Nevada Administrative Code

NAC 449.74451 Charges to be consistent with notice of charges. (NRS 449.0302) Any amount charged for services provided by a facility for skilled nursing must be consistent with the notice of charges provided by the facility pursuant to NAC 449.74449. (Added to NAC by Bd. of Healt…

NAC 449.74453 Notice to patients of programs available for assistance in payment of services. (NRS 449.0302) A facility for skilled nursing shall: 1. Provide to applicants for admission to the facility and to the patients in the facility oral and written information concerning st…

NAC 449.74457 Policies and procedures for advance directives by patient; information to be furnished regarding physicians. (NRS 449.0302) 1. A facility for skilled nursing shall adopt written policies and procedures authorizing the patients in the facility to establish advance di…

NAC 449.74459 Examination by patient of survey of facility and plan of correction. (NRS 449.0302) 1. A patient of a facility for skilled nursing may examine the results of the most recent survey of the facility conducted by the Bureau or a federal regulatory agency and any plan o…

NAC 449.74461 Finances of patient: System for maintenance and accounting. (NRS 449.0302) 1. A facility for skilled nursing: (a) Shall not require a patient to deposit any amount of money with the facility to be held by the facility on behalf of the patient. (b) Shall hold, safegu…

NAC 449.74463 Finances of patient: Authorization to withhold money. (NRS 449.0302) 1. A facility for skilled nursing shall not withhold from money held by the facility on behalf of a patient any amount for: (a) Services related to the maintenance of the patient’s room or bed; (b)…

NAC 449.74465 Sending and receiving mail. (NRS 449.0302) A facility for skilled nursing shall not prohibit a patient in the facility from: 1. Sending and promptly receiving mail. A patient’s mail must not be opened by the facility. 2. Obtaining stationery, postage and writing ins…

NAC 449.74467 Performance of services for facility by patient. (NRS 449.0302) 1. A facility for skilled nursing shall not require a patient in the facility to perform services for the facility. 2. A patient may perform services for the facility only if: (a) The facility has inclu…

NAC 449.74469 Standards of care. (NRS 449.0302) A facility for skilled nursing shall provide to each patient in the facility the services and treatment that are necessary to attain and maintain the patient’s highest practicable physical, mental and psychosocial well-being, in acc…

NAC 449.74471 Administration of drugs. (NRS 449.0302) 1. A facility for skilled nursing shall not administer a drug to a patient in the facility: (a) In excessive doses, including duplicate drug therapy; (b) For an excessive duration; (c) Without monitoring the patient properly; …

NAC 449.74473 Program for control of infections. (NRS 449.0302) 1. A facility for skilled nursing shall establish and maintain a program for the control of infections within the facility. 2. The program must: (a) Be designed to provide a safe, sanitary and comfortable environment…

NAC 449.74475 Vision and hearing. (NRS 449.0302) A facility for skilled nursing shall: 1. Ensure that each patient in the facility receives proper treatment and devices for his or her vision and hearing. 2. Assist a patient, if necessary, in making appointments for the treatment …

NAC 449.74477 Pressure sores. (NRS 449.0302) Based on the comprehensive assessment of a patient conducted pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that a patient: 1. Who is admitted to the facility without pressure sores does not develop pressure sor…

NAC 449.74479 Urinary problems. (NRS 449.0302) Based on the comprehensive assessment of a patient conducted pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that a patient: 1. Who is admitted to the facility without an indwelling catheter is not required to …

NAC 449.74481 Range of motion. (NRS 449.0302) Based on the comprehensive assessment of a patient conducted pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that: 1. The range of motion of a patient admitted to the facility is not reduced unless the reduction…

NAC 449.74483 Mental or psychosocial behavior. (NRS 449.0302) Based on the comprehensive assessment of a patient conducted pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that a patient: 1. Who is having difficulty adjusting to his or her environment and is…

NAC 449.74485 Nasogastric tubes. (NRS 449.0302) Based on the comprehensive assessment of a patient conducted pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that a patient who is: 1. Able to feed himself or herself with or without assistance is not fed with…

NAC 449.74487 Nutritional health; hydration. (NRS 449.0302) 1. Based on the comprehensive assessment of a patient conducted pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that: (a) The nutritional health of the patient is maintained, including, without lim…

