reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74333 - Handling of money of patient

Current through June 11,
			 2024
1. If a facility
			 handles the money of a patient, a written ledger account of all deposits,
			 disbursements and other transactions must be maintained. A record must be made
			 available to the patient.
2. If the
			 amount of money of a patient which the facility handles is $75 or more, the
			 money must be maintained in a financial institution in the community where the
			 facility is located in a separate trustee account apart from the operational
			 accounts of the facility and must be clearly designated.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74335 - Inventory of belongings of patient

Current through June 11,
			 2024
If a facility holds or stores the belongings of a patient,
				there must be an inventory of the belongings on admission, made a part of the
				record of the patient and updated as needed. These belongings must be returned
				to the patient upon his or her exit.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74337 - Liability insurance

Current through June 11,
			 2024
Liability insurance in a sufficient amount to protect patients,
				members of the staff, volunteers and visitors must be maintained by each
				facility. A certificate of insurance must be furnished to the Division. The
				certificate must include, without limitation, provision for 30 days' notice to
				the Division of the cancellation or the nonrenewal of a policy of liability
				insurance.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74339 - General requirements for programs and services

Current
			 through June 11, 2024
1.
			 Each program for the provision of detoxification services, each social model
			 detoxification program or its equivalent and each modified medical
			 detoxification program or its equivalent of a facility must be certified in
			 accordance with the provisions of chapter 458 of NRS and chapter 458 of
			 NAC.
2. Each component of each
			 program described in subsection 1 must develop objectives that complement the
			 goals of the program.
3. The
			 facility shall provide for the medical, emergency dental and psychological
			 services needed to fulfill the goals of each program and meet the needs of all
			 of its patients to the extent that is possible, with assistance from available
			 community resources.
4. Patients
			 who are admitted and receive detoxification services must be provided such
			 services under the direction of a qualified physician licensed in accordance
			 with the provisions of chapter 630 or 633 of NRS.
5. If a facility provides services through
			 outside sources, formal, written arrangements must be made ensuring that the
			 services are supplied directly by, or under the supervision of, qualified
			 persons.
6. A facility shall
			 provide case management services as needed by a patient through a social worker
			 or a registered nurse or by written agreement with a social worker or a
			 registered nurse.
7. A plan for
			 case management must be recorded in the records of a patient and must be
			 periodically evaluated in conjunction with the treatment plan of the
			 patient.
8. Each facility shall
			 review each program described in subsection 1 at least annually. The review
			 must include, without limitation, an evaluation of:
(a) The appropriateness of the admission of
			 patients;
(b) The lengths of stay
			 of patients;
(c) Planning for the
			 discharge of patients;
(d) The use
			 of services and utilization of the components of the program;
(e) The use of outside services;
			 and
(f) Any unusual incidents that
			 resulted or may have resulted in harm to a patient.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74341 - Responsibilities and duties of administrator

Current through June 11,
			 2024
1. The
			 administrator of a facility is responsible to the governing body of the
			 facility for the operation of the facility in accordance with the policies and
			 procedures of the facility.
2. The
			 administrator shall:
(a) Organize the
			 administrative functions of each program, delegate duties and establish a
			 formal means of accountability on the part of subordinates.
(b) Ensure that a written manual defining the
			 policies and procedures of each program is prepared, regularly revised, and
			 updated at least annually. The manual must:
(1) Contain all policies and procedures of
			 the facility, including, without limitation, definitions and other
			 documentation required by NAC
			 449.74311 to
			 449.74373, inclusive;
			 and
(2) Be available to members of
			 the staff of the facility at all times at designated and convenient
			 locations.
(c) Appoint a
			 person who is qualified by education, experience and training to act as
			 administrator in his or her absence.
(d) Notify the Bureau within 24 hours after
			 the administrator becomes aware of:
(1) The
			 death of a patient at the facility; or
(2) The elopement from the facility of an
			 at-risk patient.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74343 - Policies and procedures concerning employees

