reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Operation of Facility › Section 449.40835 - Records

Current through June 11, 2024
1. Each facility must have a written policy
				regarding the records of clients. The policy must include a description of the
				procedures governing the use and removal of records and the release of
				information contained in the records.
2. An individual file must be maintained for
				each client and retained for 5 years after the client permanently discontinues
				his or her use of the facility. Each such file must be kept in a locked place
				which is resistant to fire and must be available only to authorized persons.
				The file must contain all records, letters and other information related to the
				client, including:
(a) The client's forms for
				application and enrollment;
(b) The
				client's medical information;
(c)
				The client's full name, address, race, religion, occupation, date of birth and
				social security number;
(d) The
				telephone number of the client's physician and home address and telephone
				number of his or her next of kin or guardian or other person responsible for
				him or her; and
(e) Any signed
				authorizations for medical treatment for the client or the release of his or
				her medical information.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Medical and Ancillary Services › Section 449.4084 - Contract for provision by another person

Current through June 11,
				2024
1. A medical or
				ancillary service not directly provided by the facility may be provided by
				another person pursuant to a contract.
2. The contract must:
(a) Be in writing;
(b) Designate the service provided, the
				manner in which it will be provided and the geographical area to be
				served;
(c) Describe the manner in
				which the person providing the service will be supervised;
(d) Describe how the service will be
				coordinated with other services at the facility;
(e) Require the person providing the service
				to furnish his or her clinical notes and observations of a client for the file
				of the client;
(f) Specify the
				method of determining charges for the service and the method for reimbursement
				by the facility;
(g) Specify the
				period of the contract and how frequently it is to be reviewed; and
(h) Assure that the service and any person
				providing the service meet the same qualifications as required for employees of
				and services provided by a facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Medical and Ancillary Services › Section 449.4085 - Provision by facility authorized

Current through June 11,
				2024
A facility which otherwise meets the requirements of NAC
				  449.4061 to 449.4084, inclusive, may provide medical or ancillary services if
				  the requirements of NAC 449.4086 to 449.4089, inclusive, are met.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Medical and Ancillary Services › Section 449.4086 - Evaluation of programs and policies

Current through June 11,
				2024
1. Every facility
				must have a written plan for the annual evaluation of its programs and
				policies. The plan must describe the:
(a)
				Schedule for the annual evaluation;
(b) Subjects covered by the evaluation;
				and
(c) Methods to be used in
				conducting the evaluation.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Medical and Ancillary Services › Section 449.4087 - Written assessments of clients

Current through June 11,
				2024
Upon admission, an initial written assessment must be made of
				  any person admitted to the facility. Within 30 days after admission, another
				  written assessment must be completed which must include:
1. An evaluation of the client's physical and
				mental health;
2. A history of the
				client's social development;
3. A
				list of formal and informal systems for emotional support which are available
				to the client;
4. An evaluation of
				the tasks required for daily living that can be performed by the
				client;
5. A list of programs for
				financial assistance which are available to the client; and
6. The plan for care of the client.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Medical and Ancillary Services › Section 449.4088 - Plan of care; periodic assessment

Current through June 11,
				2024
1. A written plan
				of care must be prepared for each client that provides a balance of activities
				to meet the client's needs and interests. The client, his or her next of kin or
				guardian or other person responsible for the client and other providers of
				service to him or her may contribute to the development and carrying out of the
				plan. A copy of the plan must be included in the client's file.
2. Each plan must include:
(a) An evaluation of the client's strengths
				and needs;
(b) The objectives of
				the plan for care;
(c) The
				activities recommended to achieve those objectives;
(d) Any recommendations for therapy or
				referrals to other providers of services;
(e) A schedule for achieving the objectives
				of the plan with provisions for review of the plan; and
(f) An evaluation of the client's nutritional
				requirements.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR CARE OF ADULTS DURING THE DAY › Medical and Ancillary Services › Section 449.4089 - Menus

