reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.685 - Design, construction, equipment and maintenance: General requirements; prerequisites to approval of facility for licensure

Current through
				June 11, 2024
1. A
				facility must be designed, constructed, equipped and maintained in a manner
				that protects the health and safety of the patients and personnel of the
				facility and members of the general public.
2. Except as otherwise provided in this
				section and NAC
				449.732 to
				449.743, inclusive:
(a) A facility shall comply with the
				provisions of
NFPA 101: Life Safety Code
, adopted by reference
				pursuant to NAC
				449.0105.
(b) Any new construction, remodeling or
				change in the use of a facility must comply with the applicable provisions of
				the guidelines adopted by reference in paragraphs (c), (d) and (e) of
				subsection 1 of NAC
				449.0105, unless the remodeling
				is limited to refurbishing an area within the facility, including, without
				limitation, painting the area, replacing the flooring in the area, repairing
				windows in the area, and replacing window or wall coverings in the
				area.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.692 - Sanitary requirements

Current through June 11,
				2024
1. A facility must
				meet all state and local environmental health standards.
2. The quality and type of food service
				equipment must be appropriate to the type of food service program and approved
				by fire and health authorities.
3.
				Environmental health inspection reports must be on file in the facility and
				note the date and nature of the correction of any deficiency within a
				reasonable period following the report not to exceed 3 months. Copies of
				reports must be sent by the inspector to the Division.
4. Cleaning of the premises and equipment
				must be performed as needed to protect the health of the residents and staff.
				The facility must have the necessary cleaning and maintenance equipment with
				storage facilities and appropriate procedures for regular cleaning and routine
				maintenance as evidenced by a clean establishment maintained in good repair.
				Cleaning equipment, cleaning agents, aerosol cans and other hazardous chemical
				agents must be stored in areas separate from clean linen, food and other
				supplies and be inaccessible to residents. Dirty linen storage must be separate
				from the storage of clean linen, food and other supplies. Items for personal
				use, such as combs, toothbrushes, towels, bar soap and other similar items,
				must not be used in common.
5. Soap
				dispensers and individual disposable towels must be provided at all lavatories
				and bathrooms designated for use by the staff or the public.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§ 11.1-11.4, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.695 - Laundry requirements

Current through June 11,
				2024
1. Adequate
				facilities must be provided for the proper and sanitary washing and finishing
				of linen and other washable goods laundered in the intermediate care facility.
				The laundry must be situated in an area which is separate and apart from any
				room where food is stored, prepared or served. The laundry area must be well
				lighted and ventilated, adequate in size for the needs of the facility,
				maintained in a sanitary manner and kept in good repair.
2. The temperature of water entering the
				washer must be 140°F to 150°F (60°C to 65°C).
3. All soiled linen must be collected and
				transported to the laundry in washable containers in a sanitary manner. Soiled
				laundry must not be transported through areas used for preparing or serving
				food. Soiled linen must be handled and stored in such a manner as to prevent
				contamination of clean linen. A secure area must be provided for the storage of
				laundry supplies.
4. Clean linen to
				be stored, dried, ironed or folded must be handled in a sanitary manner. Clean
				linen must be transferred, stored and distributed in a sanitary manner. Closets
				which are conveniently located must be provided on each floor for the storage
				of clean linen and must not be used for any other purpose.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§ 11.5-11.7.2, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.698 - Fire inspections; hazardous conditions; operation of other business

Current through June 11, 2024
1. At the time of application for a license
				and at least annually, all facilities must be inspected by the fire or building
				authority having jurisdiction to ensure that fire and safety requirements are
				being met. The Division may request a fire inspection at any time it deems
				appropriate.
2. No facility may be
				located where surrounding conditions may be hazardous to the physical or mental
				well-being of residents.
3. No
				other business detrimental to the facility may be conducted on the
				premises.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§ 13.4-13.6, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.701 - Preparations for emergencies; reporting of fire or disaster

Current through June 11, 2024
1. A facility must have a written and
				regularly rehearsed disaster preparedness plan for members of the staff and
				residents to follow in case of fire, explosion or other emergency.
2. There must be written procedures for
				personnel to follow in an emergency, including:
(a) The care of the residents and emergency
				coverage by physicians;
(b) The
				notification of attending physicians and other persons responsible for the
				residents;
(c) Arrangements for
				transportation for hospitalization or other appropriate services; and
(d) Arrangements to ensure that water is
				available to the essential areas of the facility if there is an interruption in
				the facility's normal supply of water.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.704 - Written policies and procedures for facility; admission agreements; transfer agreements

