reglab/statecodes huggingface dataset:
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY-BASED LIVING ARRANGEMENT SERVICES › Quality Assurance Reviews and Discipline › Section 449.856 - Grounds for revocation of provisional certificate or certificate

Current through June 11, 2024
1. Any misrepresentation of or failure to
				disclose any material fact in the application for the provisional certificate
				or in any financial record or other document requested by the
				Division.
2. A lack of personnel in
				sufficient numbers or qualifications to provide proper care and support for the
				persons receiving services.
3.
				Conviction of the provider, any employee or independent contractor of the
				provider or any adult present during the provision of services of a crime
				listed in NAC
				449.822.
4. Any deficiency of the provider relating to
				the provision of services that poses an imminent or probable risk of harm to
				the health or welfare of any person receiving services.
5. Any violation of any requirement set forth
				in this chapter or chapter 449 of NRS.
6. Any accumulation or pattern of minor
				violations of the provisions of this chapter or chapter 449 of NRS, if the
				violations taken as a whole endanger the health or welfare of any person who is
				receiving services.
7. Any
				fraudulent activity by the provider or an employee or independent contractor of
				the provider, including, without limitation, any fraudulent billing,
				falsification of records or misuse or misappropriation of the property of a
				person who is receiving services.
8. Failure to comply with any obligation set
				forth in the contract entered into pursuant to NAC
				449.837.
9. Any refusal to participate in any aspect
				of a quality assurance review or any other review or investigation by the
				Division.
10. The failure or
				refusal of the provider to implement or maintain any action required by the
				Division to correct a deficiency identified during a quality assurance review
				or any other review or investigation by the Division.
11. Abuse, neglect, exploitation or coercion
				of a person who is receiving services.
12. Harassing, coercive, intimidating,
				insulting, abusive or disruptive language or behavior directed at an employee
				of the Division, an employee or independent contractor of the provider, another
				provider or a person or entity providing services other than community-based
				living arrangement services, a person who is receiving services or a family
				member or guardian of such a person.
13. Exclusion of the provider, an officer or
				employee of the provider or an independent contractor of the provider who
				oversees the provision of services from participation in Medicare, Medicaid or
				any other federal health care program pursuant to federal law.
(Added to NAC
				  by Bd. of Health by R090-16, 6-21-2017, eff. 7-1-2017; A by R134-18,
				  12-19-2018)-(Substituted in revision for NAC
				  433.384)
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY-BASED LIVING ARRANGEMENT SERVICES › Quality Assurance Reviews and Discipline › Section 449.858 - Notice of intent to revoke provisional certificate or certificate

Current through June 11, 2024
The Division shall give a provider written notice of any
				  intended action to revoke the provisional certificate or certificate of the
				  provider as prescribed by NAC
				  439.345.
(Added to NAC
				  by Bd. of Health by R090-16, 6-21-2017, eff. 7-1-2017)-(Substituted in revision
				  for NAC 433.387)
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY-BASED LIVING ARRANGEMENT SERVICES › Quality Assurance Reviews and Discipline › Section 449.859 - Immediate termination of provision of services

Current through
				June 11, 2024
If a revocation of the provisional certificate or the
				  certificate of a provider is pending and the Division determines that the
				  grounds for the revocation place any person at an imminent or probable risk of
				  harm, the Division may immediately terminate the provision of services by the
				  provider.
(Added to NAC
				  by Bd. of Health by R090-16, 6-21-2017, eff. 7-1-2017)-(Substituted in revision
				  for NAC 433.390)
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › COMMUNITY-BASED LIVING ARRANGEMENT SERVICES › Quality Assurance Reviews and Discipline › Section 449.861 - Appeal

Current through June 11, 2024
1. If a provider is aggrieved by any sanction
				imposed pursuant to NAC
				449.855 or any decision
				concerning the denial, suspension or revocation of a provisional certificate or
				certificate, the provider may submit a request for an appeal to the
				Administrator of the Division pursuant to the procedures set forth in NAC
				439.300 to
				439.395, inclusive.
2. Except in the case of an immediate
				termination of the provision of services pursuant to NAC
				449.859, the effective date of a
				revocation is stayed upon receipt of a request for appeal until the hearing
				officer renders a decision regarding the appeal.
(Added to NAC
				  by Bd. of Health by R090-16, 6-21-2017, eff. 7-1-2017)-(Substituted in revision
				  for NAC 433.393)
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › EMPLOYMENT AGENCIES TO PROVIDE NONMEDICAL SERVICES › Section 449.870 - Definitions

Current through June 11, 2024
As used in NAC
				449.870 to
				449.882, inclusive, the words and
				terms defined in NAC
				449.871 to
				449.876, inclusive, have the
				meanings ascribed to them in those sections.
Added to NAC by
				Bd. of Health by R109-18, eff. 1-30-2019
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › EMPLOYMENT AGENCIES TO PROVIDE NONMEDICAL SERVICES › Section 449.871 - "Attendant" defined

