reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74457 - Policies and procedures for advance directives by patient; information to be furnished regarding physicians

Current through June 11,
				2024
1. A facility for
				skilled nursing shall adopt written policies and procedures authorizing the
				patients in the facility to establish advance directives for their
				treatment.
2. The policies and
				procedures must require that written information be given to adult patients
				concerning their right to accept or refuse treatment and to establish advance
				directives for their treatment.
3.
				A facility for skilled nursing shall inform each patient in the facility of the
				name and specialty of the physician responsible for his or her care and the
				manner in which the physician may be contacted.
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 449.74459 - Examination by patient of survey of facility and plan of correction

Current through June 11, 2024
1. A patient of a facility for skilled
				nursing may examine the results of the most recent survey of the facility
				conducted by the Bureau or a federal regulatory agency and any plan of
				correction required to be carried out by the facility as a result of the
				survey.
2. A facility for skilled
				nursing shall:
(a) Make such surveys and
				plans of correction available for examination at a place that is readily
				accessible to the patients of the facility; and
(b) Post in a prominent location within the
				facility a notice of the places where the surveys and plans of correction are
				available for examination.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74461 - Finances of patient: System for maintenance and accounting

Current through June 11, 2024
1. A facility for skilled nursing:
(a) Shall not require a patient to deposit
				any amount of money with the facility to be held by the facility on behalf of
				the patient.
(b) Shall hold,
				safeguard, manage and account for money deposited with the facility on behalf
				of a patient if requested to do so in writing by the patient, in accordance
				with the provisions of this section and NAC 449.74463.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74463 - Finances of patient: Authorization to withhold money

Current
				through June 11, 2024
1.
				A facility for skilled nursing shall not withhold from money held by the
				facility on behalf of a patient any amount for:
(a) Services related to the maintenance of
				the patient's room or bed;
(b)
				Supplies and services for routine personal hygiene that are required by the
				patient, including, without limitation:
(1)
				Shampoo, a comb and a brush;
(2)
				Bath soap, disinfecting soap or specialized cleansing agents required to treat
				the medical condition of the patient or to treat infection;
(3) A razor and shaving cream;
(4) A toothbrush, toothpaste, denture
				adhesive, dental cleaner and dental floss;
(5) Moisturizing lotion;
(6) Tissues, cotton balls and cotton
				swabs;
(7) Deodorant;
(8) Supplies and services for
				incontinence;
(9) Sanitary napkins
				and related supplies;
(10) Towels
				and washcloths;
(11) Hospital
				gowns;
(12) Nonprescription
				drugs;
(13) Supplies and services
				for the patient's nails; and
(14)
				Supplies and services for the patient's laundry; and
(c) Medically-related social services
				required by NAC 449.74523.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Rights of Patients › Section 449.74465 - Sending and receiving mail

Current through June 11,
				2024
A facility for skilled nursing shall not prohibit a patient
				  in the facility from:
1. Sending and
				promptly receiving mail. A patient's mail must not be opened by the
				facility.
2. Obtaining stationery,
				postage and writing instruments at the patient's expense.
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 449.74467 - Performance of services for facility by patient

Current through
				June 11, 2024
1. A
				facility for skilled nursing shall not require a patient in the facility to
				perform services for the facility.
2. A patient may perform services for the
				facility only if:
(a) The facility has
				included in the patient's plan of care his or her need or desire to perform
				services for the facility;
(b) The
				plan of care describes the nature of the services to be performed and the
				compensation, if any, to be paid for those services;
(c) The compensation to be paid for the
				services is at or above the prevailing wage; and
(d) The patient agrees to perform the
				services described in the plan of care.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74469 - Standards of care

Current through June 11,
				2024
A facility for skilled nursing shall provide to each patient
				  in the facility the services and treatment that are necessary to attain and
				  maintain the patient's highest practicable physical, mental and psychosocial
				  well-being, in accordance with the comprehensive assessment conducted pursuant
				  to NAC 449.74433 and the plan of care developed pursuant to NAC
				  449.74439.
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 › Quality of Care › Section 449.74471 - Administration of drugs