Current through June 11,
				2024
1. A facility must
				have written policies and procedures available to the members of the staff,
				residents and the public which govern all areas of services provided by the
				facility.
2. The policies for the
				admission, transfer and discharge of residents must assure that:
(a) Only those persons are accepted whose
				needs can be met by the facility directly, in cooperation with community
				resources or other providers of care with which it is affiliated or has
				contracts;
(b) As changes occur in
				their physical or mental condition, necessitating service or care which cannot
				be adequately provided by the facility, residents are transferred promptly to
				hospitals, skilled nursing facilities or other appropriate facilities;
				and
(c) Except in the case of an
				emergency, the resident, his or her next of kin, attending physician and the
				responsible agency, if any, are consulted in advance of the transfer or
				discharge of any resident, and casework services or other means are utilized to
				assure that adequate arrangements exist for meeting his or her needs through
				other resources.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.707 - Money of residents

Current through June 11,
				2024
1. A written
				account, available to residents and their families, must be maintained on a
				current basis for each resident with written, signed and dated receipts for:
(a) All personal possessions and money
				received by or deposited with the facility.
(b) All disbursements made to or on behalf of
				the resident. The purpose of the disbursement must be noted on the
				receipt.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.710 - Inventory of residents' belongings

Current through June 11,
				2024
1. There must be an
				inventory of the personal belongings of a resident upon admission which is made
				a part of the resident's record and updated as needed. All personal belongings,
				especially items of clothing, must carry permanent identification of
				ownership.
2. Provision must be
				made on the premises for the temporary safe storage of a resident's valuables.
				Residents must be encouraged to store their valuables off the premises, such as
				in a safe-deposit box. Every facility must take appropriate measures to
				safeguard and account for the personal articles of residents and any cash
				entrusted to the care or control of the licensee.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§ 3.14-3.15.1, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.713 - Program requirements

Current through June 11,
				2024
1. A facility must
				maintain arrangements through which medical, dental and remedial services, such
				as laboratory services or X-ray, required by the resident but not regularly
				provided within the facility, may be obtained when needed.
2. The facility must provide, according to
				the needs of each resident, specialized and supportive rehabilitative services
				either directly or through arrangements with qualified outside
				resources.
3. These services must
				be provided under a written plan of care:
(a)
				Based on the attending physician's orders;
(b) Based on an assessment of the resident's
				needs;
(c) Which is reviewed
				regularly, noting a resident's progress; and
(d) Which is altered or revised as
				necessary.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.716 - Dietary services

Current through June 11,
				2024
1. At least three
				meals or their equivalent must be served daily at regular times with not more
				than 14 hours between a substantial evening meal and breakfast. A second
				serving must be provided for those residents who desire one.
2. Therapeutic diet menus must be planned by
				a licensed dietitian or be reviewed and approved by the attending or staff
				physician.
3. Menus must be planned
				and followed to meet the nutritional needs of the residents in accordance with
				the orders of a physician and, to the extent medically possible, in accordance
				with the recommended dietary allowances of the Food and Nutrition Board of the
				Institute of Medicine of the National Academies. Menus must be in writing,
				planned at least a week in advance, dated, posted and kept on file for 90 days.
				Any substitutions on a menu must be noted on the written menu so that the menu
				on file reflects what was actually served.
4. Adequate facilities and equipment for the
				preparation, serving, refrigeration and storage of food in a sanitary manner
				must be provided.
5. A facility
				with more than 10 clients shall:
(a) Comply
				with all applicable provisions of chapter 446 of NRS and the regulations
				adopted pursuant thereto;
(b)
				Obtain the necessary permits from the Division;
(c) Maintain a report of each inspection
				concerning the sanitation of the facility for at least 1 year after the date of
				the inspection; and
(d) Maintain a
				report of each corrective action taken to address a deficiency noted in a
				report described in paragraph (c) for at least 1 year after the date of the
				corrective action.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.722 - Pharmaceutical services

