reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.258 - Written policies for facility; policy on visiting hours; residents' mail; compliance with policies

Current through June 11,
				2024
1. Written policies
				for a residential facility that comply with the provisions of NAC 449.156 to
				449.27706, inclusive, must be developed.
2. A policy on visiting hours must be
				established to promote contact by the residents with persons who are not
				residents of the facility. The policy regarding visits must be flexible to
				ensure that every resident has the opportunity to retain and strengthen ties
				with family and friends.
3.
				Assurances must be provided that incoming and outgoing mail for a resident will
				not be interfered with in any way, unless written permission is obtained from
				the resident or his or her representative. Permission obtained from the
				resident or the representative may specifically state the type of mail that may
				be interfered with by the members of the staff of the facility. Permission
				granted by a resident or the representative pursuant to this subsection may be
				revoked by the resident at any time.
4. The employees of the facility shall comply
				with the policies developed pursuant to this section.
Bd. of Health, Group
				  Care Facilities §§ 11.1-11.7.1, eff. 12-18-75-NAC A by R003-97,
				  10-30-97; R073-03, 1-22-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.259 - Supervision and treatment of residents generally

Current through
				June 11, 2024
1. A
				residential facility shall ensure that the staff of the facility collaborate
				with each resident of the facility, the family of the resident and other
				persons who provide care for the resident, including, without limitation, a
				qualified provider of health care, as interpreted by section 8, to:
(a) Develop a person-centered service plan
				for the resident; and
(b) Review
				the person-centered service plan at least once each year.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.260 - Activities for residents

Current through June 11,
				2024
1. The caregivers
				employed by a residential facility shall:
(a)
				Ensure that the residents are afforded an opportunity to enjoy their privacy,
				participate in physical activities, relax and associate with other
				residents;
(b) Provide group
				activities that provide mental and physical stimulation and develop creative
				skills and interests;
(c) Plan
				recreational opportunities that are suited to the interests and capacities of
				the residents;
(d) Provide each
				resident with a written program of activities;
(e) Provide for the residents at least 10
				hours each week of scheduled activities that are suited to their interests and
				capacities;
(f) Encourage each
				resident to participate in the activities scheduled pursuant to his or her
				person-centered service plan; and
(g) Post, in a common area of the facility, a
				calendar of activities for each month that notifies residents of the major
				activities that will occur in the facility. The calendar must be:
(1) Prepared at least 1 month in advance;
				and
(2) Kept on file at the
				facility for not less than 6 months after it expires.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 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

Current through June 11,
				2024
1. The
				administrator of a residential facility shall ensure that residents are
				provided with or are assisted in obtaining dental and optical care, treatment
				for hearing and hearing impairment and social services. The employees of the
				facility shall maintain a record of the services or assistance provided
				pursuant to this subsection.
2. If
				an employee of the facility suspects that a resident is being abused,
				neglected, isolated or exploited, the employee shall report that fact in the
				manner prescribed in NRS 200.5093.
3. The members of the staff of a residential
				facility shall not:
(a) Use restraints on any
				resident;
(b) Lock a resident in a
				room inside the facility; or
(c)
				Provide sedatives to a resident unless that sedative has been prescribed for
				that resident by a physician, physician assistant or advanced practice
				registered nurse to treat specific symptoms. A caregiver shall make a record of
				the behavior of a resident who has been prescribed a sedative.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.267 - Money and property of residents

Current through June 11,
				2024
1. An employee of a
				residential facility shall not handle a resident's money without first being
				requested to do so in writing by the resident or his or her
				representative.
2. An accurate
				record must be kept of all money deposited with the facility for use by the
				resident, including withdrawals. The record must include:
(a) A separate accounting of the money held
				by the facility on behalf of the resident;
(b) Receipts for expenditures made by the
				facility on behalf of the resident; and
(c) A written acknowledgment by the resident
				for each withdrawal of his or her money.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.268 - Rights of residents; procedure for filing grievance, complaint or report of incident; investigation and response

