reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOMES FOR INDIVIDUAL RESIDENTIAL CARE › Section 449.15525 - Requirements for safety and sanitation of facility

Current through
			 June 11, 2024
1. The
			 interior and exterior of a home must be clean and free of hazards and offensive
			 odors.
2. A home must contain:
(a) Appropriate and well-maintained
			 furnishings;
(b) At least one
			 functional, portable fire extinguisher;
(c) A first-aid kit;
(d) Equipment that is sufficiently clean and
			 adequate for the preparation, service and storage of food; and
(e) Adequate areas and equipment to carry out
			 appropriate sanitary procedures for the handling, cleaning and storage of
			 linens and personal laundry.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOMES FOR INDIVIDUAL RESIDENTIAL CARE › Section 449.15527 - Agreement between operator of home and resident concerning rates; maintenance of records of residents

Current through June 11,
			 2024
The operator of a home shall:
1. Enter into a written agreement with each
			 resident of the home that sets forth the basic rate for the services of the
			 home and the charges for any optional services.
2. Maintain a separate, organized file for
			 each resident of the home and retain the file for 5 years after the resident
			 permanently leaves the home. Each file must include:
(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 a person who is responsible for the
			 resident;
(c) A copy of the results
			 of a general physical examination of the resident conducted by his or her
			 physician; and
(d) A current copy
			 of the assessment of the needs of the resident conducted pursuant to NAC
			 449.15523.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › HOMES FOR INDIVIDUAL RESIDENTIAL CARE › Section 449.15529 - On-site survey of home by Bureau

Current through June 11,
			 2024
The Bureau shall conduct:
1. An initial on-site survey of a home:
(a) After the Bureau receives a completed
			 application for a license to operate the home and the fee required pursuant to
			 NAC 449.016; and
(b) Before the
			 issuance of a license to operate the home.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.156 - Definitions

Current through June 11, 2024
As used in NAC
				  449.156 to
				  449.27706, inclusive, and
				  sections 2 to 16, inclusive, unless the context otherwise requires, the words
				  and terms defined in NAC
				  449.1565 to
				  449.178, inclusive, and sections
				  2 to 6, inclusive have the meanings ascribed to them in those
				  sections.
Supplied in
				  codification; A by Bd. of Health, 3-6-86; R003-97, 10-30-97; R204-99,
				  2-10-2000; R071-04, 8-4-2004; R122-05, 11-17-2005; R097-06, 7-14-2006; A by
				  R043-22A,
				  eff. 7/26/2023
NRS 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.1565 - "Administer" defined

Current through June 11,
				2024
"Administer" means the direct application of a drug or
				  medicine referred to in
				  NRS
				  454.181 to
				  454.371,
				  inclusive, by injection, inhalation, ingestion or any other means, to the body
				  of a resident of a residential facility.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.157 - "Administrator" defined

Current through June 11,
				2024
"Administrator" means a person:
1. Who is licensed by the Nevada State Board
				of Examiners for Administrators of Facilities for Long-Term Care pursuant to
				chapter 654 of NRS;
2. Whose name
				appears on a license issued by the Bureau as administrator of record for a
				residential facility; and
3. Who is
				legally responsible for the care of residents and the daily operation of the
				facility.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.1575 - "Board" defined

Current through June 11,
				2024
"Board" means the State Board of Health.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.1585 - "Caregiver" defined

Current through June 11,
				2024
"Caregiver" means an employee of a residential facility who
				  provides care, assistance or protective supervision to a resident of the
				  facility.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.1591 - "Category 1 resident" defined

Current through June 11,
				2024
"Category 1 resident" means:
1. In a residential facility with not more
				than 10 residents, a resident who, without the assistance of any other person,
				is physically and mentally capable of moving himself or herself from the room
				in which the resident sleeps to outside the facility in 4 minutes or less;
				or
2. In a residential facility
				with more than 10 residents, a resident who, without the assistance of any
				other person, is physically and mentally capable of moving himself or herself
				from the room in which the resident sleeps to the other side of a smoke or fire
				barrier or outside the facility, whichever is nearest, in 4 minutes or
				less.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.1595 - "Category 2 resident" defined

