reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FEES › Section 449.0164 - Fees for renewal of licenses for certain facilities: Payment in two equal installments

Current through June 11,
			 2024
An applicant for the renewal of a license for a residential
				facility for groups, a halfway house for recovering alcohol and drug abusers, a
				home for individual residential care or a facility for transitional living for
				released offenders may pay the fee required for the renewal of his or her
				license in two equal installments if:
1. On or before November 1 of the calendar
			 year in which the license expires, the applicant submits a complete application
			 for the renewal of the license which includes, without limitation:
(a) The first installment payment which is
			 equal to one-half the amount of the fee required for the renewal of the license
			 pursuant to NAC 449.013 or 449.016, as appropriate;
(b) An additional fee of $100 for the
			 administrative costs of billing and collecting such payments; and
(c) A signed payment agreement and a
			 confession of judgment for the total amount of the second installment payment
			 which may be filed with a court of competent jurisdiction if the applicant
			 fails to make the second installment payment in accordance with the
			 agreement;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FEES › Section 449.0168 - Fees for modification of certain licenses

Current through June
			 11, 2024
1. Except as
			 otherwise provided in subsection 2, a holder of a license to operate a medical
			 facility, facility for the dependent, program of hospice care or referral
			 agency who wishes or is required pursuant to NAC
			 449.190,
			 449.307,
			 449.7473 or
			 449.758 to modify his or her
			 license to reflect:
(a) A change in the name
			 of the facility, program or agency;
(b) A change of the administrator of the
			 facility, program or agency;
(c) A
			 change in the number of beds in the facility;
(d) A change in the type of facility licensed
			 or the addition of another type of facility to be licensed;
(e) A change in the category of residents who
			 may reside at the facility;
(f) A
			 change in the designation of a staging area for a mobile unit or, if the mobile
			 unit is operated by an independent facility, a change in the address of the
			 independent facility; or
(g) A
			 change in any of the services provided by an agency to provide nursing in the
			 home, must submit an application for a new license to the Division and pay to
			 the Division a fee of $250.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FEES › Section 449.01685 - Division authorized to charge and collect fee from licensee to recover costs of investigating complaint if complaint is substantiated

Current through June 11, 2024
1. The Division may charge and collect a fee
			 from any licensee who is involved in a complaint submitted to the Division to
			 recover the costs of investigating the complaint after the investigation is
			 completed and the complaint is substantiated. The fee will be based upon the
			 hourly rate established for each surveyor of health facilities as determined by
			 the budget of the Division.
2. As
			 used in this section, "substantiated" means supported or established by
			 evidence or proof.
Added to NAC by Bd. of
				Health by R155-10, eff. 12-16-2010; A by
				R048-22A,
				eff. 12/29/2022
NRS 439.150,
				  439.200,
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FEES › Section 449.0169 - Department of Corrections to pay fee to Division for certain services

Current through June 11, 2024
1. To the extent that money is appropriated
			 for this purpose, each institution of the Department of Corrections shall pay a
			 fee of $3,266 each year to the Division for the purpose of enabling the
			 Division to carry out its duties set forth in
			 NRS
			 209.382,
			 444.330
			 and
			 446.885.
2. As used in this section, "institution" has
			 the meaning ascribed to it in
			 NRS
			 209.071.
Added to NAC by Bd. of
				Health by R060-10, 1-13-2011, eff. 7-1-2011
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › General Provisions › Section 449.017 - Definitions

Current through June 11, 2024
As used in NAC
				  449.017 to
				  449.0188, inclusive, and section
				  6, unless the context otherwise requires, the words and terms defined in NAC
				  449.0171 to
				  449.0178, inclusive, have the
				  meanings ascribed to them in those sections.
Added to NAC by Bd. of
				  Health, eff. 7-20-90; A by R041-06, 7-14-2006; A by
				  R048-22A,
				  eff. 12/29/2022
NRS 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › General Provisions › Section 449.0171 - "Bereavement services" defined