Current through June
			 11, 2024
1. The
			 administrator or his or her appointee must be present and responsible for the
			 operations of the facility during normal hours.
2. All members of the counseling staff of a
			 facility must be authorized by state law to provide counseling.
3. Each person employed in a facility must
			 have a preemployment physical examination or certification of a 3-year health
			 record from a physician, and be tested for tuberculosis as required in chapter
			 441A of NAC.
4. Each facility
			 shall:
(a) Have on duty, at all hours of the
			 day, members of the staff sufficient in number and qualifications to carry out
			 policies, responsibilities and program continuity.
(b) Provide an orientation session to new
			 employees. Documentation of the session must be maintained in the personnel
			 file of the employee.
(c) Have
			 written policies and procedures:
(1) For the
			 recruitment, selection, promotion and termination of members of the
			 staff;
(2) Concerning rules of
			 conduct, and training and development of the staff; and
(3) Governing disciplinary actions that
			 clearly define the mechanism for the suspension or dismissal of members of the
			 staff.
(d) Maintain a
			 written job description for each position at the facility. The job description
			 must accurately reflect the actual job situation and must be reviewed annually
			 or whenever a change in the responsibilities of the job or qualifications
			 occurs. Job descriptions must be available on request to all members of the
			 staff. Each job description must include, without limitation:
(1) The title of the job;
(2) The tasks and responsibilities of the
			 job;
(3) The skills, education and
			 experience necessary for the job;
(4) The relationship of the job to other jobs
			 within each program; and
(5) The
			 working conditions, location and shift of the job, and the materials and
			 equipment to be used on the job.
(e) Maintain a personnel record for each
			 employee of the facility. The record must include, without limitation:
(1) The employment application;
(2) Letters of recommendation;
(3) Records from any investigation of the
			 employee;
(4) Verification of
			 training, experience and certification;
(5) Job performance evaluations;
(6) Incident reports; and
(7) Disciplinary actions taken.
(f) Maintain personnel records in
			 a secure manner and make them available only to those persons authorized to
			 receive personnel records in the written policies and procedures of the
			 facility. An employee must have access to his or her own file upon
			 request.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74345 - Nursing services

Current through June 11,
			 2024
1. Each facility
			 shall have an organized plan for nursing service that provides nursing services
			 24 hours per day. The nursing services must be provided or supervised by a
			 registered nurse in compliance with state law, including, without limitation,
			 chapter 632 of NRS and chapter 632 of NAC.
2. The nursing service shall have a
			 sufficient number of registered nurses, licensed practical nurses and other
			 personnel to provide care in general medical nursing, psychiatric nursing and
			 nursing related to treatment of alcohol and drug abuse.
3. The administrator shall ensure that the
			 nursing staff develops and keeps current a plan for nursing care for each
			 patient.
4. The administrator shall
			 appoint a chief administrative nurse to direct the nursing service. The chief
			 administrative nurse must:
(a) Be a
			 registered nurse;
(b) Be
			 knowledgeable, skilled and competent in clinical practice and the management of
			 nurses; and
(c) Comply with the
			 provisions of chapter 632 of NRS and chapter 632 of NAC and follow professional
			 standards established for organized nursing services.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74347 - Health services

Current through June 11,
			 2024
1. Each facility
			 shall provide health services which ensure that each patient receives
			 treatment, prescribed medication, adequate diets and other health services
			 consistent with each program administered by the facility.
2. There must be policies and procedures
			 designed to ensure the early detection of complications or conditions
			 considered to be common among alcohol and drug abusers and persons with mental
			 illness.
3. The policies and
			 procedures must be developed with assistance from and approved by the medical
			 director of the facility.
4.
			 Policies and procedures must be developed and implemented to ensure the early
			 detection of patients at risk for suicide. The policies and procedures must be
			 developed with assistance from and approved by the medical director of the
			 facility and a psychiatrist.
5.
			 Before a patient is admitted to a facility, a general medical and psychological
			 assessment, including an assessment of suicide risk and a drug history of the
			 patient, must be taken by a physician, a physician assistant, an advanced
			 practice registered nurse or a designated member of the nursing staff of the
			 facility who has psychiatric experience. The drug history of the patient must
			 include, without limitation:
(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;
(i) Previous history of treatment;
			 and
(j) History of mental illness
			 and treatment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74349 - Mental health services

