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Nrs: Chapter 654 - Administrators Of Facilities For Long-Term Care


Published: 2015

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[Rev. 2/11/2015 11:48:13

AM--2014R2]

CHAPTER 654 - ADMINISTRATORS OF FACILITIES

FOR LONG-TERM CARE

GENERAL PROVISIONS

NRS 654.010           Definitions.

NRS 654.015           “Administrator

of a residential facility for groups” defined.

NRS 654.020           “Board”

defined.

NRS 654.025           “Facility

for intermediate care” defined.

NRS 654.026           “Facility

for skilled nursing” defined.

NRS 654.028           “Nursing

facility administrator” defined.

NRS 654.031           “Residential

facility for groups” defined.

BOARD OF EXAMINERS FOR LONG-TERM CARE ADMINISTRATORS

NRS 654.050           Creation;

membership.

NRS 654.060           Qualifications

of members; representative of general public not to participate in examination.

NRS 654.080           Removal

of members of Board.

NRS 654.090           Officers

of Board.

NRS 654.100           Meetings

of Board; quorum; compensation of members and employees.

NRS 654.110           Powers

and duties of Board; confidentiality of certain records of Board.

NRS 654.120           Deposit

and use of money paid to Board; delegation of authority to take disciplinary

action.

NRS 654.130           Maintenance

and contents of registers.

LICENSES

NRS 654.140           Applications

for licenses; fees.

NRS 654.145           Payment

of child support: Submission of certain information by applicant; grounds for

denial of license; duty of Board. [Effective until the date of the repeal of 42

U.S.C. § 666, the federal law requiring each state to establish procedures for

withholding, suspending and restricting the professional, occupational and

recreational licenses for child support arrearages and for noncompliance with

certain processes relating to paternity or child support proceedings.]

NRS 654.145           Payment

of child support: Submission of certain information by applicant; grounds for

denial of license; duty of Board. [Effective on the date of the repeal of 42

U.S.C. § 666, the federal law requiring each state to establish procedures for

withholding, suspending and restricting the professional, occupational and

recreational licenses for child support arrearages and for noncompliance with

certain processes relating to paternity or child support proceedings and

expires by limitation 2 years after that date.]

NRS 654.150           Qualifications

of applicant for licensure as nursing facility administrator.

NRS 654.155           Qualifications

of applicant for licensure as administrator of residential facility for groups.

NRS 654.161           Licenses

issued before July 1, 1973, equivalent to nursing facility administrator’s

license.

NRS 654.170           Form,

expiration and renewal of licenses; requirements for continuing education.

NRS 654.180           Reciprocal

licensing without examination.

DISCIPLINARY ACTION

NRS 654.184           Inspection

of premises by Board.

NRS 654.185           Referral

of complaints to appropriate jurisdiction; immunity from civil liability;

definition.

NRS 654.186           Injunctions

against violations of chapter.

NRS 654.187           Acting

without license: Reporting requirements of Board.

NRS 654.190           Authorized

disciplinary action; grounds for disciplinary action; notice of hearing;

subpoenas; orders imposing discipline deemed public records; jurisdiction of

Board.

NRS 654.193           Suspension

of license for failure to pay child support or comply with certain subpoenas or

warrants; reinstatement of license. [Effective until 2 years after the date of

the repeal of 42 U.S.C. § 666, the federal law requiring each state to

establish procedures for withholding, suspending and restricting the

professional, occupational and recreational licenses for child support

arrearages and for noncompliance with certain processes relating to paternity

or child support proceedings.]

NRS 654.195           Reinstatement

of suspended or revoked license of administrator of residential facility for

groups. [Effective until 2 years after the date of the repeal of 42 U.S.C. §

666, the federal law requiring each state to establish procedures for withholding,

suspending and restricting the professional, occupational and recreational

licenses for child support arrearages and for noncompliance with certain

processes relating to paternity or child support proceedings.]

NRS 654.195           Reinstatement

of suspended or revoked license of administrator of residential facility for

groups. [Effective 2 years after the date of the repeal of 42 U.S.C. § 666, the

federal law requiring each state to establish procedures for withholding, suspending

and restricting the professional, occupational and recreational licenses for

child support arrearages and for noncompliance with certain processes relating

to paternity or child support proceedings.]

PENALTIES; APPLICABILITY

NRS 654.200           Penalty

for acting without license.

NRS 654.210           Applicability

of chapter.

