CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.7342 Facilities for employees and volunteers. (NRS 449.0302) In addition to the facilities for employees required in certain departments, all employees and volunteers must have lockers, lounges and toilets to accommodate their needs. (Added to NAC by Bd. of Health by R066…

NAC 449.7344 Areas for engineering and maintenance. (NRS 449.0302) 1. A room or separate building for boilers, mechanical equipment and electrical equipment must be provided. 2. An area for an engineer’s office and maintenance shop must be provided. 3. A toilet and emergency show…

NAC 449.7346 Janitors’ closets. (NRS 449.0302) 1. In addition to the janitors’ closets required in certain departments, janitors’ closets must be provided throughout the facility to maintain a clean and sanitary environment. 2. At least one janitors’ closet must be provided for e…

NAC 449.7348 Linen service. (NRS 449.0302) 1. If linen is processed at the facility, there must be equipment which can process a 7-day supply within a regularly scheduled workweek. 2. There must be a room for receiving, holding and sorting soiled linen, with facilities for washin…

NAC 449.735 Area for medical records. (NRS 449.0302) An area for working on and storing medical records must be provided. (Added to NAC by Bd. of Health by R066-04, eff. 8-4-2004)

NAC 449.7352 Nursing units. (NRS 449.0302) 1. Nursing units must be limited to 60 beds. The maximum room capacity is two patients. 2. The minimum area for a room, exclusive of toilet rooms, closets, lockers, wardrobes and vestibules of less than one-half of the width of a room, i…

NAC 449.7354 Service areas. (NRS 449.0302) 1. Space must be provided at the nursing station for charting, communication systems and necessary equipment and storage. 2. Lavatories and toilets for the staff must be conveniently located near the nursing station. 3. A clean workroom …

NAC 449.7356 Processing of waste. (NRS 449.0302) Space and facilities must be provided for the sanitary storage and disposal of waste by mechanical destruction, compaction, containerization or removal by a combination of these techniques. (Added to NAC by Bd. of Health by R066-04…

NAC 449.736 Personnel. (NRS 449.0302) 1. A facility for persons with an intellectual disability or persons with a developmental disability must be administered by a person with sufficient authority and responsibility to manage the facility and implement administrative policy. The…

NAC 449.737 Plan of care. (NRS 449.0302) 1. Each resident in a facility for persons with an intellectual disability or persons with a developmental disability must be a regular participant in an individual plan of care which must be prepared in written form by an interdisciplinar…

NAC 449.740 Corporal punishment; restraints. (NRS 449.0302) 1. Corporal punishment of residents in a facility for persons with an intellectual disability or persons with a developmental disability by members of the staff or other residents is prohibited. 2. Physical restraints ma…

NAC 449.743 Records. (NRS 449.0302) 1. A file must be maintained for each resident in a facility for persons with an intellectual disability or persons with a developmental disability which contains: (a) Identification information; (b) The resident’s legal status; (c) Admission d…

NAC 449.74311 Definitions. (NRS 449.0302) As used in NAC 449.74311 to 449.74373, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.74313 to 449.74325, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by Bd. of H…

NAC 449.74313 “Administrator” defined. (NRS 449.0302) “Administrator” means the person who is appointed by the governing body of a facility who has primary responsibility for the overall operations of the facility. (Added to NAC by Bd. of Health by R051-06, eff. 7-14-2006)

NAC 449.74315 “Facility” defined. (NRS 449.0302) “Facility” means a community triage center as defined in NRS 449.0031. (Added to NAC by Bd. of Health by R051-06, eff. 7-14-2006)

NAC 449.74317 “Governing body” defined. (NRS 449.0302) “Governing body” means a body that has the ultimate authority for the administration of a facility pursuant to NAC 449.74327. (Added to NAC by Bd. of Health by R051-06, eff. 7-14-2006)

NAC 449.74321 “Patient” defined. (NRS 449.0302) “Patient” means any person who is under observation or receiving care or treatment in a facility. (Added to NAC by Bd. of Health by R051-06, eff. 7-14-2006)

NAC 449.74322 “Person with mental illness” defined. (NRS 449.0302) “Person with mental illness” has the meaning ascribed to it in NRS 433A.115. (Added to NAC by Bd. of Health by R051-06, eff. 7-14-2006)—(Substituted in revision for NAC 449.74319) REVISER’S NOTE. Ch. 66, Stats. 20…

NAC 449.74323 “Program” defined. (NRS 449.0302) “Program” means a program described in NAC 449.74339. (Added to NAC by Bd. of Health by R051-06, eff. 7-14-2006)

NAC 449.74325 “Psychologist” defined. (NRS 449.0302) “Psychologist” has the meaning ascribed to it in NRS 641.027. (Added to NAC by Bd. of Health by R051-06, eff. 7-14-2006)

NAC 449.74327 Governing body; bylaws and policies. (NRS 449.0302) 1. Each facility must have a governing body which has the ultimate authority for the administration of the facility. 2. The governing body shall: (a) Adopt written bylaws and policies that define the powers and dut…

NAC 449.74329 Policies and procedures for services and operation of facility. (NRS 449.0302) 1. The governing body shall adopt written policies and procedures that govern the operation of the facility and the services provided by the facility. 2. The policies and procedures adopt…

NAC 449.74331 Transfer of patient. (NRS 449.0302) 1. Except in the case of an emergency: (a) The transfer of a patient must not be effected until the patient, attending physician of the patient, if any, and responsible agency are consulted in advance. (b) If a patient is transfer…

NAC 449.74333 Handling of money of patient. (NRS 449.0302) 1. If a facility handles the money of a patient, a written ledger account of all deposits, disbursements and other transactions must be maintained. A record must be made available to the patient. 2. If the amount of money…