Current through June 11,
				2024
1. A facility for
				skilled nursing shall not administer a drug to a patient in the facility:
(a) In excessive doses, including duplicate
				drug therapy;
(b) For an excessive
				duration;
(c) Without monitoring
				the patient properly;
(d) Without
				adequate indications for the use of the drug; or
(e) If there are any adverse reactions which
				indicate that the dosage should be reduced or discontinued.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74473 - Program for control of infections

Current through June 11,
				2024
1. A facility for
				skilled nursing shall establish and maintain a program for the control of
				infections within the facility.
2.
				The program must:
(a) Be designed to provide
				a safe, sanitary and comfortable environment and to prevent the development and
				transmission of disease and infection.
(b) Include procedures for the investigation,
				control and prevention of infections in the facility.
(c) Establish the procedures that will be
				followed if a patient becomes infectious, including, without limitation, the
				circumstances under which a patient may be isolated. A facility shall isolate
				any patient if required to prevent the spread of infection.
(d) Provide for the maintenance of records of
				infections and the corrective actions taken when infections occurred.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74475 - Vision and hearing

Current through June 11,
				2024
A facility for skilled nursing shall:
1. Ensure that each patient in the facility
				receives proper treatment and devices for his or her vision and
				hearing.
2. Assist a patient, if
				necessary, in making appointments for the treatment of his or her vision and
				hearing.
3. If necessary, arrange
				transportation for a patient to visit a practitioner for the treatment of the
				patient's vision or hearing or to obtain devices needed for his or her vision
				or hearing.
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 › Quality of Care › Section 449.74477 - Pressure sores

Current through June 11,
				2024
Based on the comprehensive assessment of a patient conducted
				  pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that a
				  patient:
1. Who is admitted to the
				facility without pressure sores does not develop pressure sores unless the
				development of pressure sores is unavoidable because of the medical condition
				of the patient; and
2. With
				pressure sores receives the services and treatment needed to promote healing,
				prevent infection and prevent new sores from developing.
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 › Quality of Care › Section 449.74479 - Urinary problems

Current through June 11,
				2024
Based on the comprehensive assessment of a patient conducted
				  pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that a
				  patient:
1. Who is admitted to the
				facility without an indwelling catheter is not required to use a catheter
				unless catheterization is unavoidable because of the medical condition of the
				patient; and
2. Who is incontinent
				receives the services and treatment needed to prevent the infection of the
				patient's urinary tract and restore the normal function of his or her
				bladder.
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 › Quality of Care › Section 449.74481 - Range of motion

Current through June 11,
				2024
Based on the comprehensive assessment of a patient conducted
				  pursuant to NAC 449.74433, a facility for skilled nursing shall ensure
				  that:
1. The range of motion of a
				patient admitted to the facility is not reduced unless the reduction is
				unavoidable because of the medical condition of the patient; and
2. A patient with a limited range of motion
				receives the services and treatment needed to increase the patient's range of
				motion and to prevent any further loss in his or her range of motion.
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 › Quality of Care › Section 449.74483 - Mental or psychosocial behavior

Current through June 11,
				2024
Based on the comprehensive assessment of a patient conducted
				  pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that a
				  patient:
1. Who is having difficulty
				adjusting to his or her environment and is exhibiting abnormal mental or
				psychosocial behavior receives the services and treatment needed to correct the
				assessed problem; and
2. Whose
				assessment does not indicate any difficulty adjusting to the patient's
				environment or abnormal mental or psychosocial behavior does not become
				withdrawn, angry or depressed or decrease his or her social interaction unless
				such behavior is unavoidable because of the medical condition 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 › Quality of Care › Section 449.74485 - Nasogastric tubes

Current through June 11,
				2024
Based on the comprehensive assessment of a patient conducted
				  pursuant to NAC 449.74433, a facility for skilled nursing shall ensure that a
				  patient who is:
1. Able to feed
				himself or herself with or without assistance is not fed with a nasogastric
				tube unless a nasogastric tube is unavoidable because of the medical condition
				of the patient; and
2. Fed with a
				nasogastric tube receives the services and treatment needed to:
(a) Prevent aspiration pneumonia, diarrhea,
				vomiting, dehydration, metabolic abnormalities and nasal-pharyngeal ulcers;
				and
(b) Restore, if possible,
				normal eating skills.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74487 - Nutritional health; hydration