Current through June 11, 2024
Menus for meals served must be in writing, planned a week in
				  advance, dated, posted and kept in the files for 6 months. Any substitutions
				  must be noted on the written menu so that the menu in the file reflects what
				  was actually served.
Added to NAC by Bd. of
				  Health, eff. 6-23-86
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › General Provisions › Section 449.410 - Definitions

Current through June 11, 2024
As used in NAC 449.410 to 449.4495, inclusive, unless the
				  context otherwise requires, the words and terms defined in NAC 449.4105,
				  449.411 and 449.4115 have the meanings ascribed to them in those
				  sections.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › General Provisions › Section 449.4105 - "Administrator" defined

Current through June 11,
				2024
"Administrator" means the person who is appointed by a
				  psychiatric residential treatment facility to have primary responsibility for
				  the operations of the overall program of the facility.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › General Provisions › Section 449.411 - "Psychiatric residential treatment facility" defined

Current
				through June 11, 2024
"Psychiatric residential treatment facility" means a
				  facility, other than a hospital, that provides a range of psychiatric services
				  to treat residents under the age of 21 years on an inpatient basis under the
				  direction of a physician.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › General Provisions › Section 449.4115 - "Resident" defined

Current through June 11,
				2024
"Resident" means a person who resides in a psychiatric
				  residential treatment facility and receives psychiatric services at the
				  facility.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › General Provisions › Section 449.413

Current through
				June 11, 2024
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014; R by
				  R016-20A,
				  eff. 11/2/2020
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Licensing › Section 449.414 - License required to operate facility

Current through June 11,
				2024
A person or a public or private facility shall not operate or
				  provide the services of a psychiatric residential treatment facility or
				  represent that the person or the public or private entity operates or provides
				  the services of a psychiatric residential treatment facility, unless the person
				  or the public or private facility is licensed by the Division pursuant to NAC
				  449.410 to 449.4495, inclusive, to operate the psychiatric residential
				  treatment facility.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Licensing › Section 449.4145 - Application for accreditation required; recognition as accrediting organization by Board; failure of facility to attain or maintain accreditation

Current through June 11, 2024
1. If a person or a public or private
				facility wants to operate a psychiatric residential treatment facility, the
				person or the public or private facility must:
(a) File with the Division an application for
				a license pursuant to NAC 449.011;
(b) Include with the application proof that
				the applicant has applied for accreditation by:
(1) The Joint Commission;
(2) The Commission on Accreditation of
				Rehabilitation Facilities;
(3) The
				Council on Accreditation; or
(4)
				Any other accrediting organization with comparable standards that is approved
				by the Board pursuant to subsection 2; and
(c) Demonstrate that the proposed psychiatric
				residential treatment facility is able to comply with the requirements set
				forth in NAC 449.410 to 449.4495, inclusive.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Licensing › Section 449.416 - Prelicensure investigation and site inspection

Current through
				June 11, 2024
After it receives a properly completed application,
				  accompanied by the appropriate fee, the Division shall conduct an investigation
				  of the applicant and inspect the proposed psychiatric residential treatment
				  facility.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Licensing › Section 449.417 - Issuance of license

Current through June 11,
				2024
The Division shall issue a license to operate a psychiatric
				  residential treatment facility to the applicant if, after investigation, the
				  Division finds that the applicant is in substantial compliance with the
				  provisions of NAC 449.410 to 449.4495, inclusive.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Licensing › Section 449.419 - Personnel: Written policies required; evidence of licensure or certification and tuberculosis testing required

