NAC449.707. Money of residents.

     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 with the facility.

     (b) All disbursements made to or on behalf of the resident. The purpose of the disbursement must be noted on the receipt.

     2. Receipts for each resident must be kept in each resident’s personal needs envelope or otherwise safely and systematically filed.

     3. A ledger must be maintained for the handling of residents’ personal money. The beginning ledger sheet must be credited with the resident’s money on hand. The ledger must be kept current. Personal needs money is for the exclusive personal use of the resident. The ledger and receipts for each resident must be made available for review upon the request of the Division.

     4. If the resident is managing his or her own personal money, the money must be turned over to anyone at the request of the resident. A signed, itemized and dated receipt from anyone receiving the resident’s personal money is required for deposit in the resident’s personal envelope or other file.

     5. If a resident is unable to manage his or her own money, there must be legal authority, such as appointment as conservator, guardian or trustee, for a relative or other person to carry out these acts for the resident.

     6. Except as otherwise provided in this subsection, no licensee or employee of a facility may accept appointment as guardian, or conservator, of the estate of any resident or become a substitute payee for any payments made to any resident, or accept power of attorney. If a resident is legally determined to be unable to manage his or her money, his or her sole source of money is in the form of monthly benefit checks, and documentary evidence can be produced which shows that efforts to obtain a legal guardian for the resident have failed, this requirement may be waived to the extent that the facility may be the substitute payee on the checks.

     7. All money held by the facility on behalf of residents must be maintained in a financial institution in the community where the facility is located in a separate trustee account apart from the operating accounts of the facility and must be clearly designated. Small amounts may be kept on hand by the facility for the incidental personal use of a resident. Upon the death of a resident, a receipt must be obtained from the resident’s personal representative or from a relative who presents an affidavit under the provisions of NRS 146.080 before releasing the balance of the personal needs money.

     [Bd. of Health, Intermediate Care Facilities, Reg. §§ 3.5-3.5.8.2, eff. 12-5-75]