Current through June 11,
				2024
1. If a facility
				does not employ a licensed pharmacist, it must have formal arrangements with a
				licensed pharmacist to provide consultation on methods and procedures for
				ordering, storage, administration, disposal and recording of drugs and
				biologicals.
2. Medications
				administered to a resident must be ordered either in writing or orally by the
				resident's attending or staff physician. Oral orders by a physician for
				prescription drugs must be given only to a licensed nurse, pharmacist or
				physician. All oral orders for medication must be recorded, signed by the
				person receiving them and countersigned by the attending physician within 72
				hours.
3. Medications not
				specifically limited as to time or number of doses when ordered must be
				controlled by automatic stop orders or other methods in accordance with written
				policies. The attending physician must be notified.
4. Self-administered medication is allowed
				only with the permission of the attending physician of the resident.
5. The pharmacist and a registered nurse
				shall review each drug regimen of a resident monthly and shall notify the
				physician if problems occur or changes are appropriate.
6. Drug regimens must be reviewed quarterly
				by the attending or staff physician.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§ 9.1-9.5.1, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.725 - Records

Current through June 11, 2024
1. A facility must maintain an organized
				system for keeping residents' records. A resident's records must be available
				to professionals and other members of the staff who are directly involved with
				the resident. The records must be available to representatives of the
				Division.
2. The record for each
				resident must include the following:
(a)
				Information, relating to the resident's identification.
(b) Admission data, including past medical
				and social history.
(c) Copies of
				initial and periodic examinations, evaluations and progress notes.
(d) Assessments and goals of each plan of
				care and modifications to the plan.
(e) Discharge summaries.
(f) An overall plan of care describing the
				goals to be accomplished through individually designed activities, therapies
				and treatments.
(g) The plan of
				care must indicate which professional service or person is responsible for the
				care or service.
(h) Entries
				describing treatments and services rendered.
(i) Medications administered.
(j) All symptoms and other indications of
				illness or injury, including the date, time and action taken regarding each
				such incident.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.728 - Supervision by physician; volunteers; advertising

Current through
				June 11, 2024
1. A
				facility must maintain policies and procedures to assure that each resident's
				health and care is under the continuing supervision of a physician who sees the
				resident as needed and in no case less often than every 60 days unless
				justified otherwise and documented by the attending physician.
2. Volunteers and volunteer groups may be
				used to supplement the services and programs of the facility. Volunteers may
				not be used to provide basic services to residents.
3. Residents may perform such duties and
				tasks as are consistent with their plans of care.
4. Advertising and promotional materials must
				be accurate and must not misrepresent accommodations, services or programs
				offered by the facility.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§ 3.8, 3.11-3.13, eff.
				  12-5-75
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.731

Current through
				June 11, 2024
Bd. of Health,
				  Intermediate Care Facilities Reg. §15.1, eff. 12-5-75-Substituted in
				  revision for NAC 449.746; R by
				  R016-20A,
				  eff. 11/2/2020
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.732 - Definitions

Current through June 11, 2024
As used in NAC 449.732 to 449.743, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC 449.7322 and
				  449.7324 have the meanings ascribed to them in those sections.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7322 - "Facility" defined

Current through June 11,
				2024
"Facility" means an intermediate care facility for persons
				  with an intellectual disability or persons with a developmental disability with
				  17 or more beds.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7324 - "New facility" defined

Current through June 11,
				2024
"New facility" means a facility which is newly built or a
				  facility which is under new ownership.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7326 - Standards for construction, remodeling or change in use of facility; fire alarms; emergency radio system; submission and approval of building plans

Current through June 11, 2024
1. The construction of a new facility or the
				remodeling or change in use of an existing facility must be in accordance with
				the most recently adopted local building codes and
NFPA 101: Life
				Safety Code
adopted by reference pursuant to NAC 449.0105.
2. Fire alarms must be manually operated and
				connected to an electrically supervised system. Each alarm signal must be coded
				to indicate the location of the station of origin.
3. The facility must contain a device for
				emergency radio communications to be prepared for disasters.
4. The radio system must be self-sufficient
				in an emergency and be capable of operation without reliance on the building's
				service or the emergency power system. The radio system must be linked with
				state and community communication networks.
5. Building plans for the construction of a
				new facility, for remodeling or for the change in use of an existing facility
				must be submitted to the entity designated to review such plans by the Division
				pursuant to the provisions of NAC 449.0115. The entity's review of those plans
				is advisory only and does not constitute approval for the licensing of the
				facility.
6. The Division shall not
				approve the plans for licensing until all construction has been completed and a
				survey is conducted at the site.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7328 - Elevators