_________

GENERAL PROVISIONS

      NRS 654.010  Definitions.  As

used in this chapter, unless the context otherwise requires, the words and

terms defined in NRS 654.015 to 654.031, inclusive, have the meanings ascribed to them

in those sections.

      (Added to NRS by 1969, 668; A 1977, 1028; 1993, 2140)

      NRS 654.015  “Administrator of a residential facility for groups” defined.  “Administrator of a residential facility for

groups” means a person who manages, supervises and is in general administrative

charge of a residential facility for groups.

      (Added to NRS by 1993, 2139)

      NRS 654.020  “Board” defined.  “Board”

means the Board of Examiners for Long-Term Care Administrators.

      (Added to NRS by 1969, 668; A 1973, 1287; 1977, 1029; 1993, 2140; 2009, 442)

      NRS 654.025  “Facility for intermediate care” defined.  “Facility for intermediate care” means an

establishment operated and maintained for the purpose of providing personal and

medical supervision for 24 hours, for four or more persons who do not have

illness, disease, injury or other conditions that would require the degree of

care and treatment which a hospital or facility for skilled nursing is designed

to provide.

      (Added to NRS by 1977, 1028; A 1985, 1770)

      NRS 654.026  “Facility for skilled nursing” defined.  “Facility

for skilled nursing” means any proprietary or nonprofit institution or facility

defined and licensed as a facility for skilled nursing pursuant to chapter 449 of NRS.

      (Added to NRS by 1969, 668; A 1973, 1287, 1406; 1985, 1770)—(Substituted

in revision for NRS 654.030)

      NRS 654.028  “Nursing facility administrator” defined.  “Nursing facility administrator” means a

person who manages, supervises and is in general administrative charge of a

facility for skilled nursing or facility for intermediate care.

      (Added to NRS by 1977, 1028; A 1985, 1770)

      NRS 654.031  “Residential facility for groups” defined.  “Residential facility for groups” has the

meaning ascribed to it in NRS 449.017.

      (Added to NRS by 1993, 2139)

BOARD OF EXAMINERS FOR LONG-TERM CARE ADMINISTRATORS

      NRS 654.050  Creation; membership.  The

Board of Examiners for Long-Term Care Administrators, consisting of the

Director of the Department of Health and Human Services or the Director’s

designee and six members appointed by the Governor, is hereby created within

the Department of Health and Human Services.

      (Added to NRS by 1969, 668; A 1971, 671; 1973, 1287,

1406; 1977, 130,

1029, 1261, 1479; 1993, 2140; 2009, 442)

      NRS 654.060  Qualifications of members; representative of general public not

to participate in examination.

      1.  The Governor shall appoint:

      (a) Two members who are nursing facility

administrators.

      (b) One member who is an administrator of a

residential facility for groups with less than seven clients.

      (c) One member who is an administrator of a

residential facility for groups with seven or more clients.

      (d) One member who is a member of the medical or

paramedical professions.

      (e) One member who is a representative of the

general public. This member must not be:

             (1) A nursing facility administrator or an

administrator of a residential facility for groups; or

             (2) The spouse or the parent or child, by

blood, marriage or adoption, of a nursing facility administrator or an

administrator of a residential facility for groups.

      2.  The member who is a representative of

the general public shall not participate in preparing, conducting or grading

any examination required by the Board.

      (Added to NRS by 1969, 668; A 1973, 1287, 1406; 1977, 1029, 1261, 1479; 1993, 2140; 2003, 1199)

      NRS 654.080  Removal of members of Board.  The

Governor may remove any appointed member of the Board for misconduct in office,

incompetency, neglect of duty or other good cause.

      (Added to NRS by 1969, 668; A 1977, 1261)

      NRS 654.090  Officers of Board.

      1.  Immediately after the first Board is

appointed, the members of the Board shall meet and elect from their membership

a Chair, Vice Chair and a Secretary.

      2.  Thereafter, a Chair and Vice Chair

shall be elected annually.

      3.  The Secretary of the Board shall serve

as Secretary at the pleasure of the Board.

      (Added to NRS by 1969, 669)

      NRS 654.100  Meetings of Board; quorum; compensation of members and

employees.

      1.  The Board shall hold at least one

regular meeting quarterly and may meet at such other times as a meeting may be

called by the Chair or a majority of the membership.

      2.  Four members of the Board constitute a

quorum for the transaction of business.

