Chapter 449 - Medical and Other Related Facilities
- ACCOUNTING; FINANCIAL REPORTS; FEES; ENSURING QUALITY OFCARE
- 449.450 - Definitions.
- 449.460 - Powers of Director.
- 449.465 - Authority of Director to impose fees; maximum amount of fees collected; fee for support of Legislative Committee on Health Care.
- 449.470 - Director may use staff or contract for services.
- 449.476 - Committee to ensure quality of care: Formation by hospital; general requirements.
- 449.485 - Hospital required to use discharge form prescribed by Director; electronic monthly reporting; exception to electronic reporting; use of information by Department.
- 449.490 - Financial statements and reports required to be filed with Department; additional reporting requirements for hospitals with 100 or more beds; availability of complete current charge master.
- 449.500 - Director to carry out analyses and studies concerning cost of health care.
- 449.510 - Director to prepare and file summaries, compilations or other reports; public inspection; collection, maintenance, disclosure or publication of contracts or identification of party to contra
- 449.520 - Reports to Governor and legislative committees; development of comprehensive plan by Legislative Committee on Health Care.
- COLLECTION OF AMOUNT OWED TO HOSPITAL FOR HOSPITAL CARE
- DURABLE POWER OF ATTORNEY FOR HEALTH CARE
- 449.800 - Definitions.
- 449.810 - Execution of power of attorney to make decisions concerning health care; conditions.
- 449.820 - Persons not eligible for designation as attorney-in-fact.
- 449.830 - Power of attorney: Form.
- 449.840 - Power of attorney: Acknowledgment; witnesses.
- 449.850 - Attorney-in-fact: Prohibited acts; duties.
- 449.860 - Designation of attorney-in-fact: Alternate; revocation; validity; expiration.
- FACILITIES FOR REFRACTIVE SURGERY
- 449.2489 - Definitions.
- 449.24891 - “Ophthalmologist” defined.
- 449.24892 - “Postoperative care” defined.
- 449.24893 - “Preoperative care” defined.
- 449.24894 - “Surgical treatment for a refractive error of the eye” defined.
- 449.24895 - Certain persons not required to obtain license to operate and maintain facility; filing of affidavit with Health Division required.
- 449.24896 - Surgical treatments at facility must be performed by licensed ophthalmologist; availability of ophthalmologist.
- 449.24897 - Order to cease and desist operation for failure to obtain license; injunction; penalties.
- HOMES FOR INDIVIDUAL RESIDENTIAL CARE
- 449.249 - License required for operation of home; application for license; minimal standards for licensing.
- 449.2493 - Authority of Health Division and Aging and Disability Services Division of Department of Health and Human Services.
- 449.2496 - Penalties for unlicensed operation or maintenance of home.
- LICENSING, REGULATION AND INSPECTION
- 449.001 - Definitions.
- 449.0015 - “Agency to provide nursing in the home” defined.
- 449.0021 - “Agency to provide personal care services in the home” defined.
- 449.0025 - “Board” defined.
- 449.0031 - “Community triage center” defined.
- 449.0033 - “Facility for hospice care” defined.
- 449.0038 - “Facility for intermediate care” defined.
- 449.00385 - “Facility for modified medical detoxification” defined.
- 449.00387 - “Facility for refractive surgery” defined.
- 449.0039 - “Facility for skilled nursing” defined.
- 449.004 - “Facility for the care of adults during the day” defined.
- 449.0045 - “Facility for the dependent” defined.
- 449.00455 - “Facility for the treatment of abuse of alcohol or drugs” defined.
- 449.0046 - “Facility for the treatment of irreversible renal disease” defined.
- 449.0055 - “Facility for transitional living for released offenders” defined.
- 449.008 - “Halfway house for recovering alcohol and drug abusers” defined.
- 449.009 - “Health Division” defined.
- 449.0105 - “Home for individual residential care” defined.
- 449.0115 - “Hospice care” defined.
- 449.012 - “Hospital” defined.
- 449.013 - “Independent center for emergency medical care” defined.
- 449.0145 - “Licensed practical nurse” defined.
- 449.0151 - “Medical facility” defined.
- 449.01515 - “Mobile unit” defined.
- 449.0152 - “Nursing assistant” defined.
- 449.0153 - “Nursing pool” defined.
- 449.0155 - “Obstetric center” defined.
- 449.0156 - “Palliative services” defined.
- 449.0157 - “Provider of health care” defined.
- 449.0159 - “Provider of supported living arrangement services” defined.
- 449.0165 - “Psychiatric hospital” defined.
- 449.0167 - “Registered nurse” defined.
- 449.017 - “Residential facility for groups” defined.
- 449.0175 - “Rural clinic” defined.