Current through June 11,
				2024
"Category 2 resident" means:
1. In a residential facility with not more
				than 10 residents, a resident who, without the assistance of any other person,
				is not physically or mentally capable of moving himself or herself from the
				room in which the resident sleeps to outside the facility in 4 minutes or
				less.
2. In a residential facility
				with more than 10 residents, a resident who, without the assistance of any
				other person, is not physically or mentally capable of moving himself or
				herself from the room in which the resident sleeps to the other side of a smoke
				or fire barrier or outside the facility, whichever is nearest, in 4 minutes or
				less.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.1597 - "Dietary supplement" defined

Current through June 11,
				2024
"Dietary supplement" has the meaning ascribed to it in
				  21 U.S.C.
				  321(ff) as that section
				  existed on August 17, 1999.
Added to NAC by Bd. of
				  Health by R204-99, eff. 2-10-2000
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.1599 - "Discharge" defined

Current through June 11,
				2024
"Discharge" means the release of a resident from a
				  residential facility which does not involve a transfer.
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 › General Provisions › Section 449.160 - "Division" defined

Current through June 11,
				2024
"Division" means the Division of Public and Behavioral Health
				  of the Department of Health and Human Services.
Added to NAC by Bd. of
				  Health, eff. 3-6-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.161 - "Grade" defined

Current through June 11,
				2024
"Grade" means a letter that is assigned to a residential
				  facility by the Bureau based on the severity and scope scores of the facility
				  as determined 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 › General Provisions › Section 449.164 - "Hospice care" defined

Current through June 11,
				2024
"Hospice care" has the meaning ascribed to it in
				  NRS
				  449.0115.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.169 - "Medical professional" defined

Current through June 11,
				2024
"Medical professional" means a physician or a physician
				  assistant, advanced practice registered nurse, registered nurse, physical
				  therapist, occupational therapist, speech-language pathologist or practitioner
				  of respiratory care who is trained and licensed to perform medical procedures
				  and care prescribed by a physician.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; A by
				  R043-22A,
				  eff. 7/26/2023
NRS 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.170 - "Placard" defined

Current through June 11,
				2024
"Placard" means a certificate issued to a residential
				  facility by the Bureau that includes the grade assigned to the facility 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 › General Provisions › Section 449.172 - "Residential facility" defined

Current through June 11,
				2024
"Residential facility" means a residential facility for
				  groups as defined in
				  NRS
				  449.017.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.173 - "Residential facility which provides care to persons with Alzheimer's disease" defined (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 › General Provisions › Section 449.175 - "Severity and scope score" defined

Current through June 11,
				2024
"Severity and scope score" has the meaning ascribed to it in
				  NAC 449.99839.
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 › General Provisions › Section 449.176 - "Staff of a facility" defined

Current through June 11,
				2024
"Staff of a facility" means the administrator, caregivers and
				  other employees of a residential facility.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Provisions › Section 449.178 - "Transfer" defined

Current through June 11,
				2024
"Transfer" means the movement of a resident from a
				  residential facility to another facility for inpatient or residential
				  care.
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 › Licensing › Section 449.179 - Submission and approval of plan for new construction or remodeling; inspection; evidence of compliance

Current through June 11,
				2024
1. Except for a
				residential facility with less than 11 beds, before a residential facility is
				constructed or an existing facility is remodeled, the facility must:
(a) Submit the plan for construction or
				remodeling to the entity designated to review such plans by the Division
				pursuant to the provisions of NAC 449.0115;
(b) Notify the Bureau of a tentative date for
				the completion of the construction or remodeling; and
(c) Obtain approval of the plan from the
				Division.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Licensing › Section 449.180 - Requirements for purchasing licensed facility

Current through June
				11, 2024
If an applicant for a license to operate a residential
				  facility desires to purchase a currently licensed facility, the facility must
				  comply with all current state and local requirements relating to health and
				  safety.
Bd. of Health, Group
				  Care Facilities Appendix §§ 1, 1.1 & 2-2.7, eff. 10-13-77-NAC A
				  3-6-86; R003-97, 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Licensing › Section 449.190 - License: Contents; validity; transferability; issuance of more than one type