Current through June 11,
				2024
"Bereavement services" means social and emotional support
				  offered to the family of a patient in a program of hospice care for at least 1
				  year following the death of the patient.
Added to NAC by Bd. of
				  Health, eff. 7-20-90
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › General Provisions › Section 449.0172 - "Facility for hospice care" defined

Current through June 11,
				2024
"Facility for hospice care" has the meaning ascribed to it in
				  NRS
				  449.0033.
Added to NAC by Bd. of
				  Health, eff. 7-20-90; A by R123-99, 11-29-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › General Provisions › Section 449.0173 - "Governing body" defined

Current through June 11,
				2024
"Governing body" means the person or group of persons
				  responsible for carrying out and monitoring the administration of a program of
				  hospice care or for the operation of a facility for hospice care.
Added to NAC by Bd. of
				  Health, eff. 7-20-90; A by R123-99, 11-29-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › General Provisions › Section 449.0175 - "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, eff. 7-20-90
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › General Provisions › Section 449.0176 - "Medical director" defined

Current through June 11,
				2024
"Medical director" means the physician who is responsible for
				  acting as a medical resource to an interdisciplinary team which provides
				  hospice care.
Added to NAC by Bd. of
				  Health, eff. 7-20-90
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › General Provisions › Section 449.01765 - "Palliative services" defined

Current through June 11,
				2024
"Palliative services" has the meaning ascribed to it in
				  NRS
				  449.0156.
Added to NAC by Bd. of
				  Health by R041-06, eff. 7-14-2006
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › General Provisions › Section 449.0177 - "Patient" defined

Current through June 11,
				2024
"Patient" means a person who is terminally ill and who is
				  receiving hospice care.
Added to NAC by Bd. of
				  Health, eff. 7-20-90
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › General Provisions › Section 449.0178 - "Terminally ill" defined

Current through June 11,
				2024
"Terminally ill" has the meaning ascribed to it in
				  NRS
				  449.0195.
Added to NAC by Bd. of
				  Health, eff. 7-20-90; A by R041-06, 7-14-2006
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › Licensing › Section 449.0181 - Compliance with regulations required for license to operate facility for hospice care

Current through June 11,
				2024
The Division shall not issue a license to operate a facility
				  for hospice care unless the program of hospice care which it provides complies
				  with the requirements of NAC 449.017 to 449.0188, inclusive.
Added to NAC by Bd. of
				  Health, eff. 7-20-90; A by R123-99, 11-29-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › Licensing › Section 449.0183 - Report of change in ownership, address or staff of program of hospice care

Current through June 11,
				2024
An applicant for a license to administer a program of hospice
				  care or a person licensed to administer such a program shall immediately advise
				  the Division of any change in:
1. The
				ownership of the program;
2. The
				address of the principal office of the program; or
3. The membership of the staff which prevents
				the program from providing adequate hospice care to each patient.
Added to NAC by Bd. of
				  Health, eff. 7-20-90
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › Administration › Section 449.0184 - Governing body required; duties of governing body and administrator

Current through June 11, 2024
Every facility which provides a program of hospice care must
				  have a governing body which shall:
1.
				Appoint an administrator of the program of hospice care. The administrator
				shall be available on a daily basis for consultation with members of the
				interdisciplinary team of the program of hospice care.
2. Ensure that all services provided by the
				program of hospice care are consistent with accepted standards of practice for
				the care of the patients.
Added to NAC by Bd. of
				  Health, eff. 7-20-90
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › Medical Services › Section 449.0185 - Requirements for program of hospice care