- 449.0177 - “Rural hospital” defined.
- 449.0185 - “Supported living arrangement services” defined.
- 449.019 - “Surgical center for ambulatory patients” defined.
- 449.0195 - “Terminally ill” defined.
- 449.021 - Classification of hospitals.
- 449.026 - Misleading name or other designation of facility prohibited.
- 449.030 - License required to operate or maintain facility or to operate program of hospice care.
- 449.0305 - Businesses that provide referrals to residential facilities for groups: License required; standards and regulations; provision of referrals; prohibited acts; civil penalties.
- 449.031 - Requirements for program of hospice care.
- 449.0315 - Provision of care by facility for hospice care.
- 449.032 - Admission of dentist to membership on medical staff of hospital.
- 449.034 - Physician and nurse required to operate independent center to provide emergency medical care.
- 449.035 - Supervision of facility for skilled nursing or facility for intermediate care.
- 449.0355 - Supervision of residential facility for groups.
- 449.03555 - Residential facility for groups and homes for individual residential care prohibited from providing accommodations to persons not meeting requirements for admission; exception.
- 449.0356 - Certification required for alcohol and drug abuse programs operated or provided by facility for transitional living for released offenders.
- 449.0357 - Continuing education requirements concerning care of persons with dementia for certain employees of facilities for skilled nursing, facilities for intermediate care and residential faciliti
- 449.036 - Requirements for obstetric center.
- 449.037 - Adoption of standards, qualifications and other regulations.
- 449.038 - Regulation of other facilities.
- 449.040 - Application for license: Filing; contents.
- 449.050 - Fees; exemption.
- 449.060 - Expiration and renewal of license.
- 449.063 - “Older patient” defined.
- 449.065 - Surety bond for initial license and renewal of license to operate facility for intermediate care, facility for skilled nursing, residential facility for groups, home for individual residenti
- 449.067 - Substitute for surety required for facility described in NRS 449.065
- 449.068 - Surety bond required for initial license and renewal of license to operate facility for refractive surgery.
- 449.069 - Substitute for surety bond required for facility described in NRS 449.068
- 449.070 - Facilities exempt from NRS 449.001
- 449.080 - License: Issuance; validity; transferability.
- 449.085 - License: Form; contents.
- 449.087 - License: Amendment required for addition of certain services.
- 449.091 - Provisional license.
- 449.095 - Operator of residential facility for groups: Posting of license and rates for services.
- 449.140 - Money received from licensing of facilities to be deposited in State General Fund; expenditure of state or federal money.
- 449.150 - Powers of Health Division.
- 449.160 - Grounds for denial, suspension or revocation of license; revocation of license in connection with certain nuisance activity; log of complaints; information concerning complaint, investigatio
- 449.163 - Administrative sanctions: Imposition by Health Division; disposition of money collected.
- 449.165 - Administrative sanctions: Regulations of Board.
- 449.170 - Denial, suspension or revocation of license or imposition of sanctions: Notice; appeal; adoption of regulations.
- 449.171 - Authority of Health Division to take control over medical records of medical facility or facility for dependent upon suspension of license or cessation of operation; confidentiality; sharing
- 449.172 - Residential facility for groups: Duties of Health Division and operator upon suspension or revocation of license for abuse, neglect or isolation of occupants.
- 449.173 - Applicability of provisions governing investigation and consequences of criminal history of certain persons.
- 449.176 - Investigation of criminal history of applicant for license to operate certain facility, agency or home.
- 449.179 - Initial and periodic investigations of criminal history of employee or independent contractor of certain agency, facility or home.
- 449.182 - Maintenance and availability of certain records regarding employee or independent contractor of certain agency, facility or home.
- 449.185 - Termination of employment or contract of employee or independent contractor of certain agency, facility or home who has been convicted of certain crime; liability of agency, facility or home
- 449.188 - Additional grounds for denial, suspension or revocation of license to operate certain facility, home or agency.
- 449.191 - Medical facility not required to allow abortions.
- 449.195 - Waiver of deductible or copayment; conditions.
- 449.200 - Report of results of inspections of medical facilities and facilities for dependent; disclosure of results of inspections of facilities for skilled nursing, facilities for intermediate care
- 449.205 - Retaliation or discrimination against employees and certain other persons: Prohibition under certain circumstances; medical facility prohibited from restricting right to make report or take
- 449.207 - Retaliation or discrimination against employees and certain other persons: Violation of NRS 449.205
- 449.208 - Retaliation or discrimination against employees or certain other persons: Written notice regarding protections and legal remedies; posting; inclusion in employee handbook.
- 449.210 - Penalties for unlicensed operation: Medical facility or facility for dependent; residential facility for groups.
- 449.220 - Action to enjoin violations.