NAC 449.74335 Inventory of belongings of patient. (NRS 449.0302) If a facility holds or stores the belongings of a patient, there must be an inventory of the belongings on admission, made a part of the record of the patient and updated as needed. These belongings must be returned…

NAC 449.74337 Liability insurance. (NRS 449.0302) Liability insurance in a sufficient amount to protect patients, members of the staff, volunteers and visitors must be maintained by each facility. A certificate of insurance must be furnished to the Division. The certificate must …

NAC 449.74339 General requirements for programs and services. (NRS 449.0302) 1. Each program for the provision of detoxification services, each social model detoxification program or its equivalent and each modified medical detoxification program or its equivalent of a facility m…

NAC 449.74341 Responsibilities and duties of administrator. (NRS 449.0302) 1. The administrator of a facility is responsible to the governing body of the facility for the operation of the facility in accordance with the policies and procedures of the facility. 2. The administrato…

NAC 449.74343 Policies and procedures concerning employees. (NRS 449.0302) 1. The administrator or his or her appointee must be present and responsible for the operations of the facility during normal hours. 2. All members of the counseling staff of a facility must be authorized …

NAC 449.74345 Nursing services. (NRS 449.0302) 1. Each facility shall have an organized plan for nursing service that provides nursing services 24 hours per day. The nursing services must be provided or supervised by a registered nurse in compliance with state law, including, wit…

NAC 449.74347 Health services. (NRS 449.0302) 1. Each facility shall provide health services which ensure that each patient receives treatment, prescribed medication, adequate diets and other health services consistent with each program administered by the facility. 2. There must…

NAC 449.74349 Mental health services. (NRS 449.0302) 1. Mental health services provided by a facility must be supervised by a psychiatrist or a psychologist who has a master’s degree in clinical or counseling psychology. The mental health staff of the facility must be adequate in…

NAC 449.74351 Pharmaceutical services. (NRS 449.0302) 1. Each facility shall have: (a) A pharmacy directed by a registered pharmacist; (b) A drug room supervised by no less than a currently licensed professional nurse; or (c) A contract for 24-hour pharmaceutical service with a l…

NAC 449.74353 Medication and biologicals. (NRS 449.0302) 1. Except as otherwise provided in subsection 2, an order for medication or biologicals for a patient must be in writing and signed by the practitioner, or other appropriate professional person authorized by state or federa…

NAC 449.74355 Records of patients. (NRS 449.0302) 1. Each facility shall maintain an organized system for the records of patients. 2. The records of a patient must be available to professional members of the staff of the facility who are directly involved with the patient. 3. The…

NAC 449.74357 Laundry requirements. (NRS 449.0302) 1. Each facility shall have the proper equipment for the sanitary washing and finishing of linen and other washable goods or shall maintain a written agreement with a commercial establishment to provide proper laundry services. 2…

NAC 449.74359 Dietary services. (NRS 449.0302) 1. Each facility shall serve at least three meals or their equivalent daily, at regular times, with not more than 14 hours between a substantial evening meal and breakfast. 2. Additional food and between-meal nourishment must be prov…

NAC 449.74361 New construction or remodeling: Submission and approval of building plans; prerequisites to approval of facility for licensure. (NRS 449.0302) 1. Except as otherwise provided in subsection 4, before any new construction of a facility or any remodeling of an existing…

NAC 449.74363 Design, construction, equipment and maintenance of facility. (NRS 449.0302) 1. Each facility must be designed, constructed, equipped and maintained in a manner that protects the health and safety of the patients and personnel of the facility and members of the gener…

NAC 449.74365 Entrances, lobbies and offices; storage space. (NRS 449.0302) Each facility shall provide: 1. A covered entrance to protect patients from the elements; 2. A lobby which measures not less than 100 square feet, has access to toilet facilities and may be used for multi…

NAC 449.74367 Patients’ rooms; toilet and bathing facilities. (NRS 449.0302) 1. Each facility shall provide separate patient rooms for male and female patients. Each patient room must: (a) Be at least 80 square feet per bed, exclusive of toilet facilities, closets or entryways; (…

NAC 449.74369 Service areas; miscellaneous requirements. (NRS 449.0302) 1. Each facility shall provide: (a) A nursing station which includes, without limitation: (1) Space for computer and printer equipment and for writing; (2) A medication room or storage space for a medication …

NAC 449.74371 Safety and sanitation. (NRS 449.0302) 1. The premises and equipment of each facility must be maintained in a safe, functional and sanitary condition. Each facility shall have the necessary cleaning and maintenance equipment with sufficient storage areas and appropri…

NAC 449.74373 Preparations for disasters; reporting of fire or disaster. (NRS 449.0302) 1. Each facility shall develop a written plan for internal and external disasters which outlines procedures for members of the staff and patients to follow in case of fire or other emergency a…

NAC 449.744 “Facility for skilled nursing” defined. (NRS 449.0302) As used in NAC 449.744 to 449.74549, inclusive, unless the context otherwise requires, “facility for skilled nursing” has the meaning ascribed to it in NRS 449.0039. (Added to NAC by Bd. of Health by R051-99, eff.…

NAC 449.74411 Applicability of license; limitation on number of patients; coverage against certain liabilities. (NRS 449.0302) 1. A facility for skilled nursing must be operated and conducted in the name designated on the license for the facility, with the name of the person resp…

NAC 449.74413 Change in ownership, use or construction of facility. (NRS 439.200, 449.0302) The owner of a facility for skilled nursing shall, at least 30 days before there is a change of ownership, change of use or change in the construction of the facility, notify the Bureau of…