Current through June 11,
				2024
1. The
				administrator of a residential facility shall ensure that:
(a) The residents are not abused, neglected
				or exploited by a member of the staff of the facility, another resident of the
				facility or any person who is visiting the facility;
(b) A resident is not prohibited from
				speaking to any person who advocates for the rights of the residents of the
				facility;
(c) The residents are
				treated with respect and dignity;
(d) The facility is a safe and comfortable
				environment;
(e) Residents are not
				prohibited from interacting socially;
(f) Residents are allowed to make their own
				decisions whenever possible;
(g)
				Residents are aware that they may file a complaint or grievance with the
				administrator and that a resident who files such a complaint receives a
				response in a timely manner;
(h) A
				resident is informed as soon as practicable that the resident is being moved to
				a new room or that he or she is receiving a new roommate; and
(i) Residents are afforded the opportunity to
				initiate an advance directive or power of attorney for health care and that the
				employees of the facility comply with the wishes contained in such a
				document.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.269

Current through
				June 11, 2024
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; R by
				  R016-20A,
				  eff. 11/2/2020
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Admitting, Transferring and Discharging Residents › Section 449.2702 - Written policy on admissions; eligibility for residency

Current through June 11, 2024
1. Each residential facility shall have a
				written policy on admissions which includes:
(a) A statement of nondiscrimination
				regarding admission to the facility and treatment after admission;
				and
(b) The requirements for
				eligibility as a resident of that type of facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Admitting, Transferring and Discharging Residents › Section 449.2704 - Disclosure of information concerning rates and payment for services

Current through June 11, 2024
1. The administrator of a residential
				facility shall, upon the request of any person, make the following information
				available in writing:
(a) The basic rate for
				the services provided by the facility;
(b) The schedule for payment;
(c) The services included in the basic
				rate;
(d) The charges for optional
				services which are not included in the basic rate; and
(e) The residential facility's policy on
				refunds of amounts paid but not used.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Admitting, Transferring and Discharging Residents › Section 449.2706 - Transfer of resident whose condition deteriorates

Current through
				June 11, 2024
1. If a
				resident's condition deteriorates to such an extent that:
(a) The residential facility is unable to
				provide the services necessary to treat the resident properly; or
(b) The resident no longer complies with the
				requirements for admission to the facility,
the facility shall plan for the transfer of the resident
				  pursuant to
				  NRS
				  449.700 and
				  449.705
				  to another facility that is able to provide the services necessary to treat the
				  resident properly.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Admitting, Transferring and Discharging Residents › Section 449.2707 - Transfer of resident: Effective date

Current through June 11,
				2024
The transfer of a resident from a residential facility
				  occurs:
1. Except as otherwise
				provided in subsection 2, on the date that the resident is admitted to the
				facility to which he or she is moved; or
2. If the resident is moved to a unit or
				department of a hospital, other than the emergency department of the hospital,
				on the date that the resident is accepted at the hospital for care or
				observation.
Added to NAC by Bd. of
				  Health by R071-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Admitting, Transferring and Discharging Residents › Section 449.2708 - Discharge of resident; notice of discharge; issuance of notice to quit to resident for improper or harmful behavior

Current through June 11,
				2024
1. A resident may
				be discharged from a residential facility without his or her approval if:
(a) The resident fails to pay his or her bill
				within 5 days after it is due;
(b)
				The resident fails to comply with the rules or policies of the facility;
				or
(c) The administrator of the
				facility or the Bureau determines that the facility is unable to provide the
				necessary care for the resident.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.271 - Residents requiring gastrostomy care or suffering from staphylococcus infection or other serious infection or medical condition

Current
				through June 11, 2024
1.
				Except as otherwise provided in subsection 2 and NAC
				449.2736, a person must not be
				admitted to a residential facility or permitted to remain as a resident of a
				residential facility if he or she:
(a)
				Requires gastrostomy care;
(b)
				Suffers from a staphylococcus infection or other serious infection;
				or
(c) Suffers from any other
				serious medical condition that is not described in NAC
				449.2712 to
				449.2734, inclusive.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2712 - Residents requiring use of oxygen