- 449.230 - Entry and inspection of building and premises.
- 449.235 - Inspection of medical facility and facility for dependent by Health Division and Aging and Disability Services Division.
- MISCELLANEOUS PROVISIONS
- 449.243 - Itemized list of charges required; use of Uniform Billing and Claims Forms authorized; contracted rates; summary of charges.
- 449.244 - Certain costs for examination or treatment of victims of sexual offenses to be charged to county.
- 449.245 - Release of child from hospital; provision of authorization for release and other information to Division of Child and Family Services; disclosure of information; penalty.
- 449.2455 - Authority of hospital to enter into agreement with Armed Forces of United States for provision of medical care by certain medical officers.
- 449.246 - Hospital or obstetric center to provide information relating to voluntary acknowledgment or establishment of paternity before discharging unmarried woman who has borne child; regulations.
- 449.2465 - Persons entitled to results of tests performed at laboratory regarding patient of rural hospital.
- 449.247 - Nursing assistants and training of nursing assistants: Powers and duties of Health Division and State Board of Nursing; provision of information to State Board of Nursing.
- 449.2475 - Unlicensed insurer not allowed to make payment directly to person who received services in certain circumstances; limitation on civil and criminal liability.
- 449.248 - Additional services to be provided by agency to provide nursing in home.
- 449.2485 - Return to dispensing pharmacy of unused prescription drug dispensed to patient of facility for skilled nursing or facility for intermediate care for purpose of reissuing drug or transferrin
- 449.2486 - Facility for care of adults during the day to maintain and provide certain information; form in which information to be provided.
- 449.2487 - Notice to be provided by certain facilities and homes which offer independent living.
- 449.2488 - Department to develop brochure and website to assist persons who are 55 years of age or older in determining appropriate level of care and type of housing; information to be included in bro
- NEVADA HEALTH FACILITIES ASSISTANCE ACT
- 449.250 - Short title.
- 449.260 - Definitions.
- 449.270 - State Department to constitute sole agency of State for certain purposes.
- 449.280 - Duties of State Department.
- 449.300 - Inventory of existing health facilities; development of program for construction of facilities.
- 449.310 - Requirements of program for construction of health facilities.
- 449.320 - Application for federal money; deposit of money.
- 449.340 - State Department to prescribe minimum standards; standards to supersede local ordinances and regulations; penalty.
- 449.360 - Application for construction of health facility: Filing; compliance with federal and state requirements.
- 449.370 - Application for construction of health facility: Notice and hearing; approval and forwarding.
- 449.380 - Inspection of construction of health facility; certification by State Department.
- 449.390 - Authority to receive and distribute federal money; Health Facilities Assistance Fund; deposits, use and controls.
- 449.400 - State Public Health Facilities Construction Assistance Fund: Creation; administration.
- 449.410 - State assistance for construction of certain projects; eligibility of project for assistance.
- 449.420 - Amount of state assistance: Allocations; payments.
- PATIENT’S RIGHTS
- 449.700 - Facility or home to provide necessary services or arrange for transfer of patient; explanation of need for transfer and alternatives available.
- 449.705 - Facility or home to forward medical records upon certain transfers of patient.
- 449.710 - Specific rights: Information concerning facility; treatment; billing; visitation.
- 449.715 - Specific rights: Designation of persons authorized to visit patient in facility.
- 449.720 - Specific rights: Care; refusal of treatment and experimentation; privacy; notice of appointments and need for care; confidentiality of information concerning patient.
- 449.730 - Patient to be informed of rights upon admission to facility or home for individual care; required disclosures and notices.
- 449.740 - Procedure to insert implant in breast of patient: Informed consent required; withdrawal of consent; penalty.
- 449.750 - Procedure to insert implant in breast of patient: Contents of explanation form and consent form; fee for forms.
- PERMIT FOR SERVICES OF GENERAL ANESTHESIA, CONSCIOUSSEDATION AND DEEP SEDATION; NATIONAL ACCREDITATION; INSPECTIONS OF SURGICALCENTERS FOR AMBULATORY PATIENTS AND CERTAIN PHYSICIANS’ OFFICES AND FACIL
- PREVENTING PERSONS FROM ENTERING OR EXITING HEALTH FACILITY
- REGISTRY OF ADVANCE DIRECTIVES FOR HEALTH CARE
- 449.900 - Definitions.
- 449.905 - Advance directive” defined.
- 449.910 - Registrant” defined.
- 449.915 - Registry” defined.
- 449.920 - Establishment and maintenance; information to be included in Registry.
- 449.925 - Registration of advance directive: Requirements; duties of Secretary of State.
- 449.930 - Access to advance directive.
- 449.935 - Removal of advance directive of deceased registrant.