Current through June 11,
			 2024
"Attendant" means a person who is employed by or retained
				pursuant to a contract by an employment agency for the purpose of providing
				nonmedical services to a client.
Added to NAC by
				Bd. of Health by R109-18, eff. 1-30-2019
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › EMPLOYMENT AGENCIES TO PROVIDE NONMEDICAL SERVICES › Section 449.873 - "Client" defined

Current through June 11,
			 2024
"Client" means an elderly person or a person with a disability
				who seeks to receive or receives nonmedical services in the home in which the
				person lives.
Added to NAC by
				Bd. of Health by R109-18, eff. 1-30-2019
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › EMPLOYMENT AGENCIES TO PROVIDE NONMEDICAL SERVICES › Section 449.874 - "Employment agency" defined

Current through June 11,
			 2024
"Employment agency" means an employment agency to provide
				nonmedical services.
Added to NAC by
				Bd. of Health by R109-18, eff. 1-30-2019
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › EMPLOYMENT AGENCIES TO PROVIDE NONMEDICAL SERVICES › Section 449.876 - "Nonmedical services" defined

Current through June 11,
			 2024
"Nonmedical services" means "nonmedical services related to
				personal care to elderly persons or persons with disabilities," as that term is
				defined in NRS
				449.01517.
Added to NAC by
				Bd. of Health by R109-18, eff. 1-30-2019
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › EMPLOYMENT AGENCIES TO PROVIDE NONMEDICAL SERVICES › Section 449.877 - Designation of primary place of business on license; operation of multiple work stations; licensee's name to appear on face of license; liability coverage required

Current through June 11,
			 2024
1. Except as
			 otherwise provided in this subsection, each license issued to operate an
			 employment agency must be issued to one person and designate the primary place
			 of business of the employment agency. A person may operate an employment agency
			 at multiple work stations if the employment agency maintains the records for
			 the clients, attendants, other members of the staff of the employment agency
			 and operations of the employment agency at the primary place of business
			 designated on the license.
2. The
			 name of the person to whom the license is issued must appear on the face of the
			 license.
3. Each employment agency
			 must retain proof that it has adequate coverage against liabilities to cover
			 claims likely to be incurred in the course of operation. The proof of liability
			 coverage must be verified at the time the employment agency submits its initial
			 application to the Division for a license and upon request by the
			 Division.
4. As used in this
			 section, "work station" means a satellite office of an employment agency that
			 is established for the sole purpose of providing a location:
(a) Where copies of records may be sent to an
			 employment agency; and
(b) From
			 which an attendant may work to serve a geographic area outside the geographic
			 area in which the attendant normally works.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › EMPLOYMENT AGENCIES TO PROVIDE NONMEDICAL SERVICES › Section 449.879 - Qualifications and duties of administrator

Current through June 11,
			 2024
1. Each employment
			 agency shall appoint an administrator who:
(a) Is at least 18 years of age;
(b) Has a high school diploma or its
			 equivalent;
(c) Is responsible and
			 mature and exhibits empathy, listening skills and other personal qualities
			 which will enable the administrator to understand the problems of elderly
			 persons and persons with disabilities;
(d) Understands the provisions of this
			 chapter and chapter 449 of NRS; and
(e) Has demonstrated the ability to read,
			 write, speak and understand the English language.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › EMPLOYMENT AGENCIES TO PROVIDE NONMEDICAL SERVICES › Section 449.882 - Duties of employment agency

Current through June 11,
			 2024
An employment agency shall:
1. Provide any records of the employment
			 agency to the Division upon request, including, without limitation, as part of
			 an investigation of a complaint;
2.
			 Evaluate each attendant to determine whether the attendant is competent in the
			 required areas of training set forth in subsection 7 of NAC
			 449.880;
3. Ensure that each attendant does not
			 provide services other than nonmedical services;
4. Before an attendant begins providing
			 nonmedical services to a client, provide information to the client regarding
			 the fees for those nonmedical services;
5. If the employment agency is located
			 outside of this State, pay any necessary expenses, including, without
			 limitation, travel expenses, incurred by the Division to conduct inspections
			 and investigations of complaints; and
6. Inform each client that the employment
			 agency is not an agency to provide nursing in the home and is not authorized to
			 provide services other than nonmedical services.
Added to NAC by
				Bd. of Health by R109-18, eff. 1-30-2019
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › CARA PLANS OF CARE › Section 449.939 - Definitions

Current through June 11, 2024
As used in NAC
				449.939 to
				449.948, inclusive, unless the
				context otherwise requires, the words and terms defined in NAC
				449.941 to
				449.945, inclusive, have the
				meanings ascribed to them in those sections.
Added to NAC by
				Bd. of Health by R133-18, eff. 12-19-2018
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › CARA PLANS OF CARE › Section 449.941 - "CARA Plan of Care" defined