      3.  Each member of the Board is entitled to

receive a per diem allowance and travel expenses at a rate fixed by the Board,

while engaged in the business of the Board. The rate must not exceed the rate

provided for state officers and employees generally.

      4.  While engaged in the business of the

Board, each employee of the Board is entitled to receive a per diem allowance

and travel expenses at a rate fixed by the Board. The rate must not exceed the

rate provided for state officers and employees generally.

      (Added to NRS by 1969, 669; A 1989, 1706; 1993, 2141)

      NRS 654.110  Powers and duties of Board; confidentiality of certain records

of Board.

      1.  In a manner consistent with the

provisions of chapter 622A of NRS, the

Board shall:

      (a) Develop, impose and enforce standards which

must be met by persons to receive licenses as nursing facility administrators

or administrators of residential facilities for groups. The standards must be

designed to ensure that nursing facility administrators or persons acting as

administrators of residential facilities for groups will be persons who are of

good character and otherwise suitable, and who, by training or experience in

their respective fields of administering health care facilities, are qualified

to serve as nursing facility administrators or administrators of residential

facilities for groups.

      (b) Develop and apply appropriate techniques,

including examinations and investigations, for determining whether a person

meets those standards.

      (c) Issue licenses to persons determined, after

the application of appropriate techniques, to meet those standards.

      (d) Revoke or suspend licenses previously issued

by the Board in any case if the person holding the license is determined

substantially to have failed to conform to the requirements of the standards.

      (e) Establish and carry out procedures designed

to ensure that persons licensed as nursing facility administrators or

administrators of residential facilities for groups will, during any period

they serve as such, comply with the requirements of the standards.

      (f) Receive, investigate and take appropriate

action with respect to any charge or complaint filed with the Board to the

effect that any person has failed to comply with the requirements of the

standards. Except as otherwise provided in this paragraph, the Board shall

initiate an investigation of any charge or complaint filed with the Board

within 30 days after receiving the charge or complaint. A complaint may be

filed anonymously. If a complaint is filed anonymously, the Board may accept

the complaint but may refuse to consider the complaint if anonymity of the

complainant makes processing the complaint impossible or unfair to the person

who is the subject of the complaint.

      (g) Conduct a continuing study of:

             (1) Facilities for skilled nursing,

facilities for intermediate care and their administrators; and

             (2) Residential facilities for groups and

their administrators,

Ê with a view

to the improvement of the standards imposed for the licensing of administrators

and of procedures and methods for the enforcement of the standards.

      (h) Conduct or approve, or both, a program of

training and instruction designed to enable all persons to obtain the

qualifications necessary to meet the standards set by the Board for

qualification as a nursing facility administrator or an administrator of a

residential facility for groups.

      2.  Except as otherwise provided in this

section, all records kept by the Board, not otherwise privileged or confidential,

are public records.

      3.  Except as otherwise provided in this

section and NRS 239.0115, a complaint

filed with the Board, all documents and other information filed with the complaint

and all documents and other information compiled as a result of an

investigation conducted to determine whether to initiate disciplinary action

against a person are confidential, unless the person submits a written

statement to the Board requesting that such documents and information be made

public records.

      4.  The charging documents filed with the

Board to initiate disciplinary action pursuant to chapter 622A of NRS and all other documents

and information considered by the Board when determining whether to impose

discipline are public records.

      5.  The Board shall, to the extent

feasible, communicate or cooperate with or provide any documents or other

information to any other licensing board or any other agency that is

investigating a person, including, without limitation, a law enforcement

agency.

      (Added to NRS by 1969, 669; A 1973, 1287; 1977, 1029; 1985, 1770; 1993, 2141; 2003, 3476; 2005, 803; 2007, 2150; 2013, 2247)

      NRS 654.120  Deposit and use of money paid to Board; delegation of authority

to take disciplinary action.

      1.  The Secretary of the Board shall

receive and account for all money paid to the Board pursuant to this chapter.

The Secretary of the Board shall deposit the money in banks, credit unions or

savings and loan associations in the State of Nevada.

      2.  Except as otherwise provided in

subsection 5, all money received by the Board pursuant to this chapter must be

used to:

      (a) Pay the per diem and travel expenses of the

members of the Board.

      (b) Pay the salaries and per diem and travel

expenses of the employees of the Board.

      (c) Administer the provisions of this chapter.

      3.  Any money which remains at the end of

the fiscal year must be retained by the Board for future disbursement for the

purposes enumerated in subsection 2.