Current through June 11, 2024
1. All facilities with services for patients
				or bedrooms located on floors other than the floor of the main entrance must
				have elevators.
2. At least one
				elevator of the type used in hospitals must be provided if 1 to 59 patients are
				located on floors other than the floor of the main entrance. Two elevators must
				be provided if 60 to 200 patients are located on floors other than the floor of
				the main entrance. Three elevators must be provided if 201 to 350 patients are
				located on floors other than the floor of the main entrance. For facilities
				with more than 350 beds, the number of required elevators will be determined by
				a study of the plan of the hospital and the estimated need for vertical
				transportation.
3. The cars of the
				elevators must have inside dimensions that will accommodate a patient's bed and
				attendants and must be at least 5 feet (1.52 meters) wide and 7 1/2 feet (2.29
				meters) deep.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.733 - Electrical systems

Current through June 11,
				2024
1. All electrical
				installations and systems must be tested to show that the equipment is
				installed and operates as planned or specified. A written record of tests on
				electrical systems and equipment must be supplied to the owner.
2. All spaces occupied by people, machinery
				and equipment within buildings, approaches to buildings and parking lots must
				have lighting. Rooms for patients must have general lighting. All switches for
				lighting in patient areas must operate quietly.
3. If fuel is stored for an emergency
				generator, the storage capacity must be sufficient for at least 24 hours of
				continuous operation.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7332 - Mechanical systems

Current through June 11,
				2024
1. Before the
				completion and acceptance of a facility, all mechanical systems must be tested,
				balanced and operated to demonstrate to the owner or his or her representative
				that the installation and performance of the systems conform to the
				requirements of the plans and specifications.
2. The owner must be furnished with a
				complete set of operating maintenance and preventative maintenance instructions
				and parts listed with numbers and descriptions for each piece of
				equipment.
3. Facilities must be
				built and maintained in accordance with
NFPA 101: Life Safety
				Code
adopted by reference pursuant to NAC 449.0105.
4. All air supply and air exhaust systems
				must be mechanically operated.
5.
				Hot water must be:
(a) Maintained at a
				temperature of:
(1) Not more than 125°F
				(52°C) for clinical use;
(2)
				Not more than 180°F (82°C) for dishwashing;
(3) Not more than 110°F (43°C) for
				toilet, bath and shower areas and any lavatories equipped for washing hands
				which are used by patients; and
(4)
				At least 150°F (66°C) for use in the laundry.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7334 - Doors, windows, ceilings, walls and floors

Current through
				June 11, 2024
1. All
				rooms for occupancy by patients must be equipped with doors and hardware which
				permit access from the outside in any emergency.
2. The minimum width of all doors to those
				rooms must be
				3.66 feet (111.7 centimeters). Doors to the
				toilet rooms of patients and other rooms needing access for wheelchairs must
				have a minimum width of 3 feet (91.44 centimeters).
				Doors opening onto corridors must not swing into the corridor unless they lead
				to spaces that are not occupied.
3.
				Windows and outer doors which may frequently be left open must be provided with
				screens for protection against insects.
4. Safety glass or plastic glazing materials
				must be used for shower doors, bath enclosures and in doors and windows of
				rooms for patients.
5. The height
				of a ceiling must be 8 feet (2.44 meters) in rooms
				which are occupied. Ceilings in storage rooms, corridors, toilet rooms and
				other minor rooms may have a height of
				7.5 feet (2.29 meters) but may not have any
				projection lower than 7 feet (2.13
				meters).
6. Flooring materials must
				be easily cleaned and maintained in good repair. Floors in areas subject to wet
				cleaning must not be physically affected by germicidal and cleaning solutions.
				Nonslip surfaces must be provided for areas subject to traffic while wet. Wall
				bases in kitchens and operating and delivery rooms must be integrated with the
				floor.
7. Wall finishes must be
				washable. Walls around plumbing fixtures must be resistant to moisture. Walls
				and floors must be free from cracks and holes.
8. Ceilings must be easily cleaned. Areas for
				preparing food must have ceilings which cover all overhead piping and ductwork.
				Acoustical ceilings must be provided in corridors in patient areas, nurses'
				stations, dayrooms, dining areas and waiting rooms. If acoustical ceilings
				cannot be provided, other methods of eliminating excessive noise and echoing
				must be used.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004; A by
				  R048-22A,
				  eff. 12/29/2022
NRS 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7336 - Entrances and lobbies; miscellaneous space