Current through June 11,
				2024
1. Based on the
				comprehensive assessment of a patient conducted pursuant to NAC 449.74433, a
				facility for skilled nursing shall ensure that:
(a) The nutritional health of the patient is
				maintained, including, without limitation, the maintenance of his or her weight
				and levels of protein, unless the nutritional health of the patient cannot be
				maintained because of his or her medical condition.
(b) The patient receives a therapeutic diet
				if such a diet is required by the patient.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74489 - Physical or chemical restraint of patients

Current through June
				11, 2024
1. A facility
				for skilled nursing shall not use physical or chemical restraints on a patient
				to discipline the patient or for the convenience of members of the
				staff.
2. Physical or chemical
				restraints may be used only if required to treat a patient's medical
				symptoms.
3. As used in this
				section:
(a) "Chemical restraints" means a
				psychopharmacologic drug that is not required to treat the medical symptoms of
				a patient, but is used to discipline a patient or for the convenience of
				members of the staff of a facility for skilled nursing.
(b) "Physical restraints" means any manual
				method or physical or mechanical device, material or equipment attached or
				adjacent to a patient's body that cannot be removed easily by the patient and
				restricts the freedom of movement of the patient or normal access to the
				patient's body.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74491 - Prohibition of certain practices regarding patients; investigation of certain violations and injuries to patients; unfit employees

Current
				through June 11, 2024
1.
				A facility for skilled nursing shall adopt and carry out written policies and
				procedures that prohibit:
(a) The
				mistreatment and neglect of the patients in the facility;
(b) The verbal, sexual, physical and mental
				abuse of the patients in the facility;
(c) Corporal punishment and involuntary
				seclusion; and
(d) The
				misappropriation of the property of the patients in the facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74493 - Notification of changes or condition of patient

Current through
				June 11, 2024
1. A
				facility for skilled nursing shall immediately notify a patient, the patient's
				legal representative or an interested member of the patient's family, if known,
				and, if appropriate, the patient's physician when:
(a) The patient has been injured in an
				accident and may require treatment from a physician;
(b) The patient's physical, mental or
				psychosocial health has deteriorated and resulted in medical complications or
				is threatening the patient's life;
(c) There is a need to discontinue the
				current treatment of the patient because of adverse consequences caused by that
				treatment or to commence a new type of treatment;
(d) The patient will be transferred or
				discharged from the facility;
(e)
				The patient will be assigned to another room or assigned a new roommate;
				or
(f) There is any change in
				federal or state law that affects the rights of the patient.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74495 - Development of program of activities

Current through June 11,
				2024
1. A facility for
				skilled nursing shall provide for each patient in the facility a program of
				activities that is developed in accordance with the comprehensive assessment of
				the patient conducted pursuant to NAC 449.74433.
2. The program of activities must be directed
				by a member of the staff who:
(a) Is a
				therapeutic recreational specialist or activities specialist and is eligible
				for certification by an organization for accrediting such
				specialists;
(b) Within the
				preceding 5 years, has at least 2 years of experience working in a social or
				recreational program, 1 year of which was as a full-time employee in a patient
				activities program in a health care setting;
(c) Is a licensed occupational therapist or
				occupational therapy assistant; or
(d) Has completed a course of training for
				directing programs of activities for patients in a health care
				setting.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74497 - Daily activities of patient

Current through June 11,
				2024
1. Based on the
				comprehensive assessment of a patient conducted pursuant to NAC 449.74433, a
				facility for skilled nursing shall ensure that:
(a) The patient's ability to carry out his or
				her daily activities does not diminish unless such diminution is unavoidable
				because of the medical condition of the patient;
(b) The patient receives the services and
				treatment needed to maintain or improve the patient's ability to carry out his
				or her daily activities; and
(c)
				The patient receives the services needed to maintain his or her grooming and
				personal and oral hygiene, and to ensure good nutrition, if the patient is
				unable to carry out his or her daily activities.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Quality of Care › Section 449.74499 - Participation in activities