Current through June 11,
			 2024
1. Mental health
			 services provided by a facility must be supervised by a psychiatrist or a
			 psychologist who has a master's degree in clinical or counseling psychology.
			 The mental health staff of the facility must be adequate in number and
			 qualified to carry out their assigned responsibilities.
2. The mental health staff may assist in:
(a) Diagnosis and testing;
(b) Program development and
			 evaluation;
(c) In-service
			 training; and
(d) Therapeutic
			 activity in group settings or one-on-one therapeutic activity.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74351 - Pharmaceutical services

Current through June 11,
			 2024
1. Each facility
			 shall have:
(a) A pharmacy directed by a
			 registered pharmacist;
(b) A drug
			 room supervised by no less than a currently licensed professional nurse;
			 or
(c) A contract for 24-hour
			 pharmaceutical service with a licensed pharmacy.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74353 - Medication and biologicals

Current through June 11,
			 2024
1. Except as
			 otherwise provided in subsection 2, an order for medication or biologicals for
			 a patient 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
			 patient.
2. When a telephone or
			 verbal order is used to order medications or biologicals, the order must be:
(a) Accepted only by a person who is
			 authorized by the policies and procedures of the 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
			 facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74355 - Records of patients

Current through June 11,
			 2024
1. Each facility
			 shall maintain an organized system for the records of patients.
2. The records of a patient must be available
			 to professional members of the staff of the facility who are directly involved
			 with the patient.
3. The records of
			 patients must be available to representatives of the Division.
4. The records of a patient must include,
			 without limitation:
(a) Identification
			 information;
(b) Past medical and
			 social history;
(c) Copies of all
			 initial and periodic examinations;
(d) Evaluations and progress notes;
			 and
(e) Assessments and goals of
			 the plan of treatment of the patient.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74357 - Laundry requirements

Current through June 11,
			 2024
1. Each facility
			 shall have the proper equipment for the sanitary washing and finishing of linen
			 and other washable goods or shall maintain a written agreement with a
			 commercial establishment to provide proper laundry services.
2. The laundry area of a facility must be
			 situated in an area of the facility that is separate and apart from any room
			 where food is stored, prepared or served. The laundry area must be
			 well-lighted, ventilated, adequate in size to house equipment, maintained in a
			 sanitary manner and kept in good repair.
3. Soiled linen must be collected and
			 transported to the laundry in washable or disposable containers in a sanitary
			 manner. Soiled linen must not be transported through areas of the facility used
			 for preparing or serving food.
4.
			 Clean linen to be dried, ironed, folded, transferred or distributed must be
			 handled in a sanitary manner in accordance with a written plan maintained by
			 the facility.
5. Closets for
			 storing linen and laundry supplies must be provided and must not be used for
			 any other purpose.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74359 - Dietary services

Current through June 11,
			 2024
1. Each facility
			 shall 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.
2. Additional food and
			 between-meal nourishment must be provided to a patient when needed, based on an
			 assessment of the medical condition of the patient.
3. Menus must be planned and followed to meet
			 the nutritional needs of the patients in accordance with the recommended
			 dietary allowances of the Food and Nutrition Board of the Institute of Medicine
			 of the National Academies.
4.
			 Therapeutic menus must be planned by a licensed dietitian or must be reviewed
			 and approved by the attending physician of the patient or the medical director
			 of the facility.
5. Menus must be
			 in writing, planned in advance, dated and posted, and kept on file at the
			 facility for at least 90 days. Any substitution must be noted on the written
			 menu so that the menu on file reflects what was actually served.
6. A licensed dietitian must be used as a
			 consultant on planning meals and serving food. This person shall consult at
			 least monthly with the staff of the facility.
7. The facility shall provide:
(a) Adequate facilities and equipment for the
			 preparation, serving, refrigeration and storage of food in a sanitary
			 manner;
(b) Storage space for dry
			 foods, refrigerated food and frozen food;
(c) Any special equipment, implements or
			 utensils that are needed by a patient to assist the patient in
			 eating;
(d) Dining space for
			 ambulatory patients, staff and visitors that is separate from sleeping areas,
			 food preparation areas and distribution areas;
(e) Tables and chairs in the dining space
			 that are sturdy and cleanable; and
(f) In each kitchen area:
(1) Sinks for washing hands with blade-type
			 faucets, soap and paper towels for drying hands; and
(2) A separate janitors' closet for the
			 storage of housekeeping chemicals and supplies which contains a floor sink with
			 backflow prevention.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74361 - New construction or remodeling: Submission and approval of building plans; prerequisites to approval of facility for licensure

