information to be provided to patient; access of patient to medical record; adoption of procedure for complaint. (NRS 439.200, 449.0302) 1. A freestanding birthing center shall inform each pregnant person or person who has given birth who seeks care from the freesta…

NAC 449.613953 Exclusions from term “surgery.” (NRS 439.200, 449.0302) For the purposes of NRS 449.198, surgery does not include: 1. Episiotomy; or 2. Repair of lacerations sustained during the delivery of a newborn. (Added to NAC by Bd. of Health by R062-21, eff. 9-28-2022)

NAC 449.613956 Duties of director relating to drugs and laboratory testing supplies; use of prescribed drug by patient. (NRS 439.200, 449.0302) 1. The director of a freestanding birthing center shall: (a) Ensure that drugs are administered and stored in the freestanding birthing …

NAC 449.61396 Death of patient; notification of Division; provision of counseling. (NRS 439.200, 449.0302) 1. Not later than 24 hours after the death of a pregnant person, a person who has given birth or a newborn at a freestanding birthing center, the director of the freestandin…

NAC 449.614 Definitions. (NRS 449.0302) As used in NAC 449.614 to 449.743, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.617 to 449.659, inclusive, have the meanings ascribed to them in those sections. (Supplied in codification; A by Bd.…

NAC 449.617 “Administrator” defined. (NRS 449.0302) “Administrator” means a licensee or a person appointed by the licensee who has the responsibility for the management of a facility. [Bd. of Health, Intermediate Care Facilities Reg. § 1.2, eff. 12-5-75]

NAC 449.623 “Facility” defined. (NRS 449.0302) “Facility” means an intermediate care facility. [Bd. of Health, Intermediate Care Facilities Reg. § 1.5, eff. 12-5-75]

NAC 449.629 “Intermediate care facility as a distinct part of a health and care facility furnishing more than one level of care” defined. (NRS 449.0302) 1. “Intermediate care facility as a distinct part of a health and care facility furnishing more than one level of care” means a…

NAC 449.632 “Intermediate care facility for persons with an intellectual disability or persons with a developmental disability” defined. (NRS 449.0302) “Intermediate care facility for persons with an intellectual disability or persons with a developmental disability” means a faci…

NAC 449.635 “Licensee” defined. (NRS 449.0302) “Licensee” means the person, corporation, partnership, voluntary association, or other public or private organization responsible for the overall operation of an intermediate care facility. [Bd. of Health, Intermediate Care Facilitie…

NAC 449.638 “Long-term care facility” defined. (NRS 449.0302) “Long-term care facility” means an intermediate care facility, a skilled nursing facility or a chronic disease hospital. [Bd. of Health, Intermediate Care Facilities Reg. § 1.7, eff. 12-5-75]

NAC 449.644 “Mixed facility” defined. (NRS 449.0302) “Mixed facility” means a skilled nursing facility which also admits residents of an intermediate care facility who receive care and services appropriate to their needs. Residents are discriminately assigned to beds in the facil…

NAC 449.647 “New facility” defined. (NRS 449.0302) “New facility” means an intermediate care facility which is a newly built structure or an intermediate care facility which is under new ownership. [Bd. of Health, Intermediate Care Facilities Reg. § 1.13, eff. 12-5-75]

NAC 449.650 “Nursing home” defined. (NRS 449.0302) “Nursing home” means an intermediate care facility or a skilled nursing facility. [Bd. of Health, Intermediate Care Facilities Reg. § 1.10, eff. 12-5-75]

NAC 449.653 “Patient in an intermediate care facility I” defined. (NRS 449.0302) “Patient in an intermediate care facility I” means a resident who requires 24-hour supervision under the care of a licensed vocational nurse but needs only periodic professional treatment, observatio…

NAC 449.656 “Patient in an intermediate care facility II” defined. (NRS 449.0302) “Patient in an intermediate care facility II” means a resident who requires 24-hour supervision under the care of a registered nurse. The resident requires observation, evaluation and assistance wit…

NAC 449.657 “Person with a developmental disability” defined. (NRS 449.0302) “Person with a developmental disability” means a person who has a condition manifested in childhood which is attributable to an intellectual disability, cerebral palsy, epilepsy or other neurological con…

NAC 449.658 “Person with an intellectual disability” defined. (NRS 449.0302) “Person with an intellectual disability” means a person having a condition of significantly subaverage intellectual functions existing concurrently with deficits in adaptive behavior. The condition manif…

NAC 449.659 “Resident” defined. (NRS 449.0302) “Resident” means a patient in an intermediate care facility. [Bd. of Health, Intermediate Care Facilities Reg. § 1.12, eff. 12-5-75] Licensing

NAC 449.668 Provisional licenses. (NRS 449.0302) The Division may issue a provisional license to a facility which: 1. Is in operation at the time of the adoption of new regulations, to provide a reasonable time, not to exceed 1 year from the effective date of the regulations, wit…

NAC 449.671 Financing; liability insurance. (NRS 449.0302) 1. Each facility shall: (a) Have a sound plan for financing which assures sufficient funds to provide proper care for residents and to carry out the stated purposes, programs and services; (b) If it is a new facility, hav…

NAC 449.674 Administrator: Qualifications. (NRS 449.0302) 1. A facility must be administered by a person licensed in Nevada as a nursing home administrator, except in the case of intermediate care facilities for persons with an intellectual disability or persons with a developmen…