Current through June
				11, 2024
1. A
				psychiatric residential treatment facility shall have written policies
				concerning the qualifications, responsibilities and conditions of employment
				for each type of personnel employed by the psychiatric residential treatment
				facility, including the licensure and certification of each employee when
				required by law.
2. The written
				policies must provide for the orientation of all employees to the policies and
				objectives of the psychiatric residential treatment facility.
3. The psychiatric residential treatment
				facility shall have evidence of a current license or certification on file at
				the psychiatric residential treatment facility for each person employed by the
				psychiatric residential treatment facility, or under contract with the
				psychiatric residential treatment facility, who is required to be licensed or
				certified by law to perform his or her job.
4. The psychiatric residential treatment
				facility shall ensure that the health records of its employees contain
				documented evidence of surveillance and testing of those employees for
				tuberculosis in accordance with chapter 441A of NAC.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Licensing › Section 449.420 - Compliance with state, federal and local laws, regulations and ordinances; failure to comply is ground for suspension or revocation of license

Current through June 11, 2024
1. During the term of a license to operate a
				psychiatric residential treatment facility, the licensee shall continuously
				maintain the psychiatric residential treatment facility in conformance with the
				provisions of NAC 449.410 to 449.4495, inclusive.
2. Each psychiatric residential treatment
				facility shall comply with the requirements set forth in
				42 C.F.R. §§
										441.150 to
				441.156,
				inclusive, and 483.350 to 483.376, inclusive.
3. In addition to the requirements of
				subsections 1 and 2, each psychiatric residential treatment facility shall
				comply with all applicable:
(a) Federal and
				state laws;
(b) Local ordinances,
				including, without limitation, zoning ordinances; and
(c) Environmental, life safety, fire, health
				and local building codes.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Licensing › Section 449.421 - Suspension, revocation or cancellation of license; provisional license

Current through June 11, 2024
The Division may suspend or revoke a license issued pursuant
				  to NAC 449.410 to 449.4495, inclusive, or cancel such a license and issue a
				  provisional license based upon any grounds for such action set forth in NAC
				  449.002 to 449.99939, inclusive, or chapter 449 of NRS.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.423 - Written scope of services; policies and procedures; responsibilities and duties of administrator

Current through June 11,
				2024
1. A psychiatric
				residential treatment facility must be administered in a manner that enables
				the psychiatric residential treatment facility to use its resources effectively
				and efficiently to meet the needs of and provide quality care to its residents.
				The psychiatric residential treatment facility shall develop and provide
				services for the care of its residents based on the identified needs of those
				residents.
2. A psychiatric
				residential treatment facility must define in writing the scope of services
				provided by each department, unit or service within the psychiatric residential
				treatment facility. The written scope of services must be approved by the
				administration and the medical staff of the psychiatric residential treatment
				facility. Each department, unit or service within a psychiatric residential
				treatment facility shall provide residents care in accordance with its scope of
				services. The policies and procedures of a psychiatric residential treatment
				facility and of each department, unit or service within the psychiatric
				residential treatment facility must, to the extent necessary, be integrated
				with the policies and procedures of the other departments, units and services
				within the psychiatric residential treatment facility.
3. The administrator shall:
(a) Ensure that the competence of all members
				of the staff of the psychiatric residential treatment facility is assessed,
				maintained, demonstrated and improved;
(b) Provide an orientation process for
				persons hired to work at the psychiatric residential treatment facility that
				includes initial job training and information; and
(c) Assess the ability of the members of the
				staff of the psychiatric residential treatment facility to fulfill their
				specified responsibilities.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.424 - Quality improvement program

Current through June 11,
				2024
1. The
				administrator shall ensure that the psychiatric residential treatment facility
				has an effective, comprehensive quality improvement program to evaluate the
				provision of care to its residents.
2. The quality improvement program must:
(a) Be ongoing;
(b) Include a written plan for carrying out
				the program; and
(c) Provide for
				the creation of a committee to oversee the program.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.426 - Construction and maintenance of facility; plan for emergency preparedness; safety from fire and other disasters

