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Nevada Administrative Code (Last Updated: January 6, 2015) |
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Chapter449 Medical and Other Related Facilities |
| GENERAL PROVISIONS |
| NAC 449.002. Definitions. |
| NAC 449.0022. “Administrator” defined. |
| NAC 449.0024. “Affiliated facility” defined. |
| NAC 449.0026. “Agent” defined. |
| NAC 449.0028. “Bureau” defined. |
| NAC 449.0029. “Centers for Medicare and Medicaid Services” defined. |
| NAC 449.003. “Deficiency” defined. |
| NAC 449.00305. “Division” defined. |
| NAC 449.0031. “Division of Welfare and Supportive Services” defined. |
| NAC 449.0032. “Emergency” defined. |
| NAC 449.0034. “Facility” defined. |
| NAC 449.0042. “Holiday” defined. |
| NAC 449.0043. “Home for individual residential care” defined. |
| NAC 449.0044. “Immediate and serious threat” and “immediate jeopardy” defined. |
| NAC 449.0046. “Incident” defined. |
| NAC 449.0048. “License” defined. |
| NAC 449.0049. “Licensed dietitian” defined. |
| NAC 449.005. “Licensee” defined. |
| NAC 449.0052. “Medicaid” defined. |
| NAC 449.0054. “Medicare” defined. |
| NAC 449.0056. “Party” defined. |
| NAC 449.0058. “Person” defined. |
| NAC 449.006. “Recipient” defined. |
| NAC 449.0061. “Referral agency” defined. |
| NAC 449.0062. “Resident” defined. |
| NAC 449.0064. “Residential facility” defined. |
| NAC 449.0066. “Sanction” defined. |
| NAC 449.0068. “Services” defined. |
| NAC 449.007. “Survey” defined. |
| NAC 449.0072. “Treatment” defined. |
| NAC 449.008. Computation of time. |
| NAC 449.0085. Licensee prohibited from employing or contracting with unlicensed person to provide certain nutrition services. |
| NAC 449.010. Severability. |
| NAC 449.0105. Adoption of certain publications by reference; revision of publication after adoption. |
| GENERAL REQUIREMENTS FOR LICENSURE |
| NAC 449.011. Application for license. |
| NAC 449.0112. Investigation; prelicensure survey; inspection for fire safety. |
| NAC 449.0114. Display of license; compliance with law; transfer of real property; change in administrator, ownership, location or services. |
| NAC 449.0115. Review of building plans for new construction or remodeling by certain applicants: Required documents; payment of fees and costs. |
| NAC 449.01153. Approval of building plans for construction or remodeling of certain facilities: Period of validity. |
| NAC 449.01156. On-site advisory inspection of facility: Written request; action by Division; fee. |
| NAC 449.0116. Renewal of license: Application; validity of existing license pending decision on application; inspection of facility; untimely filing or failure to file application. |
| NAC 449.0118. Denial, suspension or revocation of license: Grounds. |
| NAC 449.0119. Denial, suspension or revocation of license or endorsement: Appeals. |
| FEES |
| NAC 449.012. Definitions. |
| NAC 449.01205. “Agency to provide personal care services in the home” defined. |
| NAC 449.0121. “Ambulatory surgical center” defined. |
| NAC 449.01215. “Branch office” defined. |
| NAC 449.01219. “Community triage center” defined. |
| NAC 449.01225. “Facility for hospice care” defined. |
| NAC 449.01227. “Facility for refractive surgery” defined. |
| NAC 449.01228. “Facility for transitional living for released offenders” defined. |
| NAC 449.01229. “Facility for treatment with narcotics” defined. |
| NAC 449.0123. “Home health agency” defined. |
| NAC 449.01235. “Home office” defined. |
| NAC 449.0124. “Hospice care” defined. |
| NAC 449.01245. “Intermediate care facility for persons with an intellectual disability or persons with a developmental disability” defined. |
| NAC 449.0125. “Medication unit” defined. |
| NAC 449.01252. “Mobile unit” defined. |
