Nevada Administrative Code Chapter 654 - ADMINISTRATORS OF FACILITIES FOR LONG-TERM CARE
Here’s a clear and updated summary of Nevada Administrative Code Chapter 654, which governs administrators of long‑term care facilities (including nursing homes, residential facilities for groups, and health services executives):
📘 1. General Definitions & Structure (NAC 654.010–.080)
Defines key roles:
Administrator of record
Nursing facility administrator
Administrator of a residential facility for groups
Board (the Board of Examiners for Long-Term Care Administrators)
Continuing Education Unit (CEU) and various facility types (beltca.nv.gov).
🎓 2. Licensure Requirements
A. Nursing Facility Administrators
May obtain licensure without examination if they hold an equivalent license from another state, with a valid NAB exam score, required education (bachelor’s or master’s + 1,000 hours training), and an 8‑hour state‑approved regulatory training (regulations.justia.com).
B. Residential Facility Administrators
Must have a high-school (or GED) diploma, pass NAB exam, complete Board-approved training, plus application and fee submission (regulations.justia.com).
C. Temporary & Inactive Licensing
Provisional licenses are valid for up to 90 days, renewable by Board discretion.
Inactive licensure allows a break up to 2 years with a $50 annual fee; reactivation requires meeting CE and application conditions (regulations.justia.com, leg.state.nv.us).
📚 3. Continuing Education (NAC 654.154–.156)
Residential facility administrators need 16 CEUs every 2 years—includes 2 in ethics and 2 in state regs (beltca.nv.gov).
Up to 10 CEUs may be earned by acting as a mentor (1 CEU per 4 hours of supervision).
CE programs must be Board-approved; a maximum of 8 CEUs can be claimed per single 24‑hour period .
👥 4. Duties & Title Use
Administrators are responsible for:
Ensuring compliance with NRS Chapter 449 and associated regulations.
Direct oversight and staff management to protect residents (dpbh.nv.gov).
Only licensed administrators may use titles like “Residential Facility Administrator” or “R.F.A.”; misuse can trigger fines ($500–$10,000) (beltca.nv.gov).
🏥 5. Multiple Facility Administration & Licensing Limits (NAC 654.250)
Administrators generally may not manage multiple nursing facilities simultaneously beyond 90 days per year.
To oversee multiple facilities:
Must notify the Board immediately.
Obtain secondary license(s) ($100 each).
Restrictions include a maximum of 150 beds across up to 5 group home settings (law.cornell.edu).
Failure to comply may result in administrative fines of at least $500 (first offense) and $1,000+ for repeat violations (law.cornell.edu).
📝 6. Notifications, License Display & Duplicates
Licensees must notify the Board within 15 days of any change in:
Contact information
Employment status or number of beds (leg.state.nv.us, beltca.nv.gov).
Licenses must be displayed conspicuously at the facility; failure to do so can lead to fines ($250 first, $500+ subsequents up to $10,000) .
Lost or damaged licenses can be replaced for a $25 fee (beltca.nv.gov).
⚖️ 7. Grounds for Disciplinary Action
The Board may deny, suspend, or revoke licenses for:
Fraud or deceit in licensure
Unprofessional conduct, incompetence, misuse of title
Failing to meet CE requirements
Not notifying or improperly managing multiple facilities (leg.state.nv.us).
✅ Summary Table
Topic
Details
Definitions & Structure
Defines roles and CEU (beltca.nv.gov)
Licensure
Requirements, reciprocity, provisional/inactive rules
Continuing Education
16 CEUs/2 years, with mentor credit
Duties & Titles
Compliance, title protection, fines for misuse
Multi-facility Limits
Notification, secondary licensing, bed caps
Notifications & Display
15-day update rule, fines for non-display
Discipline
Misconduct, non-compliance consequences
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