Current through June 11,
				2024
1. A license to
				operate a residential facility must include:
(a) The name of the administrator of the
				facility;
(b) The name and address
				of the facility;
(c) The type of
				facility;
(d) The maximum number of
				residents authorized to reside at the facility; and
(e) The category of residents who may reside
				at the facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Licensing › Section 449.191 - Denial, suspension or revocation of endorsement: Grounds

Current through June 11, 2024
In addition to the grounds set forth in
				  NRS
				  449.160 and NAC 449.1915, the Division may
				  deny an application for an endorsement made pursuant to NAC 449.2751 to
				  449.2768, inclusive, on a license to operate a residential facility or may
				  suspend or revoke an existing endorsement based upon any of the following
				  grounds:
1. The failure or refusal of
				an applicant or licensee to comply with any of the provisions of chapter 449 of
				NRS or the regulations adopted by the Board.
2. The failure or refusal of an applicant or
				licensee to comply with a reasonable order from the Division to remove a
				resident from a facility.
3.
				Providing services at the facility without an endorsement, if an endorsement is
				required before providing those types of services.
4. Accepting for care, at any given time,
				more residents than the number specified in the license.
5. The failure or refusal of a licensee to
				return an adequate plan of correction to the Division within 10 days after the
				receipt by the licensee of a statement of deficiencies.
6. The failure or refusal to cooperate fully
				with an investigation or inspection by the Bureau.
7. Misappropriation of the property of a
				resident of a facility.
8. Abuse,
				neglect or exploitation of a person who is infirm, a person with an
				intellectual disability, a person with a disability or a person who is 60 years
				of age or older.
9. The residential
				facility has demonstrated an inability to care for residents adequately, as
				demonstrated by a history of deficiencies affecting the health or safety of
				residents or employees.
10. The
				license has been revoked or suspended due to a failure to comply with the
				provisions of NAC 449.002 to 449.99939, inclusive, or chapter 449 of NRS and
				was subsequently reinstated within the immediately preceding year.
Added to NAC by Bd. of
				  Health by R119-10, eff. 1-13-2011
NRS
					 449.0302,
					 449.165
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Licensing › Section 449.1915 - Suspension or revocation of license and endorsement if residential facility has been assigned grade of D on two or more consecutive surveys or resurveys, or both

Current through June 11,
				2024
In addition to the grounds set forth in
				  NRS
				  449.160 and NAC 449.0118, 449.191, 449.2751
				  and 449.27706, the Division may suspend or revoke a license to operate a
				  residential facility, including any endorsement on the license, if the
				  residential facility has been assigned, pursuant to NAC 449.27702, a grade of D
				  on two or more consecutive surveys or resurveys, or both.
Added to NAC by Bd. of
				  Health by R119-10, eff. 1-13-2011
NRS
					 449.0302,
					 449.165
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Administration and Personnel › Section 449.194 - Responsibilities of administrator

Current through June 11,
				2024
The administrator of a residential facility shall:
1. Provide oversight and direction for the
				members of the staff of the facility as necessary to ensure that residents
				receive needed services and protective supervision and that the facility is in
				compliance with the requirements of NAC 449.156 to 449.27706, inclusive, and
				chapter 449 of NRS.
2. Designate
				one or more employees to be in charge of the facility during those times when
				the administrator is absent. Except as otherwise provided in this subsection,
				employees designated to be in charge of the facility when the administrator is
				absent must have access to all areas of and records kept at the facility.
				Confidential information may be removed from the files to which the employees
				in charge of the facility have access if the confidential information is
				maintained by the administrator. The administrator or an employee who is
				designated to be in charge of the facility pursuant to this subsection shall be
				present at the facility at all times. The name of the employee in charge of the
				facility pursuant to this subsection must be posted in a public place within
				the facility during all times that the employee is in charge.
3. Maintain in the facility, and make
				available upon request, a copy of the provisions of NAC 449.156 to 449.27706,
				inclusive, and the report of the latest investigation of the facility conducted
				by the Bureau pursuant to
				NRS
				449.0307.
4. Ensure that the records of the facility
				are complete and accurate.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; A by R073-03,
				  1-22-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Administration and Personnel › Section 449.196 - Qualifications and training of caregivers