Current through June 11,
			 2024
"CARA Plan of Care" means a plan that is established pursuant
				to NAC 449.947 for the care of an infant
				who has a fetal alcohol spectrum disorder, has been affected by a prenatal
				substance use disorder or is experiencing symptoms of withdrawal from a
				substance as a result of exposure to the substance in utero.
Added to NAC by
				Bd. of Health by R133-18, eff. 12-19-2018
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › CARA PLANS OF CARE › Section 449.945 - "Provider of health care" defined

Current through June 11,
			 2024
"Provider of health care" has the meaning ascribed to it in
				NRS
				629.031.
Added to NAC by
				Bd. of Health by R133-18, eff. 12-19-2018
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › CARA PLANS OF CARE › Section 449.947 - Establishment and contents of plan; use of form; provision of copy to parent or guardian and Division

Current through June 11,
			 2024
1. A provider of
			 health care who delivers or provides medical services to an infant in a medical
			 facility and who, in his or her professional capacity, knows or has reasonable
			 cause to believe that the infant was born with a fetal alcohol spectrum
			 disorder, is affected by a prenatal substance use disorder or is experiencing
			 symptoms of withdrawal from a substance as a result of exposure to the
			 substance in utero shall ensure that a CARA Plan of Care is established for the
			 infant before the infant is discharged from the medical facility.
2. A CARA Plan of Care must be completed
			 using the form prescribed by the Division and include, without limitation:
(a) Measures to ensure the immediate safety
			 of the infant;
(b) Measures to
			 address the needs of the infant and his or her family or caregiver for
			 substance use disorder treatment and health care;
(c) Measures to ensure that the infant and
			 his or her family or caregiver receive any necessary services, including,
			 without limitation, referrals to appropriate providers of such services;
			 and
(d) Any other information
			 necessary to ensure that the needs of the infant are met.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › CARA PLANS OF CARE › Section 449.948 - Duties of Division; confidentiality and protection of plans and related information

Current through June 11,
			 2024
1. The Division
			 shall:
(a) Monitor, in accordance with
			 42 U.S.C. §
										5106a(b)(2)(B)(iii)(II), the
			 implementation of each CARA Plan of Care that it receives pursuant to NAC
			 449.947 to ensure that the infant
			 to whom the CARA Plan of Care pertains and his or her family or caregiver are
			 receiving appropriate services; and
(b) Provide a copy of a CARA Plan of Care in
			 the possession of the Division to an agency which provides child welfare
			 services upon request.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FINANCIAL REPORTING › Section 449.951 - Definitions

Current through June 11, 2024
As used in NAC 449.951 to 449.969, inclusive, unless the
				context otherwise requires, the words and terms defined in
				NRS 449.450 have the
				meanings ascribed to them in that section.
Added to NAC by Dep't of
				Human Resources, eff. 4-29-86; A 1-2-90; 10-20-93
NRS 449.460
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FINANCIAL REPORTING › Section 449.953 - Annual fee for insurers: Amount; notice; administrative fine for failure to pay

Current through June 11, 2024
1. Each admitted health insurer shall pay an
			 annual fee to cover the costs of carrying out the provisions of
			 NRS 449.450 to
			 449.530,
			 inclusive, and for the support of the Legislative Committee on Health Care. For
			 each fiscal year, the total amount authorized by the Legislature for this
			 purpose in the biennial budget for that fiscal year must be divided by the
			 number of admitted health insurers on the first day of that fiscal year,
			 pursuant to the records of the Commissioner of Insurance, to determine the
			 amount owed by each insurer for all purposes, including the $50 fee for the
			 support of the Legislative Committee on Health Care.
2. The Department will prepare and mail a
			 notice to each insurer subject to the fee specified in subsection 1. The notice
			 must include:
(a) The amount of the fee and a
			 statement identifying that portion of the fee which is used for the support of
			 the Legislative Committee on Health Care;
(b) The day on which payment of the fee is
			 due, which must not be less than 30 days after receipt of the notice;
			 and
(c) The penalty for failure to
			 pay the fee as specified in subsection 3.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FINANCIAL REPORTING › Section 449.957 - Hospitals to file certain reports; certification; exception; extension

Current through June 11, 2024
1. Except as otherwise provided in subsection
			 3, every hospital shall file with the Department the following reports:
(a) A copy of the hospital's Medicare Cost
			 Report within 150 days after the close of the hospital's Medicare fiscal
			 year;
(b) A copy of the hospital's
			 proposed operating budget for the fiscal year within 30 days after the
			 beginning of the fiscal year;
(c) A
			 copy of any report made by an independent auditor concerning a financial audit
			 of the hospital's operations within 30 days after the receipt of the report by
			 the hospital; and
(d) An annual
			 report including such information as the Department deems necessary. The
			 information in a report filed pursuant to this paragraph must be certified by
			 an independent auditor.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FINANCIAL REPORTING › Section 449.960 - Hospitals to submit quarterly financial and utilization report; certification; extension