Current through June 11,
				2024
A program of hospice care must comply with the following
				  requirements:
1. A qualified person
				must be available when required to evaluate the dietary patterns of each
				patient and plan diets to meet the individual nutritional needs of each
				patient.
2. Each patient must be
				advised regarding the availability of pastoral care.
3. Bereavement services must be available to
				each member of a patient's family after the patient dies to provide appropriate
				counseling.
4. Nursing care must be
				provided by a registered nurse or under the supervision of a registered
				nurse.
5. A social worker must
				provide social services to each patient in the program under the direction of
				the interdisciplinary team.
6. The
				services of:
(a) A physical
				therapist;
(b) An occupational
				therapist; and
(c) A speech and
				language pathologist,
must be provided when such services are prescribed for a
				  patient by his or her physician.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › Medical Services › Section 449.0186 - Requirements for plan of care

Current through June 11,
				2024
1. The medical
				director of a program of hospice care shall cause a written plan of care to be
				established for each patient in the program. Any person who furnishes care for
				the patient shall adhere to the plan.
2. A plan of care must:
(a) Be established by the physician of the
				patient or by the medical director of the program of hospice care, and the
				interdisciplinary team which provides the hospice care;
(b) Include an assessment of the needs of the
				patient and identify the services required by the patient, which must include
				the management of discomfort and relief of symptoms of the patient;
(c) State the scope and frequency of each
				service to be provided to the patient and members of his or her family;
				and
(d) Be reviewed and updated at
				intervals that are specified in the plan by the person who established the
				plan. The review must be documented in writing.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › Medical Services › Section 449.0187 - Requirements for operation of facility for hospice care

Current
				through June 11, 2024
A facility for hospice care must comply with the following
				  requirements:
1. A program of hospice
				care must be provided for each inpatient pursuant to a written plan of care
				established pursuant to NAC
				449.0186.
2. Nursing services must be provided 24 hours
				per day in accordance with the plan of care for each patient.
3. Medication must be dispensed to each
				patient according to the instructions of the patient's physician or the medical
				director.
4. Treatment must be
				administered to a patient pursuant to the instructions of the physician of the
				patient or the plan of care for the patient.
5. Each patient must be maintained in a clean
				and well-groomed manner.
6. Each
				patient must be protected from accidents, injuries and infections.
7. At least one registered nurse must be on
				duty for each work shift, providing direct care to patients.
8. A written plan of the procedures to be
				followed during a local disaster, a widespread disaster or a disaster which
				occurs within the facility for hospice care must be adopted. The plan must:
(a) Provide procedures designed to protect
				each patient and to care for any casualty which may arise from such a
				disaster;
(b) Be reviewed and the
				procedures set forth therein rehearsed by all members of the staff at least
				once in each quarter of the year; and
(c) Be approved by the Division.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PROVISION OF HOSPICE CARE › Medical Services › Section 449.0188 - Continuity of service to patients required

Current through June 11,
				2024
A person licensed to administer a program of hospice care or
				  to operate a facility for hospice care shall maintain the continuity of service
				  provided to each patient pursuant to NAC 449.017 to 449.0188, inclusive, during
				  the term of his or her license.
Added to NAC by Bd. of
				  Health, eff. 7-20-90; A by R044-97, 10-30-97; R123-99,
				  11-29-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.019 - Definitions

Current through June 11, 2024
As used in NAC 449.019 to
				  449.150, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC
				  449.022 to
				  449.072, inclusive, have the
				  meanings ascribed to them in those sections.
Supplied in
				  codification; A by Bd. of Health by R077-01, 10-18-2001; A by
				  R016-20A,
				  eff. 11/2/2020
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.022 - "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 operations
				  of the overall program of the facility.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 1 § 1.4, eff. 3-27-76-NAC A by
				  R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.025 - "Alcohol and drug abuse treatment" defined

Current through June
				11, 2024
"Alcohol and drug abuse treatment" means a program concerned
				  with substance abuse treatment directed towards achieving the mental and
				  physical restoration of alcohol and drug abusers.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 1 § 1.9, eff. 3-27-76-NAC A by
				  R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.030 - "Case management services" defined