Current through June 11,
				2024
1. The buildings of
				a psychiatric residential treatment facility must be solidly constructed with
				adequate space and safeguards for each resident. The condition of the physical
				plant and the overall environment of the psychiatric residential treatment
				facility must be developed and maintained in a manner that ensures the safety
				and well-being of residents.
2. A
				psychiatric residential treatment facility shall develop and carry out a
				comprehensive plan for emergency preparedness which:
(a) Addresses internal and external
				emergencies, both local and widespread; and
(b) Is based on current standards for
				disaster management and fire safety.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.427 - Limitation on number of residents

Current through June 11,
				2024
A psychiatric residential treatment facility shall not have
				  more residents than the number of beds for which it is licensed.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.428 - Access of residents to their belongings; accommodations, equipment and supplies for residents; lighting and temperature levels

Current
				through June 11, 2024
1.
				A psychiatric residential treatment facility shall provide residents access to
				their belongings as is appropriate based on the needs of the residents and the
				phase of treatment of the residents.
2. A psychiatric residential treatment
				facility shall provide a clean and comfortable bed and mattress for each
				resident. Bed linens, blankets, pillows, washcloths and towels that are clean
				and in good condition must be provided to each resident. A psychiatric
				residential treatment facility shall have such systems as are necessary to
				ensure that an adequate supply of clean linens is provided to each
				resident.
3. A psychiatric
				residential treatment facility shall provide each resident with necessary
				bedside equipment and supplies based on the needs of the resident. The
				necessary equipment and supplies must include, without limitation, equipment
				for personal hygiene. The equipment and supplies must be maintained in a
				sanitary manner.
4. A psychiatric
				residential treatment facility shall provide:
(a) Adequate lighting levels; and
(b) Comfortable and safe temperature
				levels.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.429 - Housekeeping services; cleaning and laundry requirements

Current
				through June 11, 2024
1.
				A psychiatric residential treatment facility shall establish organized
				housekeeping services planned, operated and maintained to provide a pleasant,
				safe and sanitary environment. Adequate personnel, using accepted practices and
				procedures, shall keep the psychiatric residential treatment facility free from
				offensive odors, accumulations of dirt, rubbish and dust and safety hazards.
2. The psychiatric residential
				treatment facility shall ensure that cleaning is performed in a manner that
				minimizes the spread of pathogenic organisms.
3. A psychiatric residential treatment
				facility shall develop and carry out standards and systems for the operation of
				laundry services. Laundry services, whether owned by the psychiatric
				residential treatment facility or provided pursuant to a contract, must:
(a) Meet standards for a safe work
				environment for employees; and
(b)
				Address issues relating to the control of infections.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.430 - Prevention, control and investigation of infections and communicable diseases

Current through June 11,
				2024
A psychiatric residential treatment facility shall:
1. Provide a sanitary environment to avoid
				sources and transmission of infections and communicable diseases;
2. Develop and carry out an active program
				for the prevention, control and investigation of infections and communicable
				diseases;
3. Develop a system for
				identifying, reporting, investigating and controlling infections and
				communicable diseases of residents and personnel of the psychiatric residential
				treatment facility; and
4. Maintain
				a record of incidents within the psychiatric residential treatment facility
				related to infections and communicable diseases.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.432 - Administration of medication; security

Current through June 11,
				2024
1. Only members of
				the staff of the psychiatric residential treatment facility who are legally
				authorized to administer medications may do so.
2. Security of all medications must be
				maintained in accordance with applicable state law.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.4325 - Orders for medication and biologicals

Current through June 11,
				2024
1. Except as
				otherwise provided in this section, an order for a medication or biological for
				a resident must be in writing and signed by the practitioner, or other
				appropriate professional person authorized by state or federal law to order the
				medication or biological, who is responsible for the care of the
				resident.
2. When a telephone or
				verbal order is used to order a medication or biological, the order must be:
(a) Accepted only by a person who is
				authorized by the policies and procedures of the psychiatric residential
				treatment facility, which must be consistent with state law, to accept such an
				order; and
(b) Signed or initialed
				by the prescribing practitioner in accordance with the policies and procedures
				of the psychiatric residential treatment facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.433 - Reporting of problems concerning administration of drug to resident and abuses and losses of controlled substances; information concerning drugs must be available to professional members of staff