Current through June 11,
				2024
1. A caregiver of a
				residential facility must:
(a) Be at least 18
				years of age;
(b) Be responsible
				and mature and have the personal qualities which will enable him or her to
				understand the problems of elderly persons and persons with
				disabilities;
(c) Understand the
				provisions of NAC
				449.156 to
				449.27706, inclusive, and
				sections 2 to 16, inclusive and sign a statement that he or she has read those
				provisions;
(d) Demonstrate the
				ability to read, write, speak and understand the English language;
(e) Possess the appropriate knowledge, skills
				and abilities to meet the needs of the residents of the facility;
(f) Not later than 60 days after commencing
				employment with the residential facility, receive not less than 4 hours of a
				combination of tier 1 and tier 2 training related to care for the residents of
				the facility; and
(g) Receive
				annually not less than 8 hours of training related to providing for the needs
				of the residents of a residential facility. Such training must include, without
				limitation, at least 2 hours of tier 2 training.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Administration and Personnel › Section 449.197 - Medical services may be provided only by medical professional

Current through June 11, 2024
A member of the staff of a residential facility shall not
				  provide medical services to a resident of the facility unless the member of the
				  staff is a medical professional.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Administration and Personnel › Section 449.1985 - Performance of certain tasks by caregiver

Current through June 11,
				2024
1. A caregiver of a
				residential facility may perform a task described in
				NRS
				449.0304 if the caregiver:
(a) Before performing the task, annually
				thereafter and when any device used for performing the task is changed:
(1) Has received training concerning the task
				that meets the requirements of subsections 5 and 6; and
(2) Has demonstrated an understanding of the
				manner in which the task must be performed;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Administration and Personnel › Section 449.199 - Staffing requirements; limitation on number of residents; written schedule for each shift; direct supervision of certain employees

Current through June 11, 2024
1. The administrator of a residential
				facility shall ensure that a sufficient number of caregivers are present at the
				facility to conduct activities and provide care and protective supervision for
				the residents. There must be at least one caregiver on the premises of the
				facility if one or more residents are present at the facility.
2. Except as otherwise provided in NAC
				449.2756, the administrator of a residential facility which has more than 20
				residents shall ensure that at least one employee is awake and on duty at the
				facility at all times. An additional employee must be available to provide care
				within 10 minutes after being informed that his or her services are
				needed.
3. A residential facility
				must not accept residents in excess of the number of residents specified on the
				license issued to the owner of the facility.
4. The administrator of a residential
				facility shall maintain monthly a written schedule that includes the number and
				type of members of the staff of the facility assigned for each shift. The
				schedule must be amended if any changes are made to the schedule. The schedule
				must be retained for at least 6 months after the schedule expires.
5. An employee of a residential facility who
				is less than 18 years of age must be under the direct supervision of an
				employee who is 18 years of age or older.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; A by R073-03,
				  1-22-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Administration and Personnel › Section 449.200 - Personnel files

Current through June 11,
				2024
1. Except as
				otherwise provided in subsection 2, a separate personnel file must be kept for
				each member of the staff of a facility and must include:
(a) The name, address, telephone number and
				social security number of the employee;
(b) The date on which the employee began his
				or her employment at the residential facility;
(c) Records relating to the training received
				by the employee, including, without limitation:
(1) Certificates of completion for all
				training completed by the employee; and
(2) If a tier 2 training is not provided
				through a course listed on the Internet website maintained by the Division
				pursuant to subsection 2 of section 7, a list of topics covered by the training
				which may consist of, without limitation, the syllabus for the training or an
				outline of the training;
(d) The health certificates required pursuant
				to chapter 441A of NAC for the employee;
(e) Evidence that the references supplied by
				the employee were checked by the residential facility; and
(f) Evidence of compliance with
				NRS
				449.122 to
				449.125,
				inclusive.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › Administration and Personnel › Section 449.202 - Rights of staff members during investigation of facility; duties of investigator