Current through June 11, 2024
1. Except as otherwise provided in subsection
			 4, before any new construction of a facility or any remodeling of an existing
			 facility is begun:
(a) The facility shall
			 submit a copy of the building plans for the new construction or remodeling to
			 the entity designated to review such plans by the Division pursuant to the
			 provisions of NAC 449.0115. The entity's review of those plans is advisory only
			 and does not constitute approval for licensure of the facility.
(b) The building plans must be approved by
			 the Division.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74363 - Design, construction, equipment and maintenance of facility

Current through June 11, 2024
1. Each facility must be designed,
			 constructed, equipped and maintained in a manner that protects the health and
			 safety of the patients and personnel of the facility and members of the general
			 public.
2. Each facility shall
			 comply with all applicable:
(a) State and
			 federal laws;
(b) Local ordinances,
			 including, without limitation, zoning ordinances; and
(c) Environmental, life safety, fire, health
			 and local building codes,
related to the construction and maintenance of the facility.
				If there is a difference between state and local requirements, the more
				stringent requirements apply.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74365 - Entrances, lobbies and offices; storage space

Current through
			 June 11, 2024
Each facility shall provide:
1. A covered entrance to protect patients
			 from the elements;
2. A lobby which
			 measures not less than 100 square feet, has access to toilet facilities and may
			 be used for multiple purposes;
3.
			 Offices for the administrator or his or her designee;
4. Offices for social services which may be
			 used for more than one purpose if the offices are large enough to accommodate
			 multiple use and patient privacy can be maintained;
5. A storage space for office supplies and
			 equipment; and
6. Medical record
			 storage that is adequate to protect patients' health care records in accordance
			 with federal requirements for the protection of medical information.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74367 - Patients' rooms; toilet and bathing facilities

Current through
			 June 11, 2024
1. Each
			 facility shall provide separate patient rooms for male and female patients.
			 Each patient room must:
(a) Be at least 80
			 square feet per bed, exclusive of toilet facilities, closets or
			 entryways;
(b) Include a bed with
			 clean linens and blankets; and
(c)
			 Have storage for patient belongings.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74369 - Service areas; miscellaneous requirements

Current through
			 June 11, 2024
1. Each
			 facility shall provide:
(a) A nursing station
			 which includes, without limitation:
(1) Space
			 for computer and printer equipment and for writing;
(2) A medication room or storage space for a
			 medication dispensing unit;
(3) A
			 separate utility room for clean materials;
(4) A separate utility room for soiled
			 materials;
(5) A break room for
			 staff;
(6) Separate toilet
			 facilities for staff; and
(7)
			 Lockers or secured storage for staff belongings;
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74371 - Safety and sanitation

Current through June 11,
			 2024
1. The premises and
			 equipment of each facility must be maintained in a safe, functional and
			 sanitary condition. Each facility shall have the necessary cleaning and
			 maintenance equipment with sufficient storage areas and appropriate procedures
			 to maintain a clean and orderly establishment. Janitorial supplies, including,
			 without limitation, aerosols, must be stored in areas separate from clean
			 linen, food and other supplies. The storage of dirty linen must be separate
			 from the storage of clean linen, food and other supplies.
2. Items for personal use, including, without
			 limitation, combs, toothbrushes, towels and bar soap, must not be shared by
			 patients.
3. All toilet facilities
			 in a facility must be provided with soap and individual, disposable
			 towels.
4. Each facility shall
			 ensure that the environment of the facility is free of hazards that may cause
			 accidents.
5. Each facility shall
			 maintain an effective program to control pests and rodents in order to ensure
			 that the facility is free from pests and rodents.
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74373 - Preparations for disasters; reporting of fire or disaster