| NAC 449.01255. “Nursing pool” defined. |
| NAC 449.0126. “Rural clinic” defined. |
| NAC 449.01265. “Rural hospital” defined. |
| NAC 449.0127. “Subunit agency” defined. |
| NAC 449.0164. Fees for renewal of licenses for certain facilities: Payment in two equal installments. |
| NAC 449.0168. Fees for modification of certain licenses. |
| NAC 449.01685. Division authorized to charge and collect fee from licensee to recover costs of investigating complaint if complaint is substantiated. |
| NAC 449.0169. Department of Corrections to pay fee to Division for certain services. |
| PROVISION OF HOSPICE CARE |
| General Provisions |
| Licensing |
| Administration |
| Medical Services |
| FACILITIES FOR TREATMENT OF ABUSE OF ALCOHOL OR DRUGS |
| General Provisions |
| Licensing |
| Administration and Personnel |
| Social Model Detoxification Programs |
| Operation of Facility |
| FACILITIES FOR MODIFIED MEDICAL DETOXIFICATION |
| NAC 449.15311. Definitions. |
| NAC 449.15313. “Administrator” defined. |
| NAC 449.15315. “Client” defined. |
| NAC 449.15317. “Facility” defined. |
| NAC 449.15319. “Overall program” defined. |
| NAC 449.15321. “Program” defined. |
| NAC 449.15323. Proof of certification required; revocation of license. |
| NAC 449.15325. Governing body; bylaws and policies. |
| NAC 449.15327. Policies and procedures for services and operation of facility. |
| NAC 449.15329. Transfer of client. |
| NAC 449.15331. Handling of money of client. |
| NAC 449.15333. Inventory of belongings of client. |
| NAC 449.15335. Liability insurance. |
| NAC 449.15337. Program: Requirements; review. |
| NAC 449.15339. Responsibilities and duties of administrator. |
| NAC 449.15341. Policies and procedures concerning employees. |
| NAC 449.15343. Nursing services. |
| NAC 449.15345. Health services. |
| NAC 449.15347. Pharmaceutical services. |
| NAC 449.15349. Medication and biologicals. |
| NAC 449.15351. Dietary services. |
| NAC 449.15353. Records of clients. |
| NAC 449.15355. Safety and sanitation; temperature. |
| NAC 449.15357. Laundry requirements. |
| NAC 449.15359. New construction or remodeling: Submission and approval of building plans; prerequisites to approval of facility for licensure. |
| NAC 449.15361. Design, construction, equipment and maintenance. |
| NAC 449.15363. Accommodations for clients. |
| NAC 449.15365. Safety from fire. |
| NAC 449.15367. Preparations for disasters; reporting of fire or disaster. |
| NAC 449.15369. Discrimination prohibited. |
| FACILITIES FOR TREATMENT WITH NARCOTICS; MEDICATION UNITS |
| General Provisions |
| Licensing |
| Operation |
| HALFWAY HOUSES FOR RECOVERING ALCOHOL AND DRUG ABUSERS |
| NAC 449.1549. Definitions. |
| NAC 449.154901. “Administrator” defined. |
| NAC 449.154903. “Client” defined. |
| NAC 449.154905. “Facility” defined. |
| NAC 449.15491. Administrator: Qualifications. |
| NAC 449.154911. Administrator: General duties. |
| NAC 449.154913. General operational guidelines. |
| NAC 449.154915. Policies and procedures: Establishment; maintenance of manual. |
| NAC 449.154917. Limitation on admissions. |
| NAC 449.154919. Health and sanitation. |
| NAC 449.154921. Laundry facilities. |
| NAC 449.154923. Kitchens; storage of food. |
| NAC 449.154925. Bedrooms; bedding. |
| NAC 449.154927. Use of certain areas as bedroom prohibited. |
| NAC 449.154929. Bathrooms and toilet facilities; toilet articles. |
| NAC 449.154931. Accommodations for residents with restricted mobility. |
| NAC 449.154933. First aid. |
| NAC 449.154935. Medication. |
| NAC 449.154937. Telephones; listing of facility’s telephone number. |
| NAC 449.154939. Notification to Bureau under certain circumstances. |
| NAC 449.154941. Rights of clients. |
| NAC 449.154943. Client files: Maintenance; contents; confidentiality. |