Current through June 11,
				2024
"Case management services" means a multistep process by which
				  clients may receive assistance in accessing services, including, without
				  limitation, services concerning health, mental health, education, vocation,
				  employment, legal issues, child care, housing and aftercare for recovery from
				  alcohol and drug abuse.
Added to NAC by Bd. of
				  Health by R077-01, eff. 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.031 - "Client" defined

Current through June 11,
				2024
"Client" means a resident or patient of a facility.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 1 § 1.8, eff. 3-27-76-NAC A by
				  R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.034 - "Detoxification" defined

Current through June 11,
				2024
"Detoxification" means the process of eliminating the toxic
				  effects of alcohol and drugs from the body.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 1 § 1.1.3, eff. 3-27-76; A
				  3-30-77-NAC A by R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.043 - "Facility" defined

Current through June 11,
				2024
"Facility" means a facility for the treatment of abuse of
				  alcohol or drugs as defined in
				  NRS
				  449.00455.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 1 § 1.1, eff. 3-27-76; A
				  3-30-77-NAC A by R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.044 - "Facility for modified medical detoxification" defined

Current
				through June 11, 2024
"Facility for modified medical detoxification" has the
				  meaning ascribed to it in
				  NRS
				  449.00385.
Added to NAC by Bd. of
				  Health by R077-01, eff. 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.046 - "Governing body" defined

Current through June 11,
				2024
"Governing body" means a body that has the ultimate authority
				  for the administration of the overall program at a facility pursuant to NAC
				  449.085.
Added to NAC by Bd. of
				  Health by R077-01, eff. 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.060 - "Medically managed intensive detoxification program" defined

Current through June 11, 2024
"Medically managed intensive detoxification program" means a
				  program which provides 24-hour medical monitoring of treatment and
				  detoxification services in a licensed hospital pursuant to NAC 449.279 to
				  449.394, inclusive, and which has life support systems in place.
Added to NAC by Bd. of
				  Health by R077-01, eff. 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.064 - "Overall program" defined

Current through June 11,
				2024
"Overall program" means all aspects of alcohol and drug abuse
				  treatment, including general fiscal management, fund-raising projects and the
				  general long-term goals of a facility which are defined in writing.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 1 § 1.10, eff. 3-27-76-NAC A by
				  R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.068 - "Qualified social worker" defined

Current through June 11,
				2024
"Qualified social worker" means a person who is licensed by
				  the Board of Examiners for Social Workers to practice as a social
				  worker.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 1 § 1.11, eff. 3-27-76-NAC A by
				  R077-01, 10-18-2001-Substituted in revision for NAC
				  449.073
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.069 - "Residential program" defined

Current through June 11,
				2024
"Residential program" means a treatment program for alcohol
				  and drug abuse which takes place in a 24-hour residential setting and which
				  encompasses organized services staffed by designated addiction treatment
				  personnel who provide a planned regimen of client care.
Added to NAC by Bd. of
				  Health by R077-01, eff. 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › General Provisions › Section 449.072 - "Social model detoxification program" defined

Current through June
				11, 2024
"Social model detoxification program" means a treatment
				  program that concentrates on providing psychosocial services and nonmedical
				  detoxification.
Added to NAC by Bd. of
				  Health by R077-01, eff. 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Licensing › Section 449.079 - Denial, revocation or suspension of license if facility not certified by Division; appeal

Current through June 11,
				2024
1. If a facility is
				not certified by the Division pursuant to subsection 4 of
				NRS
				458.025, the Division shall deny an
				application for a license or suspend or revoke the license of the
				facility.
2. An applicant or
				licensee who wishes to appeal an action of the Division relating to the denial,
				suspension or revocation of a license may appeal the action pursuant to the
				procedures set forth in NAC 439.300 to 439.395, inclusive.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 2 §§ 2.7-2.12, eff. 3-27-76;
				  A and renumbered as §§ 2.7-2.11, 12-27-77-NAC A by R035-97 &
				  R044-97, 10-30-97; R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Licensing › Section 449.081 - New construction or remodeling: Submission and approval of building plans; prerequisites to approval of licensing