Current
			 through June 11, 2024
1.
			 Each facility shall develop a written plan for internal and external disasters
			 which outlines procedures for members of the staff and patients to follow in
			 case of fire or other emergency and provides for meeting the needs of patients
			 if the facility must be evacuated or is damaged or destroyed.
2. Each facility shall conduct fire drills at
			 least monthly, and a written record of each drill conducted must be retained in
			 the facility for not less than 1 year after the drill is conducted.
3. A simple floor plan showing the routes for
			 evacuating must be posted in prominent locations on each floor of the
			 facility.
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.
5. Each facility shall
			 conduct a disaster drill annually for each shift and retain a written record of
			 the drill in the facility for not less than 12 months after the drill is
			 conducted.
6. Each facility shall
			 adopt procedures to ensure that water is available to the essential areas of
			 the facility if there is an interruption in the facility's normal supply of
			 water.
7. No room or space of a
			 facility may be occupied for sleeping, living or dining that is accessible only
			 by a ladder, by folding stairs or through a trapdoor.
8. If a basement of a facility is used for
			 living or 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; and
(b) Use any basement or space in a basement
			 for sleeping.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY TRIAGE CENTERS › Section 449.74375

Current through
			 June 11, 2024
Added to NAC by Bd. of
				Health by R051-06, eff. 7-14-2006; R by
				R016-20A,
				eff. 11/2/2020
NRS
				449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › General Provisions › Section 449.744 - "Facility for skilled nursing" defined

Current through June 11,
				2024
As used in NAC 449.744 to 449.74549, inclusive, unless the
				  context otherwise requires, "facility for skilled nursing" has the meaning
				  ascribed to it in
				  NRS
				  449.0039.
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99; A by R067-04,
				  8-4-2004
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Licensing and Administration of Facility › Section 449.74411 - Applicability of license; limitation on number of patients; coverage against certain liabilities

Current through June 11,
				2024
1. A facility for
				skilled nursing must be operated and conducted in the name designated on the
				license for the facility, with the name of the person responsible for its
				operation also appearing on the face of the license. The license is not
				transferable.
2. A facility for
				skilled nursing shall not admit more patients to the facility than the number
				of beds for which it is licensed, except in emergencies. A facility that admits
				more patients to the facility than the number of beds for which it is licensed
				shall immediately notify the Bureau of the additional admissions.
3. A facility for skilled nursing shall
				retain proof that it is adequately covered against liabilities resulting from
				claims incurred in the course of its operation.
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99; A by R119-05,
				  11-17-2005
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Licensing and Administration of Facility › Section 449.74413 - Change in ownership, use or construction of facility

Current
				through June 11, 2024
The owner of a facility for skilled nursing shall, at least
				  30 days before there is a change of ownership, change of use or change in the
				  construction of the facility, notify the Bureau of that change. If the facility
				  is not in compliance with the applicable provisions of the guidelines adopted
				  by reference in paragraphs (c), (d) and (e) of subsection 1 of NAC
				  449.0105, the notice must
				  identify those provisions of the guidelines with which the facility has failed
				  to comply.
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99; A by R067-04, 8-4-2004; A by
				  R122-16A,
				  eff. 9/21/2017; A by
				  R048-22A,
				  eff. 12/29/2022
NRS 439.200,
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Licensing and Administration of Facility › Section 449.74415 - Responsibilities of governing body

Current through June 11,
				2024
A facility for skilled nursing must have a governing body
				  that is legally responsible for establishing and carrying out policies
				  regarding the management and operation of the facility.
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Licensing and Administration of Facility › Section 449.74417 - Administrator of facility

Current through June 11,
				2024
1. The governing
				body of a facility for skilled nursing shall appoint a qualified administrator
				for the facility.
2. The
				administrator:
(a) Must be licensed under the
				provisions of chapter 654 of NRS; and
(b) Is responsible for the management of the
				facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Licensing and Administration of Facility › Section 449.74419 - Committee for quality assurance

Current through June 11,
				2024
1. A facility for
				skilled nursing shall establish a committee for quality assurance.
2. The committee must be composed of:
(a) The chief administrative nurse;
(b) A member of the staff who is a physician
				and appointed by the administrator; and
(c) At least three other members of the staff
				who are appointed by the administrator.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Licensing and Administration of Facility › Section 449.74421 - Procedures for emergency or disaster