- 449.940 - Secretary of State not required to determine accuracy of contents of advance directive or validity of advance directive; effect of registration, failure to register and failure to notify Sec
- 449.945 - Provider of health care not required to inquire whether patient has registered advance directive or access Registry; immunity of provider of health care from criminal and civil liability.
- 449.950 - Immunity of Secretary of State and deputies, employees and attorneys of Secretary of State.
- 449.955 - Suspension of components of Registry and duties of Secretary of State if sufficient money not available; fees authorized; acceptance of gifts and grants.
- 449.960 - Deposit, accounting and use of money received; interest and income earned on money received; payment of claims.
- STAFFING COMMITTEES AND STAFFING PLANS
- 449.241 - Definitions.
- 449.2414 - “Health care facility” defined.
- 449.2416 - “Nurse” defined.
- 449.2418 - “Unit” defined.
- 449.242 - Establishment of staffing committee by certain hospitals located in larger counties; membership; duty to develop documented staffing plan; quarterly meetings; reporting to Legislature.
- 449.2421 - Certain health care facilities located in larger counties required to make available to Health Division documented staffing plan; requirements of plan and flexibility for adjustments.
- USE OF AVERSIVE INTERVENTION OR FORMS OF RESTRAINT ONPATIENTS WITH DISABILITIES
- 449.765 - Definitions.
- 449.766 - “Aversive intervention” defined.
- 449.767 - “Chemical restraint” defined.
- 449.768 - “Corporal punishment” defined.
- 449.769 - “Electric shock” defined.
- 449.770 - “Emergency” defined.
- 449.771 - “Facility” defined.
- 449.772 - “Mechanical restraint” defined.
- 449.773 - “Person with a disability” defined.
- 449.774 - “Physical restraint” defined.
- 449.775 - “Verbal and mental abuse” defined.
- 449.776 - Aversive intervention: Prohibition on use.
- 449.777 - Forms of restraint: Restrictions on use.
- 449.778 - Physical restraint: Permissible use; report of use in emergency.
- 449.779 - Mechanical restraint: Permissible use; report of use in emergency.
- 449.780 - Chemical restraint: Permissible use; report of use.
- 449.781 - Use of forms of restraint by certain facilities.
- 449.782 - Education and training of members of staff of facility.
- 449.783 - Violations: Criminal penalties; ineligibility for employment; disciplinary action.
- 449.784 - Violations: Report required; development and review of and compliance with corrective plan.
- 449.785 - Prohibition on retaliation against person for reporting or providing information regarding violation.
- 449.786 - Entry of denial of rights in patient’s record; notice and report of denial; action by Health Division.
- WITHHOLDING OR WITHDRAWAL OF LIFE-SUSTAINING TREATMENT
- 449.535 - Short title; uniformity of application and construction.
- 449.540 - Definitions.
- 449.550 - “Attending physician” defined.
- 449.560 - “Declaration” defined.
- 449.570 - “Life-sustaining treatment” defined.
- 449.575 - “Person” defined.
- 449.581 - “Provider of health care” defined.
- 449.585 - “Qualified patient” defined.
- 449.590 - “Terminal condition” defined.
- 449.600 - Declaration relating to use of life-sustaining treatment.
- 449.610 - Form of declaration directing physician to withhold or withdraw life-sustaining treatment.
- 449.613 - Form of declaration designating another person to decide to withhold or withdraw life-sustaining treatment.
- 449.617 - Time declaration becomes operative; duty of providers of health care.
- 449.620 - Revocation of declaration; entry of revocation in medical records of declarant.
- 449.622 - Recording determination of terminal condition and declaration.
- 449.624 - Treatment of qualified patients; withholding or withdrawal of artificial nutrition and hydration; treatment of pregnant patient.
- 449.626 - Written consent to withhold or withdraw life-sustaining treatment.
- 449.628 - Transfer of care of declarant.
- 449.630 - Immunity from civil and criminal liability and discipline for unprofessional conduct.
- 449.640 - Consideration of declaration and other factors; failure to follow directions of patient.
- 449.645 - Assumption of validity of declaration; presumption of intent to use, withhold or withdraw life-sustaining treatment not created.
- 449.650 - Death does not constitute suicide or homicide; effect of declaration on policy of insurance; prohibiting or requiring execution of declaration prohibited as condition for insurance or receip
- 449.660 - Penalties.
- 449.670 - Actions contrary to reasonable medical standards not required; mercy-killing, assisted suicide or euthanasia not authorized.
- 449.680 - Other right or responsibility regarding use of life-sustaining treatment or withholding or withdrawal of medical care not limited.
- 449.690 - Validity of declaration executed in another state; effect of previously executed instrument.