Current
				through June 11, 2024
1.
				Building plans for new construction or remodeling must be submitted to the
				entity designated to review such plans by the Division pursuant to the
				provisions of NAC 449.0115. Before the construction or remodeling may begin,
				the plans for the construction or remodeling must be approved by the
				Division.
2. The Division shall not
				approve the licensing of a facility until all construction has been completed
				and a survey is conducted at the site.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 16, eff. 3-27-76-NAC A by R035-97,
				  10-30-97; R076-01 & R077-01, 10-18-2001; R073-04,
				  8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.085 - Governing body; bylaws

Current through June 11,
				2024
1. Every facility
				must have a governing body which has the ultimate authority for the
				administration of the overall program.
2. The governing body shall adopt written
				bylaws and policies that define the powers and duties of the governing body,
				its committees, the administrator and any advisory group.
3. The bylaws and policies must:
(a) Identify the overall goals.
(b) Include an organizational
				chart.
(c) Define the major lines
				of authority and areas of responsibility within the treatment
				program.
(d) Define the membership
				of the governing body, the types of membership, the method of selection or
				appointment of members, offices or committees and their terms of
				office.
(e) Define the frequency of
				meetings of the governing body and attendance requirements.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.088 - Policies and procedures

Current through June 11,
				2024
1. A facility must
				have written policies and procedures available to members of the staff, clients
				and the public which govern the operation of the facility and services provided
				by the facility.
2. The policies
				must:
(a) Ensure that only those persons are
				accepted as clients 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.
(b) Ensure that a
				client whose physical or mental condition has changed to such an extent that
				the client can no longer be adequately served by the facility will be
				transferred promptly to an appropriate facility.
(c) Set forth the rights of clients and
				members of the staff and provide for the registration and disposition of
				complaints without threat of discharge or reprisal against any employee or
				client.
(d) Ensure that the
				admission agreement between the administrator and the client does not permit
				the administrator or his or her designee a power of attorney.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.091 - Transfer of client to another facility

Current through June 11,
				2024
1. Except in the
				case of an emergency, the transfer of a client to another facility must not be
				effected until the client, attending physician, if any, and responsible agency
				are notified in advance.
2. If a
				client is transferred to another facility, information required for appropriate
				continuation of care must be released to the receiving facility in compliance
				with the standards set forth in 42 C.F.R. Part 2, which are hereby adopted by
				reference. A copy of the standards may be obtained from the Division, free of
				charge, upon request.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities part Art. 3, eff. 3-27-76; A 3-30-77-NAC A
				  by R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.094 - Money of clients

Current through June 11,
				2024
1. If a facility
				handles a client's money, a written ledger account of all deposits,
				disbursements or other transactions must be maintained. A record must be made
				available to the client at least quarterly.
2. A client's money must be given to the
				client within 24 hours of his or her exit from the facility.
3. Large sums of money must be maintained in
				a financial institution in the community where the facility is located in a
				separate trustee account apart from the facility's operational accounts and
				must be clearly designated.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities part Art. 3, eff. 3-27-76; A 3-30-77-NAC A
				  by R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.098 - Preparations for disasters; reporting of fire or disaster

Current
				through June 11, 2024
1.
				Each facility shall develop a written plan for disasters which outlines
				procedures for members of the staff and clients to follow in case of fire or
				another emergency and which provides for meeting the needs of clients if the
				facility must be evacuated or is destroyed.
2. A simple floor plan showing the routes for
				evacuating must be posted in prominent locations on each floor of each
				facility.
3. Each facility shall
				conduct a disaster drill at least annually, and a written record of each drill
				must be retained in the facility for not less than 12 months after the drill is
				conducted.
4. The facility shall
				notify the Bureau of the occurrence of a fire or disaster in the facility
				within 24 hours after the facility becomes aware of the fire or
				disaster.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities part Art. 3, eff. 3-27-76; A 3-30-77-NAC A
				  by R077-01, 10-18-2001; R073-04, 8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.102 - Inventory and return of client's belongings