Current through June 11,
				2024
1. A facility for
				skilled nursing shall not prohibit a patient in the facility from:
(a) Participating in activities and
				maintaining a schedule that are consistent with the patient's interests,
				assessments and plan of care;
(b)
				Making choices relating to the patient's health care that are consistent with
				his or her plan of care;
(c)
				Interacting with persons inside and outside of the facility;
(d) Participating in social, religious and
				community activities that do not interfere with other patients in the facility;
				and
(e) Making such other choices
				relating to his or her activities within the facility that are of significance
				to the patient.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Staff and Attending Physicians › Section 449.74511 - Personnel policies; personnel records

Current through June 11,
				2024
1. A facility for
				skilled nursing shall adopt written policies for the personnel employed at the
				facility.
2. The written policies
				must:
(a) Include the duties and
				responsibilities of, and the qualifications required for, each position at the
				facility;
(b) Include the
				conditions of employment for each position at the facility;
(c) Include the policies and objectives of
				the facility related to training while on the job and requirements for
				continuing education; and
(d) Be
				periodically reviewed and made available to each employee of the
				facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Staff and Attending Physicians › Section 449.74513 - Medical director

Current through June 11,
				2024
1. A facility for
				skilled nursing shall employ a medical director who is licensed to practice
				medicine in this State.
2. The
				medical director shall:
(a) Carry out the
				policies of the facility related to the medical care of its patients;
				and
(b) Coordinate the medical care
				provided by the facility.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Staff and Attending Physicians › Section 449.74515 - Physicians

Current through June 11, 2024
1. A patient may be admitted to a facility
				for skilled nursing only upon the written approval of a physician. Upon a
				patient's admission to the facility, the facility shall ensure that orders for
				the immediate care of the patient have been received from the patient's
				attending physician.
2. Each
				patient admitted to a facility for skilled nursing must remain under the care
				of a physician.
3. A facility for
				skilled nursing shall ensure that:
(a) The
				medical care of each patient in the facility is supervised by a physician;
				and
(b) A physician other than the
				attending physician of a patient supervises the care of that patient when the
				attending physician is not available.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Staff and Attending Physicians › Section 449.74517 - Nursing staff

Current through June 11,
				2024
1. A facility for
				skilled nursing shall ensure that there is a sufficient number of members of
				the nursing staff on duty at all times to provide nursing care to and attain
				and maintain the highest practicable physical, mental and psychosocial
				well-being of each patient in the facility in accordance with his or her plan
				of care.
2. A facility for skilled
				nursing shall employ a full-time registered nurse to act as the chief
				administrative nurse. The chief administrative nurse must have:
(a) At least 3 years of experience providing
				nursing care in a hospital or facility for long-term care; and
(b) Experience supervising other
				employees.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Staff and Attending Physicians › Section 449.74519 - Nursing assistants and nursing assistant trainees

Current
				through June 11, 2024
1.
				A facility for skilled nursing shall not employ a person as a nursing assistant
				trainee, full-time, temporarily or under contract:
(a) Until the facility obtains from the
				training program required for certification as a nursing assistant in which the
				person is enrolled, verification that the person has completed 16 hours of
				instruction in the classroom or is awaiting the results of a certification
				examination.
(b) For more than 4
				months.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Staff and Attending Physicians › Section 449.74521 - Other health care professionals

Current through June 11,
				2024
1. A facility for
				skilled nursing shall employ full-time, part-time or as consultants such health
				care professionals as are necessary to provide adequate care for each patient
				in the facility and to carry out the provisions of NAC 449.744 to 449.74549,
				inclusive.
2. A health care
				professional employed by a facility for skilled nursing shall comply with
				accepted professional standards applicable to the services provided by the
				health care professional.
3. If a
				facility for skilled nursing does not employ a person to furnish a service
				required by the facility, the facility shall obtain that service from a
				qualified outside source. An agreement for obtaining such services must
				specify, in writing, that the facility assumes responsibility for:
(a) Obtaining services that comply with
				accepted professional standards applicable to the services being obtained;
				and
(b) The timely delivery of such
				services.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Staff and Attending Physicians › Section 449.74522 - Employees of facility which provides care to persons with dementia