| NAC 449.154945. Safety from fire. |
| FACILITIES FOR TRANSITIONAL LIVING FOR RELEASED OFFENDERS |
| General Provisions |
| Administration |
| Operation |
| HOMES FOR INDIVIDUAL RESIDENTIAL CARE |
| NAC 449.15511. Definitions. |
| NAC 449.15513. “Caregiver” defined. |
| NAC 449.15515. “Director” defined. |
| NAC 449.15517. “Home” defined. |
| NAC 449.15519. “Protective supervision” defined. |
| NAC 449.15521. Director: Qualifications. |
| NAC 449.15523. Director: Duties. |
| NAC 449.15525. Requirements for safety and sanitation of facility. |
| NAC 449.15527. Agreement between operator of home and resident concerning rates; maintenance of records of residents. |
| NAC 449.15529. On-site survey of home by Bureau. |
| RESIDENTIAL FACILITIES FOR GROUPS |
| General Provisions |
| Licensing |
| Administration and Personnel |
| General Operational Requirements |
| Admitting, Transferring and Discharging Residents |
| Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions |
| Medical Services, Medical Records and Other Records Concerning Residents |
| Special Types of Services and Facilities |
| Deficiencies |
| BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS |
| NAC 449.27811. Definitions. |
| NAC 449.27813. “Client” defined. |
| NAC 449.27817. “Financial assessment” defined. |
| NAC 449.27819. “Needs assessment” defined. |
| NAC 449.27821. “Residential facility for groups” defined. |
| NAC 449.27823. License not required by certain persons to make referrals; application for licensure. |
| NAC 449.27827. Requirements for employees. |
| NAC 449.27829. Responsibilities of referral agency. |
| NAC 449.27831. Contract for services; fees; maintenance of client records. |
| HOSPITALS |
| General Provisions |
| Licensing and Administration |
| Policies and Procedures for Operation of Hospital |
| INTERMEDIARY SERVICE ORGANIZATIONS |
| General Provisions |
| Certification |
| Authorized Activities and General Requirements for Operation |
| Administrative Review and Hearings |
| Administrative Sanctions |
| AGENCIES TO PROVIDE PERSONAL CARE SERVICES IN THE HOME |
| General Provisions |
| Licensing |
| Administration and Personnel |
| Provision of Services |
| FACILITIES FOR CARE OF ADULTS DURING THE DAY |
| General Provisions |
| Licensing |
| Operation of Facility |
| Medical and Ancillary Services |
| FACILITIES FOR REFRACTIVE SURGERY |
| NAC 449.450. “Facility” defined. |
| NAC 449.4504. Administrator: Appointment; duties; qualifications. |
| NAC 449.4505. Administrator of facility that performs intraocular lens implants: Duties. |
| NAC 449.4506. Staffing requirements; personnel files. |
| NAC 449.4508. Maintenance of patient records. |
| NAC 449.451. Written policies and procedures. |
| NAC 449.4512. Program of quality improvement. |
| NAC 449.4514. Rights of patients; informed consent. |
| NAC 449.4516. Equipment and supplies. |
| NAC 449.4518. Liability for use of leased equipment. |
| NAC 449.4522. Sanitation and hygiene; space and storage. |
| NAC 449.4524. Medical care of patients. |
| NAC 449.4526. Application for indemnification for certain damages; claims against surety bond or substitute thereof. |
| FACILITIES FOR TREATMENT OF IRREVERSIBLE RENAL DISEASE |
| General Provisions |
| Construction; Health and Safety |
| Provision of Services |
| Administration and Personnel |
| Clinical Records |
| Dialysis Technicians |
| PROVISION OF CERTAIN SPECIAL SERVICES |
| Obstetric Care |
| Open-Heart Surgery |
| Transplantation of Organs |
| INDEPENDENT CENTERS FOR EMERGENCY MEDICAL CARE |
| Licensing |
| Administration and Personnel |
| Facilities |
| Medical Services and Medical Records |
| INTERMEDIATE CARE FACILITIES |
| General Provisions |
| Licensing |
| Administration and Personnel |