Current through June
				11, 2024
If a facility holds or stores a client's belongings, there
				  must be an inventory of the belongings on admission, made a part of the
				  client's record, and updated as needed. These belongings must be returned to
				  the client upon his or her exit.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities part Art. 3, eff. 3-27-76; A 3-30-77-NAC A
				  by R077-01, 10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.105 - Insurance

Current through June 11, 2024
Liability insurance in a sufficient amount to protect
				  clients, members of the staff, volunteers, and visitors, must be maintained. A
				  certificate of insurance must be furnished to the Division. The certificate
				  must include provision for 30 days notice to the Division of cancellation or
				  the nonrenewal of the policies.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities part Art. 3, eff. 3-27-76; A
				  3-30-77
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.108 - General requirements for programs

Current through June 11,
				2024
1. A residential
				program must be certified by the Division pursuant to NAC 458.108 and must
				comply with any applicable regulations adopted pursuant to subsection 4 of
				NRS
				458.025.
2. At the time of admission into a
				residential program, there must be documentation indicating that the client has
				been informed of:
(a) The general nature and
				goal of the program;
(b) The rules
				governing client conduct and the infractions that can lead to disciplinary
				action or discharge from the program;
(c) The treatment costs, if any, to be borne
				by the client;
(d) The client's
				rights and responsibilities; and
(e) Confidentiality laws, rules and
				regulations.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.111 - Administrator: Duties

Current through June 11,
				2024
1. The
				administrator is responsible to the governing body for the operation of the
				facility in accordance with established policy.
2. The administrator shall:
(a) Organize the administrative functions of
				the program, delegate duties and establish a formal means of accountability on
				the part of subordinates.
(b)
				Ensure that a written manual defining program policies and procedures is
				prepared, regularly revised and updated. The manual must:
(1) Contain all of the required written
				policies, procedures, definitions, lists and other documentation required by
				NAC 449.019 to
				449.150, inclusive.
(2) Be available to members of the staff at
				all times at designated and convenient locations.
(c) Appoint a person of majority age to act
				for him or her during any absence.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.114 - Employees: General requirements

Current through June 11,
				2024
1. A facility must
				have on duty, all hours of each day, members of the staff sufficient in number
				and qualifications to carry out policies, responsibilities and program
				continuity.
2. Each member of the
				counseling staff must be:
(a) A registered
				intern;
(b) Certified or licensed
				by the Board of Examiners for Alcohol, Drug and Gambling Counselors;
				or
(c) A licensed mental health
				professional who has experience with alcohol and drug abuse
				counseling.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Administration and Personnel › Section 449.117 - Employees: Proof of compliance with provisions concerning tuberculosis

Current through June 11, 2024
All persons employed in a facility must have documentation
				  showing that they are in compliance with any applicable provisions of chapter
				  441A of NAC concerning tuberculosis.
Bd. of Health, Alcohol
				  and Drug Abuse Treatment Facilities Art. 12, eff. 3-27-76-NAC A by R077-01,
				  10-18-2001
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Social Model Detoxification Programs › Section 449.121 - Certain facilities authorized to offer program

Current
				through June 11, 2024
A social model detoxification program may be offered to
				  clients in:
1. Residential programs
				that offer detoxification services;
2. A licensed facility for modified medical
				detoxification pursuant to NAC
				449.15311 to
				449.15367, inclusive;
				or
3. A medically managed intensive
				detoxification program.
Added to NAC by Bd. of
				  Health by R077-01, eff. 10-18-2001; A by
				  R016-20A,
				  eff. 11/2/2020
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Social Model Detoxification Programs › Section 449.1214 - General requirements