Current through June 11, 2024
1. Except as otherwise provided in subsection
				4, each person who is employed by a facility for skilled nursing which provides
				care to persons with any form of dementia, including, without limitation,
				dementia caused by Alzheimer's disease, who has direct contact with and
				provides care to persons with any form of dementia and who is licensed or
				certified by an occupational licensing board must complete the following number
				of hours of continuing education specifically related to dementia:
(a) In his or her first year of employment
				with a facility for skilled nursing, 8 hours which must be completed within the
				first 30 days after the employee begins employment; and
(b) For every year after the first year of
				employment, 3 hours which must be completed on or before the anniversary date
				of the first day of employment.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Provision of Services › Section 449.74523 - Social services

Current through June 11,
				2024
1. A facility for
				skilled nursing shall provide medically-related social services that are
				designed to assist the patients in the facility in enhancing or restoring their
				ability to function physically, socially and economically.
2. The social services provided must:
(a) Identify and meet the social and
				emotional needs of each patient in the facility.
(b) Assist each patient and the members of
				his or her family in adjusting to the effects of the patient's illness or
				disability, to the patient's treatment and to his or her stay in the
				facility.
(c) Include adequate
				planning upon the patient's discharge from the facility to ensure that
				appropriate community and health resources are used.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Provision of Services › Section 449.74525 - Dietary services

Current through June 11,
				2024
1. A facility for
				skilled nursing shall employ full-time, part-time or as a consultant, a person
				who is a licensed dietitian. If a licensed dietitian is not employed full-time,
				the facility shall designate a person to serve as the director of food service
				who receives frequently scheduled consultations from a licensed
				dietitian.
2. A facility shall
				employ an adequate number of qualified and competent personnel to provide food
				service to the patients in the facility.
3. Menus must be planned in advance and
				followed to meet the nutritional needs of the patients in the facility in
				accordance with the recommended dietary allowances of the Food and Nutrition
				Board of the Health and Medicine Division of the National Academies of
				Sciences, Engineering, and Medicine.
4. A facility shall provide to each patient
				in the facility:
(a) Food that is prepared to
				conserve the nutritional value and flavor of the food.
(b) Food that is nourishing, palatable,
				attractive and served at the proper temperature.
(c) A well-balanced diet that meets the daily
				nutritional and special dietary needs of the patient.
(d) Who refuses the food that is regularly
				served by the facility, a substitute of similar nutritional value.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Provision of Services › Section 449.74527 - Specialized rehabilitative services

Current through June 11,
				2024
1. A facility for
				skilled nursing shall provide to a patient in the facility, according to his or
				her plan of care, specialized rehabilitative services, including, without
				limitation, physical therapy, speech pathology, occupational therapy and
				services for mental illness and intellectual disabilities. Such services must
				be provided by the facility or obtained from qualified outside sources pursuant
				to NAC 449.74521.
2. Specialized
				rehabilitative services may be provided to a patient in a facility only upon
				the written order of a physician.
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 › Provision of Services › Section 449.74529 - Dental services

Current through June 11,
				2024
A facility for skilled nursing shall:
1. Provide or obtain from qualified outside
				sources pursuant to NAC 449.74521, routine and emergency dental services
				required to meet the needs of each patient in the facility;
2. Assist patients in the facility with
				obtaining routine and emergency dental care by:
(a) Making appointments; and
(b) Arranging for transportation to and from
				a dentist's office; and
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Provision of Services › Section 449.74531 - Pharmaceutical services

Current through June 11,
				2024
1. A facility for
				skilled nursing shall provide such pharmaceutical services, including, without
				limitation, acquiring, receiving, dispensing and administering drugs and
				biologicals, as are required to meet the needs of the patients in the facility.
				The facility shall provide such drugs and biologicals as are needed or obtain
				them from qualified outside sources pursuant to NAC 449.74521.
2. A facility for skilled nursing shall
				employ or otherwise obtain the services of a registered pharmacist. The
				registered pharmacist shall:
(a) Provide
				consultations on all matters relating to the pharmaceutical services provided
				by the facility;
(b) Establish a
				system of records for the receipt and disposition of all controlled substances
				in the facility in sufficient detail to ensure an accurate reconciliation;
				and
(c) Ensure that those records
				are in order and that an account of all controlled substances in the facility
				is maintained and periodically reconciled.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Provision of Services › Section 449.74533 - Laboratory services