Current through June 11,
				2024
1. A person who
				requires the use of oxygen must not be admitted to a residential facility or be
				permitted to remain as a resident of a residential facility unless he or she:
(a) Is mentally and physically capable of
				operating the equipment that provides the oxygen; or
(b) Is capable of:
(1) Determining his or her need for oxygen;
				and
(2) Administering the oxygen to
				himself or herself with assistance.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2714 - Residents requiring use of intermittent positive pressure breathing equipment

Current through June 11,
				2024
1. A person who
				requires the use of intermittent positive pressure breathing equipment must not
				be admitted to a residential facility or be permitted to remain as a resident
				of a residential facility unless:
(a) The
				resident is mentally and physically capable of operating and disinfecting the
				equipment and is capable of determining when its use is required; or
(b) The equipment is operated by a medical
				professional who has been trained to operate the equipment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2716 - Residents having colostomy or ileostomy

Current through June
				11, 2024
1. A person who
				has a colostomy or ileostomy must not be admitted to a residential facility or
				be permitted to remain as a resident of a residential facility unless:
(a) The resident is mentally and physically
				capable of properly caring for his or her colostomy or ileostomy, with or
				without assistance, and the resident's physician has stated in writing that the
				colostomy or ileostomy is completely healed; or
(b) The care for the colostomy or ileostomy
				is provided by a medical professional who is trained to provide that
				care.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2718 - Residents requiring manual removal of fecal impactions or use of enemas or suppositories

Current through June 11,
				2024
1. A person who
				requires the manual removal of fecal impactions or the use of enemas or
				suppositories must not be admitted to a residential facility or be permitted to
				remain as a resident of a residential facility unless:
(a) The resident is able to provide the care
				for himself or herself; or
(b) The
				care is administered according to the written instructions of a physician by a
				medical professional who has been trained to provide that care.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.272 - Residents requiring use of indwelling catheter

Current through
				June 11, 2024
1. A
				person who requires the use of an indwelling catheter must not be admitted to a
				residential facility or be permitted to remain as a resident of a residential
				facility unless:
(a) The resident is
				physically and mentally capable of caring for all aspects of the condition,
				with or without the assistance of a caregiver;
(b) Irrigation of the catheter is performed
				in accordance with the physician's orders by a medical professional who has
				been trained to provide that care; and
(c) The catheter is inserted and removed only
				in accordance with the orders of a physician by a medical professional who has
				been trained to insert and remove a catheter.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2722 - Residents having unmanageable condition of bowel or bladder incontinence; residents having manageable condition of bowel or bladder incontinence

Current through June 11, 2024
1. A person who has an unmanageable condition
				of bowel or bladder incontinence must not be admitted to a residential facility
				or permitted to remain as a resident of a residential facility.
2. A person who has a manageable condition of
				bowel or bladder incontinence must not be admitted to a residential facility or
				permitted to remain as a resident of a residential facility unless the
				condition can be managed by:
(a) The resident
				without the assistance of any other person;
(b) Requiring the resident to participate in
				a structured bowel or bladder retraining program to assist the resident in
				restoring a normal pattern of continence;
(c) A program which includes scheduled
				toileting at regular intervals; or
(d) Requiring the resident to use products
				that keep him or her clean and dry at all times.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2724 - Residents having contractures

Current through June 11,
				2024
1. A person who has
				contractures must not be admitted to a residential facility or be permitted to
				remain as a resident of a residential facility unless the contractures do not
				adversely affect the ability of the resident to perform normal bodily functions
				and:
(a) The resident is able to care for the
				contractures without assistance; or
(b) Supervision in caring for the
				contractures is provided by a medical professional who is trained to provide
				such supervision.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2726 - Residents having diabetes

Current through June 11,
				2024
1. A person who has
				diabetes must not be admitted to a residential facility or be permitted to
				remain as a resident of a residential facility unless:
(a) The resident's glucose testing is
				performed by:
(1) The resident himself or
				herself without assistance; or
(2)
				With the consent of the resident, a caregiver who meets the requirements of NAC
				449.196; and
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2728 - Residents requiring regular intramuscular, subcutaneous or intradermal injections