| Construction and Operation: Generally |
| Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability |
| COMMUNITY TRIAGE CENTERS |
| NAC 449.74311. Definitions. |
| NAC 449.74313. “Administrator” defined. |
| NAC 449.74315. “Facility” defined. |
| NAC 449.74317. “Governing body” defined. |
| NAC 449.74321. “Patient” defined. |
| NAC 449.74322. “Person with mental illness” defined. |
| NAC 449.74323. “Program” defined. |
| NAC 449.74325. “Psychologist” defined. |
| NAC 449.74327. Governing body; bylaws and policies. |
| NAC 449.74329. Policies and procedures for services and operation of facility. |
| NAC 449.74331. Transfer of patient. |
| NAC 449.74333. Handling of money of patient. |
| NAC 449.74335. Inventory of belongings of patient. |
| NAC 449.74337. Liability insurance. |
| NAC 449.74339. General requirements for programs and services. |
| NAC 449.74341. Responsibilities and duties of administrator. |
| NAC 449.74343. Policies and procedures concerning employees. |
| NAC 449.74345. Nursing services. |
| NAC 449.74347. Health services. |
| NAC 449.74349. Mental health services. |
| NAC 449.74351. Pharmaceutical services. |
| NAC 449.74353. Medication and biologicals. |
| NAC 449.74355. Records of patients. |
| NAC 449.74357. Laundry requirements. |
| NAC 449.74359. Dietary services. |
| NAC 449.74361. New construction or remodeling: Submission and approval of building plans; prerequisites to approval of facility for licensure. |
| NAC 449.74363. Design, construction, equipment and maintenance of facility. |
| NAC 449.74365. Entrances, lobbies and offices; storage space. |
| NAC 449.74367. Patients’ rooms; toilet and bathing facilities. |
| NAC 449.74369. Service areas; miscellaneous requirements. |
| NAC 449.74371. Safety and sanitation. |
| NAC 449.74373. Preparations for disasters; reporting of fire or disaster. |
| NAC 449.74375. Discrimination prohibited. |
| FACILITIES FOR SKILLED NURSING |
| General Provisions |
| Licensing and Administration of Facility |
| Admission, Transfer and Discharge of Patient |
| Assessment of Patients and Plan of Care |
| Medical Records |
| Rights of Patients |
| Quality of Care |
| Staff and Attending Physicians |
| Provision of Services |
| Physical Environment |
| NURSING POOLS |
| General Provisions |
| Licensing |
| Administration and Personnel |
| HOME HEALTH AGENCIES |
| General Provisions |
| Licensing and Inspection |
| Administration and Personnel |
| Medical Services and Medical Records |
| FINANCIAL REPORTING |
| NAC 449.951. Definitions. |
| NAC 449.953. Annual fee for insurers: Amount; notice; administrative fine for failure to pay. |
| NAC 449.957. Hospitals to file certain reports; certification; exception; extension. |
| NAC 449.960. Hospitals to submit quarterly financial and utilization report; certification; extension. |
| NAC 449.962. Facility for intermediate care or facility for skilled nursing to submit quarterly financial and utilization report; certification; extension. |
| NAC 449.9625. Institution to submit quarterly financial and utilization report; certification; extension; exception. |
| NAC 449.963. Information concerning treated patients: Submission; limitation on disclosure. |
| NAC 449.966. Notice of insufficiency of submitted information. |
| NAC 449.969. Administrative fine for failing to meet deadlines. |
| MOBILE UNITS |
| NAC 449.970. Definitions. |
| NAC 449.9701. “Independent facility” defined. |
| NAC 449.97012. “Mobile unit” defined. |
| NAC 449.97014. “Parent facility” defined. |
| NAC 449.97016. “Service site” defined. |
| NAC 449.97018. “Staging area” defined. |
| NAC 449.9702. Applicability of provisions. |
| NAC 449.97022. Licensure. |
| NAC 449.97024. Application for licensure. |
| NAC 449.97026. Design, construction, equipment, maintenance and parking. |