Current through June
				11, 2024
1. Errors in
				administering a drug to a resident, adverse reactions by a resident to a drug
				and incompatibilities between a drug and a resident must be immediately
				reported to the attending physician of the resident and, if appropriate, to the
				committee that oversees the quality improvement program established pursuant to
				NAC 449.424.
2. Abuses and losses
				of controlled substances must be reported, in accordance with all applicable
				state and federal laws, to the person responsible for the pharmaceutical
				service and the administrator.
3.
				Information relating to drug interactions, drug therapy, side effects,
				toxicology, dosage indications for use and routes of administration must be
				made available to the professional members of the staff of the psychiatric
				residential treatment facility.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.435 - Dietary services: General requirements

Current through June 11,
				2024
A psychiatric residential treatment facility shall:
1. Provide each resident with a nourishing,
				palatable, well-balanced diet that meets the daily nutritional and dietary
				needs of the resident.
2. Ensure
				that the menu for a resident meets the nutritional needs of the resident in
				accordance with:
(a) Recognized dietary
				practices; and
(b) The orders of
				the practitioners responsible for the care of the resident.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.436 - Dietary services: Facilities; standards; permits

Current through June
				11, 2024
A psychiatric residential treatment facility shall ensure
				  that:
1. Adequate space for the
				preparation and service of food is provided;
2. Adequate space is maintained to
				accommodate equipment, personnel and procedures necessary for the proper
				cleaning and sanitizing of dishes and other utensils; and
3. In providing for the preparation and
				serving of food, the facility:
(a) Complies
				with the standards prescribed in chapter 446 of NRS and chapter 446 of NAC;
				and
(b) Obtains the necessary
				permits from the Division.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.438 - Dietary services: Sanitary conditions required; supplies

Current
				through June 11, 2024
1.
				A psychiatric residential treatment facility shall store, prepare, distribute
				and serve food under sanitary conditions.
2. A psychiatric residential treatment
				facility shall maintain on its premises at least a 1-week supply of staple
				foods and at least a 2-day supply of perishable foods. The supplies must be
				appropriate to meet the requirements of the menu. All food must be of good
				quality and procured from sources approved or considered satisfactory by
				federal, state and local authorities.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.439 - Dietary services: Therapeutic diets

Current through June 11,
				2024
A psychiatric residential treatment facility shall ensure
				  that a resident receives a therapeutic diet when it is determined that he or
				  she has a nutritional problem.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Administration and Operation › Section 449.441 - Dietary services: Personnel

Current through June 11,
				2024
1. A psychiatric
				residential treatment facility shall maintain an organized dietary service that
				is staffed by an adequate number of personnel. The dietary service must be
				integrated with the other departments, units and services within the
				psychiatric residential treatment facility.
2. The psychiatric residential treatment
				facility shall ensure that the personnel who provide the dietary service are
				trained in basic techniques of food sanitation.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Provision of Services › Section 449.442 - Policies and procedures for protection of rights of residents

Current through June 11, 2024
1. A psychiatric residential treatment
				facility shall develop and carry out policies and procedures that protect and
				support the rights of residents in the same manner as set forth for medical
				facilities and facilities for the dependent in
				NRS
				449A.100 to
				449A.118, inclusive.
2. If an employee or independent contractor
				of a psychiatric residential treatment facility has reasonable cause to believe
				that another employee or independent contractor of the facility has abused or
				neglected a resident:
(a) The employee or
				independent contractor with knowledge of the abuse or neglect shall report the
				abuse or neglect as required by
				NRS
				200.5093 or
				432B.220, if
				applicable;
(b) The facility shall
				prevent the alleged perpetrator of the abuse or neglect from having further
				direct contact with any resident; and
(c) The facility shall notify the parent of
				or other person legally responsible for the alleged victim of the abuse or
				neglect and ensure that the alleged victim receives appropriate medical
				assessment and treatment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Provision of Services › Section 449.445 - Policies and procedures for admission of residents; provision of certain information to resident or person legally responsible for resident