Current through June 11,
			 2024
1. Each hospital
			 shall submit for each calendar quarter a completed financial and utilization
			 report on a form prepared and distributed by the Department. This report must
			 be submitted no later than 30 days after the last day of the calendar quarter
			 covered by the report.
2. The
			 Department will adopt forms and instructions for the quarterly reports required
			 pursuant to subsection 1.
3. Each
			 quarterly report must be certified by a responsible officer of the hospital to
			 be accurate and complete to the best of the officer's knowledge and
			 belief.
4. An extension of the
			 deadline for filing a quarterly report pursuant to this section may be granted
			 to a hospital if the hospital submits to the Department before the report is
			 due an acceptable reason for granting the extension. The Department will not
			 grant an extension unless the request for an extension includes a proposed date
			 for submission of the report.
Added to NAC by Dep't of
				Human Resources, eff. 4-29-86; A 10-20-93
NRS 449.460
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FINANCIAL REPORTING › Section 449.962 - Facility for intermediate care or facility for skilled nursing to submit quarterly financial and utilization report; certification; extension

Current through June 11, 2024
1. Each facility for intermediate care or
			 facility for skilled nursing shall submit for each calendar quarter a completed
			 financial and utilization report on a form prepared and distributed by the
			 Department. This report must be submitted no later than 30 days after the last
			 day of the calendar quarter covered by the report.
2. The Department will adopt forms and
			 instructions for the quarterly reports required pursuant to subsection
			 1.
3. Each quarterly report must be
			 certified by a responsible officer of the facility for intermediate care or
			 facility for skilled nursing to be accurate and complete to the best of the
			 officer's knowledge and belief.
4.
			 An extension of the deadline for filing a quarterly report pursuant to this
			 section may be granted to a facility for intermediate care or facility for
			 skilled nursing if the facility submits to the Department before the report is
			 due an acceptable reason for granting the extension. The Department will not
			 grant an extension unless the request for an extension includes a proposed date
			 for submission of the report.
Added to NAC by Dep't of
				Human Resources, eff. 10-20-93
NRS 449.460
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FINANCIAL REPORTING › Section 449.9625 - Institution to submit quarterly financial and utilization report; certification; extension; exception

Current through June 11,
			 2024
1. Except as
			 otherwise provided in subsection 5, each institution shall submit for each
			 calendar quarter a completed financial and utilization report on a form
			 prepared and distributed by the Department. This report must be submitted no
			 later than 30 days after the last day of the calendar quarter covered by the
			 report.
2. The Department will
			 adopt forms and instructions for the quarterly reports required pursuant to
			 subsection 1.
3. Each quarterly
			 report must be certified by a responsible officer of the institution to be
			 accurate and complete to the best of the officer's knowledge and
			 belief.
4. An extension of the
			 deadline for filing a quarterly report pursuant to this section may be granted
			 to an institution if the institution submits to the Department before the
			 report is due an acceptable reason for granting the extension. The Department
			 will not grant an extension unless the request for an extension includes a
			 proposed date for submission of the report.
5. This section does not apply to a hospital
			 that submits quarterly reports pursuant to NAC 449.960 or to a facility for
			 intermediate care or a facility for skilled nursing that submits quarterly
			 reports pursuant to NAC 449.962.
Added to NAC by Dep't of
				Human Resources, eff. 10-20-93
NRS 449.460
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FINANCIAL REPORTING › Section 449.963 - Information concerning treated patients: Submission; limitation on disclosure

Current through June 11,
			 2024
1. Each hospital
			 shall prepare and submit to the Department, for each patient treated by the
			 hospital during each month, the most recent universal billing form specified by
			 the Centers for Medicare and Medicaid Services in an electronic format
			 specified by the Department. The hospital shall submit the required information
			 for each month within 45 days after the last day of the month.
2. The Department and any person with whom
			 the Department may contract for the development and operation of its universal
			 billing data system shall not disclose any information from the data system
			 which reveals the identity of a specific patient of a hospital.
3. As used in this section, "hospital" has
			 the meaning ascribed to it in
			 NRS
			 449.012.
Added to NAC by Dep't of
				Human Resources, eff. 4-29-86; A 1-2-90; 9-16-92; 10-20-93; A by Bd. of Health
				by R051-02, eff. 7-24-2002; A by Dep't of Health & Human Services by
				R151-08, 12-17-2008
NRS 449.460,
				  449.485
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FINANCIAL REPORTING › Section 449.966 - Notice of insufficiency of submitted information