Current through June 11,
				2024
1. Upon the request
				of the administrator of a residential facility or any other member of the staff
				of the facility, a person who is conducting an investigation of the facility
				pursuant to
				NRS 449.0307
				shall:
(a) Identify himself or herself and
				provide the name and telephone number of his or her supervisor; and
(b) Inform the administrator or other member
				of the staff of the facility of the reason for the investigation.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.204 - System of financial accounting; insurance

Current through June
				11, 2024
1. A
				residential facility shall:
(a) Maintain a
				recognized system of financial accounting; and
(b) Maintain a contract of insurance for
				protection against liability to third persons in amounts appropriate for the
				protection of residents, employees, volunteers and visitors to the
				facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.205 - Advertising and promotional materials

Current through June 11,
				2024
Advertising and promotional materials for a residential
				  facility must be accurate and not misrepresent accommodations, services or
				  programs offered by the facility.
Added to NAC by Bd. of
				  Health, eff. 3-6-86; A by R003-97, 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.208 - Restrictions on conducting other businesses or providing other services on premises

Current through June 11,
				2024
No other business may be conducted or other services may be
				  provided on the premises of a residential facility if the business or services
				  would interfere with the operation of the facility or the care provided to the
				  residents of the facility.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.209 - Health and sanitation

Current through June 11,
				2024
1. A residential
				facility must:
(a) Have a safe and sufficient
				supply of water, adequate drainage and an adequate system for the disposal of
				sewage; and
(b) Comply with all
				local ordinances and state and federal laws and regulations relating to zoning,
				sanitation, accessibility to persons with disabilities and safety.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.211 - Automatic sprinkler systems

Current through June 11,
				2024
1. After January
				14, 1997, the Division shall withhold the issuance of an initial license to
				operate a residential facility that does not have an automatic sprinkler system
				which complies with the provisions of chapter 477 of NRS and any local
				ordinances relating to the installation of automatic sprinkler
				systems.
2. Except as otherwise
				provided in subsection 3, a residential facility with less than seven residents
				that is issued a license on or before January 14, 1997, shall install an
				automatic sprinkler system that complies with the provisions of chapter 477 of
				NRS and any local ordinances relating to the installation of automatic
				sprinkler systems if:
(a) The ownership of
				the facility is transferred to a new owner;
(b) The number of beds in the facility is
				increased;
(c) The facility is
				currently authorized to admit or retain category 1 residents only and wishes to
				apply for authorization to admit or retain category 2 residents; or
(d) The facility is not currently authorized
				to admit or retain residents who suffer from Alzheimer's disease or other
				related dementia and the facility wishes to apply for authorization to admit or
				retain such residents.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.213 - Laundry and linen services

Current through June 11,
				2024
1. A residential
				facility shall:
(a) Provide laundry and linen
				services on the premises of the facility; or
(b) Contract with a commercial laundry for
				the provision of those services.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.216 - Common areas; dining rooms

Current through June 11,
				2024
1. A residential
				facility must have at least one centrally located common area in which
				residents may socialize and participate in recreational activities. A common
				area may include, without limitation, a living room, dining room, enclosed
				porch or solarium.
2. The common
				areas must be large enough to accommodate those to be served without
				overcrowding the areas. A minimum area of 15 square feet of total common area
				space per person must be provided.
3. All common areas must be furnished and
				equipped with comfortable furniture.
4. The dining room must be of sufficient size
				to accommodate all the residents comfortably. A minimum area of 10 square feet
				per person must be provided.
5. The
				dining room must be conveniently located near the kitchen to ensure the rapid
				and efficient serving of food.
Bd. of Health, Group
				  Care Facilities §§ 15.1-15.2.3, eff. 12-18-75-NAC A 3-6-86; R003-97,
				  10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.217 - Kitchens; storage of food; adequate supplies of food; permits; inspections