      4.  In a manner consistent with the

provisions of chapter 622A of NRS, the

Board may delegate to a hearing officer or panel its authority to take any

disciplinary action pursuant to this chapter, impose and collect fines and

penalties therefor and deposit the money therefrom in banks, credit unions or

savings and loan associations in this State.

      5.  If a hearing officer or panel is not

authorized to take disciplinary action pursuant to subsection 4 and the Board

deposits the money collected from the imposition of fines with the State

Treasurer for credit to the State General Fund, it may present a claim to the

State Board of Examiners for recommendation to the Interim Finance Committee if

money is needed to pay attorney’s fees or the costs of an investigation, or

both.

      (Added to NRS by 1969, 670; A 1971, 671; 1989, 1707; 1993, 893, 2142; 1999, 1541; 2005, 804)

      NRS 654.130  Maintenance and contents of registers.  The

Board shall:

      1.  Maintain a separate register of all

applications for licensure as a nursing facility administrator and a separate

register of all applications for licensure as an administrator of a residential

facility for groups. Each register must include:

      (a) The name, age and place of residence of the

applicant.

      (b) If the register is for:

             (1) Nursing facility administrators, the

name and address of the facility for skilled nursing or facility for

intermediate care of which the applicant is to be administrator.

             (2) Administrators of residential

facilities for groups, the name and address of each residential facility for

groups of which the applicant is to be administrator.

      (c) The date of the application.

      (d) The date the application was reviewed and the

action taken on the application.

      (e) The serial number of the license, if any,

issued to the applicant.

      (f) Such other information as the Board may deem

pertinent.

      2.  Maintain a separate register of all

nursing facility administrators and a separate register of all administrators

of residential facilities for groups licensed pursuant to this chapter showing

the status of each license.

      (Added to NRS by 1969, 670; A 1973, 1288; 1977, 1030; 1987, 732; 1993, 2142)

LICENSES

      NRS 654.140  Applications for licenses; fees.

      1.  The Board shall prescribe and furnish

an application form for the use of all persons who desire to be licensed

pursuant to this chapter.

      2.  All applications filed with the Board

must be accompanied by all information required to complete the application and

the required fee fixed by the Board in an amount not to exceed:

      (a) For an administrator of a residential

facility for groups, $150.

      (b) For a nursing facility administrator, $250.

      3.  The Board may fix and charge an

additional fee to cover the cost of administering the examinations if the Board

determines that there is not sufficient money from other sources to cover such

costs.

      (Added to NRS by 1969, 670; A 1989, 801; 1993, 2143; 1997, 2182; 2005, 2797, 2807)

      NRS 654.145  Payment of child support: Submission of certain information by

applicant; grounds for denial of license; duty of Board. [Effective until the

date of the repeal of 42 U.S.C. § 666, the federal law requiring each state to

establish procedures for withholding, suspending and restricting the

professional, occupational and recreational licenses for child support

arrearages and for noncompliance with certain processes relating to paternity

or child support proceedings.]

      1.  In addition to any other requirements

set forth in this chapter:

      (a) An applicant for the issuance of a license as

a nursing facility administrator or an administrator of a residential facility

for groups shall include the social security number of the applicant in the

application submitted to the Board.

      (b) An applicant for the issuance or renewal of a

license as a nursing facility administrator or an administrator of a

residential facility for groups shall submit to the Board the statement

prescribed by the Division of Welfare and Supportive Services of the Department

of Health and Human Services pursuant to NRS

425.520. The statement must be completed and signed by the applicant.

      2.  The Board shall include the statement

required pursuant to subsection 1 in:

      (a) The application or any other forms that must

be submitted for the issuance or renewal of the license; or

      (b) A separate form prescribed by the Board.

      3.  A license as a nursing facility

administrator or an administrator of a residential facility for groups may not

be issued or renewed by the Board if the applicant:

      (a) Fails to submit the statement required

pursuant to subsection 1; or

      (b) Indicates on the statement submitted pursuant

to subsection 1 that the applicant is subject to a court order for the support

of a child and is not in compliance with the order or a plan approved by the

district attorney or other public agency enforcing the order for the repayment

of the amount owed pursuant to the order.

      4.  If an applicant indicates on the

statement submitted pursuant to subsection 1 that the applicant is subject to a

court order for the support of a child and is not in compliance with the order

or a plan approved by the district attorney or other public agency enforcing

the order for the repayment of the amount owed pursuant to the order, the Board

shall advise the applicant to contact the district attorney or other public

agency enforcing the order to determine the actions that the applicant may take

to satisfy the arrearage.