Current through June 11,
				2024
1. The entrance to
				administrative and public areas must be at grade level, sheltered from the
				weather and capable of accommodating wheelchairs if no other access for
				wheelchairs is available.
2. The
				lobby must include a reception or information counter, waiting space for the
				public, toilet facilities, public telephones, a drinking fountain and storage
				space for wheelchairs.
3. The area
				used for interviews must be conveniently available to the lobby.
4. A space for a business office, a
				multipurpose room and adequate storage space must be provided.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7338 - Dining and storage space

Current through June 11,
				2024
1. Dining space of
				15 square feet (1.39 square meters) per seated person must be provided for
				ambulatory patients, staff and visitors.
2. Storage space must be provided for
				housekeeping equipment and supplies.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7342 - Facilities for employees and volunteers

Current through June 11,
				2024
In addition to the facilities for employees required in
				  certain departments, all employees and volunteers must have lockers, lounges
				  and toilets to accommodate their needs.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7344 - Areas for engineering and maintenance

Current through June 11,
				2024
1. A room or
				separate building for boilers, mechanical equipment and electrical equipment
				must be provided.
2. An area for an
				engineer's office and maintenance shop must be provided.
3. A toilet and emergency shower must be
				provided in the engineering area.
4. Storage for supplies for the maintenance
				of the building must be provided.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7346 - Janitors' closets

Current through June 11,
				2024
1. In addition to
				the janitors' closets required in certain departments, janitors' closets must
				be provided throughout the facility to maintain a clean and sanitary
				environment.
2. At least one
				janitors' closet must be provided for each nursing unit and for each
				floor.
3. A janitors' closet must
				contain a floor receptor or service sink and storage space for housekeeping
				equipment and supplies.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7348 - Linen service

Current through June 11,
				2024
1. If linen is
				processed at the facility, there must be equipment which can process a 7-day
				supply within a regularly scheduled workweek.
2. There must be a room for receiving,
				holding and sorting soiled linen, with facilities for washing hands immediately
				available. An area for storing clean linen must be provided. Areas for
				inspecting, mending and issuing clean linen must be provided. Storage areas for
				laundry supplies must be provided.
3. If linen is processed outside the
				facility, only a holding room for soiled linen and a storage room for
				receiving, holding and inspecting clean linen need to be provided.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.735 - Area for medical records

Current through June 11,
				2024
An area for working on and storing medical records must be
				  provided.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7352 - Nursing units

Current through June 11,
				2024
1. Nursing units
				must be limited to 60 beds. The maximum room capacity is two
				patients.
2. The minimum area for a
				room, exclusive of toilet rooms, closets, lockers, wardrobes and vestibules of
				less than one-half of the width of a room, is 100 square feet (9.29 square
				meters) in rooms with one bed and 80 square feet (7.43 square meters) per bed
				in multibed rooms. In multibed rooms, there must be at least 3.66 feet (1.12
				meters) of clear area at the foot of each bed and at least 5 feet (1.5 meters)
				of clear area between each bed. No more than two beds may be beside one
				another, parallel to the wall with a window.
3. Each patient must have access to a toilet
				and lavatory without entering the general corridor. One toilet and lavatory may
				serve no more than four beds and no more than two patients' rooms.
4. Each patient must have a wardrobe, locker
				or closet with clear internal dimensions of at least 1.83 feet (55.9
				centimeters) by .83 feet (25.4 centimeters) with a shelf and enough vertical
				height to hang full-length garments.
5. A patient's room must not be located more
				than 120 feet (36.58 meters) from:
(a) The
				nurses' station; and
(b) The clean
				and soiled workrooms.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7354 - Service areas

Current through June 11,
				2024
1. Space must be
				provided at the nursing station for charting, communication systems and
				necessary equipment and storage.
2.
				Lavatories and toilets for the staff must be conveniently located near the
				nursing station.
3. A clean
				workroom must be provided for the storage and assembly of supplies for nursing
				procedures. The room must contain a work counter and a sink equipped with
				blade-type faucets.
4. A soiled
				workroom must be provided and contain a clinical sink, work counter and
				receptacles for waste and soiled linen.
5. A medicine room conveniently located near
				the nursing station must contain a sink equipped with blade-type faucets, a
				refrigerator, locked storage and facilities for the preparation and dispensing
				of medication. A double-locked area must be provided for controlled substances.
				The clean workroom and medicine room may be combined. The medicine room may be
				a self-contained cabinet located in the clean workroom.
6. A nourishment station or carts for
				supplying nourishment and ice to the patients must be provided.
7. A bathtub or shower must be provided at
				the rate of one for each 12 beds which are not otherwise served by bathing
				facilities within the patients' rooms. Each central bathing tub or shower must
				be in a room or enclosure which provides space for private use of the bathing
				fixture, drying and dressing. The tub and shower must have a nonskid floor. At
				least one bathing area on each floor must have space for a wheelchair and an
				attendant. A toilet must be accessible from each central bathing area without
				entering a general corridor. This toilet may be used as a training
				toilet.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.7356 - Processing of waste