NAC 449.677 Employees: General requirements. (NRS 449.0302) 1. A facility must maintain methods of administrative management which assure that: (a) There are on duty, all hours of each day, members of the staff sufficient in number and qualifications to carry out the policies, re…

NAC 449.680 Maintenance of evidence of screenings for communicable diseases. (NRS 439.200, 449.0302) A facility must maintain evidence that each employee or independent contractor of the facility has been screened for communicable diseases as required by NAC 441A.375. [Bd. of Hea…

NAC 449.681 Employees of facility which provides care to persons with dementia: Continuing education. (NRS 449.0302, 449.094) 1. Except as otherwise provided in subsection 4, each person who is employed by a facility which provides care to persons with any form of dementia, inclu…

NAC 449.685 Design, construction, equipment and maintenance: General requirements; prerequisites to approval of facility for licensure. (NRS 439.200, 449.0302) 1. A facility must be designed, constructed, equipped and maintained in a manner that protects the health and safety of …

NAC 449.692 Sanitary requirements. (NRS 449.0302) 1. A facility must meet all state and local environmental health standards. 2. The quality and type of food service equipment must be appropriate to the type of food service program and approved by fire and health authorities. 3. …

NAC 449.695 Laundry requirements. (NRS 449.0302) 1. Adequate facilities must be provided for the proper and sanitary washing and finishing of linen and other washable goods laundered in the intermediate care facility. The laundry must be situated in an area which is separate and …

NAC 449.698 Fire inspections; hazardous conditions; operation of other business. (NRS 449.0302) 1. At the time of application for a license and at least annually, all facilities must be inspected by the fire or building authority having jurisdiction to ensure that fire and safety…

NAC 449.701 Preparations for emergencies; reporting of fire or disaster. (NRS 449.0302) 1. A facility must have a written and regularly rehearsed disaster preparedness plan for members of the staff and residents to follow in case of fire, explosion or other emergency. 2. There mu…

NAC 449.704 Written policies and procedures for facility; admission agreements; transfer agreements. (NRS 449.0302) 1. A facility must have written policies and procedures available to the members of the staff, residents and the public which govern all areas of services provided …

NAC 449.707 Money of residents. (NRS 449.0302) 1. A written account, available to residents and their families, must be maintained on a current basis for each resident with written, signed and dated receipts for: (a) All personal possessions and money received by or deposited wit…

NAC 449.710 Inventory of residents’ belongings. (NRS 449.0302) 1. There must be an inventory of the personal belongings of a resident upon admission which is made a part of the resident’s record and updated as needed. All personal belongings, especially items of clothing, must ca…

NAC 449.713 Program requirements. (NRS 449.0302) 1. A facility must maintain arrangements through which medical, dental and remedial services, such as laboratory services or X-ray, required by the resident but not regularly provided within the facility, may be obtained when neede…

NAC 449.716 Dietary services. (NRS 449.0302) 1. At least three meals or their equivalent must be served 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 residents who desire one. 2. Th…

NAC 449.719 Health services. (NRS 449.0302) 1. A facility must provide health services which assure that each resident receives treatments, medications, diets and other health services as prescribed and planned, all hours of each day. 2. Immediate supervision of the health servic…

NAC 449.722 Pharmaceutical services. (NRS 449.0302) 1. If a facility does not employ a licensed pharmacist, it must have formal arrangements with a licensed pharmacist to provide consultation on methods and procedures for ordering, storage, administration, disposal and recording …

NAC 449.725 Records. (NRS 449.0302) 1. A facility must maintain an organized system for keeping residents’ records. A resident’s records must be available to professionals and other members of the staff who are directly involved with the resident. The records must be available to…

NAC 449.728 Supervision by physician; volunteers; advertising. (NRS 449.0302) 1. A facility must maintain policies and procedures to assure that each resident’s health and care is under the continuing supervision of a physician who sees the resident as needed and in no case less …

NAC 449.732 Definitions. (NRS 449.0302) As used in NAC 449.732 to 449.743, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.7322 and 449.7324 have the meanings ascribed to them in those sections. (Added to NAC by Bd. of Health by R066-04, e…

NAC 449.7322 “Facility” defined. (NRS 449.0302) “Facility” means an intermediate care facility for persons with an intellectual disability or persons with a developmental disability with 17 or more beds. (Added to NAC by Bd. of Health by R066-04, eff. 8-4-2004)

NAC 449.7324 “New facility” defined. (NRS 449.0302) “New facility” means a facility which is newly built or a facility which is under new ownership. (Added to NAC by Bd. of Health by R066-04, eff. 8-4-2004)

NAC 449.7326 Standards for construction, remodeling or change in use of facility; fire alarms; emergency radio system; submission and approval of building plans. (NRS 449.0302) 1. The construction of a new facility or the remodeling or change in use of an existing facility must b…

NAC 449.7328 Elevators. (NRS 449.0302) 1. All facilities with services for patients or bedrooms located on floors other than the floor of the main entrance must have elevators. 2. At least one elevator of the type used in hospitals must be provided if 1 to 59 patients are located…

NAC 449.733 Electrical systems. (NRS 449.0302) 1. All electrical installations and systems must be tested to show that the equipment is installed and operates as planned or specified. A written record of tests on electrical systems and equipment must be supplied to the owner. 2. …

NAC 449.7332 Mechanical systems. (NRS 449.0302) 1. Before the completion and acceptance of a facility, all mechanical systems must be tested, balanced and operated to demonstrate to the owner or his or her representative that the installation and performance of the systems confor…