Current through June 11,
				2024
1. A person who
				requires regular intramuscular, subcutaneous or intradermal injections must not
				be admitted to a residential facility or be permitted to remain as a resident
				of the facility unless the injections are administered by:
(a) The resident; or
(b) A medical professional, or licensed
				practical nurse, acting within his or her authorized scope of practice and in
				accordance with all applicable statutes and regulations,
who has been trained to administer those injections.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2732 - Residents requiring protective supervision

Current through June
				11, 2024
1. Except as
				otherwise provided in subsection 2, a person who requires protective
				supervision may not be admitted to a residential facility or be permitted to
				remain as a resident of a residential facility unless:
(a) The resident is able to follow
				instructions;
(b) The resident is
				able to make his or her needs known to the caregivers employed by the
				facility;
(c) The resident can be
				protected from harming himself or herself and other persons; and
(d) The caregivers employed by the facility
				can meet the needs of the resident, as documented in the person-centered
				service plan established for the resident.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2734 - Residents having tracheostomy or open wound requiring treatment by medical professional; residents having pressure or stasis ulcers

Current
				through June 11, 2024
1.
				A person who has a tracheostomy or an open wound that requires treatment by a
				medical professional must not be admitted to a residential facility or be
				permitted to remain as a resident of a residential facility unless:
(a) The wound is in the process of healing or
				the tracheostomy is stable or can be cared for by the resident without
				assistance;
(b) The care is
				provided by or under the supervision of a medical professional who has been
				trained to provide that care; or
(c) The wound is the result of surgical
				intervention and care is provided as directed by the surgeon.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2736 - Procedure to exempt certain residents from restrictions

Current
				through June 11, 2024
1.
				The administrator of a residential facility may submit to the Division a
				written request for permission to admit or retain a resident who is prohibited
				from being admitted to a residential facility or remaining as a resident of the
				facility pursuant to NAC 449.271 to 449.2734, inclusive.
2. A written request submitted pursuant to
				this section must include, without limitation:
(a) Records concerning the resident's current
				medical condition, including updated medical reports, other documentation of
				current health, a prognosis and the expected duration of the
				condition;
(b) A plan for ensuring
				that the resident's medical needs can be met by the facility;
(c) A plan for ensuring that the level of
				care provided to the other residents of the facility will not suffer as a
				result of the admission or retention of the resident who is the subject of the
				request; and
(d) A statement signed
				by the administrator of the facility that the needs of the resident who is the
				subject of the written request will be met by the caregivers employed by the
				facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Restrictions on Admitting or Retaining Residents With Certain Medical Needs or Conditions › Section 449.2738 - Review of medical condition of resident; relocation or transfer of resident having certain medical needs or conditions

Current through
				June 11, 2024
1. If,
				after conducting an inspection or investigation of a residential facility, the
				Bureau determines that it is necessary to review the medical condition of a
				resident, the Bureau shall inform the administrator of the facility of the need
				for the review and the information the facility is required to submit to the
				Bureau to assist in the performance of the review. The administrator shall,
				within a period prescribed by the Bureau, provide to the Bureau:
(a) The assessments made by physicians
				concerning the physical and mental condition of the resident; and
(b) Copies of prescriptions for medication or
				orders of physicians for services or equipment necessary to provide care for
				the resident.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Medical Services, Medical Records and Other Records Concerning Residents › Section 449.274 - Medical care of resident after illness, injury or accident; periodic physical examination of resident; rejection of medical care by resident; written records

Current through June 11,
				2024
1. If a resident of
				a residential facility becomes ill or is injured, the resident's physician and
				a member of the resident's family must be notified at the onset of illness or
				at the time of the injury. The facility shall:
(a) Make all necessary arrangements to secure
				the services of a licensed physician to treat the resident if the resident's
				physician is not available; and
(b)
				Request emergency services when such services are necessary.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Medical Services, Medical Records and Other Records Concerning Residents › Section 449.2742 - Administration of medication: Responsibilities of administrator, caregivers and employees of facility