Current through June 11, 2024
A psychiatric residential treatment facility shall:
1. Develop and carry out policies and
				procedures for admitting residents; and
2. Ensure that each resident, or the parent,
				guardian or other person legally responsible for the resident, receives
				information about the proposed care of the resident.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Provision of Services › Section 449.447 - Records of residents

Current through June 11,
				2024
A psychiatric residential treatment facility shall:
1. Maintain a record for each resident
				evaluated or treated in the psychiatric residential treatment
				facility.
2. Ensure that each
				record is accurately written, promptly completed, properly filed and retained
				and accessible. A psychiatric residential treatment facility shall use a system
				for identification and record maintenance that ensures the integrity of the
				authentication of the record and protects the security of all entries to the
				record.
3. Ensure that the record
				of a resident is retained in accordance with the provisions of
				NRS
				629.051.
4. Ensure that each record of a resident
				includes information:
(a) Demonstrating the
				justification for the admission of the resident;
(b) Supporting the diagnosis of the resident;
				and
(c) Describing the progress of
				the resident and his or her response to the medication and services
				received.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Provision of Services › Section 449.448 - Assessment and appropriate care of residents

Current through June
				11, 2024
1. To provide a
				resident with the appropriate care at the time that the care is needed, the
				needs of the resident must be assessed by qualified personnel of the
				psychiatric residential treatment facility throughout the resident's stay with
				the facility. The assessment must be comprehensive and accurate as related to
				the condition of the resident.
2.
				Each resident must receive, and the psychiatric residential treatment facility
				shall provide, individualized care and treatment based on the assessment of the
				resident that is appropriate to the needs of the resident and the severity of
				the condition from which the resident is suffering.
3. Each resident must be reassessed according
				to the policy of the psychiatric residential treatment facility:
(a) When there is a significant change in the
				resident's condition;
(b) When
				there is a significant change in the resident's diagnosis; or
(c) To determine the resident's response to
				the care that he or she is receiving.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES › Provision of Services › Section 449.4495 - Discharge planning

Current through June 11,
				2024
A psychiatric residential treatment facility shall:
1. Have a process for discharge planning that
				applies to all residents;
2.
				Develop and carry out policies and procedures regarding the process for
				discharge planning;
3. Ensure
				activities relating to discharge planning are conducted in a manner that does
				not contribute to delays in the discharge of the resident;
4. Ensure the evaluation of the needs of a
				resident relating to discharge planning and the discharge plan for the resident
				are documented in his or her record; and
5. Ensure the discharge plan is discussed
				with the resident or the person acting on behalf of the resident.
Added to
				  NAC by Bd. of Health by
				  R046-14,
				  eff. 10/24/2014
NRS
					 449.0302,
					 449.0303
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.450 - "Facility" defined

Current through June 11,
			 2024
As used in NAC 449.450 to 449.4526, inclusive, unless the
				context otherwise requires, "facility" means a facility for refractive surgery
				as defined in
				NRS
				449.00387.
Added to NAC by Bd. of
				Health by R052-02, eff. 7-24-2002; A by R042-06,
				7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.4504 - Administrator: Appointment; duties; qualifications

Current through
			 June 11, 2024
1. A
			 licensee of a facility shall appoint an administrator to be legally responsible
			 for:
(a) The daily operation of the facility;
			 and
(b) Compliance with the
			 applicable provisions of NAC 449.002 to 449.99939, inclusive, and chapter 449
			 of NRS.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.4505 - Administrator of facility that performs intraocular lens implants: Duties