Current through June 11,
				2024
1. The equipment in
				a kitchen of a residential facility and the size of the kitchen must be
				adequate for the number of residents in the facility. The kitchen and the
				equipment must be clean and must allow for the sanitary preparation of food.
				The equipment must be in good working condition.
2. Perishable foods must be refrigerated at a
				temperature of 40 degrees Fahrenheit or less. Frozen foods must be kept at a
				temperature of 0 degrees Fahrenheit or less.
3. Sufficient storage must be available for
				all food and equipment used for cooking and storing food. Food that is stored
				must be appropriately packaged.
4.
				The administrator of a residential facility shall ensure that there is at least
				a 2-day supply of fresh food and at least a 1-week supply of canned food in the
				facility at all times.
5.
				Pesticides and other toxic substances must not be stored in any area in which
				food, kitchen equipment, utensils or paper products are stored. Soaps,
				detergents, cleaning compounds and similar substances must not be stored in any
				area in which food is stored.
6. A
				residential facility with more than 10 residents shall:
(a) Comply with the standards prescribed in
				chapter 446 of NAC; and
(b) Obtain
				the necessary permits from the Division.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.2175 - Service of food; seating; menus; special diets; nutritional requirements; dietary consultants

Current through June 11,
				2024
1. A residential
				facility shall have adequate facilities and equipment for the preparation,
				service and storage of food.
2.
				Tables and chairs must be of proper height and of sufficient number to provide
				seating for the number of residents authorized for the facility. They must be
				sturdy and have easily washable surfaces. Chairs must be constructed so that
				they do not overturn easily.
3.
				Menus must be in writing, planned a week in advance, dated, posted and kept on
				file for 90 days.
4. A resident who
				has been placed on a special diet by a physician or licensed dietitian must be
				provided a meal that complies with the diet. The administrator of the facility
				shall ensure that records of any modifications to the menu to accommodate for
				special diets prescribed by a physician or licensed dietitian are kept on file
				for at least 90 days.
5. Any
				substitution for an item on the menu must be documented and kept on file with
				the menu for at least 90 days after the substitution occurs. A substitution
				must be posted in a conspicuous place during the serving of the meal.
6. Each meal must provide a reasonable
				portion of the daily dietary allowances recommended by the Food and Nutrition
				Board of the Institute of Medicine of the National Academies.
7. Meals must be nutritious, served in an
				appropriate manner, suitable for the residents and prepared with regard for
				individual preferences and religious requirements. At least three meals a day
				must be served at regular intervals. The times at which meals will be served
				must be posted. Not more than 14 hours may elapse between the meal in the
				evening and breakfast the next day. Snacks must be made available between meals
				for the residents who are not prohibited by their physicians from eating
				between meals.
8. A resident must
				be served meals in his or her bedroom for not more than 14 consecutive days if
				the resident is temporarily unable to eat in the dining room because of an
				injury or illness. The facility may serve meals to other residents in their
				rooms upon request. If a meal is served to a resident in his or her room
				because the resident is unable to eat in the dining room, the facility shall
				maintain a record of the times and reasons for serving meals to the resident in
				his or her room.
9. A residential
				facility with more than 10 residents shall employ or otherwise obtain the
				services of a person to serve as a consultant for the planning and serving of
				meals who:
(a) Is a licensed dietitian;
				or
(b) Is a graduate from an
				accredited college with a major in food and nutrition and has 2 years of
				supervisory experience in a medical facility or facility for the dependent or
				has participated in a course of training for a supervisor of the service of
				food.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.218 - Bedrooms: Floor space; windows and doors; privacy; storage space; bedding; personal furnishings; lighting

