NAC449.719. Health services.

     1. A facility must provide health services which assure that each resident receives treatments, medications, diets and other health services as prescribed and planned, all hours of each day.

     2. Immediate supervision of the health services of the facility on all days of each week must be provided by a registered nurse employed full-time on all day shifts. The nurse must be licensed to practice in Nevada. In the case of facilities which serve less than 20 intermediate care facility II patients, a licensed practical or vocational nurse may serve as the supervisor of health services, if consultation is provided by a registered nurse, licensed to practice in Nevada, through formal contract, at regular intervals, but not less than 4 hours weekly. Either a registered nurse or a licensed practical or vocational nurse licensed to practice in Nevada must be employed on the night shift on all days of each week. Intermediate care facilities for persons with an intellectual disability or persons with a developmental disability are exempt from this requirement.

     3. At least two members of the staff must be on duty and awake at all times to assure prompt, appropriate action in cases of injury, illness, fire or other emergencies. Intermediate care facilities for persons with an intellectual disability or persons with a developmental disability with less than 16 beds are exempt from this requirement.

     4. A written health care plan must be developed and implemented by appropriate members of the staff for each resident. The levels of care must be no less than those stated in section 501.3 of Chapter V of the Welfare Division Medicaid Manual. The plan must be reviewed and revised at least quarterly.

     5. Nursing services, including restorative nursing, must be provided in accordance with the needs of the residents.

     6. Hours for nursing care must be at least 0.25 hours per resident for an intermediate care facility I and at least 1.25 hours per resident for intermediate care facility II.

     7. Immediate supervision in an intermediate care facility for persons with an intellectual disability or persons with a developmental disability which is licensed for 16 or more beds must be by a currently licensed registered nurse or licensed practical nurse on all day shifts. Facilities in which a licensed practical nurse serves as the supervisor of health services must contract with a registered nurse for at least 4 hours of weekly consultation. Facilities with not more than 15 beds with residents certified by a physician as not in need of professional nursing services must have a formal contract with a registered nurse to visit as required for minor illnesses, injuries or emergencies. There must be a responsible member of the staff immediately available to all residents at all times.

     [Bd. of Health, Intermediate Care Facilities Reg. §§ 7.1-7.6.1.1, eff. 12-5-75]