Current through June 11,
				2024
1. The
				administrator of a residential facility that provides assistance to residents
				in the administration of medications shall:
(a) Ensure that a physician, pharmacist or
				registered nurse who does not have a financial interest in the facility:
(1) Reviews for accuracy and appropriateness,
				at least once every 6 months, the regimen of drugs taken by each resident of
				the facility, including, without limitation, any over-the-counter medications
				and dietary supplements taken by a resident; and
(2) Provides a written report of that review
				to the administrator of the facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Medical Services, Medical Records and Other Records Concerning Residents › Section 449.2744 - Administration of medication: Maintenance and contents of logs and records

Current through June 11, 2024
1. The administrator of a residential
				facility that provides assistance to residents in the administration of
				medications shall maintain:
(a) A log for each
				medication received by the facility for use by a resident of the facility. The
				log must include:
(1) The type and quantity
				of medication received by the facility;
(2) The date of its delivery;
(3) The name of the person who accepted the
				delivery;
(4) The name of the
				resident for whom the medication is prescribed; and
(5) The date on which any unused medication
				is removed from the facility or destroyed.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Medical Services, Medical Records and Other Records Concerning Residents › Section 449.2746 - Administration of medication: Restrictions concerning medication taken as needed by resident; written records

Current through June 11,
				2024
1. A caregiver
				employed by a residential facility shall not assist a resident in the
				administration of a medication that is taken as needed unless:
(a) The resident is able to determine his or
				her need for the medication;
(b)
				The determination of the resident's need for the medication is made by a
				medical professional qualified to make that determination; or
(c) The caregiver has received written
				instructions indicating the specific symptoms for which the medication is to be
				given, the exact amount of medication that may be given and the frequency with
				which the medication may be given.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Medical Services, Medical Records and Other Records Concerning Residents › Section 449.2748 - Medication: Storage; duties upon discharge, transfer and return of resident

Current through June 11, 2024
1. Medication, including, without limitation,
				any over-the-counter medication, stored at a residential facility must be
				stored in a locked area that is cool and dry. The caregivers employed by the
				facility shall ensure that any medication or medical or diagnostic equipment
				that may be misused or appropriated by a resident or any other unauthorized
				person is protected. Medications for external use only must be kept in a locked
				area separate from other medications. A resident who is capable of
				administering medication to himself or herself without supervision may keep the
				resident's medication in his or her room if the medication is kept in a locked
				container for which the facility has been provided a key.
2. Medication stored in a refrigerator,
				including, without limitation, any over-the-counter medication, must be kept in
				a locked box unless the refrigerator is locked or is located in a locked
				room.
3. Medication, including,
				without limitation, any over-the-counter medication or dietary supplement, must
				be:
(a) Plainly labeled as to its contents,
				the name of the resident for whom it is prescribed and the name of the
				prescribing physician; and
(b) Kept
				in its original container until it is administered.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Medical Services, Medical Records and Other Records Concerning Residents › Section 449.2749 - Maintenance and contents of separate file for each resident; confidentiality of information

Current through June 11,
				2024
1. A separate file
				must be maintained for each resident of a residential facility and retained for
				at least 5 years after he or she permanently leaves the facility. The file must
				be kept locked in a place that is resistant to fire and is protected against
				unauthorized use. The file must contain all records, letters, assessments,
				medical information and any other information related to the resident,
				including, without limitation:
(a) The full
				name, address, date of birth and social security number of the
				resident.
(b) The address and
				telephone number of the resident's physician and the next of kin or guardian of
				the resident or any other person responsible for the resident.
(c) A statement of the resident's allergies,
				if any, and any special diet or medication he or she requires.
(d) A statement from the resident's physician
				concerning the mental and physical condition of the resident that includes:
(1) A description of any medical conditions
				which require the performance of medical services;
(2) The method in which those services must
				be performed; and
(3) A statement
				of whether the resident is capable of performing the required medical
				services.
(e) Evidence
				of compliance with the provisions of chapter 441A of NRS and the regulations
				adopted pursuant thereto.
(f) The
				types and amounts of protective supervision and personal services needed by the
				resident.
(g) An evaluation of the
				resident's ability to perform the activities of daily living and a brief
				description of any assistance he or she needs to perform those activities. The
				facility shall prepare such an evaluation:
(1) Upon the admission of the
				resident;
(2) Each time there is a
				change in the mental or physical condition of the resident that may
				significantly affect his or her ability to perform the activities of daily
				living; and
(3) In any event, not
				less than once each year.
(h) A list of the rules for the facility that
				is signed by the administrator of the facility and the resident or a
				representative of the resident.
(i)
				The name and telephone number of the vendors and medical professionals that
				provide services for the resident.
(j) A document signed by the administrator of
				the facility when the resident permanently leaves the facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Special Types of Services and Facilities › Section 449.275 - Residential facility which provides residents with hospice care: Responsibilities of staff; retention of resident with special medical needs