| NAC 449.97028. Staging areas; disposal of biohazards and waste. |
| NAC 449.9703. Compliance with certain statutes and regulations. |
| NAC 449.97032. Compliance with regulations relating to evaluation of quality of services. |
| NAC 449.97034. Written policies for operation of unit; agreement with hospital or medical facility for transfer of patients during emergencies. |
| NAC 449.97036. Rights of patients. |
| NAC 449.97038. Maintenance of schedule and records; supplies and equipment; diagnostic radiological services; laboratory services. |
| NAC 449.9704. Occupancy; fire safety; exits; use and maintenance of equipment; telecommunications device. |
| NAC 449.97042. Restrictions on operation; office of independent facility; operation pursuant to contract. |
| SURGICAL CENTERS FOR AMBULATORY PATIENTS |
| General Provisions |
| Licensing |
| Administration |
| Program for the Prevention and Control of Infections and Communicable Diseases |
| Personnel |
| Medical Records, Services and Facilities |
| RECEIVERS |
| NAC 449.9981. List of interested and qualified persons. |
| NAC 449.99811. Experience. |
| NAC 449.99812. Authority. |
| NAC 449.99813. Compensation and payment of bond. |
| NAC 449.99814. Operation of facility. |
| ADMINISTRATIVE SANCTIONS |
| General Provisions |
| Imposition: Generally |
| Plan of Correction |
| Limitation on Occupancy of Residential Facility |
| Ban on Admissions |
| Monitoring of Facility |
| Monetary Penalties |
| Temporary Management |
| Closure of Facility and Transfer of Residents |
| Facilities Participating in Medicaid |
| OUTPATIENT FACILITIES: PERMIT FOR SERVICES OF GENERAL ANESTHESIA, CONSCIOUS SEDATION AND DEEP SEDATION |
| General Provisions |
| Permitting |
| Program for the Prevention and Control of Infections and Communicable Diseases |
| Administrative Sanctions |
| REGISTRY OF ADVANCE DIRECTIVES FOR HEALTH CARE |
| NAC 449.9998. Definitions. |
| NAC 449.99981. “Advance directive” defined. |
| NAC 449.999811. “Advance directive locator” defined. |
| NAC 449.999812. “Agent” defined. |
| NAC 449.999813. “Authorization to change form” defined. |
| NAC 449.999814. “Authorized provider” defined. |
| NAC 449.99982. “Provider access application and agreement” defined. |
| NAC 449.999821. “Provider of health care” defined. |
| NAC 449.999822. “Registrant” defined. |
| NAC 449.999823. “Registrant’s file” defined. |
| NAC 449.999824. “Registration agreement” defined. |
| NAC 449.999825. “Registry” defined. |
| NAC 449.999826. “Request for registration access form” defined. |
| NAC 449.99983. Secretary of State to prescribe format of necessary forms, applications and agreements. |
| NAC 449.999831. Storage of electronic reproductions of certain documents in registrant’s file in Registry; Internet access to Registry. |
| NAC 449.999832. Filing of advance directive or advance directive locator; issuance of registration card; registrant to keep file current. |
| NAC 449.999833. Amendment, suspension or revocation of advance directive or advance directive locator; precedence of documentation; validity. |
| NAC 449.999834. Removal, deletion or replacement of registrant’s file in Registry. |
| NAC 449.999835. Submission of authorization to change form by agent must include declaration for agent to act on behalf of registrant. |
| NAC 449.999836. Authorized provider: Submission of application and agreement; issuance of unique identification number and access code. |
| NAC 449.999837. Authorized provider: Establishment of internal controls to limit access to unique identification number and access code; training of employees; audit by Secretary of State authorized. |
| NAC 449.999838. Access to Registry and information therein; confidentiality; record of access to registrant’s file. |