Current through June 11, 2024
The administrator of a facility that performs intraocular lens
				implants shall:
1. Ensure that
			 equipment and supplies are sufficient so that intraocular lens implants are
			 performed in a manner that will not endanger the health and safety of the
			 patient;
2. Ensure that all persons
			 in the surgical area use aseptic techniques;
3. Provide suitable equipment for the rapid
			 and routine sterilization of operating room materials;
4. Develop appropriate protocols that include
			 a list of equipment, materials and supplies necessary to carry out the
			 procedure properly;
5. Develop
			 protocols for the provision of services in case of emergency and ensure that
			 all personnel are appropriately trained in those protocols; and
6. Ensure that each circulating nurse in the
			 operating room is a registered nurse.
Added to NAC by Bd. of
				Health by R042-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.4506 - Staffing requirements; personnel files

Current through June 11,
			 2024
The administrator of a facility shall ensure that:
1. The facility is adequately staffed with
			 qualified personnel who:
(a) Meet the needs
			 of and ensure the safety of each person who visits the facility; and
(b) Satisfy any applicable statutory
			 requirements for the provision of care.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.4508 - Maintenance of patient records

Current through June 11,
			 2024
1. The
			 administrator of a facility shall ensure that the facility establishes and
			 maintains a record of each patient admitted to the facility which includes an
			 assessment of the health needs of the patient and a description of any health
			 care services provided to the patient at the facility.
2. Each record must be:
(a) Protected against loss, destruction or
			 unauthorized use;
(b) Kept
			 confidential, except as otherwise provided by law; and
(c) Maintained for a period of 5 years after
			 the date the patient is discharged from the facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.451 - Written policies and procedures

Current through June 11,
			 2024
1. The
			 administrator of a facility shall ensure that the facility has written policies
			 and procedures available to members of the staff, patients and the public which
			 govern the operation of the facility and services provided by the
			 facility.
2. The policies and
			 procedures must set forth, without limitation:
(a) The scope of services offered by the
			 facility, the cost of those services and the procedures for the payment of fees
			 and obtaining a refund of any deposited fees;
(b) The business hours of the facility and
			 the care that is available at the facility during emergencies and after the
			 normal business hours of the facility;
(c) The criteria for admission to and
			 discharge from the facility;
(d)
			 The qualifications required for each member of the staff of the facility and
			 the scope of the duties of each member of the staff of the facility;
(e) The appropriate action to be taken when
			 an emergency arises in the facility and the equipment and medication that is
			 required to be available at the facility for such an emergency;
(f) The manner in which the equipment and
			 physical environment of the facility will be maintained in accordance with the
			 requirements set forth in NAC 449.4516 and 449.4522;
(g) The conduct and responsibility of a
			 patient relating to his or her treatment;
(h) The right of a patient to refuse to
			 participate in experimental research;
(i) The procedure for filing a complaint or
			 grievance at the facility;
(j) The
			 rights of a patient and the procedure for informing each patient of his or her
			 rights;
(k) The manner in which the
			 records of a patient will be maintained and protected; and
(l) The manner in which medication will be
			 administered and dispensed to a patient admitted to the facility in accordance
			 with the laws of this State and federal law.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.4512 - Program of quality improvement

Current through June 11,
			 2024
The administrator of a facility shall ensure that the facility
				has a program of quality improvement in place which:
1. Monitors and evaluates the quality of
			 patient care;
2. Evaluates methods
			 to improve patient care;
3.
			 Identifies and corrects deficiencies; and
4. Reviews and resolves grievances of
			 patients and maintains documentation of the resolutions of those
			 grievances.
Added to NAC by Bd. of
				Health by R052-02, eff. 7-24-2002
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.4514 - Rights of patients; informed consent

