CHAPTER 449 - MEDICAL FACILITIES AND OTHER RELATED ENTITIES

NAC 449.74531 Pharmaceutical services. (NRS 449.0302) 1. A facility for skilled nursing shall provide such pharmaceutical services, including, without limitation, acquiring, receiving, dispensing and administering drugs and biologicals, as are required to meet the needs of the pa…

NAC 449.74533 Laboratory services. (NRS 449.0302) 1. A facility for skilled nursing shall provide laboratory services to meet the needs of the patients in the facility or contract with a laboratory to obtain such services. 2. If a facility for skilled nursing has its own laborato…

NAC 449.74535 Radiological and other diagnostic services. (NRS 449.0302) 1. A facility for skilled nursing shall provide radiological and other diagnostic services to meet the needs of the patients in the facility or contract with qualified outside sources to obtain such services…

NAC 449.74537 Special services. (NRS 449.0302) A facility for skilled nursing shall ensure that a patient in the facility receives the following special services if needed: 1. Injections. 2. Parenteral and enteral fluids. 3. Colostomy, ureterostomy and ileostomy care. 4. Tracheos…

NAC 449.74539 General requirements. (NRS 449.0302) A facility for skilled nursing shall: 1. Provide a safe, functional, sanitary and comfortable environment for the patients in the facility, the members of its staff and members of the general public; 2. Care for each patient in t…

NAC 449.74543 Design, construction, equipment and maintenance: General requirements; prerequisites to approval of facility for licensure. (NRS 439.200, 449.0302) 1. A facility for skilled nursing must be designed, constructed, equipped and maintained in a manner that protects the…

NAC 449.74549 Patients’ rooms. (NRS 449.0302) 1. A patient’s room within a facility for skilled nursing must be designed and equipped in a manner that allows adequate nursing care to be provided and provides comfort and privacy for the patient. 2. A facility for skilled nursing s…

NAC 449.747 Definitions. (NRS 449.0302) As used in NAC 449.747 to 449.7481, inclusive, unless the context otherwise requires: 1. “License” means a document issued by the Division permitting the operation of a nursing pool. 2. “Licensee” means a person to whom a license has been i…

NAC 449.7471 License required. (NRS 449.0302) No person, state or local government, or agency thereof, may establish, conduct or maintain in this State a nursing pool without first obtaining a license from the Division. (Added to NAC by Bd. of Health, 1-31-90, eff. 7-1-90)

NAC 449.7473 Location to which license applies; persons named in license; restrictions on use of license. (NRS 449.0302) 1. Each license is separate and distinct and is issued to a specific person to operate a nursing pool at a specific location. A nursing pool must be operated a…

NAC 449.7474 Duties of licensee or applicant for license. (NRS 449.0302) 1. A licensee or applicant for a license shall: (a) Designate a person who is responsible for the conduct of the nursing pool; and (b) Disclose the ownership of the nursing pool to the Division. 2. A license…

NAC 449.7475 Administrator: Qualifications and duties. (NRS 449.0302) 1. The administrator of a nursing pool must be a physician or professional registered nurse, licensed to practice in this State, or a person having at least 1 year of supervisory or administrative experience in…

NAC 449.7476 Director of professional services: Qualifications and duties. (NRS 449.0302) 1. The director of professional services must be a physician, or a professional registered nurse, who is licensed to practice in this State. The director must be readily available through th…

NAC 449.7477 Personnel policies: Maintenance and availability. (NRS 449.0302) A nursing pool shall maintain written policies concerning the qualifications, responsibilities and conditions of employment for each category of personnel, including licensure when required by law. The …

NAC 449.7478 Requirements for contracts to provide nursing services. (NRS 449.0302) If a nursing pool provides nursing services under a contract with another entity, other than a licensed medical facility, the services must be furnished in accordance with the terms of a written c…

NAC 449.7479 Referral of patients when services not available; provision of services; bonding of staff. (NRS 449.0302) 1. If services needed by a patient are not available from a nursing pool, it must assist in directing the patient to other resources in the community. 2. Service…