Current through June 11,
				2024
1. A facility for
				skilled nursing shall provide laboratory services to meet the needs of the
				patients in the facility or contract with a laboratory to obtain such
				services.
2. If a facility for
				skilled nursing has its own laboratory, it must be a licensed clinical
				laboratory under the provisions of chapter 652 of NRS and comply with the
				provisions of 42 C.F.R. Part 493. The provisions of this subsection do not
				prohibit a licensed nurse from performing laboratory tests pursuant to
				NRS
				652.217.
3. If the facility contracts with a
				laboratory for its services, that laboratory must be:
(a) A licensed clinical laboratory under the
				provisions of chapter 652 of NRS; and
(b) Certified in the specialties and
				subspecialties required by the facility in accordance with the provisions of 42
				C.F.R. Part 493.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Provision of Services › Section 449.74535 - Radiological and other diagnostic services

Current through June
				11, 2024
1. A facility
				for skilled nursing shall provide radiological and other diagnostic services to
				meet the needs of the patients in the facility or contract with qualified
				outside sources to obtain such services.
2. If a facility for skilled nursing provides
				radiological and other diagnostic services, it shall comply with applicable
				state law related to the provision of such services.
3. A facility for skilled nursing shall:
(a) Provide or obtain only such radiological
				and other diagnostic tests as are ordered by the attending physician of a
				patient in the facility;
(b)
				Promptly notify the attending physician of the results of those
				tests;
(c) Arrange transportation
				for a patient to obtain radiological and other diagnostic tests ordered by the
				patient's attending physician, if the patient requires such assistance;
				and
(d) Include in the medical
				records of a patient all reports of the results of radiological and other
				diagnostic tests ordered for the patient. The reports must:
(1) Include the date on which the tests were
				performed; and
(2) Be signed by the
				person performing the tests.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Provision of Services › Section 449.74537 - Special services

Current through June 11,
				2024
A facility for skilled nursing shall ensure that a patient in
				  the facility receives the following special services if needed:
1. Injections.
2. Parenteral and enteral fluids.
3. Colostomy, ureterostomy and ileostomy
				care.
4. Tracheostomy
				care.
5. Tracheal
				suctioning.
6. Respiratory
				care.
7. Foot care.
8. Prostheses.
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 › Physical Environment › Section 449.74539 - General requirements

Current through June 11,
				2024
A facility for skilled nursing shall:
1. Provide a safe, functional, sanitary and
				comfortable environment for the patients in the facility, the members of its
				staff and members of the general public;
2. Care for each patient in the facility in a
				manner that promotes the dignity of the patient and his or her quality of
				life;
3. Ensure that the
				environment of the facility is free of hazards that would cause
				accidents;
4. Ensure that each
				patient in the facility receives adequate supervision and devices to prevent
				accidents;
5. Provide such
				housekeeping and maintenance services as are necessary to maintain a sanitary,
				orderly and comfortable environment;
6. 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. Equip corridors with firmly secured
				handrails on each side;
8. Provide
				adequate and comfortable levels of lighting in all areas of the
				facility;
9. Provide comfortable
				levels of sound in all areas of the facility;
10. Maintain an effective program to control
				pests in order to ensure that the facility is free from pests and
				rodents;
11. Have adequate outside
				ventilation by means of windows or mechanical ventilation, or both;
				and
12. Provide safe and
				comfortable levels of temperature in the facility. The temperature of the
				facility must be maintained at a level that is not less than 71 degrees
				Fahrenheit and not more than 81 degrees Fahrenheit.
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 › Physical Environment › Section 449.74543 - Design, construction, equipment and maintenance: General requirements; prerequisites to approval of facility for licensure

Current through
				June 11, 2024
1. A
				facility for skilled nursing 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. Except as otherwise provided in this
				section:
(a) A facility for skilled nursing
				shall comply with the provisions of
NFPA 101: Life Safety
				Code
, adopted by reference pursuant to NAC
				449.0105.
(b) Any new construction, remodeling or
				change in use of a facility for skilled nursing must comply with the applicable
				provisions of the guidelines adopted by reference in paragraphs (c), (d) and
				(e) of subsection 1 of NAC
				449.0105, unless the remodeling
				is limited to refurbishing an area within the facility, including, without
				limitation, painting the area, replacing the flooring, repairing windows, or
				replacing window and wall coverings.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FACILITIES FOR SKILLED NURSING › Physical Environment › Section 449.74549 - Patients' rooms