      (Added to NRS by 1997, 2181; A 2005, 2798, 2807)

      NRS 654.145  Payment of child support:

Submission of certain information by applicant; grounds for denial of license;

duty of Board. [Effective on the date of the repeal of 42 U.S.C. § 666, the

federal law requiring each state to establish procedures for withholding,

suspending and restricting the professional, occupational and recreational

licenses for child support arrearages and for noncompliance with certain

processes relating to paternity or child support proceedings and expires by

limitation 2 years after that date.]

      1.  In addition to any other requirements

set forth in this chapter, an applicant for the issuance or renewal of a

license as a nursing facility administrator or an administrator of a

residential facility for groups shall submit to the Board the statement prescribed

by the Division of Welfare and Supportive Services of the Department of Health

and Human Services pursuant to NRS 425.520.

The statement must be completed and signed by the applicant.

      2.  The Board shall include the statement

required pursuant to subsection 1 in:

      (a) The application or any other forms that must

be submitted for the issuance or renewal of the license; or

      (b) A separate form prescribed by the Board.

      3.  A license as a nursing facility

administrator or an administrator of a residential facility for groups may not

be issued or renewed by the Board if the applicant:

      (a) Fails to submit the statement required

pursuant to subsection 1; or

      (b) Indicates on the statement submitted pursuant

to subsection 1 that the applicant is subject to a court order for the support

of a child and is not in compliance with the order or a plan approved by the

district attorney or other public agency enforcing the order for the repayment

of the amount owed pursuant to the order.

      4.  If an applicant indicates on the

statement submitted pursuant to subsection 1 that the applicant is subject to a

court order for the support of a child and is not in compliance with the order

or a plan approved by the district attorney or other public agency enforcing

the order for the repayment of the amount owed pursuant to the order, the Board

shall advise the applicant to contact the district attorney or other public

agency enforcing the order to determine the actions that the applicant may take

to satisfy the arrearage.

      (Added to NRS by 1997, 2181; A 2005, 2798, 2807,

effective on the date of the repeal of 42 U.S.C. § 666, the federal law

requiring each state to establish procedures for withholding, suspending and

restricting the professional, occupational and recreational licenses for child

support arrearages and for noncompliance with certain processes relating to

paternity or child support proceedings)

      NRS 654.150  Qualifications of applicant for licensure as nursing facility

administrator.  Each applicant for

licensure as a nursing facility administrator pursuant to this chapter must:

      1.  Be of good moral character and

physically and emotionally capable of administering a facility for skilled

nursing or facility for intermediate care.

      2.  Have satisfactorily completed a course

of instruction and training prescribed or approved by the Board, including the

study of:

      (a) The needs which are to be properly served by

a facility for skilled nursing or facility for intermediate care;

      (b) The laws governing the operation of a

facility and the protection of the patients’ interests; and

      (c) The elements of good administration of a

facility.

Ê In lieu of

the specific requirements of this subsection, the applicant may present other

evidence satisfactory to the Board of sufficient education, training or

experience by which the applicant would be qualified to administer, supervise

and manage a facility.

      3.  Pass an examination conducted and

prescribed by the Board pursuant to the provisions of this chapter.

      4.  Submit with the application:

      (a) A complete set of fingerprints and written

permission authorizing the Board to forward the fingerprints to the Central

Repository for Nevada Records of Criminal History for submission to the Federal

Bureau of Investigation for its report; and

      (b) A fee to cover the actual cost of obtaining

the report from the Federal Bureau of Investigation.

      5.  Meet such other standards and

qualifications as the Board may from time to time establish.

      6.  Submit all information required to

complete the application.

      (Added to NRS by 1969, 670; A 1973, 1288; 1975, 1297;

1977, 1030;

1985, 1771;

1993, 2143;

1997, 2182;

2003, 2866;

2005, 2799,

2807)

      NRS 654.155  Qualifications of applicant for licensure as administrator of

residential facility for groups.  Each

applicant for licensure as an administrator of a residential facility for

groups pursuant to this chapter must:

      1.  Be at least 21 years of age;

      2.  Be a citizen of the United States or

lawfully entitled to remain and work in the United States;

      3.  Be of good moral character and

physically and emotionally capable of administering a residential facility for

groups;

      4.  Have satisfactorily completed a course

of instruction and training prescribed or approved by the Board or be qualified

by reason of the applicant’s education, training or experience to administer,

supervise and manage a residential facility for groups;

      5.  Pass an examination conducted and

prescribed by the Board;

      6.  Submit with the application:

      (a) A complete set of fingerprints and written

permission authorizing the Board to forward the fingerprints to the Central

Repository for Nevada Records of Criminal History for submission to the Federal

Bureau of Investigation for its report; and

      (b) A fee to cover the actual cost of obtaining

the report from the Federal Bureau of Investigation;

      7.  Comply with such other standards and

qualifications as the Board prescribes; and

      8.  Submit all information required to

complete the application.