Current through June 11,
				2024
1. A facility for
				skilled nursing shall adopt written procedures to be followed by the members of
				the staff and patients in the case of an emergency or disaster, including,
				without limitation, fires, severe weather and locating missing
				patients.
2. The facility shall
				provide training to an employee regarding these procedures upon his or her
				employment by the facility and periodically review the procedures with members
				of the staff.
3. The facility shall
				periodically conduct unannounced drills to practice carrying out the procedures
				adopted pursuant to subsection 1.
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Admission, Transfer and Discharge of Patient › Section 449.74423 - Certain conditions for admission prohibited

Current through
				June 11, 2024
A facility for skilled nursing shall not, as a condition of
				  admitting or providing for the expedited admission of a patient to, or allowing
				  a patient to remain in, the facility:
1. Require a patient to waive his or her
				rights to benefits under any state or federal program that is available to
				assist patients in the payment of services provided by the facility, including,
				without limitation, Medicaid and Medicare.
2. Require a patient to provide a written or
				oral confirmation that he or she is not eligible for or will not apply for
				benefits under such a program.
3.
				Charge, solicit, accept or receive any gift, money, contribution or other
				consideration on behalf of a patient who is eligible for benefits under such a
				program in addition to any amount otherwise required to be paid to the facility
				under the program. The provisions of this subsection do not prohibit a facility
				from:
(a) Charging such a patient for an item
				or service not covered under the program if:
(1) The item or service is requested by the
				patient;
(2) The facility does not
				require the patient to request the item or service as a condition of admission
				to or remaining in the facility; and
(3) The facility informs the patient that
				there will be a charge for the item or service and the amount of the
				charge.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Admission, Transfer and Discharge of Patient › Section 449.74425 - Admission of patient with mental illness or an intellectual disability

Current through June 11, 2024
1. On or after September 27, 1999, a facility
				for skilled nursing shall not admit a patient with a mental illness or with an
				intellectual disability unless the Division has determined, based on an
				independent evaluation of the physical and mental health of the patient, that
				he or she requires:
(a) The level of services
				provided by a facility for skilled nursing; and
(b) Specialized services that the facility is
				able to provide.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Admission, Transfer and Discharge of Patient › Section 449.74427 - Agreement with hospital for transfer of patients

Current
				through June 11, 2024
1.
				A facility for skilled nursing shall have in effect an agreement with at least
				one licensed hospital that provides for the transfer of patients from the
				facility to the hospital. The agreement must provide that:
(a) A patient transferred from the facility
				will be admitted to the hospital in a timely manner if the transfer is
				medically appropriate as determined by the patient's attending physician;
				and
(b) Medical and other
				information required for the care and treatment of the patient is transferred
				with the patient. Such information may include information for determining
				whether the patient may be cared for adequately in a setting that is less
				expensive than the facility or the hospital.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Admission, Transfer and Discharge of Patient › Section 449.74429 - Transfer or discharge of patient

Current through June 11,
				2024
1. A facility for
				skilled nursing may transfer or discharge a patient from the facility only if:
(a) The facility can no longer provide for
				the needs of the patient and the transfer or discharge is necessary for the
				patient's welfare;
(b) The health
				of the patient has improved sufficiently so that the patient no longer requires
				the services provided by the facility;
(c) The health or safety of other persons in
				the facility is endangered if the patient remains in the facility;
(d) The charges for services provided to the
				patient by the facility have not been paid after the facility has given notice
				of those charges; or
(e) The
				facility ceases to operate.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Admission, Transfer and Discharge of Patient › Section 449.74431 - Summary of discharge

Current through June 11,
				2024
1. A facility for
				skilled nursing shall prepare a summary of discharge for each patient
				discharged from the facility.
2. A
				summary of discharge must include:
(a) A
				summary of the pertinent information relating to the patient's stay at the
				facility;
(b) A final summary of
				the patient's physical, mental and psychosocial health at the time of
				discharge, including, without limitation, the information required to be
				included in a comprehensive assessment of the patient pursuant to subsection 2
				of NAC 449.74433; and
(c) A plan of
				care for the patient after his or her discharge that assists the patient in
				adjusting to his or her new living environment. The plan of care must be
				developed with the participation of the patient and members of his or her
				family.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Assessment of Patients and Plan of Care › Section 449.74433 - Comprehensive assessment of needs of patient