Current through June 11,
				2024
1. A bedroom in a
				residential facility that is shared by two or three residents must have at
				least 60 square feet of floor space for each resident who resides in the
				bedroom. A resident may not share a bedroom with more than two other residents.
				A bedroom that is occupied by only one resident must have at least 80 square
				feet of floor space.
2. Each
				bedroom in a residential facility must have one or more windows to the outside
				that can be opened from the inside of the room without the use of tools or a
				door to the outside which is at least 36 inches wide and can be opened from the
				inside.
3. The combined size of the
				panes of glass of the windows in a bedroom in a facility that was issued a
				license on or after January 14, 1997, must equal not less than 8 percent of the
				floor space in the room.
4. The
				arrangement of the beds and other furniture in the bedroom must provide privacy
				for and promote the safety of the residents occupying the bedroom. Adjustable
				curtains, shades, blinds or similar devices must be provided for visual
				privacy.
5. Each resident must be
				provided:
(a) At least 10 square feet of space
				for storage in a bedroom for each bed in the bedroom; and
(b) At least 24 inches of space in a
				permanent or portable closet for hanging garments.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.220 - Bedroom doors

Current through June 11,
				2024
1. A bedroom door
				in a residential facility which is equipped with a lock must open with a single
				motion from the inside unless the lock provides security for the facility and
				can be operated without a key or any special knowledge.
2. A bedroom door must not be equipped with a
				deadbolt lock or chain stop unless the door opens directly to the outside of
				the facility. The doors of a bedroom and the doors of the closets in the
				bedroom may be equipped with locks for use by residents if:
(a) The doors may be unlocked with a single
				motion from inside the bedroom or closet without the use of a key;
				and
(b) The doors of the bedroom
				may be unlocked from outside the room and the keys are readily available at all
				times.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.221 - Use of certain areas in facility as bedroom prohibited

Current
				through June 11, 2024
A hall, stairway, unfinished attic, garage, storage area or
				  shed or other similar area of a residential facility must not be used as a
				  bedroom. Any other room must not be used as a bedroom if it:
1. Can only be reached by passing through a
				bedroom occupied by another resident; or
2. Is used for any other purpose.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.222 - Bathrooms and toilet facilities; toilet articles

Current through
				June 11, 2024
1. Each
				residential facility with less than seven residents that was issued an initial
				license before January 14, 1997, must have bathroom facilities in sufficient
				number to accommodate the residents, the members of the staff of the facility
				and other persons at the facility.
2. Each residential facility that is issued
				an initial license on or after January 14, 1997, must have:
(a) A flush toilet and lavatory for each four
				residents; and
(b) A tub or shower
				for each six residents.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.224 - Housing for staff members

Current through June 11,
				2024
1. Bedrooms must be
				provided for any members of the staff of a residential facility and their
				families who live at a residential facility. The bedrooms must comply with the
				provisions of subsections 2 to 8, inclusive, of NAC 449.218 and the provisions
				of NAC 449.220 and 449.221.
2.
				Members of the staff of the facility and their families who live at the
				facility shall be deemed residents of the facility for the purposes of
				determining the number of toilets, lavatories and tubs or showers the facility
				is required to have pursuant to NAC 449.222. All toilets, lavatories and tubs
				or showers used by the members of the staff of the facility or their families
				must comply with the provisions of NAC 449.222.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; A by 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 449.226 - Safety requirements for residents with restricted mobility or poor eyesight; water hazards; auditory systems for bathrooms and bedrooms; access by vehicles

Current through June 11,
				2024
1. A resident of a
				residential facility who uses a wheelchair or a walker must not be required to
				use a bedroom on a floor other than the first floor of the facility that is
				entirely above the level of the ground, unless the facility is designed and
				equipped in such a manner that the resident can move between floors without
				assistance.
2. Stairways, inclines,
				ramps, open porches and other areas that are potentially hazardous for
				residents who have poor eyesight must be adequately lighted.
3. If a residential facility with a resident
				who is mentally or physically disabled has a fishpond, pool, hot tub, jacuzzi
				or other body of water on the premises of the facility, the body of water must
				be fenced, covered or blocked in some other manner at all times when it is not
				being used by a resident.
4. In a
				residential facility with more than 10 residents:
(a) Each resident must be provided with, or
				the bedroom and bathroom of each resident must be equipped with, an auditory
				system that is monitored by a member of the staff of the facility.
(b) An auditory system must be available for
				use in the bathroom of each resident of the facility if the facility was issued
				its initial license on or after January 14, 1997, so that a resident needing
				assistance can alert a member of the staff of the facility of that fact from
				the toilet and the shower.
(c) A
				bathroom that is located in a common area of the facility must be equipped with
				an auditory system that is monitored by a member of the staff of the
				facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.227 - Accommodations for residents with restricted mobility