NAC 449.748 Duties of registered nurse; provision of nursing care by practical nurse or nursing assistant. (NRS 449.0302) 1. A registered nurse employed by a nursing pool shall: (a) Provide nursing guidance and care to patients; (b) If care is to be provided to a patient at his o…

NAC 449.7481 Annual evaluation of nursing pool by licensee. (NRS 449.0302) 1. A licensee shall perform an overall evaluation of the nursing pool annually. The purpose of the evaluation is to audit the financial condition of the nursing pool, to review its policies and procedures,…

NAC 449.749 Definitions. (NRS 439.200, 449.0302) As used in NAC 449.749 to 449.800, inclusive, unless the context otherwise requires: 1. “Branch office” means an office, other than the home office, from which a home health agency provides services. 2. “Home health agency” means a…

NAC 449.750 Adoption of publication by reference; revision of publication after adoption. (NRS 439.200, 449.0302) 1. “Appendix B - Guidance to Surveyors: Home Health Agencies” of the State Operations Manual, issued February 21, 2020, published by the Centers for Medicare and Medi…

NAC 449.752 License required. (NRS 449.0302) No person, state, local government or any agency thereof may establish, conduct or maintain in this State a home health agency without first obtaining a license issued by the Division. [Bd. of Health, Home Health Agencies Part II Chap.…

NAC 449.758 Applicability of license; coverage against certain liabilities. (NRS 439.200, 449.0302) 1. Each license is separate and is issued to a specific person to operate a home health agency at a specific location. The home health agency must be operated and conducted in the …

NAC 449.761 Periodic inspections. (NRS 449.0302) Every home health agency for which a license has been issued will be periodically inspected by an authorized representative of the Division. Reports of each inspection in which deficiencies were found will be prepared by the repres…

NAC 449.767 Action to enjoin operation without license. (NRS 449.0302) 1. The Division may bring an action in the name of the State to enjoin any person, partnership, corporation or association, or any state or local governmental unit or agency thereof, from establishing or maint…

NAC 449.768 Applicant or licensee to maintain home office in Nevada. (NRS 449.0302) A person who applies for a license to operate a home health agency or a person who holds such a license shall maintain a home office in this State. (Added to NAC by Bd. of Health, eff. 11-13-96) A…

NAC 449.782 Personnel policies. (NRS 449.0302) A home health agency shall establish written policies concerning the qualifications, responsibilities and conditions of employment for each type of personnel, including licensure if required by law. The written policies must be revie…

NAC 449.788 Licensure, registration or certification of certain personnel. (NRS 439.200, 449.0302) 1. A person providing services on behalf of a home health agency must possess any licensure, registration, certification or their equivalent required by state or federal law. 2. A n…

NAC 449.793 Periodic review of patient and clinical records by appointed committee; minutes of meetings. (NRS 439.200, 449.0302) 1. The governing body or other entity responsible for the operation of a home health agency shall appoint a committee to provide for a quarterly review…

NAC 449.7935 Compliance with certain federal requirements; exception; provision of data to Division; application of certain provisions to physician assistants and advanced practice registered nurses. (NRS 439.200, 449.0302) 1. Except as otherwise provided in this subsection, a ho…

NAC 449.794 Clinical records: Maintenance. (NRS 439.200, 449.0302, 629.051) A home health agency shall maintain clinical records in the manner prescribed by NRS 629.051. [Bd. of Health, Home Health Agencies Part II Chap. III § H subsecs. 1-3, eff. 1-10-74]—(NAC A 11-13-96; R048-2…

NAC 449.797 Clinical records; contents. (NRS 439.200, 449.0302) The clinical records of a home health agency must contain: 1. Information as to whether home health services are after hospitalization in a hospital, skilled nursing facility or other health service facility and, if …

NAC 449.800 Orders of a physician, physician assistant or advanced practice registered nurse. (NRS 439.200, 449.0302) 1. A complete diagnosis must be included with the orders of a physician, physician assistant or advanced practice registered nurse as well as any relevant problem…