Current through June 11,
				2024
Space and facilities must be provided for the sanitary
				  storage and disposal of waste by mechanical destruction, compaction,
				  containerization or removal by a combination of these techniques.
Added to NAC by Bd. of
				  Health by R066-04, eff. 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.736 - Personnel

Current through June 11, 2024
1. A facility for persons with an
				intellectual disability or persons with a developmental disability must be
				administered by a person with sufficient authority and responsibility to manage
				the facility and implement administrative policy. The administrator must be a
				currently licensed nursing home administrator, a qualified professional in
				intellectual disabilities or a hospital administrator if a hospital is
				qualifying as an intermediate care facility for persons with an intellectual
				disability or persons with a developmental disability.
2. A qualified professional in intellectual
				disabilities must be one of the following:
(a) A psychologist with at least a master's
				degree from an accredited program with specialized training or 1 year of
				experience in treating persons with intellectual disabilities;
(b) A currently licensed physician or
				osteopath with the training or experience described in paragraph (a);
(c) An educator with a degree from an
				accredited program with the training or experience described in paragraph
				(a);
(d) A social worker with
				either a bachelor's degree in social work or a bachelor's degree in a field
				other than social work and with the training or experience described in
				paragraph (a);
(e) A qualified
				physical or occupational therapist with the training or experience described in
				paragraph (a);
(f) A speech
				pathologist or audiologist with the training or experience described in
				paragraph (a);
(g) A registered
				nurse with the training or experience described in paragraph (a); or
(h) A therapeutic recreational specialist who
				is a graduate of an accredited program and with the training or experience
				described in paragraph (a).
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.737 - Plan of care

Current through June 11,
				2024
1. Each resident in
				a facility for persons with an intellectual disability or persons with a
				developmental disability must be a regular participant in an individual plan of
				care which must be prepared in written form by an interdisciplinary team
				consisting of at least a physician, a social worker, a qualified professional
				in intellectual disabilities and such other professional specialists indicated
				in unusual cases.
2. The plan of
				care must:
(a) Contain a complete medical,
				social and psychological evaluation of the resident;
(b) Indicate the resident's need for
				institutional care;
(c) Be stated
				in quantifiable terms and made available to the members of the staff who
				implement its provisions; and
(d)
				Prescribe an individually designed integrated program of therapies,
				experiences, activities or training.
The ultimate goal of any plan of care is the maximal
				  normalization of the resident.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.740 - Corporal punishment; restraints

Current through June 11,
				2024
1. Corporal
				punishment of residents in a facility for persons with an intellectual
				disability or persons with a developmental disability by members of the staff
				or other residents is prohibited.
2. Physical restraints may not be used except
				as absolutely necessary for the safety of the resident, his or her peers or the
				staff and then only under the following conditions:
(a) The facility shall have a written policy
				clearly stating the conditions under which restraint may be employed and
				enumerating which members of the staff may authorize its use;
(b) No restraint may remain in force for more
				than 12 hours;
(c) A resident in
				restraint must be checked at least every 30 minutes by trained members of the
				staff and a written record of these checks must be maintained;
(d) The restraint file must be reviewed daily
				by the administrator or his or her appointee and a copy of the record placed in
				the resident's file; and
(e) The
				restraints used must be designed so as not to cause physical injury or great
				discomfort to the resident. A resident must be released from restraint for at
				least 10 minutes of every 2-hour period they are restrained.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Facilities for Persons With an Intellectual Disability or Persons With a Developmental Disability › Section 449.743 - Records

