Proposed changes now being enforced by health facilities regulators Health facilities should be aware that recently proposed regulations (LCB File No. R048-22) are now in effect and must be followed.
The regulations amend Nevada Administrative Code Chapter 449 (Medical Facilities and Other Related Entities) and Chapter 450B (Emergency Medical Services). Issues addressed by the changes include:
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CMS is ending certain waivers in May in response to impacts on resident health The Centers for Medicare and Medicaid Services (CMS) is ending specific emergency declaration blanket waivers for skilled nursing facilities, inpatient hospices, intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs) and end-stage renal disease (ESRD) facilities that were enacted to provide flexibility during the COVID-19 pandemic.
These waivers include:
The termination of these blanket waivers will have no effect on other blanket waivers that remain in place such as those for hospitals and critical access hospitals (CAHs). Those blanket waivers remain in effect to assist hospitals and CAHs, among others, in dealing with their response to the surges of COVID-19 cases in the community. Providers are expected to take immediate steps so that they may return to compliance with the reinstated requirements according to the timeframes listed below. We also recommend that providers continue to follow CDC guidance for preventing the spread of COVID-19 especially during activities that may increase patient or resident contact. Full details (including additional waivers that are ending and timeframes) can be found at the CMS website at Update to COVID-19 Emergency Declaration Blanket Waivers for Specific Providers. Guidance for health care workers, personal caregivers in home residence or community-based settings updated March 2022 The Nevada Department of Health and Human Services has developed a guidance document called “Recommended Infection Prevention and Control Plan for Agencies that Provide Services in a Client’s Home Coronavirus Disease 2019 (COVID-19) Response - Best Practices as of March 2022.” This guidance is for organizations that have health care workers (licensed and unlicensed staff) and personal caregivers who provide care to individuals at their home residence or community-based settings. The document provides general infection prevention and control guidance in relation to prevention of COVID-19 transmission.
The document can be viewed and downloaded from the following web pages dedicated to the specific licensed health facility types to which the guidance applies:
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AuthorThe Bureau of Health Care Quality and Compliance (HCQC) licenses medical and other health facilities, child care facilities and personnel, and medical laboratories and personnel in Nevada. HCQC also conducts compliance surveys and takes complaints. Archives
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