General Provisions

NAC 449.9982. Definitions.

NAC 449.99821. “Ban on admissions” defined.

NAC 449.99822. “Cluster” defined.

NAC 449.99823. “Compliance” and “substantially correct the deficiency” defined.

NAC 449.99824. “Costs” defined.

NAC 449.99825. “De minimis deficiency” defined.

NAC 449.998253. “Division of Health Care Financing and Policy” defined.

NAC 449.998255. “Facility” defined.

NAC 449.99826. “Immediate family” defined.

NAC 449.99827. “Initial deficiency” defined.

NAC 449.99828. “Major deficiency” defined.

NAC 449.99829. “Medicaid facility” defined.

NAC 449.9983. “Medicare facility” defined.

NAC 449.99832. “Monitor” defined.

NAC 449.99833. “New admission” defined.

NAC 449.99834. “Particular kinds of care, treatment or services” defined.

NAC 449.99835. “Plan of correction” defined.

NAC 449.99836. “Provider agreement” defined.

NAC 449.99837. “Repeated deficiency” defined.

NAC 449.99838. “Resurvey” defined.

NAC 449.99839. “Severity and scope score” defined.

NAC 449.9984. “Subsequent deficiency” defined.

NAC 449.99841. “Temporary management” defined.

NAC 449.99843. Purposes of administrative sanctions.

NAC 449.99844. Interpretation of provisions in accordance with federal standards.

Imposition: Generally

NAC 449.9985. Authority of Division and Bureau.

NAC 449.99851. Requirement for imposition; optional imposition.

NAC 449.99852. Requirement for imposition; multiple sanctions.

NAC 449.99853. Imposition of one or more sanctions; criteria for imposition of particular sanction.

NAC 449.99854. Imposition in lieu of or in addition to recommendation to terminate provider agreement; duration of sanctions.

NAC 449.99855. Imposition in emergencies: Authority; notice.

NAC 449.99856. Deficiencies: Basis for imposition of sanctions; reporting; presumption of de minimis deficiency.

NAC 449.99857. Classifications of severity and scope of deficiencies: Use.

NAC 449.99858. Scope of violations: Evaluation of representative sample of recipients; size of sample.

NAC 449.99859. Scope of deficiencies: Use of scope scale; basis for assessment.

NAC 449.9986. Scope of deficiencies: Criteria for evaluation.

NAC 449.99861. Severity of deficiencies: Use of severity scale; basis for assessment; criteria for evaluation.

NAC 449.99862. Presumption when same deficiency found on resurvey; imposition of sanction for subsequent deficiency.

NAC 449.99863. Available sanctions.

NAC 449.99864. Determination of appropriate sanction: Procedure.

NAC 449.99865. Determination of appropriate sanction: Initial assessment.

NAC 449.99866. Determination of appropriate sanction: Consideration of secondary factors.

NAC 449.99867. Determination of appropriate sanction: Basis for selection; presumption.

Plan of Correction

NAC 449.9987. Development and submission of plan; authority of Bureau when plan is not acceptable; effect of failure to submit plan.

Limitation on Occupancy of Residential Facility

NAC 449.99875. Purpose and scope of limitation; imposition in addition to partial ban on admissions.

NAC 449.99876. Criteria for imposition.

NAC 449.99877. Duration and termination of limitation.

NAC 449.99878. Notice of limitation: General requirements; effect of noncompliance.

Ban on Admissions

NAC 449.9988. Purpose and scope of ban.

NAC 449.99881. Criteria for imposition.

NAC 449.99882. Duration and termination of ban.

NAC 449.99883. Notice of ban: General requirements; effect of noncompliance.

Monitoring of Facility

NAC 449.99885. Authority of Bureau.

Monetary Penalties

NAC 449.99895. Imposition by Bureau; purpose; applicable criteria.

NAC 449.99896. Criteria for imposition; imposition of initial and daily penalties.

NAC 449.99897. Imposition of initial penalty pending hearing or appeal; stay of payment of penalties pending appeal.

NAC 449.99898. Procedure for imposition; interest on total penalty assessed.

NAC 449.99899. Determination of amount of penalties.

NAC 449.999. Limitation on principal amount of total daily penalty.

NAC 449.99901. Daily penalty: Computation according to number of recipients.

NAC 449.99902. Increase in penalty for repeated deficiencies or false compliance.

NAC 449.99903. Presumption regarding deficiencies identified on resurvey.

NAC 449.99904. Reduction of penalty.

NAC 449.99905. Daily penalty: Effective beginning date.

NAC 449.99906. Daily penalty: Date and period of computation; notice to facility.

NAC 449.99907. Termination of daily penalties; failure of Medicaid facility to remove immediate and serious threat after appointment of temporary management.

NAC 449.99908. Time for payment of penalties.

NAC 449.99909. Assessment of interest on unpaid balance of penalty.

NAC 449.9991. Recovery of costs for collection of penalty.

NAC 449.99911. Failure to pay penalty: Suspension of license of facility.

NAC 449.99912. Disposition of money collected.

Temporary Management

NAC 449.99915. Appointment of temporary manager when there is immediate and serious threat: Notice; effect of failure to accept manager and to remove threat.

NAC 449.99916. Appointment of temporary manager when there is no immediate and serious threat: Notice.

NAC 449.99917. Temporary manager: Qualifications.

NAC 449.99918. Temporary manager: Authority.

NAC 449.99919. Effect of failure to agree to appointment of or to relinquish authority to temporary manager.

NAC 449.9992. Events requiring termination of management; initiation of judicial proceedings.

NAC 449.99921. Payment of costs and expenses.

Closure of Facility and Transfer of Residents

NAC 449.99925. Authority of Bureau.

NAC 449.99926. Requirements for notification.

NAC 449.99927. Appointment of temporary manager.

NAC 449.99928. Bureau to supervise or appoint temporary manager to supervise transfer; imposition of other appropriate sanctions.

NAC 449.99929. Determination of appropriate placement of residents.

NAC 449.9993. Rights of appeal for transferred residents.

Facilities Participating in Medicaid

NAC 449.99935. Authorized recommendations in addition to available sanctions.

NAC 449.99936. Withholding of monetary penalties from payments owed to facility.

NAC 449.99937. Denial of payments for new admissions generally.

NAC 449.99938. Denial of payments for new admissions who have certain specified diagnoses or special care needs.

NAC 449.99939. Suspension of payments for services furnished to Medicaid recipient on or after date of deficiency.