Current through June 11,
				2024
1. A patient's room
				within a facility for skilled nursing must be designed and equipped in a manner
				that allows adequate nursing care to be provided and provides comfort and
				privacy for the patient.
2. A
				facility for skilled nursing shall provide to each patient in the facility:
(a) A separate bed of proper size and height
				for the convenience of the patient;
(b) A clean, comfortable mattress;
(c) Bedding that is appropriate for the
				weather and climate;
(d) Clean
				linens for his or her bed and bath that are in good condition; and
(e) Furniture that is appropriate for the
				patient's needs.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › General Provisions › Section 449.747 - Definitions

Current through June 11, 2024
As used in NAC 449.747 to 449.7481, inclusive, unless the
				  context otherwise requires:
1.
				"License" means a document issued by the Division permitting the operation of a
				nursing pool.
2. "Licensee" means a
				person to whom a license has been issued.
3. "Nursing pool" has the meaning ascribed to
				it in
				NRS
				449.0153.
Added to NAC by Bd. of
				  Health, eff. 1-31-90; A 8-1-91; R044-97, 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › Licensing › Section 449.7471 - License required

Current through June 11,
				2024
No person, state or local government, or agency thereof, may
				  establish, conduct or maintain in this State a nursing pool without first
				  obtaining a license from the Division.
Added to NAC by Bd. of
				  Health, 1-31-90, eff. 7-1-90
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › Licensing › Section 449.7473 - Location to which license applies; persons named in license; restrictions on use of license

Current through June 11,
				2024
1. Each license is
				separate and distinct and is issued to a specific person to operate a nursing
				pool at a specific location. A nursing pool must be operated and conducted
				under the name and within the area of service designated on the license. The
				name of the person who is designated as responsible for its conduct must appear
				on the face of the license.
2. A
				separate license is required for each nursing pool owned and controlled by a
				central organization, corporate entity or home office, but operated and
				directed by governing and administrative bodies separate from the central
				organization or any other unit owned and controlled by the central
				organization.
Added to NAC by Bd. of
				  Health, eff. 1-31-90; A by R044-97, 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › Licensing › Section 449.7474 - Duties of licensee or applicant for license

Current through
				June 11, 2024
1. A
				licensee or applicant for a license shall:
(a) Designate a person who is responsible for
				the conduct of the nursing pool; and
(b) Disclose the ownership of the nursing
				pool to the Division.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › Administration and Personnel › Section 449.7475 - Administrator: Qualifications and duties

Current through June 11,
				2024
1. The
				administrator of a nursing pool must be a physician or professional registered
				nurse, licensed to practice in this State, or a person having at least 1 year
				of supervisory or administrative experience in a field related to the provision
				of health care.
2. The
				administrator of a nursing pool shall represent the licensee in the daily
				operation of the nursing pool and appoint a person to exercise his or her
				authority in his or her absence. The administrator's responsibilities include:
(a) Keeping the licensee fully informed of
				the activities of the nursing pool through regularly written reports;
(b) Employing qualified personnel and
				arranging for their orientation and continuing education;
(c) Developing and implementing an accounting
				and reporting system that reflects the fiscal experience and current financial
				position of the nursing pool;
(d)
				Negotiating for services provided by contract in accordance with legal
				requirements and established policies of the nursing pool;
(e) Holding periodic meetings to maintain a
				liaison between the licensee and members of the staff of the nursing pool;
				and
(f) Performing such other
				duties as may be assigned.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › Administration and Personnel › Section 449.7476 - Director of professional services: Qualifications and duties

Current through June 11, 2024
1. The director of professional services must
				be a physician, or a professional registered nurse, who is licensed to practice
				in this State. The director must be readily available through the office of the
				nursing pool to advise members of the staff of the nursing pool.
2. The director of professional services
				shall:
(a) Direct, supervise and coordinate
				the skilled nursing services provided by the nursing pool;
(b) Develop and revise written objectives,
				policies and procedural manuals for the care of patients;
(c) Assist in the development of descriptions
				of jobs;
(d) Assist in the
				recruitment and selection of personnel;
(e) Recommend to the administrator the number
				and levels of members of the nursing staff;
(f) Plan and conduct orientations and
				continuing education for members of the staff engaged in the care of
				patients;
(g) Evaluate the
				performance of the nursing staff; and
(h) Assist in planning and budgeting for the
				provision of services.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › Administration and Personnel › Section 449.7477 - Personnel policies: Maintenance and availability

