Licensing Checklist for Hospitals (HOS)

Licensure Application Information

The link below will take you to the system where you can create an account to apply for a new facility or a Change of Ownership (CHOW).

Nevada's Online Health Licensing System (ALiS)

If you already have an existing license and you are just making a change to your license, you can use this system to apply for any of the following:

• Change of Administrator
• Change of Beds (increase, decrease or change in category)
• Changes to Endorsement(s): add new or remove existing
• Change of Name (facility name only)
• Change in Corporate Personnel

and more...

Checklist for Initial (new facility) or CHOW Licensure Applications

For all initial/CHOW licensure applications the following items are required to be uploaded to your application:

• Resume for the Administrator
• Must list and match the administrator's name provided in your application. 

• Copy of Nevada State Business license from the secretary of state office with your NV ID number
• Only the Copy of the license will be accepted. No receipts or screenshots from SilverFlume.
• Must list your registered name with the secretary of state listed in your application.
• Must list your NV business ID with the secretary of state listed in your application.

• Bill of Sale (CHOW only)
• Should include information about the buyer and seller, the date of the sale, a description of the transaction, the price, and signatures from both parties.

• Letter of Governing Body stating the effective date of change and specifying what is changing (CHOW only)
• (i.e: change of owner from/to)

• Lease Agreement
• All Licensed facilities must have a physical location in the State of Nevada.
• Must list your facility name, facility physical address, proof that you are allowed to run the facility from that location, and must be fully executed.

• Articles of Organization (for LLCs only)
• Must list your LLC name, the names of the officers, and the Nevada Business ID number.

• Operating Agreement (for LLCs only)
• Must list your LLC name and by fully executed.

• Articles of incorporation (for corporations only)
  • Must list your corporation's name, the names of the officers, and the Nevada Business ID number. 

• Governing Body Bylaws (for corporations only)
• Must list your corporation's name and be fully executed.

• Partnership Agreement (if applicable only)

• 3-Year Business History
• Provide either the owner(s) resume proving 3 years of owning the same type of facility
• Or if that doesn't apply, provide the resume and 1 letter of reference for each owner.

• Certificate of Liability Insurance (COI)
• Must list facility name and physical address in the "Insured" box
• Must have insurance complete the occurrence and amount information.
• Must have "certificate holder" box list the Division of Purchasing and Compliance 727 Fairview Drive, Suite E, Carson City, NV 89701.

• Copy of (Local - City or County) Business License, Conditional Use Verification Form, Zoning Approval Letter, or Special Use Permit from the local, city or county Jurisdiction.
  • Payment receipts do not meet this requirement and will not be accepted.
  • The local license must list your Doing Business As (DBA) facility name and physical location of the facility. 

• Plan Review Application (for facilities with 11 or more beds)
• Visit this page linked here for more information on construction plan review applications and food establishment (kitchen) permits.

• Certificate of Compliance (CofC) from the NV State Fire Marshall (SFM).
• State personnel will send a facility inspection request to the SFM once you have uploaded all of the required checklist items to your application. You will be required to upload the CofC to your application once received from the SFM.

• Background Check Requirements
• If the hospital meets any of the following criterial then a background check is required
  • The distinct part of a hospital which meets the requirements of a skilled nursing facility or nursing facility pursuant to 42 C.F.R. section 483.5.
  • Hospital that provides swing-bed services as described in 42 C.F.R. section 482.58.
  • Hospital described in 42 U.S.C. section 1395ww(d)(1)(B)(iv) (Long-Term Care Acute Care hospital).
  • Medical facility or facility for the treatment of alcohol or other substance use disorders that provides residential services to children.
   
• Use this link to see more information on background checks requirements.

• Floor Plan with Dimensions

• Hospital Bed Count Survey Attachment.
• This form will be provided after submitting your application.

• Must submit a document stating the physical location of remote emergency department (REMOTE EMERGENCY DEPARTMENT ONLY)