Current through June 11,
				2024
1. A facility that
				offers a social model detoxification program:
(a) Must have a physician, nurse
				practitioner, registered nurse or physician assistant conduct a physical
				assessment and a review of the general medical and drug history of a client
				within 24 hours after the client is admitted to the facility to ensure that a
				social model detoxification program is appropriate for the client.
(b) Must not provide detoxification services
				for clients who exhibit life-threatening symptoms of withdrawal from alcohol
				and drug abuse.
(c) Must develop
				and implement policies and procedures that protect the safety and health of
				clients. The facility must have these policies and procedures reviewed annually
				by a licensed physician who is familiar with the symptoms of withdrawal from
				alcohol and drug abuse.
(d) Must
				ensure that the observation of a client during his or her treatment in the
				social model detoxification program is reflected in the records of the client
				as deemed necessary by the policies and procedures of that facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Social Model Detoxification Programs › Section 449.1218 - Program of ongoing quality improvement

Current through June 11,
				2024
1. A social model
				detoxification program must have a program of ongoing quality improvement
				designed to:
(a) Monitor and evaluate,
				objectively and systematically, the quality and appropriateness of client
				care;
(b) Pursue opportunities to
				improve client care; and
(c)
				Resolve identified problems.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.123 - General sanitary requirements

Current through June 11,
				2024
1. Each facility
				must meet all state and local environmental health standards.
2. A facility which provides dietary services
				must have food service equipment of appropriate quality and type for the type
				of food service program used by the facility. The equipment must comply with
				all applicable provisions in chapter 446 of NAC.
3. All environmental health inspection
				reports must be on file in the facility. Any deficiencies must be corrected
				within 90 days and documented in the file.
4. Premises and equipment must be maintained
				in a sanitary condition:
(a) The facility
				must have the necessary cleaning and maintenance equipment with sufficient
				storage areas and appropriate procedures to maintain a clean and orderly
				establishment.
(b) Janitorial
				supplies, including aerosols, must be stored in areas separate from clean
				linen, food and other supplies.
(c)
				The storage of dirty linen must be separate from the storage of clean linen,
				food and other supplies.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.126 - Laundry requirements

Current through June 11,
				2024
1. A facility must
				maintain:
(a) A laundry with equipment which
				is adequate for the sanitary washing and finishing of linen and other washable
				goods; or
(b) A written agreement
				with a commercial establishment to provide laundry services for the
				facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.129 - Design, construction, equipment and maintenance

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 clients and personnel of the
				facility and members of the general public.
2. Each facility must comply with all
				currently adopted life safety, fire, Division, local building and zoning codes.
				If there is a difference between state and local codes, the more stringent
				standards apply.
3. Facilities
				housing 17 or more clients must meet the requirements of the chapter entitled
				"New Hotels and Dormitories," of the edition of
NFPA 101: Life Safety
				Code
, adopted by reference pursuant to NAC 449.0105. Those facilities
				housing not more than 16 clients must meet the requirements of the chapter
				entitled "Lodging or Rooming Houses," of the edition of
NFPA 101: Life
				Safety Code
, adopted by reference pursuant to NAC 449.0105.
4. A facility is deemed to be in compliance
				with the provisions of this section if:
(a)
				The facility is licensed by May 30, 2001, and:
(1) The use of the physical space in the
				facility is not changed; and
(2)
				There are no deficiencies in the construction of the facility that are likely
				to cause serious injury, harm or impairment to the health and welfare of the
				public; or
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.132 - Accommodations for clients

Current through June 11,
				2024
1. No room or space
				in a facility may be occupied for sleeping, living or dining which is
				accessible only by a ladder, by folding stairs or through a trapdoor.
2. If a basement is used for living and
				dining, at least one exit must be provided directly to the outside at ground
				level. No facility may:
(a) Be situated more
				than one story below the ground.
(b) Use any basement or space in a basement
				for sleeping.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.135 - Safety from fire