      (Added to NRS by 1993, 2139; A 1997, 2183; 2003, 2867; 2005, 2799, 2807)

      NRS 654.161  Licenses issued before July 1, 1973, equivalent to nursing

facility administrator’s license.  A

license issued pursuant to the provisions of this chapter prior to July 1,

1973, shall be considered equivalent to, and is subject to the same conditions

as, a nursing facility administrator’s license.

      (Added to NRS by 1973, 1286; A 1977, 1030)

      NRS 654.170  Form, expiration and renewal of licenses; requirements for

continuing education.

      1.  The Board shall issue a numbered

license, in such form as it may prescribe, to each applicant who meets the

requirements of NRS 654.150 or 654.155 and shall affix its official seal to the

license.

      2.  Each license issued by the Board

pursuant to this chapter expires 2 years after the last day of the calendar

month in which it was issued and may be renewed on or before that date

biennially.

      3.  Any licensed nursing facility

administrator or administrator of a residential facility for groups may renew

his or her license by applying for renewal in the manner prescribed by the

Board, paying the renewal fee fixed by the Board and submitting all information

required to complete the renewal.

      4.  The Board shall, as a prerequisite for

the renewal of a license, require each holder to comply with:

      (a) The requirements for continuing education

adopted by the Board; and

      (b) The duties of the administrator set forth in NRS 449.094.

      (Added to NRS by 1969, 671; A 1973, 1289; 1977, 1030; 1985, 549; 1989, 801; 1993, 2143; 1997, 2183; 2003, 858; 2005, 2800, 2807, 2813)

      NRS 654.180  Reciprocal licensing without examination.  The Board may issue a license as a nursing

facility administrator or an administrator of a residential facility for

groups, without examination, to any applicant who holds the same license from

another jurisdiction, if the Board finds that the standards for licensure in

the other jurisdiction are the substantial equivalent of those prevailing in

this state and that the applicant is otherwise qualified.

      (Added to NRS by 1969, 671; A 1973, 1289; 1977, 1031; 1993, 2144)

DISCIPLINARY ACTION

      NRS 654.184  Inspection of premises by Board.  A

member or any agent of the Board may enter any premises in this State where a

person who holds a license issued pursuant to the provisions of this chapter

acts in the capacity of a nursing facility administrator or an administrator of

a residential facility for groups and inspect it to determine whether a

violation of any provision of this chapter has occurred, including, without

limitation, an inspection to determine whether any person at the premises is

acting in the capacity of a nursing facility administrator or an administrator

of a residential facility for groups without the appropriate license issued

pursuant to the provisions of this chapter.

      (Added to NRS by 2013, 2246)

      NRS 654.185  Referral of complaints to appropriate jurisdiction; immunity

from civil liability; definition.

      1.  If the Board determines that a

complaint filed with the Board concerns a matter within the jurisdiction of

another licensing board, the Board shall refer the complaint to the other

licensing board within 5 days after making the determination.

      2.  The Board may refer a complaint

pursuant to subsection 1 orally, electronically or in writing.

      3.  The provisions of subsection 1 apply to

any complaint filed with the Board, including, without limitation:

      (a) A complaint which concerns a person who or

entity which is licensed, certified or otherwise regulated by the Board or by

another licensing board; and

      (b) A complaint which concerns a person who or

entity which is licensed, certified or otherwise regulated solely by another

licensing board.

      4.  The provisions of this section do not

prevent the Board from acting upon a complaint which concerns a matter within

the jurisdiction of the Board regardless of whether the Board refers the complaint

pursuant to subsection 1.

      5.  The Board or an officer or employee of

the Board is immune from any civil liability for any decision or action taken

in good faith and without malicious intent in carrying out the provisions in

this section.