Current through June 11, 2024
1. A residential facility that provides
				services to a resident who elects to receive hospice care shall obtain a copy
				of the plan of care required pursuant to NAC 449.0186 for that
				resident.
2. The members of the
				staff of the facility shall:
(a) Maintain at
				the facility a written record of the care and services provided to a resident
				who receives hospice care; and
(b)
				Report any deviation from the established plan of care to the resident's
				physician within 24 hours after the deviation occurs.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Special Types of Services and Facilities › Section 449.2751 - Residential facility which provides assisted living services: Application for endorsement; general requirements

Current through June 11,
				2024
1. Each residential
				facility that wishes to provide assisted living services must apply to the
				Division to obtain an endorsement on its license authorizing the residential
				facility to provide assisted living services.
2. The Division may deny an application for
				an endorsement that is made pursuant to subsection 1 or suspend or revoke an
				existing endorsement granted pursuant to subsection 1:
(a) Based upon the grounds set forth in NAC
				449.191 or 449.1915; or
(b) If the
				residential facility for which the applicant is applying or the residential
				facility which has an endorsement does not satisfy the requirements set forth
				in this section or subsections 7 and 8 of
				NRS
				449.0302.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Special Types of Services and Facilities › Section 449.2754 - Residential facility which provides care to persons with Alzheimer's disease: Application for endorsement; general requirements

Current through
				June 11, 2024
1. A
				residential facility which offers or provides care for a resident with
				Alzheimer's disease or another form of dementia who meets the criteria
				prescribed in paragraph (a) of subsection 2 of
				NRS
				449.1845 must obtain an endorsement on its
				license as a residential facility which provides care to persons with
				Alzheimer's disease or other forms of dementia. A residential facility which
				offers or provides care for a resident with Alzheimer's disease or another form
				of dementia who does not meet the criteria prescribed in paragraph (a) of
				subsection 2 of NRS
				449.1845 may obtain such an endorsement. The
				Division may deny an application for an endorsement or suspend or revoke an
				existing endorsement based upon the grounds set forth in NAC
				449.191 or
				449.1915.
2. A residential facility which provides care
				to persons with Alzheimer's disease or other forms of dementia who meets the
				criteria prescribed in paragraph (a) of subsection 2 of
				NRS
				449.1845 must be administered by a person
				who:
(a) Has not less than 3 years of
				experience in caring for residents with Alzheimer's disease or other forms of
				dementia in a licensed facility; or
(b) Has a combination of education and
				training that the Bureau determines is equivalent to the experience required
				pursuant to paragraph (a).
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Special Types of Services and Facilities › Section 449.2756 - Residential facility which provides care to persons with Alzheimer's disease: Standards for safety; personnel required; training for employees

Current through June 11, 2024
1. The administrator of a residential
				facility which provides care to persons with Alzheimer's disease or other forms
				of dementia who meet the criteria prescribed in paragraph (a) of subsection 2
				of NRS
				449.1845 shall ensure that:
(a) Swimming pools and other bodies of water
				are fenced or protected by other acceptable means.
(b) Operational alarms, buzzers, horns or
				other technology for notifying staff when a door is opened are installed on all
				doors that may be used to exit the facility.
(c) At least one member of the staff is awake
				and on duty at the facility at all times.
(d) Each employee of the facility who has
				direct contact with and provides care to residents with any form of dementia,
				including, without limitation, dementia caused by Alzheimer's disease,
				successfully completes the training and continuing education required pursuant
				to NAC 449.2768.
(e) Knives, matches, firearms, tools and
				other items that could constitute a danger to the residents of the facility are
				inaccessible to the residents.
(f)
				The facility has an area outside the facility or a yard adjacent to the
				facility that:
(1) May be used by the
				residents for outdoor activities;
(2) Has at least 40 square feet of space for
				each resident in the facility;
(3)
				Is fenced; and
(4) Is maintained in
				a manner that does not jeopardize the safety of the residents.
All gates leading from the secured, fenced area or yard to an
				  unsecured open area or yard must be locked and keys for gates must be readily
				  available to the members of the staff of the facility at all
				  times.
(g) All
				toxic substances are not accessible to the residents of the facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Special Types of Services and Facilities › Section 449.2758 - Residential facility which provides care for elderly persons or persons with disabilities: Training for caregivers (Repealed)

