General Provisions

NAC 449.156. Definitions.

NAC 449.1565. “Administer” defined.

NAC 449.157. “Administrator” defined.

NAC 449.1575. “Board” defined.

NAC 449.1585. “Caregiver” defined.

NAC 449.1591. “Category 1 resident” defined.

NAC 449.1595. “Category 2 resident” defined.

NAC 449.1597. “Dietary supplement” defined.

NAC 449.1599. “Discharge” defined.

NAC 449.160. “Division” defined.

NAC 449.161. “Grade” defined.

NAC 449.164. “Hospice care” defined.

NAC 449.169. “Medical professional” defined.

NAC 449.170. “Placard” defined.

NAC 449.172. “Residential facility” defined.

NAC 449.173. “Residential facility which provides care to persons with Alzheimer’s disease” defined.

NAC 449.175. “Severity and scope score” defined.

NAC 449.176. “Staff of a facility” defined.

NAC 449.178. “Transfer” defined.

Licensing

NAC 449.179. Submission and approval of plan for new construction or remodeling; inspection; evidence of compliance.

NAC 449.180. Requirements for purchasing licensed facility.

NAC 449.190. License: Contents; validity; transferability; issuance of more than one type.

NAC 449.191. Denial, suspension or revocation of endorsement: Grounds.

NAC 449.1915. Suspension or revocation of license and endorsement if residential facility has been assigned grade of D on two or more consecutive surveys or resurveys, or both.

Administration and Personnel

NAC 449.194. Responsibilities of administrator.

NAC 449.196. Qualifications and training of caregivers.

NAC 449.197. Medical services may be provided only by medical professional.

NAC 449.199. Staffing requirements; limitation on number of residents; written schedule for each shift; direct supervision of certain employees.

NAC 449.200. Personnel files.

NAC 449.202. Rights of staff members during investigation of facility; duties of investigator.

General Operational Requirements

NAC 449.204. System of financial accounting; insurance.

NAC 449.205. Advertising and promotional materials.

NAC 449.208. Restrictions on conducting other businesses or providing other services on premises.

NAC 449.209. Health and sanitation.

NAC 449.211. Automatic sprinkler systems.

NAC 449.213. Laundry and linen services.

NAC 449.216. Common areas; dining rooms.

NAC 449.217. Kitchens; storage of food; adequate supplies of food; permits; inspections.

NAC 449.2175. Service of food; seating; menus; special diets; nutritional requirements; dietary consultants.

NAC 449.218. Bedrooms: Floor space; windows and doors; privacy; storage space; bedding; personal furnishings; lighting.

NAC 449.220. Bedroom doors.

NAC 449.221. Use of certain areas in facility as bedroom prohibited.

NAC 449.222. Bathrooms and toilet facilities; toilet articles.

NAC 449.224. Housing for staff members.

NAC 449.226. Safety requirements for residents with restricted mobility or poor eyesight; water hazards; auditory systems for bathrooms and bedrooms; access by vehicles.

NAC 449.227. Accommodations for residents with restricted mobility.

NAC 449.229. Requirements and precautions regarding safety from fire.

NAC 449.231. First aid and cardiopulmonary resuscitation.

NAC 449.232. Telephones; emergency telephone numbers for each resident; listing of facility’s telephone number.

NAC 449.241. Limitations on use of volunteers; requirements concerning residents who volunteer to assist staff or perform other duties.

NAC 449.258. Written policies for facility; policy on visiting hours; residents’ mail; compliance with policies.

NAC 449.259. Supervision and treatment of residents generally.

NAC 449.260. Activities for residents.

NAC 449.262. Provision of dental, optical and hearing care and social services; report of suspected abuse, neglect, isolation or exploitation; restrictions on use of restraints, confinement or sedatives.

NAC 449.267. Money and property of residents.

NAC 449.268. Rights of residents; procedure for filing grievance, complaint or report of incident; investigation and response.

NAC 449.269. Discrimination prohibited.

Admitting, Transferring and Discharging Residents

NAC 449.2702. Written policy on admissions; eligibility for residency.

NAC 449.2704. Disclosure of information concerning rates and payment for services.

NAC 449.2706. Transfer of resident whose condition deteriorates.

NAC 449.2707. Transfer of resident: Effective date.

NAC 449.2708. Discharge of resident; notice of discharge; issuance of notice to quit to resident for improper or harmful behavior.

Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions

NAC 449.271. Residents requiring gastrostomy care or suffering from staphylococcus infection or other serious infection or medical condition.

NAC 449.2712. Residents requiring use of oxygen.

NAC 449.2714. Residents requiring use of intermittent positive pressure breathing equipment.

NAC 449.2716. Residents having colostomy or ileostomy.

NAC 449.2718. Residents requiring manual removal of fecal impactions or use of enemas or suppositories.

NAC 449.272. Residents requiring use of indwelling catheter.

NAC 449.2722. Residents having unmanageable condition of bowel or bladder incontinence; residents having manageable condition of bowel or bladder incontinence.

NAC 449.2724. Residents having contractures.

NAC 449.2726. Residents having diabetes.

NAC 449.2728. Residents requiring regular intramuscular, subcutaneous or intradermal injections.

NAC 449.2732. Residents requiring protective supervision.

NAC 449.2734. Residents having tracheostomy or open wound requiring treatment by medical professional; residents having pressure or stasis ulcers.

NAC 449.2736. Procedure to exempt certain residents from restrictions.

NAC 449.2738. Review of medical condition of resident; relocation or transfer of resident having certain medical needs or conditions.

Medical Services, Medical Records and Other Records Concerning Residents

NAC 449.274. Medical care of resident after illness, injury or accident; periodic physical examination of resident; rejection of medical care by resident; written records.

NAC 449.2742. Administration of medication: Responsibilities of administrator, caregivers and employees of facility.

NAC 449.2744. Administration of medication: Maintenance and contents of logs and records.

NAC 449.2746. Administration of medication: Restrictions concerning medication taken as needed by resident; written records.

NAC 449.2748. Medication: Storage; duties upon discharge, transfer and return of resident.

NAC 449.2749. Maintenance and contents of separate file for each resident; confidentiality of information.

Special Types of Services and Facilities

NAC 449.275. Residential facility which provides residents with hospice care: Responsibilities of staff; retention of resident with special medical needs.

NAC 449.2751. Residential facility which provides assisted living services: Application for endorsement; general requirements.

NAC 449.2754. Residential facility which provides care to persons with Alzheimer’s disease: Application for endorsement; general requirements.

NAC 449.2756. Residential facility which provides care to persons with Alzheimer’s disease: Standards for safety; personnel required; training for employees.

NAC 449.2758. Residential facility which provides care for elderly persons or persons with disabilities: Training for caregivers.

NAC 449.2762. Residential facility which offers or provides care for adults with intellectual disabilities or adults with related conditions: Application for endorsement; training for caregivers.

NAC 449.2764. Residential facility which offers or provides care for persons with mental illnesses: Application for endorsement; training for employees.

NAC 449.2766. Residential facility which offers or provides care for persons with chronic illnesses and debilitating diseases: Application for endorsement; training for employees.

NAC 449.2768. Residential facility which provides care to persons with dementia: Training for employees.

Deficiencies

NAC 449.27702. Determination of severity and scope of deficiency; assignment of grade.

NAC 449.27704. Placard: Issuance and display; failure to comply.

NAC 449.27706. Resurvey: Application and fee; failure to comply.