      6.  As used in this section, “licensing

board” means a board created pursuant to chapter

630, 630A, 631,

632, 633, 634, 634A, 635, 636, 637, 637A, 637B, 639, 640, 640A, 640B, 640C,

640D, 640E,

641, 641A,

641B, 641C,

643, 644 or

654 of NRS.

      (Added to NRS by 2013, 2247)

      NRS 654.186  Injunctions against violations of chapter.  Whenever any person has engaged or is about to

engage in any conduct which constitutes a violation of the provisions of this

chapter, the district court of any county, on application of the Board, may

issue an injunction or any other order restraining such conduct. Proceedings

under this section must be governed by Rule 65 of the Nevada Rules of

Civil Procedure, except that no bond or undertaking is required in any action

commenced by the Board.

      (Added to NRS by 2013, 2246)

      NRS 654.187  Acting without license: Reporting requirements of Board.  Unless the Board determines that extenuating

circumstances exist, the Board shall forward to the appropriate law enforcement

agency any substantiated information submitted to the Board concerning a person

who acts in the capacity of a nursing facility administrator or an administrator

of a residential facility for groups without the appropriate license issued

pursuant to the provisions of this chapter.

      (Added to NRS by 2013, 2246)

      NRS 654.190  Authorized disciplinary action; grounds for disciplinary action;

notice of hearing; subpoenas; orders imposing discipline deemed public records;

jurisdiction of Board.

      1.  The Board may, after notice and an

opportunity for a hearing as required by law, impose an administrative fine of

not more than $10,000 for each violation on, recover reasonable investigative

fees and costs incurred from, suspend, revoke, deny the issuance or renewal of

or place conditions on the license of, and place on probation or impose any

combination of the foregoing on any nursing facility administrator or

administrator of a residential facility for groups who:

      (a) Is convicted of a felony relating to the

practice of administering a nursing facility or residential facility or of any

offense involving moral turpitude.

      (b) Has obtained his or her license by the use of

fraud or deceit.

      (c) Violates any of the provisions of this

chapter.

      (d) Aids or abets any person in the violation of

any of the provisions of NRS 449.030 to

449.2428, inclusive, as those

provisions pertain to a facility for skilled nursing, facility for intermediate

care or residential facility for groups.

      (e) Violates any regulation of the Board

prescribing additional standards of conduct for nursing facility administrators

or administrators of residential facilities for groups, including, without

limitation, a code of ethics.

      (f) Engages in conduct that violates the trust of

a patient or resident or exploits the relationship between the nursing facility

administrator or administrator of a residential facility for groups and the

patient or resident for the financial or other gain of the licensee.

      2.  If a licensee requests a hearing

pursuant to subsection 1, the Board shall give the licensee written notice of a

hearing pursuant to NRS 233B.121 and 241.034. A licensee may waive, in writing,

his or her right to attend the hearing.

      3.  The Board may compel the attendance of

witnesses or the production of documents or objects by subpoena. The Board may

adopt regulations that set forth a procedure pursuant to which the Chair of the

Board may issue subpoenas on behalf of the Board. Any person who is subpoenaed

pursuant to this subsection may request the Board to modify the terms of the

subpoena or grant additional time for compliance.

      4.  An order that imposes discipline and

the findings of fact and conclusions of law supporting that order are public

records.

      5.  The expiration of a license by

operation of law or by order or decision of the Board or a court, or the

voluntary surrender of a license, does not deprive the Board of jurisdiction to

proceed with any investigation of, or action or disciplinary proceeding

against, the licensee or to render a decision suspending or revoking the

license.

      (Added to NRS by 1969, 671; A 1971, 938; 1973, 1289; 1977, 94, 1031; 1985, 1771; 1993, 894, 2144; 1999, 3610; 2003, 859, 2731, 3477; 2005, 805; 2007, 1050; 2009, 442, 1446; 2011, 196, 364, 705, 1067, 1362, 2256)

      NRS 654.193  Suspension of license for failure to pay child support or comply

with certain subpoenas or warrants; reinstatement of license. [Effective until

2 years after the date of the repeal of 42 U.S.C. § 666, the federal law

requiring each state to establish procedures for withholding, suspending and

restricting the professional, occupational and recreational licenses for child

support arrearages and for noncompliance with certain processes relating to

paternity or child support proceedings.]