Current
			 through June 11, 2024
1.
			 If the Department determines that the information submitted by an institution
			 is insufficient, the Department will notify the institution of the
			 insufficiency.
2. The institution
			 shall submit the required information to the Department within 30 days after
			 receipt of the notice of insufficiency.
Added to NAC by Dep't of
				Human Resources, eff. 4-29-86; A by Dep't of Health & Human Services by
				R151-08, 12-17-2008
NRS 449.460
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › FINANCIAL REPORTING › Section 449.969 - Administrative fine for failing to meet deadlines

Current through
			 June 11, 2024
Unless an extension is granted, an institution which fails to
				submit a report or information required pursuant to NAC 449.957 to 449.963,
				inclusive, by the deadline for submission is subject to an administrative fine
				not exceeding $500 for each day the report or information is
				delinquent.
Added to NAC by Dep't of
				Human Resources, eff. 4-29-86; A 10-20-93
NRS 449.460,
				  449.490
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.970 - Definitions

Current through June 11, 2024
As used in NAC 449.970 to 449.97042, inclusive, unless the
				context otherwise requires, the words and terms defined in NAC 449.9701 to
				449.97018, inclusive, have the meanings ascribed to them in those
				sections.
Added to NAC by Bd. of
				Health by R063-02, eff. 7-24-2002
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.9701 - "Independent facility" defined

Current through June 11,
			 2024
"Independent facility" means the owner or operator of a mobile
				unit who:
1. Is not a parent facility;
			 and
2. Uses the mobile unit to
			 operate a medical facility specified in subsections 1 to 13, inclusive, of
			 NRS
			 449.0151.
Added to NAC by Bd. of
				Health by R063-02, eff. 7-24-2002
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97012 - "Mobile unit" defined

Current through June 11,
			 2024
"Mobile unit" has the meaning ascribed to it in
				NRS
				449.01515.
Added to NAC by Bd. of
				Health by R063-02, eff. 7-24-2002
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97014 - "Parent facility" defined

Current through June 11,
			 2024
"Parent facility" means a medical facility that is:
1. Specified in subsections 1 to 13,
			 inclusive, of
			 NRS
			 449.0151; and
2. Licensed pursuant to
			 NRS 449.001 to
			 449.240,
			 inclusive.
Added to NAC by Bd. of
				Health by R063-02, eff. 7-24-2002
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97016 - "Service site" defined

Current through June 11,
			 2024
"Service site" means the location where a mobile unit is parked
				when providing a service to a patient.
Added to NAC by Bd. of
				Health by R063-02, eff. 7-24-2002
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97018 - "Staging area" defined

Current through June 11,
			 2024
"Staging area" means any location that serves as a base for
				maintaining a mobile unit.
Added to NAC by Bd. of
				Health by R063-02, eff. 7-24-2002
NRS
				  449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.9702 - Applicability of provisions

Current through June 11,
			 2024
The provisions of NAC 449.970 to 449.97042, inclusive, do not
				apply to:
1. A mobile unit that
			 provides services only:
(a) Relating to
			 conducting a mammography in accordance with a certificate of authorization to
			 operate a radiation machine for mammography issued pursuant to
			 NRS
			 457.185;
(b) Using a radiation machine which is
			 registered in accordance with NAC 459.150; or
(c) For which a license is not required
			 pursuant to
			 NRS 449.001 to
			 449.240,
			 inclusive; or
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97024 - Application for licensure

Current through June 11,
			 2024
An application for a license to operate a
			 mobile unit must include:
1. The
			 information required by
			 NRS
			 449.040 and NAC 449.011;
2. A copy of the certificate of registration
			 issued pursuant to chapter 482 of NRS for the mobile unit; and
3. A statement indicating:
(a) Whether the applicant is a parent
			 facility or independent facility;
(b) If the applicant is an independent
			 facility, the type of medical facility, as specified in subsections 1 to 13,
			 inclusive, of
			 NRS
			 449.0151, that the applicant wishes to
			 operate as a mobile unit;
(c) Each
			 proposed service and procedure that the mobile unit will provide;
(d) Each proposed service site for the mobile
			 unit; and
(e) The manufacturer of
			 the mobile unit.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97026 - Design, construction, equipment, maintenance and parking

Current through June 11, 2024
1. Except as otherwise provided in subsection
			 5, a parent facility or independent facility which is issued a license to
			 operate a mobile unit shall ensure that the mobile unit complies with the
			 applicable provisions of the guidelines adopted by reference in paragraphs (c),
			 (d) and (e) of subsection 1 of NAC
			 449.0105.
2. Except as otherwise provided in subsection
			 4, before any new construction of a mobile unit or any remodeling of an
			 existing mobile unit is begun:
(a) The parent
			 facility or independent facility that applies for the license to operate the
			 mobile unit or that has been issued the license to operate the mobile unit must
			 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; and
(b) The building plans must be approved by
			 the Division.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97028 - Staging areas; disposal of biohazards and waste