Current through June 11, 2024
1. A file must be maintained for each
				resident in a facility for persons with an intellectual disability or persons
				with a developmental disability which contains:
(a) Identification information;
(b) The resident's legal status;
(c) Admission data;
(d) Past medical, developmental and social
				history;
(e) Copies of all facility
				examinations and evaluations of the resident or his or her plan of care;
				and
(f) A discharge summary.
Entries must be made noting any treatments or services
				  rendered, medications administered or symptoms of illness or injury.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74311 - Definitions

Current through June 11, 2024
As used in NAC 449.74311 to
				449.74373, inclusive, unless the
				context otherwise requires, the words and terms defined in NAC
				449.74313 to
				449.74325, inclusive, have the
				meanings ascribed to them in those sections.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006; A by
				R016-20A,
				eff. 11/2/2020
NRS
				449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74313 - "Administrator" defined

Current through June 11,
			 2024
"Administrator" means the person who is appointed by the
				governing body of a facility who has primary responsibility for the overall
				operations of the facility.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74315 - "Facility" defined

Current through June 11,
			 2024
"Facility" means a community triage center as defined in
				NRS
				449.0031.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74317 - "Governing body" defined

Current through June 11,
			 2024
"Governing body" means a body that has the ultimate authority
				for the administration of a facility pursuant to NAC 449.74327.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74321 - "Patient" defined

Current through June 11,
			 2024
"Patient" means any person who is under observation or
				receiving care or treatment in a facility.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74322 - "Person with mental illness" defined

Current through June 11,
			 2024
"Person with mental illness" has the meaning ascribed to it in
				NRS
				433A.115.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006-Substituted in revision for NAC
				449.74319
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74323 - "Program" defined

Current through June 11,
			 2024
"Program" means a program described in NAC 449.74339.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74325 - "Psychologist" defined

Current through June 11,
			 2024
"Psychologist" has the meaning ascribed to it in
				NRS
				641.027.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74327 - Governing body; bylaws and policies

Current through June 11,
			 2024
1. Each facility
			 must have a governing body which has the ultimate authority for the
			 administration of the facility.
2.
			 The governing body shall:
(a) Adopt written
			 bylaws and policies that define the powers and duties of the governing body,
			 its committees, the administrator and any advisory group;
(b) Review and revise annually the bylaws,
			 policies and procedures of the governing body;
(c) Appoint an administrator of the facility
			 who is qualified by education, experience and training to manage the
			 facility;
(d) Establish policies
			 governing the responsibilities, authority and duties of the administrator that
			 are designed to enable the administrator to perform the administrative and
			 treatment functions of the facility;
(e) Appoint a medical director of the
			 facility who is responsible for the medical services provided at the
			 facility;
(f) Adopt controls
			 designed to achieve and maintain maximum standards of service;
(g) Review and approve an annual budget to
			 carry out the objectives of each program; and
(h) Review and approve annually the program
			 goals and objectives set forth in NAC 449.74339.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74329 - Policies and procedures for services and operation of facility

Current through June 11, 2024
1. The governing body shall adopt written
			 policies and procedures that govern the operation of the facility and the
			 services provided by the facility.
2. The policies and procedures adopted
			 pursuant to subsection 1 must:
(a) Ensure
			 that only those persons are accepted as patients whose needs can be met by the
			 facility directly or in cooperation with community resources or other providers
			 of treatment with which it is affiliated or has contacts;
(b) Ensure that a patient whose physical or
			 mental condition has changed to such an extent that he or she can no longer be
			 adequately served by the facility will be transferred promptly to an
			 appropriate facility;
(c) Set forth
			 the rights of patients and members of the staff, including, without limitation,
			 the rights of patients set forth in
			 NRS
			 449.700 to
			 449.730,
			 inclusive, and provide for the registration and disposition of complaints
			 without threat of discharge or reprisal against an employee or
			 patient;
(d) Ensure that the
			 admission agreement between the administrator and the patient specifically
			 prohibits the administrator, his or her designee or any member of the staff of
			 the facility from being given durable power of attorney for health care for the
			 patient; and
(e) Be available to
			 members of the staff, patients and the public.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74331 - Transfer of patient

Current through June 11,
			 2024
1. Except in the
			 case of an emergency:
(a) The transfer of a
			 patient must not be effected until the patient, attending physician of the
			 patient, if any, and responsible agency are consulted in advance.
(b) If a patient is transferred to a hospital
			 or other medical facility, a summary of discharge containing a plan for
			 continuation of care must be prepared and forwarded to the receiving facility
			 if the patient or his or her guardian consents to release such information to
			 the receiving facility.