Current through June
				11, 2024
1. A facility
				for skilled nursing shall conduct a comprehensive assessment of the needs of
				each patient in the facility using the assessment instrument specified by the
				Bureau.
2. A comprehensive
				assessment must include, without limitation:
(a) Demographic and other pertinent
				information required to identify the patient;
(b) The customary routine of the
				patient;
(c) The cognitive patterns
				of the patient;
(d) An analysis of
				the communication skills of the patient;
(e) An analysis of the vision of the
				patient;
(f) The mood and behavior
				patterns of the patient;
(g) An
				analysis of the psychosocial well-being of the patient;
(h) Any problems related to the functional or
				structural physical condition of the patient;
(i) The patient's pattern of
				continence;
(j) The physical
				condition of the patient, including the diagnosis of any diseases which the
				patient may have;
(k) An analysis
				of the nutritional needs of the patient;
(l) The dental condition of the
				patient;
(m) The condition of the
				patient's skin;
(n) Activities in
				which the patient is interested;
(o) Medications required to be taken by the
				patient;
(p) Any special treatments
				and procedures required by the patient;
(q) The probability of discharging the
				patient from the facility and any other information related to the discharge of
				the patient from the facility;
(r)
				Documentation of summary information relating to any additional assessment
				performed in accordance with the patient's assessment protocols; and
(s) Documentation of the patient's
				participation in the assessment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Assessment of Patients and Plan of Care › Section 449.74435 - Quarterly assessment of patient

Current through June 11,
				2024
1. A facility for
				skilled nursing shall, not less than every 3 months, conduct an assessment of
				each patient in the facility using the quarterly assessment instrument approved
				by the Bureau.
2. Each quarterly
				assessment must accurately reflect the physical, mental and psychosocial health
				of the patient.
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Assessment of Patients and Plan of Care › Section 449.74437 - Conduct of assessments

Current through June 11,
				2024
1. The assessments
				required by NAC 449.74433 and 449.74435 must be conducted by a registered nurse
				or coordinated by a registered nurse with the participation of other
				appropriate health care professionals. Each person who completes a portion of
				the assessment shall certify the accuracy of that portion. The registered nurse
				shall certify that the assessment is completed.
2. A facility for skilled nursing shall
				coordinate the assessments required by NAC 449.74433 and 449.74435 with other
				screening programs required to be conducted upon the patient's admission to the
				facility to the extent practicable to avoid the duplication of
				efforts.
3. Each assessment
				required by NAC 449.74433 and 449.74435 must be:
(a) Maintained in the medical record of the
				patient for at least 15 months after the assessment is conducted.
(b) Used to develop, review and revise the
				patient's plan of care.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Assessment of Patients and Plan of Care › Section 449.74439 - Comprehensive plan of care

Current through June 11,
				2024
1. A facility for
				skilled nursing shall develop for each patient in the facility a comprehensive
				plan of care.
2. A comprehensive
				plan of care must include:
(a) Measurable
				objectives and timetables to meet the physical, mental and psychosocial needs
				of the patient that are identified in the comprehensive assessment required by
				NAC 449.74433;
(b) A description of
				the services that will be provided to the patient to attain or maintain his or
				her highest practicable physical, mental and psychosocial well-being;
				and
(c) A description of the
				services that would otherwise be provided to the patient, but will not be
				provided because of the patient's refusal to accept those services.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Medical Records › Section 449.74441 - Maintenance

Current through June 11, 2024
1. A facility for skilled nursing shall
				maintain medical records for each patient in the facility in accordance with
				accepted professional principles.
2. A medical record must be:
(a) Complete;
(b) Accurate;
(c) Organized; and
(d) Readily accessible to those persons who
				are authorized to review the records.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Medical Records › Section 449.74443 - Inspection

