About assisted living in Nevada

Nevada is the second-fastest growing state in the nation, and a favorite for its quieter pace and reasonable cost of living. One of the state’s biggest draws is there is no state income tax or inheritance tax, leaving residents with more money in their pockets.

What Options are Available for Residential Facilities for Groups?

In the state of Nevada a residential facility for groups provides 24-hour assistance and limited assistance to aged, ill, mentally or physically disabled person. Disclosures are available upon request and must be submitted in writing, including basic rates for service and payment schedules, as well as any optional services that are not included in the basic rate and the facilities refund policy.

All facilities are required to meet fire marshal and Health Division requirements regarding inspections and fire safety codes, as well as meet other safety precautions, including evacuation plans, fire drills, use of extinguishers and smoke detectors, and maintenance of proper exits. While older facilities are not required to contain an automatic sprinkler system, new facilities are required to have them.

What are the Alzheimer’s Requirements for Residential Facilities in Nevada?

Additional alarms, buzzers, horns, or other activated device may be used on doors and on all exits to help protect wandering residents. Locked quarters are also allowed in Alzheimer’s units. At least one member of staff must be on duty 24-hours a day in special care facilities, and there will be no more than 6 residents for each caregiver during active hours.

Senior Assisted Living Details and Costs for Cities in Nevada

Listed below are some of the larger cities in Nevada. Each city listing page provides details on assisted living housing, independent living, senior group homes, and memory care. City pages may include details on amenities, services offered and other useful information.

What Training is Required for Residential Facilities Staff?

Within the first 30 days of employment caregivers must be trained in first aid and CPR. Within the first 60 days of employment caregivers must receive no less than 4 hours of training related to resident care.

Each employee that provides care to residents with any form of dementia must complete additional training within the first 40 hours of employment specific to dementia and emergency care. Within 3 months of employment the employee must also complete 8 hours of training on providing care for residents with dementia. 3 hours of ongoing annual dementia training is required for direct care staff, as well as staff holding licensing or certification by an occupational licensing board.

Is an Assessment Required Before Move-In?

A tuberculosis screening is done prior to admission as well as general assessment of each resident to determine the level of care and amount of assistance required for ADLs.

What Care is Available in a Residential Facility for Groups?

  • Food (meals and snacks) and shelter.
  • Assistance with activities of daily living (ADLs).
  • 24-hour Protective supervision.
  • Laundry and Housekeeping.

3rd party home health and hospice agencies may provide contracted licensed services and all treatment must be provided by a properly-trained medical professional.

How is Medication Managed?

Each facility must have a detailed, comprehensive medication plan to prevent errors. A caregiver must complete an initial 16-hour medication course to assist in the administration of medicines, with an additional 8 hours of training to be completed each year, as well as pass an approved examination.

What are the Bathroom Requirements for a Residential Facility for Groups?

Bathrooms may be shared, but there must be at least 1 toilet and sink for every 4 residents, as well as 1 tub or shower for every 6.

What are the Move-In or Move-Out Requirements?

A residential facility can only admit residents who are at least 18 years of age and whose needs can be met by the facility, and they may not admit or retain residents who:

  • Are bedridden.
  • Requiring physical or chemical restraints.
  • Requiring confined or locked quarters.
  • Requiring skilled nursing or medical supervision on a 24-hour basis.
  • Requiring gastrostomy care.
  • Suffer from staphylococcus or other serious infection.
  • Suffer from a serious medical condition.
  • Are unable to pay in a timely manner (within 5 days of due).
  • Fails to comply with facility rules or policies.

Other medical conditions may also meet discharge requirements unless the resident is able to self-manage the condition.

Is a Residential Facility for Groups Covered by Medicaid in the State of Nevada?

Yes. A Medicaid home and community-based services waiver covers personal care services in a residential facility.

Who can I contact for more information?

Division of Health, Bureau of Health Care Quality and Compliance
Donna McCafferty
(775) 684-1030