Please print and complete the following exemption request forms (4 pages) for approval to admit a resident who is bedfast.
"Bedfast" means a condition in which a person is:
- Incapable of changing his or her position in bed without the assistance of another person; or
Upon receipt of a complete packet, the information is reviewed by a HCQC staff member. Past survey history is considered when reviewing the request. You will normally receive notice of approval or denial via mail within 10 business days if all information has been provided.
Completed packet may be submitted by mail, e-mail or fax to:
Division of Public and Behavioral Health
Attention: Ashley Riedy
4220 S. Maryland Pkwy., Bldg. A, Suite 100
Las Vegas, NV, 89119
Phone: (702) 486-6515
Fax: (702) 486-6520
- Bedfast and Medical Exemption Forms