Current
				through June 11, 2024
A residential facility with a resident who uses a wheelchair
				  or a walker shall:
1. Have hallways,
				doorways and exits wide enough to accommodate a wheelchair or walker;
2. Have ramps to accommodate access to areas
				used by residents; and
3. Provide
				assistance to such a resident at all steps located inside the facility on the
				first floor that is entirely above grade.
Added to NAC by Bd. of
				  Health by R003-97, eff. 10-30-97; A by 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 449.229 - Requirements and precautions regarding safety from fire

Current
				through June 11, 2024
1.
				The administrator of a residential facility shall ensure that the facility
				complies with the regulations adopted by the State Fire Marshal pursuant to
				chapter 477 of NRS and all local ordinances relating to safety from fire. The
				facility must be approved for residency by the State Fire Marshal.
2. The Bureau shall notify the State Fire
				Marshal or the appropriate local government, as applicable, if, during an
				inspection of a residential facility, the Bureau knows of or suspects the
				presence of a violation of a regulation of the State Fire Marshal or a local
				ordinance relating to safety from fire.
3. An exit door in a residential facility
				must not be equipped with a lock that requires a key to open it from the inside
				unless approved by the State Fire Marshal or his or her designee.
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 › General Operational Requirements › Section 449.231 - First aid and cardiopulmonary resuscitation

Current through June
				11, 2024
1. Within 30
				days after an administrator or caregiver of a residential facility is employed
				at the facility, the administrator or caregiver must be trained in first aid
				and cardiopulmonary resuscitation. The advanced certificate in first aid and
				adult cardiopulmonary resuscitation issued by the American Red Cross or an
				equivalent certification will be accepted as proof of that training.
2. A first-aid kit must be available at the
				facility. The first-aid kit must include, without limitation:
(a) A germicide safe for use by
				humans;
(b) Sterile gauze
				pads;
(c) Adhesive bandages, rolls
				of gauze and adhesive tape;
(d)
				Disposable gloves;
(e) A shield or
				mask to be used by a person who is administering cardiopulmonary resuscitation;
				and
(f) A thermometer or other
				device that may be used to determine the bodily temperature of a
				person.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › RESIDENTIAL FACILITIES FOR GROUPS › General Operational Requirements › Section 449.232 - Telephones; emergency telephone numbers for each resident; listing of facility's telephone number

Current through June 11,
				2024
1. Each residential
				facility shall have a telephone that the residents may use to make local
				calls.
2. A list of telephone
				numbers to be called in case of an emergency for each resident must be located
				near the telephone. The list must include the telephone number of the
				resident's physician and the telephone number of a friend of the resident or
				one of the members of the resident's family.
3. The telephone number of the facility must
				be listed in the telephone directory under the name of the facility.
Added to NAC by Bd. of
				  Health, eff. 3-6-86; 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 449.241 - Limitations on use of volunteers; requirements concerning residents who volunteer to assist staff or perform other duties

Current through June
				11, 2024
1. Volunteers
				may be used to supplement the services and programs of a residential facility,
				but may not be used to replace members of the staff of the facility.
2. A resident may volunteer to help the
				employees of the facility in a manner that does not create an unsafe condition
				for the resident, other residents or the members of the staff of the
				facility.
3. A resident must not be
				required to perform duties normally performed by the staff of the facility. If
				a resident volunteers to perform such duties, the administrator of the facility
				shall ensure that the resident's records include a statement that the resident
				has volunteered to perform those duties.
4. A resident who is performing duties
				pursuant to this section must not be allowed access to confidential
				files.
Added to NAC by Bd. of
				  Health, eff. 3-6-86; A by R003-97, 10-30-97
NRS
					 449.0302