Current
			 through June 11, 2024
1.
			 Each parent facility or independent facility shall designate at least one
			 staging area for each mobile unit for which the parent facility or independent
			 facility is issued a license. A staging area designated by a parent facility or
			 independent facility pursuant to this section must:
(a) Provide for the cleaning and sanitizing
			 of the mobile unit and its equipment before and after the mobile unit is used;
			 and
(b) Include a clean and
			 sanitary area for the storage of supplies used for the mobile unit.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.9703 - Compliance with certain statutes and regulations

Current through
			 June 11, 2024
A parent facility or independent
			 facility which is issued a license to operate a mobile unit shall ensure that
			 the mobile unit is operated in compliance with:
1. Any applicable statute or regulation
			 relating to the registration of the mobile unit as a motor vehicle and the
			 licensing of each driver of the mobile unit;
2. The applicable provisions of chapter 461
			 or 489 of NRS; and
3. The
			 applicable provisions of
			 NRS 449.001 to
			 449.240,
			 inclusive, and the standards and regulations adopted pursuant to those
			 provisions.
Added to NAC by Bd. of Health by
			 R063-02, eff. 7-24-2002
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97032 - Compliance with regulations relating to evaluation of quality of services

Current through June 11, 2024
A parent
			 facility or independent facility which is issued a license to operate a mobile
			 unit shall:
1. Ensure that the mobile
			 unit complies with any regulation which applies to the parent facility or
			 independent facility relating to the evaluation of the quality of services
			 provided by the mobile unit; and
2.
			 Review each service provided by the mobile unit to ensure compliance with
			 subsection 1.
Added to NAC by Bd. of Health by
			 R063-02, eff. 7-24-2002
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97034 - Written policies for operation of unit; agreement with hospital or medical facility for transfer of patients during emergencies

Current
			 through June 11, 2024
1.
			 A parent facility or independent facility which is issued a license to operate
			 a mobile unit must, before operating the mobile unit, establish written
			 policies for the operation of the mobile unit. The written policies must be
			 established in consultation with any other appropriate provider of health care
			 as determined by the parent facility or independent facility and must include,
			 without limitation, provisions relating to:
(a) The care of patients;
(b) The orientation, training and supervision
			 of employees;
(c) The scope of
			 services and the evaluation of the quality of those services;
(d) The criteria for selecting patients to
			 receive services at the mobile unit;
(e) The procedure for:
(1) Performing each service provided at the
			 mobile unit;
(2) Storing and
			 handling any medication provided to a patient of the mobile unit; and
(3) Collecting, storing and disposing of any
			 biohazard or liquid or solid waste from the mobile unit;
(f) The control of any infectious disease or
			 organism in the mobile unit;
(g)
			 The preparation and maintenance of any statement, log, document or other record
			 relating to any service provided to a patient of the mobile unit;
(h) The transportation of a patient of the
			 mobile unit, including, without limitation:
(1) The manner in which the patient must be
			 transported;
(2) Any equipment that
			 must be used to transport the patient; and
(3) The appropriate protection required for
			 the patient during inclement weather;
(i) The manner in which the mobile unit must
			 be evacuated during an emergency and the services that the mobile unit must
			 provide during the emergency, including, without limitation, a plan for
			 coordinating the evacuation and the provision of those services with the parent
			 facility or independent facility of the mobile unit; and
(j) The identification of any specific
			 requirements for the mobile unit necessary to provide any service at a service
			 site for the mobile unit.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97036 - Rights of patients

Current through June 11,
			 2024
1. In addition to
			 complying with the requirements set forth in
			 NRS
			 449.700 to
			 449.730,
			 inclusive, a parent facility or independent facility that is issued a license
			 to operate a mobile unit shall ensure that each patient who receives services
			 at the mobile unit is:
(a) Treated with
			 respect, consideration and dignity;
(b) Provided appropriate privacy;
(c) Informed of:
(1) His or her rights as a patient in
			 accordance with
			 NRS
			 449.730;
(2) Before admission to the mobile unit, each
			 service that is available at the mobile unit and the estimated cost of the
			 service; and
(3) Any supplies,
			 medication or equipment that the patient may require after receiving the
			 service; and
(d) Allowed
			 to participate in any decision relating to any health care the patient receives
			 at the mobile unit, unless the patient is unable to participate in that
			 decision because of his or her medical condition.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97038 - Maintenance of schedule and records; supplies and equipment; diagnostic radiological services; laboratory services