      1.  If the Board receives a copy of a court

order issued pursuant to NRS 425.540

that provides for the suspension of all professional, occupational and

recreational licenses, certificates and permits issued to a person who is the

holder of a license as a nursing facility administrator or an administrator of

a residential facility for groups, the Board shall deem the license issued to

that person to be suspended at the end of the 30th day after the date on which

the court order was issued unless the Board receives a letter issued to the

holder of the license by the district attorney or other public agency pursuant

to NRS 425.550 stating that the holder

of the license has complied with the subpoena or warrant or has satisfied the

arrearage pursuant to NRS 425.560.

      2.  The Board shall reinstate a license as

a nursing facility administrator or an administrator of a residential facility

for groups that has been suspended by a district court pursuant to NRS 425.540 if the Board receives a letter

issued by the district attorney or other public agency pursuant to NRS 425.550 to the person whose license

was suspended stating that the person whose license was suspended has complied

with the subpoena or warrant or has satisfied the arrearage pursuant to NRS 425.560.

      (Added to NRS by 1997, 2181; A 2005, 2807)

      NRS 654.195  Reinstatement of suspended or revoked license of administrator

of residential facility for groups. [Effective until 2 years after the date of

the repeal of 42 U.S.C. § 666, the federal law requiring each state to

establish procedures for withholding, suspending and restricting the

professional, occupational and recreational licenses for child support

arrearages and for noncompliance with certain processes relating to paternity

or child support proceedings.]

      1.  Except as otherwise provided in

subsection 2, the Board may reinstate the license of an administrator of a

residential facility for groups that has been suspended by the Board if:

      (a) A majority of the members of the Board vote

in favor of the reinstatement; or

      (b) The person who held the license reapplies for

a license as an administrator of a residential facility for groups pursuant to NRS 654.140 and the Board determines that the person

meets the requirements of NRS 654.155.

      2.  The Board may reinstate a license of an

administrator of a residential facility for groups that has been suspended

pursuant to NRS 425.540 only if the

holder of the license complies with the requirements for reinstatement set

forth in NRS 654.193.

      3.  In a manner consistent with the

provisions of chapter 622A of NRS, the

Board may reinstate the license of an administrator of a residential facility

for groups that has been revoked by the Board if all of the members of the

Board vote in favor of reinstatement.

      (Added to NRS by 1993, 2140; A 1997, 2183; 2005, 805, 2807; 2007, 1051)

      NRS 654.195  Reinstatement of

suspended or revoked license of administrator of residential facility for

groups. [Effective 2 years after the date of the repeal of 42 U.S.C. § 666, the

federal law requiring each state to establish procedures for withholding,

suspending and restricting the professional, occupational and recreational

licenses for child support arrearages and for noncompliance with certain

processes relating to paternity or child support proceedings.]

      1.  The Board may reinstate the license of

an administrator of a residential facility for groups that has been suspended

by the Board if:

      (a) A majority of the members of the Board vote

in favor of the reinstatement; or

      (b) The person who held the license reapplies for

a license as an administrator of a residential facility for groups pursuant to NRS 654.140 and the Board determines that the person

meets the requirements of NRS 654.155.

      2.  In a manner consistent with the

provisions of chapter 622A of NRS, the

Board may reinstate the license of an administrator of a residential facility

for groups that has been revoked by the Board if all of the members of the

Board vote in favor of reinstatement.

      (Added to NRS by 1993, 2140, A 1997, 2183; 2005, 805, 806, 2807; 2007, 1051,

effective 2 years after the date of the repeal of 42 U.S.C. § 666, the federal

law requiring each state to establish procedures for withholding, suspending

and restricting the professional, occupational and recreational licenses for

child support arrearages and for noncompliance with certain processes relating

to paternity or child support proceedings)

PENALTIES; APPLICABILITY

      NRS 654.200  Penalty for acting without license.  Any

person who acts in the capacity of a nursing facility administrator or an

administrator of a residential facility for groups without a license issued

pursuant to the provisions of this chapter is guilty of a misdemeanor.

      (Added to NRS by 1969, 671; A 1973, 1289; 1977, 1031; 1993, 2144)

      NRS 654.210  Applicability of chapter.

      1.  The provisions of this chapter do not

apply to any institution conducted by and for the adherents of any church or

religious denomination for the purpose of providing facilities for the care and

treatment of the sick who depend solely upon spiritual means through prayer for

healing in the practice of the religion of such church or denomination.

      2.  Notwithstanding the provisions of NRS 654.200, no license is required of any individual

responsible for the planning, organizing, directing and controlling of such

institutions.

      (Added to NRS by 1969, 671)