Current
				through June 11, 2024
A nursing pool shall maintain written policies concerning the
				  qualifications, responsibilities and conditions of employment for each category
				  of personnel, including licensure when required by law. The written policies
				  must be reviewed as needed, made available to the members of the staff of the
				  nursing pool and provide for:
1. Wages
				and hours;
2. Eligibility for
				vacations, sick leave and other benefits;
3. Maintenance of a current record of the
				health of each member of the staff;
4. Orientation of all health personnel to the
				policies and objectives of the nursing pool, training while on the job and
				continuing education;
5. Periodic
				evaluations of the performance of members of the staff;
6. Descriptions of jobs for each category of
				personnel which are specific and include the types of activities each category
				may perform; and
7. Maintenance of
				current personnel records which confirm that the policies are
				followed.
Added to NAC by Bd. of
				  Health, eff. 1-31-90
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › Administration and Personnel › Section 449.7478 - Requirements for contracts to provide nursing services

Current
				through June 11, 2024
If a nursing pool provides nursing services under a contract
				  with another entity, other than a licensed medical facility, the services must
				  be furnished in accordance with the terms of a written contract. The contract
				  must:
1. Provide for retention by the
				nursing pool of responsibility for and control of the services.
2. Designate the services to be provided,
				including the setting and geographical area to be served. Services provided
				must be within the scope and limitations set forth in a physician's plan of
				treatment for his or her patient, and must not be altered with regard to type,
				amount, frequency or duration, unless the patient suffers an adverse reaction
				to that treatment.
3. Describe the
				means of supervision of the personnel performing the services.
4. Describe the method of coordinating the
				services with the nursing pool.
5.
				Specify the method of determining charges by and reimbursement of the nursing
				pool for specific services provided under the contract. Only the nursing pool
				may bill or collect for services rendered.
6. Specify the period the contract will be
				effective and the frequency with which the contract will be reviewed. The
				contract must be reviewed not less than annually.
7. Ensure that the personnel and services
				which are the subject of the contract meet the requirements of NAC 449.747 to
				449.7481, inclusive, including those requirements concerning licensure,
				qualifications, medical examinations, functions, supervision, orientation and
				continuing education.
8. Provide
				that only the nursing pool may accept patients for nursing services.
9. Ensure that the personnel and services
				which are the subject of the contract will provide treatment to referred
				patients without regard to race, creed or national origin.
Added to NAC by Bd. of
				  Health, eff. 1-31-90; A by R044-97, 10-30-97
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › Administration and Personnel › Section 449.7479 - Referral of patients when services not available; provision of services; bonding of staff

Current through June 11,
				2024
1. If services
				needed by a patient are not available from a nursing pool, it must assist in
				directing the patient to other resources in the community.
2. Services must be provided only by
				qualified personnel under the supervision of a physician who is licensed to
				practice in this State. Necessary qualifications include licensure,
				registration, certification or the equivalent, as required by state and federal
				law, for professional registered nurses, practical nurses and nursing
				assistants.
3. A nursing pool must
				secure an appropriate bond for each member of its staff who provides care
				directly to patients.
Added to NAC by Bd. of
				  Health, eff. 1-31-90
NRS
					 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › NURSING POOLS › Administration and Personnel › Section 449.748 - Duties of registered nurse; provision of nursing care by practical nurse or nursing assistant

Current through June 11,
				2024
1. A registered
				nurse employed by a nursing pool shall:
(a)
				Provide nursing guidance and care to patients;
(b) If care is to be provided to a patient at
				his or her home, evaluate the home regarding its suitability for the provision
				of that care;
(c) Teach patients
				and those who provide them with care regarding the appropriate methods of
				providing that care;
(d) Supervise
				and evaluate the care given to patients on a continuing basis; and
(e) Provide any necessary professional
				nursing care.