Current through June 11, 2024
1. A patient in a facility for skilled
				nursing or his or her legal representative may submit an oral or written
				request to the facility to inspect all records relating to the patient
				maintained by the facility. The facility shall, within 24 hours after the
				receipt of such a request, excluding weekends and holidays, allow the patient
				or his or her legal representative to inspect the patient's records.
2. Upon request, the facility shall furnish
				to the patient or his or her legal representative a copy of the records or any
				portion thereof at the cost of obtaining records from a provider of health care
				set forth in
				NRS
				629.061. The copy must be furnished within 48
				hours after the receipt of the request, excluding weekends and
				holidays.
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74445 - Generally

Current through June 11, 2024
1. A facility for skilled nursing shall
				protect and promote the rights of each patient in the facility.
2. In addition to the rights set forth in
				NRS
				449.710 and
				449.720,
				a patient in a skilled nursing facility has the right to:
(a) Receive care in a manner and environment
				that maintains and enhances each patient's dignity with respect to each
				patient's individuality.
(b)
				Exercise his or her rights without the threat of interference, coercion,
				discrimination or reprisal.
(c)
				Choose his or her attending physician.
(d) Be fully informed, in a language that the
				patient understands, of his or her total health status, including, without
				limitation, his or her medical condition.
(e) Participate in decisions relating to the
				patient's health care, unless he or she is unable to do so because he or she is
				incompetent or incapacitated.
(f)
				Receive services with reasonable accommodation for the patient's individual
				needs and preferences, unless the health or safety of the patient or other
				patients would be endangered.
(g)
				Privacy in relation to his or her accommodations, personal care, written and
				oral communications and meetings with other persons. The provisions of this
				paragraph do not require a facility for skilled nursing to provide a private
				room to each patient.
(h) File
				grievances with the facility without the threat of discrimination or reprisal
				and to the prompt resolution of those grievances. Such grievances include,
				without limitation, complaints relating to treatment that has been furnished or
				not furnished and the behavior of other patients.
(i) Use a telephone where calls can be made
				without being overheard.
(j) Retain
				and use personal possessions as space allows, including, without limitation,
				furniture and clothing, unless to do so would infringe upon the rights or
				threaten the health and safety of other patients.
(k) Share a room with his or her spouse if
				both spouses reside in the facility and consent to the arrangement.
(l) Manage his or her financial
				affairs.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74447 - Communications with other persons; examination of records by advocate

Current through June 11, 2024
1. A facility for skilled nursing shall not
				prohibit a patient in the facility from contacting, receiving information from
				or speaking to:
(a) A representative of the
				Bureau.
(b) The patient's
				physician.
(c) Any person who
				advocates for the rights of the patients of the facility, including, without
				limitation:
(1) Advocates for residents of
				facilities for long-term care appointed pursuant to chapter 427A of NRS;
				and
(2) Persons who advocate for
				and are responsible for the protection of persons with developmental
				disabilities or who are mentally ill.
(d) Any person who provides health care,
				social, legal or other services to the patient.
(e) The relatives of the patient.
(f) Any other persons with whom the patient
				wishes to visit.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74449 - Notice to patients of rights, services and charges

Current
				through June 11, 2024
1.
				A facility for skilled nursing shall give notice to each patient admitted to
				the facility of:
(a) His or her rights as a
				patient and of the policies of the facility relating to the conduct and
				responsibilities of patients in the facility; and
(b) The services available at the facility
				and the charges for those services, including, without limitation, charges for
				services that are not covered by the facility's per diem rate.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74451 - Charges to be consistent with notice of charges

Current through
				June 11, 2024
Any amount charged for services provided by a facility for
				  skilled nursing must be consistent with the notice of charges provided by the
				  facility pursuant to NAC 449.74449.
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74453 - Notice to patients of programs available for assistance in payment of services

Current through June 11,
				2024
A facility for skilled nursing shall:
1. Provide to applicants for admission to the
				facility and to the patients in the facility oral and written information
				concerning state and federal programs that are available to assist patients in
				the payment of services provided by the facility, including, without
				limitation, Medicaid and Medicare; and
2. Display in a prominent place within the
				facility the written information provided pursuant to subsection 1.
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74455

Current through
				June 11, 2024
Added to NAC by Bd. of
				  Health by R051-99, eff. 9-27-99; R by
				  R016-20A,
				  eff. 11/2/2020
NRS
				  449.0302