Current through June 11,
				2024
1. Portable fire
				extinguishers must be installed throughout each facility at the direction of
				the fire authority having jurisdiction. Each portable fire extinguisher
				available at a facility must be inspected, recharged and tagged at least once
				each year by a person certified by the State Fire Marshal to conduct such
				inspections.
2. Any facility with a
				kitchen range with an upper surface of more than 15 square feet must provide
				the range with an exhaust hood having an automatic fire protection system in
				accordance with the chapter titled "Standards for Ventilation Control and Fire
				Protection of Commercial Cooking Operations," of the edition of
NFPA
				101: Life Safety Code
, adopted by reference pursuant to NAC
				449.0105.
3. A portable
				room-heating device may be used at a facility if the device:
(a) Is located at least 2 feet from any
				combustible material;
(b) Is
				plugged directly into a wall socket;
(c) Turns off automatically if it is tipped
				over; and
(d) Has no exposed
				heating elements.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.141 - Health services

Current through June 11,
				2024
1. Facilities must
				provide access to health services which ensure that each client receives
				treatment, prescribed medication, adequate diets and other health services
				consistent with the program administered by the facility.
2. Facilities must implement policies and
				procedures designed to ensure the early detection of complications or
				conditions considered to be common among drug abusers. These policies and
				procedures must be developed in conjunction with and approved by a licensed
				physician.
3. Before a client's
				admission to a program or facility, a general medical and drug history must be
				taken by a designated member of the staff who is certified or licensed by the
				Board of Examiners for Alcohol, Drug and Gambling Counselors or who is a
				licensed mental health professional who has experience with alcohol and drug
				abuse counseling. Current medical information must be provided on a form that
				has been approved by a physician. The history must include, but is not limited
				to:
(a) Drugs used in the past;
(b) Drugs used recently;
(c) Drugs of preference;
(d) Frequently used drugs;
(e) Drugs used in combination;
(f) Dosages used;
(g) Date of first usage;
(h) Incidents of overdose, withdrawal or
				adverse drug reactions; and
(i)
				Previous history of treatment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.144 - Medication

Current through June 11, 2024
1. In programs that permit the
				self-administration of medication, there must be written policies and
				procedures governing this activity. The policies must require that:
(a) The decisions to permit
				self-administration be based on individual needs.
(b) The reasons for the permission be clearly
				documented in the client's case record.
(c) All medications that are to be
				self-administered be packaged in a manner complying with the Poison Prevention
				Packaging Act of 1970,
				15
				U.S.C. §§
											1471 et seq., and all
				current regulations stemming from that act.
(d) The self-administration of prescription
				medication be observed by a staff member who has been oriented to the program's
				policies and procedures on self-administration of prescription
				medication.
(e) The
				self-administration of prescription medication be permitted only when the
				medication is clearly labeled.
(f)
				There be documentation in the client's record of the name of the medication,
				dose, route of administration, time and name of the person observing the
				self-administration or the licensed staff member who administered the
				medication.
(g) Clients who receive
				medication for self-administration be given instructions concerning the safe
				storage and usage of the drugs and the appropriate emergency procedures to be
				followed if adverse reactions occur.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR THE TREATMENT OF ALCOHOL OR OTHER SUBSTANCE USE DISORDERS › Operation of Facility › Section 449.147 - Dietary services

Current through June 11,
				2024
1. Facilities must
				serve at least three meals or their equivalent 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 clients who desire one.
2. Menus must be planned and followed to meet
				the nutritional needs of the clients in accordance with the recommended dietary
				allowances of the Food and Nutrition Board of the Institute of Medicine of the
				National Academies.
3. Therapeutic
				menus must be planned by a licensed dietitian or must be reviewed and approved
				by the client's attending or staff physician.
4. Menus must be in writing, planned in
				advance, dated and posted, and kept on file for 90 days. Any substitution must
				be noted on the written menus so that the menu on file reflects what was
				actually served.
5. Adequate
				facilities and equipment for the preparation, serving, refrigeration and
				storage of food in a sanitary manner must be provided.
6. A facility with more than 10 clients must:
(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.