Current through June
			 11, 2024
1. A parent
			 facility or independent facility which is issued a license to operate a mobile
			 unit shall:
(a) On or before the first day of
			 each month, prepare and maintain a schedule setting forth the proposed dates of
			 use for each service site for the mobile unit for that month;
(b) Prepare and maintain a record of each
			 service provided to a patient of the mobile unit, including, without
			 limitation:
(1) The name, age and sex of the
			 patient;
(2) The chart or
			 identification number of the patient;
(3) The date, time and service site where the
			 service was provided to the patient; and
(4) The duration of any procedure performed
			 for the patient at the mobile unit;
(c) In addition to the record of services
			 required by paragraph (b), prepare and maintain a clinical record of each
			 patient who receives any service at the mobile unit in accordance with the
			 requirements of the parent facility or independent facility of the mobile unit;
			 and
(d) Ensure that a sufficient
			 amount of supplies and equipment is available at the mobile unit to provide
			 services to each patient of the mobile unit.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.9704 - Occupancy; fire safety; exits; use and maintenance of equipment; telecommunications device

Current through June 11,
			 2024
A parent facility or independent facility which
			 is issued a license to operate a mobile unit shall:
1. Limit the occupancy of patients in the
			 mobile unit to not more than five patients at any time;
2. Equip the mobile unit with at least two
			 fire extinguishers having a minimum rating of 2A-20BC, and provide any other
			 equipment for fire safety for the mobile unit that is required by the fire
			 authority having jurisdiction;
3.
			 Ensure that the mobile unit has at least two exits from the mobile unit, at
			 least two of which must be doors if the mobile unit provides a service to a
			 patient at the mobile unit who is unable to exit the mobile unit without
			 assistance;
4. Ensure the existence
			 of a corridor for each exit from the mobile unit that is of sufficient size to
			 provide access to that exit;
5.
			 Ensure that the equipment in the mobile unit is used and maintained in
			 accordance with the instructions of the manufacturer of the
			 equipment;
6. Prepare and maintain
			 a record of any maintenance or procedure for calibration of the equipment that
			 is performed in accordance with the instructions of the manufacturer of the
			 equipment pursuant to subsection 5; and
7. Provide a telecommunications device for
			 the mobile unit.
Added to NAC by Bd. of Health by
			 R063-02, eff. 7-24-2002
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › MOBILE UNITS › Section 449.97042 - Restrictions on operation; office of independent facility; operation pursuant to contract

Current through June 11,
			 2024
1. A hospital shall
			 not operate a mobile unit as a primary source for providing a service specified
			 in
			 NRS
			 449.012 except during an emergency.
2. A parent facility or independent facility
			 that is issued a license to operate a mobile unit shall not use the mobile unit
			 to provide any service for which the mobile unit is not licensed, regardless of
			 whether the mobile unit is operated by a person other than the parent facility
			 or independent facility.
3. An
			 independent facility that is issued a license to operate a mobile unit shall:
(a) Maintain an office in this
			 State;
(b) Ensure that the office
			 remains open during normal business hours;
(c) Ensure that any schedule, record or other
			 information that the independent facility or mobile unit is required to
			 maintain pursuant to NAC 449.970 to 449.97042, inclusive, is maintained at the
			 office of the independent facility; and
(d) Not use the office of the independent
			 facility to provide any service for which the mobile unit is licensed, unless
			 the owner or operator of the independent facility is a physician licensed
			 pursuant to chapter 630 of NRS and uses the office to provide medical services
			 to his or her patients.
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.971 - Definitions

Current through June 11, 2024
As used in
			 NAC 449.971 to
			 449.997, inclusive, and sections
			 11 and 12, unless the context otherwise requires, the words and terms defined
			 in NAC 449.9715 to
			 449.9743, inclusive, have the
			 meanings ascribed to them in those sections.
Added to NAC by Bd. of Health,
			 eff. 12-15-88; A by R049-99, 9-27-99; R096-08, 8-26-2008, eff. 10-25-2008; A by
			 R048-22A,
			 eff. 12/29/2022
NRS
			 439.200,
			 450B.120,
			 450B.237
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9715 - "Allied health profession" defined

Current through June 11,
			 2024
"Allied health profession" has the meaning
			 ascribed to it by
			 NRS
			 450.006.
Added to NAC by Bd. of Health,
			 eff. 12-15-88
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.972 - "Ambulatory surgical center" defined

Current through June 11,
			 2024
"Ambulatory surgical center" has the meaning
			 ascribed to "surgical center for ambulatory patients" by
			 NRS
			 449.019.
Added to NAC by Bd. of Health,
			 eff. 12-15-88
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9721 - "Biohazardous waste" defined

Current through June 11,
			 2024
"Biohazardous waste" means all biological waste
			 or biologically contaminated waste that may cause harm to humans, animals or
			 plants.
Added to NAC by Bd. of Health by
			 R096-08, 8-26-2008, eff. 10-25-2008
NRS
			 441A.120,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9722 - "Biologic indicator test" defined