Current through
				June 11, 2024
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; A by R073-03, 1-22-2004; R by
				  R043-22A,
				  eff. 7/26/2023
NRS 439.200,
					 449.0302,
					 449.094 and
					 449.1845
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Special Types of Services and Facilities › Section 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

Current through June 11,
				2024
1. A residential
				facility which offers or provides care and protective supervision for a
				resident with an intellectual disability or a resident with a related condition
				must obtain an endorsement on its license authorizing it to operate as a
				residential facility for adults with intellectual disabilities. The Division
				may deny an application for an endorsement or suspend or revoke an existing
				endorsement based upon the grounds set forth in NAC 449.191 or
				449.1915.
2. Within 60 days after
				being employed by a residential facility for adults with intellectual
				disabilities, a caregiver must receive not less than 4 hours of training
				related to the care of persons with intellectual disabilities.
3. If a resident with an intellectual
				disability is referred to the facility by a referring agency, the members of
				the staff of the facility may conduct a program to modify the behavior of the
				resident if that program is developed by the agency that referred the resident
				to the facility.
4. As used in this
				section, "residential facility for adults with intellectual disabilities" means
				a residential facility that provides care and protective supervision for
				persons with intellectual disabilities or persons with related conditions,
				including, without limitation, birth trauma, anoxia, brain trauma or other
				genetic or developmental disorders.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; A by R073-03, 1-22-2004; R119-10,
				  1-13-2011
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Special Types of Services and Facilities › Section 449.2764 - Residential facility which offers or provides care for persons with mental illnesses: Application for endorsement; training for employees

Current through June 11, 2024
1. A residential facility which offers or
				provides care and protective supervision for a resident with mental illness
				must obtain an endorsement on its license authorizing it to operate as a
				residential facility for persons with mental illnesses. The Division may deny
				an application for an endorsement or suspend or revoke an existing endorsement
				based upon the grounds set forth in NAC 449.191 or 449.1915.
2. A person who provides care for a resident
				of a residential facility for persons with mental illnesses shall, within 60
				days after becoming employed at the facility, attend not less than 8 hours of
				training concerning care for residents who are suffering from mental
				illnesses.
3. As used in this
				section, "residential facility for persons with mental illnesses" means a
				residential facility that provides care and protective supervision for persons
				with mental illnesses, including, without limitation, schizophrenia, bipolar
				disorder, psychosis and other related disorders.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; A by R052-99, 9-27-99; R073-03, 1-22-2004;
				  R119-10, 1-13-2011
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Special Types of Services and Facilities › Section 449.2766 - Residential facility which offers or provides care for persons with chronic illnesses and debilitating diseases: Application for endorsement; training for employees (Repealed)

Current through June 11, 2024
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; A by R073-03, 1-22-2004; R119-10, 1-13-2011;
				  R by
				  R043-22A,
				  eff. 7/26/2023
NRS 439.200,
					 449.0302,
					 449.094 and
					 449.1845
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Special Types of Services and Facilities › Section 449.2768 - Residential facility which provides care to persons with dementia: Training for employees