Current through June 11,
			 2024
The administrator of a facility shall ensure that:
1. Each patient admitted to the facility is
			 treated with respect, consideration and dignity.
2. Each patient admitted to the facility is
			 provided appropriate privacy.
3.
			 Each patient admitted to the facility is informed of his or her rights as a
			 patient in accordance with the provisions of
			 NRS
			 449.730. The patient must be informed, at the
			 time of his or her admission, of the services available, the estimated cost of
			 those services and the policy of the facility relating to obtaining a refund of
			 any fees that were deposited with the facility. If a patient is unable to
			 understand his or her rights, they must be explained to the patient's legal
			 guardian, next of kin or the agency financially responsible for his or her
			 care.
4. Each patient admitted to
			 the facility is given the opportunity to participate in decisions relating to
			 his or her health care, unless the patient is unable to do so because of his or
			 her medical condition.
5. An
			 informed consent properly executed by a patient admitted to the facility or by
			 his or her legal guardian is obtained before any surgery is performed. The
			 informed consent must authorize, by name, the person performing the surgery to
			 perform that surgery and must name or describe the surgical procedure to be
			 performed. Any expectations, risks or complications relating to the surgery or
			 alternatives to the surgery that are discussed with the patient must be set
			 forth in the informed consent.
Added to NAC by Bd. of
				Health by R052-02, eff. 7-24-2002
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.4516 - Equipment and supplies

Current through June 11,
			 2024
1. The
			 administrator of a facility shall ensure that:
(a) The facility is adequately
			 equipped;
(b) Any equipment used in
			 the facility is periodically inspected and, if appropriate, tested, calibrated,
			 serviced or repaired according to the manufacturer's instructions to ensure
			 that the equipment is functioning properly;
(c) All equipment and supplies used in the
			 facility are used in accordance with the manufacturer's instructions;
(d) Such records are maintained as required
			 to ensure that appropriate inspections and maintenance of all equipment used in
			 the facility are periodically accomplished by an appropriately qualified
			 person;
(e) Each laser used in the
			 facility meets the requirements of any applicable federal standards set forth
			 in 21 C.F.R. Part 1040; and
(f)
			 Appropriate evidence of compliance with 21 C.F.R. Part 1040 is maintained for
			 each laser at the facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.4518 - Liability for use of leased equipment

Current through June 11,
			 2024
If a licensee leases a laser or other equipment to another
				ophthalmologist for the surgical treatment of patients by photorefractive
				keratectomy and laser in situ keratomeleusis, the licensee remains responsible
				for the services performed by the other ophthalmologist in the facility.
Added to NAC by Bd. of
				Health by R052-02, eff. 7-24-2002
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR REFRACTIVE SURGERY › Section 449.4522 - Sanitation and hygiene; space and storage

Current through June
			 11, 2024
1. The
			 administrator of a facility shall ensure that all parts of the facility,
			 including its premises and equipment, are maintained in a neat and clean
			 condition which is free of insects, rodents, litter and rubbish. Policies and
			 procedures must be established and implemented for cleaning, sanitizing or
			 sterilizing equipment and supplies.
2. The administrator of the facility shall
			 ensure that the facility has a clean, comfortable waiting room with adequate
			 space for any family member or caregiver of the patient being treated. A
			 separate bathroom must be maintained for the exclusive use of patients and
			 their family members or caregivers. Provisions for the safe storage of
			 valuables must be made available for the use of the patient.
3. The operating room must be distinctly
			 separate and segregated from any other area, including, without limitation, the
			 waiting room, examination room, administrative area, physician's office and
			 staff lounge.
4. The facility must
			 have sufficient space for the care and storage of instruments and
			 supplies.
5. The facility must have
			 adequate systems for ventilation and the control of temperature.
6. All medications must be stored,
			 administered and maintained in accordance with the requirements of the laws of
			 this State and federal law.
Added to NAC by Bd. of
				Health by R052-02, eff. 7-24-2002
NRS
				  449.0302