Current through June 11,
			 2024
"Biologic indicator test" means a test used in
			 every ethylene oxide cycle and in every sterilization load of implantable
			 medical items to demonstrate through the destruction of highly resistant
			 bacterial spores whether all parameters, including, without limitation, time,
			 temperature, sterilant and humidity, were met to effectively sterilize the
			 medical items.
Added to NAC by Bd. of Health by
			 R096-08, 8-26-2008, eff. 10-25-2008
NRS
			 441A.120,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9724 - "Cleaning" defined

Current through June 11,
			 2024
"Cleaning" means the physical removal of
			 organic material or soil from objects by using water, with or without
			 detergents, that is designed to remove, rather than kill,
			 microorganisms.
Added to NAC by Bd. of Health by
			 R096-08, 8-26-2008, eff. 10-25-2008
NRS
			 441A.120,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9725 - "Division" defined

Current through June 11,
			 2024
"Division" means the Division of Public and
			 Behavioral Health of the Department of Health and Human Services.
Added to NAC by Bd. of Health,
			 eff. 12-15-88
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.973 - "Governing body" defined

Current through June 11,
			 2024
"Governing body" means the person or persons
			 designated by the licensee as responsible for the total operation of the
			 ambulatory surgical center.
Added to NAC by Bd. of Health,
			 eff. 12-15-88
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9731 - "High-level disinfection" defined

Current through June 11,
			 2024
"High-level disinfection" means a type of
			 disinfection which destroys all microorganisms with the exception of high
			 levels of bacterial spores. Such disinfection may be accomplished through the
			 use of processes that include, without limitation, boiling items in water,
			 steaming items in water and soaking items in chemical disinfectants.
Added to NAC by Bd. of Health by
			 R096-08, 8-26-2008, eff. 10-25-2008
NRS
			 441A.120,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9732 - "Implantable device" defined

Current through June 11,
			 2024
"Implantable device" means a medical device
			 that is implanted in the human body, including, without limitation, a
			 pacemaker, defibrillator, heart valve, hearing device or joint
			 replacement.
Added to NAC by Bd. of Health by
			 R096-08, 8-26-2008, eff. 10-25-2008
NRS
			 441A.120,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9733 - "Invasive procedure" defined

Current through June 11,
			 2024
"Invasive procedure" means a medical procedure
			 involving entry into the human body by puncture or incision or by insertion of
			 an instrument.
Added to NAC by Bd. of Health by
			 R096-08, 8-26-2008, eff. 10-25-2008
NRS
			 441A.120,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9735 - "Licensee" defined

Current through June 11,
			 2024
"Licensee" means the person or public agency
			 that is licensed by the Division in accordance with the provisions of
			 NRS 449.001 to
			 449.240,
			 inclusive, and NAC 449.971 to 449.996, inclusive.
Added to NAC by Bd. of Health,
			 eff. 12-15-88; A by R049-99, 9-27-99
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9736 - "Low-level disinfection" defined

Current through June 11,
			 2024
"Low-level disinfection" means a type of
			 disinfection which eliminates most bacteria, some viruses and some fungi, but
			 which may not kill resistant microorganisms. Such disinfection may be
			 accomplished through the use of processes that include, without limitation,
			 soaking items in chemical disinfectants.
Added to NAC by Bd. of Health by
			 R096-08, 8-26-2008, eff. 10-25-2008
NRS
			 441A.120,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9738 - "Multidose vial" defined

Current through June 11,
			 2024
"Multidose vial" means a vial, including,
			 without limitation, a sealed sterile vial, which may be accessed by insertion
			 of a needle and which, according to the manufacturer's instructions:
1. Contains more than one dose of a
			 medication; and
2. May be used for
			 one or more patients.
Added to NAC by Bd. of Health by
			 R096-08, 8-26-2008, eff. 10-25-2008
NRS
			 441A.120,
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.974 - "Patient" defined

Current through June 11,
			 2024
"Patient" means a natural person who is
			 undergoing diagnostic procedures or treatment by surgery in the ambulatory
			 surgical center.
Added to NAC by Bd. of Health,
			 eff. 12-15-88
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9741 - "Physician" defined

Current through June 11,
			 2024
"Physician" means a person who is licensed to
			 practice medicine pursuant to chapter 630 of NRS or to practice osteopathic
			 medicine pursuant to chapter 633 of NRS.
Added to NAC by Bd. of Health by
			 R049-99, eff. 9-27-99
NRS
			 449.0302
Nevada Administrative Code › Chapter 449 - Medical and Other Related Facilities › SURGICAL CENTERS FOR AMBULATORY PATIENTS › General Provisions › Section 449.9742 - "Registered nurse" defined

Current through June 11,
			 2024
"Registered nurse" means a person who is
			 licensed to practice professional nursing pursuant to chapter 632 of
			 NRS.
Added to NAC by Bd. of Health by
			 R049-99, eff. 9-27-99
NRS
			 449.0302