Current through June 11,
				2024
1. Except as
				otherwise provided in subsection 2, the administrator of a residential facility
				which holds an endorsement as a residential facility which provides care to
				persons with Alzheimer's disease or other forms of dementia pursuant to NAC
				449.2754 shall ensure that:
(a) Each employee of the facility who has
				direct contact with and provides care to residents with any form of dementia,
				including, without limitation, dementia caused by Alzheimer's disease,
				successfully completes, in addition to the training required by NAC
				449.196:
(1) Within the first 40 hours that such an
				employee works at the facility after he or she is initially employed at the
				facility, at least 2 hours of tier 2 training.
(2) In addition to the training requirements
				set forth in subparagraph (1), within 3 months after such an employee is
				initially employed at the facility, at least 8 hours of tier 2
				training.
(3) If such an employee
				is licensed or certified by an occupational licensing board, at least 3 hours
				of continuing education in providing care to a resident with dementia, which
				must be completed on or before the anniversary date of the first date the
				employee was initially employed at the facility. The requirements set forth in
				this subparagraph are in addition to those set forth in subparagraphs (1) and
				(2), may be used to satisfy any continuing education requirements of an
				occupational licensing board, and do not constitute additional hours or units
				of continuing education required by the occupational licensing board.
(4) If such an employee is a caregiver, other
				than a caregiver described in subparagraph (3), at least 3 hours of tier 2
				training in providing care to a resident with dementia, which must be completed
				on or before the anniversary date of the first date the employee was initially
				employed at the facility. The requirements set forth in this subparagraph are
				in addition to those set forth in subparagraphs (1) and (2).
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Deficiencies › Section 449.27702 - Determination of severity and scope of deficiency; assignment of grade

Current through June 11, 2024
1. The Bureau shall determine:
(a) The severity of a deficiency of a
				residential facility in accordance with the provisions of NAC 449.99861;
				and
(b) The scope of a deficiency
				of a residential facility in accordance with the provisions of NAC
				449.9986.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Deficiencies › Section 449.27704 - Placard: Issuance and display; failure to comply

Current
				through June 11, 2024
1.
				After the Bureau assigns a grade to a residential facility pursuant to NAC
				449.27702, the Bureau shall issue a placard to the residential
				facility.
2. The administrator
				shall, within 24 hours after receipt of the placard, display or cause the
				placard to be displayed conspicuously in a public area of the residential
				facility.
3. If the placard is not
				displayed in accordance with the provisions of subsection 2, the Bureau will
				assess against the residential facility a deficiency with a severity and scope
				score equal to the highest severity and scope score indicated in the most
				recent survey of the facility conducted by the Bureau.
Added to NAC by Bd. of
				  Health by R122-05, eff. 11-17-2005
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Deficiencies › Section 449.27706 - Resurvey: Application and fee; failure to comply

Current
				through June 11, 2024
1.
				If the Bureau issues a placard to a residential facility that includes a grade
				of "B," the administrator may submit an application to the Bureau for a
				resurvey of the facility not later than 30 days after the facility receives the
				placard. The fee for an application for a resurvey is $400 and must accompany
				the application.
2. If the Bureau
				issues a placard to a residential facility that includes a grade of "C" or "D,"
				the administrator must submit an application to the Bureau for a resurvey of
				the facility not later than 30 days after the facility receives the placard.
				The fee for an application for a resurvey is $600 and must accompany the
				application.
3. The Bureau may
				revoke the license of a residential facility that is required to submit an
				application for a resurvey pursuant to subsection 2 if the facility fails to
				submit the application in accordance with the provisions of that
				subsection.
4. As used in this
				section, "resurvey" has the meaning ascribed to it in NAC 449.99838.
Added to NAC by Bd. of
				  Health by R122-05, eff. 11-17-2005; A by R155-10,
				  12-16-2010
NRS
					 439.150,
					 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › BUSINESSES THAT PROVIDE REFERRALS TO RESIDENTIAL FACILITIES FOR GROUPS › Section 449.27811 - Definitions

Current through June 11, 2024
As used in NAC
				449.27811 to
				449.27831, inclusive, and section
				7, unless the context otherwise requires, the words and terms defined in NAC
				449.27813 to
				449.27819, inclusive, and section
				7 have the meanings ascribed to them in those sections.
Added to NAC by Bd. of
				Health by R132-99, eff. 11-29-99; A by
				R048-22A,
				eff. 12/29/2022
NRS 439.200,
				  449.0302,
				  449.0305