Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › INTERMEDIATE CARE FACILITIES › Construction and Operation: Generally › Section 449.719 - Health services

Current through June 11,
				2024
1. A facility must
				provide health services which assure that each resident receives treatments,
				medications, diets and other health services as prescribed and planned, all
				hours of each day.
2. Immediate
				supervision of the health services of the facility on all days of each week
				must be provided by a registered nurse employed full-time on all day shifts.
				The nurse must be licensed to practice in Nevada. In the case of facilities
				which serve less than 20 intermediate care facility II patients, a licensed
				practical or vocational nurse may serve as the supervisor of health services,
				if consultation is provided by a registered nurse, licensed to practice in
				Nevada, through formal contract, at regular intervals, but not less than 4
				hours weekly. Either a registered nurse or a licensed practical or vocational
				nurse licensed to practice in Nevada must be employed on the night shift on all
				days of each week. Intermediate care facilities for persons with an
				intellectual disability or persons with a developmental disability are exempt
				from this requirement.
3. At least
				two members of the staff must be on duty and awake at all times to assure
				prompt, appropriate action in cases of injury, illness, fire or other
				emergencies. Intermediate care facilities for persons with an intellectual
				disability or persons with a developmental disability with less than 16 beds
				are exempt from this requirement.
4. A written health care plan must be
				developed and implemented by appropriate members of the staff for each
				resident. The levels of care must be no less than those stated in section 501.3
				of Chapter V of the
Welfare Division Medicaid Manual
. The plan
				must be reviewed and revised at least quarterly.
5. Nursing services, including restorative
				nursing, must be provided in accordance with the needs of the
				residents.
6. Hours for nursing
				care must be at least 0.25 hours per resident for an intermediate care facility
				I and at least 1.25 hours per resident for intermediate care facility
				II.
7. Immediate supervision in an
				intermediate care facility for persons with an intellectual disability or
				persons with a developmental disability which is licensed for 16 or more beds
				must be by a currently licensed registered nurse or licensed practical nurse on
				all day shifts. Facilities in which a licensed practical nurse serves as the
				supervisor of health services must contract with a registered nurse for at
				least 4 hours of weekly consultation. Facilities with not more than 15 beds
				with residents certified by a physician as not in need of professional nursing
				services must have a formal contract with a registered nurse to visit as
				required for minor illnesses, injuries or emergencies. There must be a
				responsible member of the staff immediately available to all residents at all
				times.
Bd. of Health,
				  Intermediate Care Facilities Reg. §§ 7.1-7.6.1.1, eff.
				  12-5-75
NRS
					 449.0302