General Provisions

NAC 449.9994. Definitions.

NAC 449.99941. “Bureau” defined.

NAC 449.999413. “Division” defined.

NAC 449.999415. “Inspection” defined.

NAC 449.999417. “Outpatient facility” defined.

NAC 449.999419. “Treatment” defined.

Permitting

NAC 449.99942. Application; general requirements; proof of national accreditation; fee; period for validity; application required for each location.

NAC 449.999421. Inspection by Division of applicant and outpatient facility; prerequisite of satisfactory fire inspection.

NAC 449.999422. Term of permit; circumstances under which permit deemed invalid.

NAC 449.999423. Renewal of permit: Application; additional inspection by Division authorized; fees; untimely filing or failure to file application.

NAC 449.999424. Outpatient facility required to provide proof of national accreditation; submission of reports to Division; application by accrediting organization for recognition by State Board of Health; maintenance of list by Division of approved accrediting organizations.

NAC 449.999425. Display of permit; maintenance of outpatient facility in compliance with law; notification of transfer of real property; notification of change of ownership, location or services provided.

NAC 449.999426. Additional grounds for denial, suspension or revocation of permit.

Program for the Prevention and Control of Infections and Communicable Diseases

NAC 449.99943. Definitions.

NAC 449.999431. “Biologic indicator test” defined.

NAC 449.999432. “Cleaning” defined.

NAC 449.999433. “High-level disinfection” defined.

NAC 449.999434. “Implantable device” defined.

NAC 449.999435. “Invasive procedure” defined.

NAC 449.999436. “Low-level disinfection” defined.

NAC 449.999437. “Multidose vial” defined.

NAC 449.999438. “Reprocess” defined.

NAC 449.999439. “Single-dose vial” defined.

NAC 449.99944. “Sterilization” defined.

NAC 449.999441. Adoption of guidelines by holder of permit for establishment of program.

NAC 449.999442. General requirements of program.

NAC 449.999443. Program required to include policies and procedures for prevention of exposure to blood-borne and other potentially infectious pathogens.

NAC 449.999444. Program required to include policies and procedures for single-dose vials and multidose vials.

NAC 449.999445. Sterilization and disinfection of surgical instruments, items and equipment; training required for employees and contractors responsible for sterilization or disinfection.

NAC 449.999446. Outpatient facility required to designate employee or enter into contract for overseeing and managing program; qualifications and duties of employee or contractor.

NAC 449.999447. Mandatory training and evaluation of employees and other persons.

NAC 449.999448. Establishment of additional policies and guidelines by holder of permit to ensure health and safety of patients; professional standards of practice; requirement of tuberculosis test for employees and persons under contract with outpatient facility.

Administrative Sanctions

NAC 449.99945. Definitions.

NAC 449.999451. “Cluster” defined.

NAC 449.999452. “De minimis deficiency” defined.

NAC 449.999453. “Deficiency” defined.

NAC 449.999454. “Immediate and serious threat” and “immediate jeopardy” defined.

NAC 449.999455. “Incident” defined.

NAC 449.999456. “Initial deficiency” defined.

NAC 449.999457. “Severity and scope score” defined.

NAC 449.999458. Purpose of sanctions.

NAC 449.999459. Grounds for denial, suspension or revocation of permit.

NAC 449.99946. Appeal of denial, suspension or revocation of permit or other sanction.

NAC 449.999461. Imposition of sanctions: Authority of Division and Bureau.

NAC 449.999462. Imposition of sanctions: Requirement for imposition; optional imposition; multiple sanctions; use of severity and scope factors for particular sanction.

NAC 449.999463. Imposition of sanctions in emergencies: Notice; authority; exception to notice requirement.

NAC 449.999464. Deficiencies: Basis for imposition of sanctions; reporting; presumption of de minimis deficiency.

NAC 449.999465. Scope of violations: Evaluation of representative sample of recipients; sample size.

NAC 449.999466. Scope of deficiencies: Use of scope scale; basis for assessment.

NAC 449.999467. Scope of deficiencies: Criteria for evaluation.

NAC 449.999468. Severity of deficiencies: Use of severity scale; basis for assessment; criteria for evaluation.

NAC 449.999469. Presumption when same deficiency found on subsequent inspection; imposition of sanction for subsequent deficiency.

NAC 449.99947. Available sanctions.

NAC 449.999471. Determination of appropriate sanction: Procedure.

NAC 449.999472. Determination of appropriate sanction: Initial assessment.

NAC 449.999473. Determination of appropriate sanction: Consideration of secondary factors.

NAC 449.999474. Determination of appropriate sanction: Basis for selection; presumption for monetary penalties.

NAC 449.999475. Plan of correction: Development and submission of plan; authority of Bureau when plan is not acceptable; effect of failure to submit plan.

NAC 449.999476. Monetary penalties: Criteria for imposition; imposition of initial and daily penalties; exception for de minimis deficiency.

NAC 449.999477. Monetary penalties: Imposition of initial penalty pending hearing or appeal; stay of payment of penalties pending appeal.

NAC 449.999478. Monetary penalties: Procedure for imposition; interest on total penalty assessed.

NAC 449.999479. Monetary penalties: Determination of amount of penalties.

NAC 449.99948. Monetary penalties: Increase in penalty for repeated deficiencies or falsely alleged compliance.

NAC 449.999481. Monetary penalties: Presumption regarding deficiencies identified on subsequent inspection.

NAC 449.999482. Monetary penalties: Reduction of penalty.

NAC 449.999483. Monetary penalties: Effective beginning date.

NAC 449.999484. Monetary penalties: Date and period of computation; notice to outpatient facility.

NAC 449.999485. Monetary penalties: Termination of daily penalties.

NAC 449.999486. Monetary penalties: Time for payment.

NAC 449.999487. Recovery of expenses incurred by Bureau or Division for implementing and enforcing administrative penalties, bringing actions for enforcement and collecting monetary penalties.

NAC 449.999488. Failure to pay monetary penalty: Suspension of permit.

NAC 449.999489. Disposition of money collected.