NAC 449.74489 Physical or chemical restraint of patients. (NRS 449.0302) 1. A facility for skilled nursing shall not use physical or chemical restraints on a patient to discipline the patient or for the convenience of members of the staff. 2. Physical or chemical restraints may b…

NAC 449.74491 Prohibition of certain practices regarding patients; investigation of certain violations and injuries to patients; unfit employees. (NRS 449.0302) 1. A facility for skilled nursing shall adopt and carry out written policies and procedures that prohibit: (a) The mist…

NAC 449.74493 Notification of changes or condition of patient. (NRS 449.0302) 1. A facility for skilled nursing shall immediately notify a patient, the patient’s legal representative or an interested member of the patient’s family, if known, and, if appropriate, the patient’s phy…

NAC 449.74495 Development of program of activities. (NRS 449.0302) 1. A facility for skilled nursing shall provide for each patient in the facility a program of activities that is developed in accordance with the comprehensive assessment of the patient conducted pursuant to NAC 4…

NAC 449.74497 Daily activities of patient. (NRS 449.0302) 1. Based on the comprehensive assessment of a patient conducted pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that: (a) The patient’s ability to carry out his or her daily activities does not dimin…

NAC 449.74499 Participation in activities. (NRS 449.0302) 1. A facility for skilled nursing shall not prohibit a patient in the facility from: (a) Participating in activities and maintaining a schedule that are consistent with the patient’s interests, assessments and plan of care…

NAC 449.74511 Personnel policies; personnel records. (NRS 449.0302) 1. A facility for skilled nursing shall adopt written policies for the personnel employed at the facility. 2. The written policies must: (a) Include the duties and responsibilities of, and the qualifications requ…

NAC 449.74513 Medical director. (NRS 449.0302) 1. A facility for skilled nursing shall employ a medical director who is licensed to practice medicine in this State. 2. The medical director shall: (a) Carry out the policies of the facility related to the medical care of its patien…

NAC 449.74515 Physicians. (NRS 449.0302) 1. A patient may be admitted to a facility for skilled nursing only upon the written approval of a physician. Upon a patient’s admission to the facility, the facility shall ensure that orders for the immediate care of the patient have been…

NAC 449.74517 Nursing staff. (NRS 449.0302) 1. A facility for skilled nursing shall ensure that there is a sufficient number of members of the nursing staff on duty at all times to provide nursing care to and attain and maintain the highest practicable physical, mental and psycho…

NAC 449.74519 Nursing assistants and nursing assistant trainees. (NRS 449.0302) 1. A facility for skilled nursing shall not employ a person as a nursing assistant trainee, full-time, temporarily or under contract: (a) Until the facility obtains from the training program required …

NAC 449.74521 Other health care professionals. (NRS 449.0302) 1. A facility for skilled nursing shall employ full-time, part-time or as consultants such health care professionals as are necessary to provide adequate care for each patient in the facility and to carry out the provi…

NAC 449.74522 Employees of facility which provides care to persons with dementia. (NRS 449.0302, 449.094) 1. Except as otherwise provided in subsection 4, each person who is employed by a facility for skilled nursing which provides care to persons with any form of dementia, inclu…

NAC 449.74523 Social services. (NRS 449.0302) 1. A facility for skilled nursing shall provide medically-related social services that are designed to assist the patients in the facility in enhancing or restoring their ability to function physically, socially and economically. 2. T…

NAC 449.74525 Dietary services. (NRS 439.200, 449.0302, 449.1915) 1. A facility for skilled nursing shall employ full-time, part-time or as a consultant, a person who is a licensed dietitian. If a licensed dietitian is not employed full-time, the facility shall designate a person…

NAC 449.74527 Specialized rehabilitative services. (NRS 449.0302) 1. A facility for skilled nursing shall provide to a patient in the facility, according to his or her plan of care, specialized rehabilitative services, including, without limitation, physical therapy, speech-langu…

NAC 449.74529 Dental services. (NRS 449.0302) A facility for skilled nursing shall: 1. Provide or obtain from qualified outside sources pursuant to NAC 449.74521, routine and emergency dental services required to meet the needs of each patient in the facility; 2. Assist patients …

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…