NAC 449.801 Definitions. (NRS 433.324, 439.200, 449.0302) As used in NAC 449.801 to 449.861, inclusive, unless the context otherwise requires, the words and terms defined in NAC 449.802 to 449.816, inclusive, have the meanings ascribed to them in those sections. (Added to NAC by …

NAC 449.802 “Certificate” defined. (NRS 433.324, 433.607, 433.609, 439.200, 449.0302) “Certificate” has the meaning ascribed to it in NRS 433.603. (Added to NAC by Bd. of Health by R090-16, 6-21-2017, eff. 7-1-2017)—(Substituted in revision for NAC 433.303)

NAC 449.804 “Community-based living arrangement services” or “services” defined. (NRS 433.324, 433.609, 439.200, 449.0302) “Community-based living arrangement services” or “services” has the meaning ascribed to it in NRS 433.605. (Added to NAC by Bd. of Health by R090-16, 6-21-20…

NAC 449.805 “Facility” defined. (NRS 439.200, 449.0302) “Facility” means a home operated by a provider in which services are provided. (Added to NAC by Bd. of Health by R134-18, eff. 12-19-2018)

NAC 449.807 “Individual support team” defined. (NRS 433.324, 433.609, 439.200, 449.0302) “Individual support team” means a team of persons, other than a provider, who provide health care and perform other duties for the benefit of a person with a mental illness. (Added to NAC by …

NAC 449.808 “Individualized plan” defined. (NRS 433.324, 433.609, 439.200, 449.0302) “Individualized plan” means a plan prescribing the services that will be provided to a person with mental illness, the frequency with which the services will be provided and the manner in which t…

NAC 449.810 “Mental illness” defined. (NRS 433.324, 433.609, 439.200, 449.0302) “Mental illness” has the meaning ascribed to it in NRS 433.164. (Added to NAC by Bd. of Health by R090-16, 6-21-2017, eff. 7-1-2017)—(Substituted in revision for NAC 433.315)

NAC 449.811 “Provider” defined. (NRS 433.324, 433.609, 439.200, 449.0302) “Provider” means a natural person or a partnership, firm, corporation, association, state or local government or agency thereof that is issued a provisional license or license. (Added to NAC by Bd. of Healt…

NAC 449.813 “Provisional license” defined. (NRS 433.324, 439.200, 449.0302) “Provisional license” means a temporary license to provide services that is issued pursuant to NAC 449.820. (Added to NAC by Bd. of Health by R090-16, 6-21-2017, eff. 7-1-2017)—(Substituted in revision fo…

NAC 449.814 “Quality assurance review” defined. (NRS 433.324, 433.609, 439.200, 449.0302) “Quality assurance review” means a review of the provision of services conducted by the Division pursuant to NAC 449.853. (Added to NAC by Bd. of Health by R090-16, 6-21-2017, eff. 7-1-2017)…

NAC 449.816 “Resident” defined. (NRS 439.200, 449.0302) “Resident” means a person who resides at and receives services from a facility. (Added to NAC by Bd. of Health by R134-18, eff. 12-19-2018) Issuance and Renewal of Provisional Licenses and Licenses

NAC 449.817 Provisional license or license required to provide services; exception. (NRS 433.324, 439.200, 449.0302) Except as otherwise provided in NRS 433.607, a person or governmental entity must hold a provisional license or license to provide services or receive payment from…

NAC 449.818 Contents of application for provisional license; fee; bond. (NRS 433.324, 439.150, 439.200, 449.0302) 1. An application for a provisional license must be submitted to the Division on a form furnished by the Division accompanied by a nonrefundable fee of $100 and must …

NAC 449.819 Review of application for provisional license; actions upon determination that application is incomplete. (NRS 433.324, 439.150, 439.200, 449.0302) 1. The Division shall review each application for a provisional license to determine whether the application is complete…

NAC 449.820 Training required of applicant for provisional license; inspection of facility; issuance and validity of provisional license. (NRS 433.324, 439.200, 449.0302) 1. An applicant for a provisional license must complete 16 hours of training approved or provided by the Divi…