Residential facility for groups (adult group care/assisted living)

COVID-19 Infection Control Plan Guidance

Because group homes involve different individuals living together and sharing activities (congregate living), group homes are at high risk of COVID-19 spreading and affecting their residents as well as staff. Having an infection prevention and control plan individualized to your facility is important for the protection of your staff and patients. The generic infection prevention and control plan (linked below) for group homes is meant to assist each facility in developing its own individualized plan to meet the need of the facility, its residents and staff.

• Recommended Infection Prevention and Control Plan for Group Homes Coronavirus Disease 2019 (COVID-19) Response
  • Best Practices as of Sept. 20, 2021

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State Laws and Regulations

With specific exemptions in the law cited below, “residential facility for groups” means an establishment that furnishes food, shelter, assistance and limited supervision to a person with an intellectual disability or with a physical disability or a person who is aged or infirm. The term includes, without limitation, an assisted living facility.

• Nevada Revised Statutes Ch. 449.017
• Nevada Administrative Code 449.156

New regulations - R109-18P (vital signs, glucose testing, etc.)

• Text of R109-18AP

Licensing and Applications

To apply for a license to operate a residential facility for groups, you must complete the following:

• Apply for a new license/renew an existing license - myhealthfacilitylicense.nv.gov
• Checklist for residential facilities for groups (PDF link)
• Initial license applicant mandatory training
  • Click link above and then look under the category "Online Courses"
• Plan review packet, if more than ten beds
• A food establishment application for the kitchen, if more than ten beds (PDF link)
• A pool and spa application, if applicable (PDF link)

Other Information

• Alzheimer's Endorsement - HCQC response to NALA (Nevada Assisted Living Association)
  • To apply for an endorsement to provide care to persons with Alzheimer’s disease and related dementia, facilities must log in to their account at myhealthfacilitylicense.nv.gov
• Interpretive Guidelines for Residential Facilities for Groups (PDF link)
• Background check requirements
• Residential Facilities for Groups - ALAC Fact Sheet (PDF link)
• Approved Medication Programs/Proctors
• Medication Management FAQs (PDF link)
• Bedfast and Medical Exemption Form

Technical Bulletins – Important Notices

• Assisted Living Endorsement for Residential Facilities for Groups
• State Fire Marshal (PDF link)
• First aid and cardiopulmonary resuscitation (CPR) (PDF link)
• Catheters in residential facilities for groups (PDF link)
• Heat Advisory (PDF link)
• As needed (PRN) medications in residential facilities for groups (PDF link)

Additional Resources

• Tuberculosis (TB) Program
• Aging and Disability Services Division (ADSD)