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

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Subscribe to Informational emails

A dedicated email listserv has been set up to provide interested individuals (staff, patients, families, advocates, the general public) access to information about residential facilities for groups from the Nevada Department of Health and Human Services. This information includes guidance on regulations, medical or epidemiological issues, patient/resident care, infection control, state and federal inspection requirements and more. While information can be technical in nature, every effort is made to make it understandable to anyone. Use the links below to subscribe or unsubscribe.

• Click here to send an email for the residential facilities for groups listserv.
  • Include only "subscribe RFG in the body of the mail, or
  • Include only "unsubscribe RFG in the body of the mail.

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

Infection Prevention and Control Guidance

The Bureau of Health Care Quality and Compliance (HCQC) infection prevention and control team is available for consultations and risk assessment; onsite technical support; outbreak support; and questions about infection prevention and control issues. The team has also complied general resources and facility type-specific resources. Regarding any of the services, send an email to hcqcipcteam@health.nv.gov.

• Infection prevention and control resources for residential facilities for groups
• SAMPLE - Infection Control Plan for Residential Facilities for Groups
  • This document is intended to be downloaded and customized by facilities to create their own plan.
• General infection prevention and control guidance
• Unlicensed Caregiver Infection Control Training

Law change removes 'chronic illness' endorsement

New applicants for a residential facilities for groups license will no longer have the option to apply for a "chronic illness" endorsement. Prior to 2023, applicants could apply for the endorsement in order to offer or provide care and protective supervision for a resident with a chronic illness or progressively debilitating disease (NAC 449.2766). With the development of other options to care for such residents, the chronic illness endorsement was determined to be no longer needed and this regulation was repealed (see R043-22).

Information is still pending for licensed facilities that still have the chronic illness endorsement.

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
• Licensing Checklist for Assisted Living Facilities/ Residential Facilities for Groups (AGC)
• Plan review packet, if more than ten beds. Link to application webpage.
• Food establishment application for the kitchen, if more than ten beds. Link to application webpage.
• Pool and spa application (if applicable)

Important Notices

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

Other Information

• Alzheimer's and Related Dementia
  • Training, care planning and endorsement regulations
  • 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)
• Medication Management
• Bedfast and Medical Exemption Form
  • Catheter, colostomy, wound care, etc.

Additional Resources

• CDC - Nursing Homes and Assisted Living (Long-term Care Facilities [LTCFs])
• Tuberculosis (TB) Program
• Aging and Disability Services Division (ADSD)