Nevada Administrative Code

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…

NAC 449.822 Grounds for denial of application for provisional license; notice of denial. (NRS 433.324, 439.200, 449.0302) 1. Each of the following constitutes a ground for denial of an application for a provisional license: (a) Failure by the applicant to submit a complete applic…

NAC 449.823 Quality assurance review; extension or revocation of provisional license; issuance of license. (NRS 433.324, 439.200, 449.0302) 1. Within 12 months after the issuance of a provisional license, the Division shall conduct a quality assurance review as provided in NAC 44…

NAC 449.825 Renewal of license; fee. (NRS 439.150, 439.200, 449.0302) Not less than 45 days before the expiration of a license, the holder of the license must apply to the Division for renewal in the form prescribed by the Division, accompanied by a nonrefundable fee of $100. The…

NAC 449.826 Duties of provider. (NRS 433.324, 439.200, 449.0302) A provider shall: 1. Comply with any state or federal statute or regulation as required for the Division to receive state or federal money for the provision of services, including, without limitation, any standard o…

NAC 449.828 Policies and procedures of governmental or organizational provider. (NRS 433.324, 433.609, 439.200, 449.0302) If a provider is a governmental entity or an organization, it shall, in conformance with the provisions of this chapter and chapter 449 of NRS, establish poli…

NAC 449.829 Initial and periodic investigations of employee, independent contractor or adult present during provision of services; termination of employment, contract or authority to be present for conviction of certain crimes; period in which to correct information regarding con…

NAC 449.831 Required certifications and courses for employee or independent contractor who provides services. (NRS 439.200, 449.0302) Each employee or independent contractor of a provider who provides services must: 1. Be currently certified in standard first aid through a course…

NAC 449.832 Arrangements for services from specially trained persons; determination of need for such services. (NRS 433.324, 433.609, 439.200, 449.0302) 1. A provider shall make arrangements for obtaining services from persons professionally qualified in the field of psychiatric …

NAC 449.834 Financial plan; financial records; financial report. (NRS 433.324, 433.609, 439.200, 449.0302) A provider shall: 1. Develop and maintain a financial plan which ensures that there are sufficient resources to meet the costs for care of the persons receiving services fro…

NAC 449.835 Assessment of need for services; maintenance of findings of assessment; establishment of individual support team and permanent individualized plan; acceptance of person before assessment in urgent situation. (NRS 433.324, 433.609, 433.806, 439.200, 449.0302) 1. Except…

NAC 449.837 Contract for provision of services. (NRS 433.324, 433.609, 439.200, 449.0302) A provider shall enter into a written contract for the provision of services with each person who will receive services or his or her parent or guardian, if applicable, and, if the person is…

NAC 449.8385 Training for providers and employees; exception. (NRS 439.200, 449.0302) 1. Except as otherwise provided in subsection 2, a natural person responsible for the operation of a provider of community-based living arrangement services and each employee of a provider of co…

NAC 449.840 Record regarding recipient of services: Contents; maintenance; availability for review by recipient or guardian. (NRS 433.324, 433.609, 439.200, 449.0302) A provider shall keep a separate record regarding each person for whom services are provided. Each such record mu…

NAC 449.841 Record regarding recipient of services: Retention; availability for review by representatives of Department of Health and Human Services. (NRS 433.324, 433.609, 439.200, 449.0302) 1. A provider shall retain the original records of each person who receives services fro…

NAC 449.8415 Logs and records of medication; administration of over-the-counter medications and dietary supplements. (NRS 439.200, 449.0302) 1. A provider who operates a facility that provides assistance to residents in the administration of medications shall maintain: (a) A log …