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Health Facilities
Application for Medical Facilities, Health
Facilities, and other provider types (pdf)
**This is a general application appropriate for
all types of facility licensure such as initial
licensure, change of ownership, change of name,
endorsement addition, change of administrator,
change of category, change of location, bed
increase or decrease, etc. Please complete the
first three pages and any other applicable forms
depending on the type of license you are
applying for. *This licensure application is
not for Outpatient Facilities (office based
surgery). Please see the permit application
below.
** It is critical that you review the
Nevada Revised Statutes (NRS) chapter 449
Medical and Other Related Facilities before you
apply for licensure. The statutes can be found
at
http://www.leg.state.nv.us/NRS/NRS-449.html.
The statutes, or laws found in this chapter
pertain to our licensed facilities.
** It is also critical that you review
the Nevada Administrative Codes (NAC) chapter
449 Medical and Other Related Facilities before
you apply for licensure. The codes or
regulations can be found at
http://www.leg.state.nv.us/NAC/NAC-449.html.
Please review the sections titled, “General
Provisions, General Requirements for Licensure,
Fees and Administrative Sanctions. Those codes
or regulations apply to all of our licensed
facilities. Then review the section of
regulations that pertain specifically to the
facility type you are applying for. Facility
specific regulations provide important
definitions and regulations concerning the
operation of each facility type.
** Checklist for any Medical or Health Facility
wanting to submit an initial or change
of ownership application - Choose the
checklist below for your facility type to view
the documents that you must submit with your
initial or change of ownership application
packet.
** Checklist for any
Medical or Health Facility wanting to make a
change to an existing
license (pdf)
Regardless of the type of application you are
submitting, ALL of the documents listed
on a checklist MUST be submitted with the
application packet. If any of the documents are
missing from the packet, your application packet
will be returned to you.
**
Once your application packet is complete with
all of the required documents, the packet will
be processed and then forwarded to a supervisor
who will either approve the application or
schedule an inspection depending on the
application type. If the application does not
require an inspection, you will receive a
printed license in the mail. If the application
requires an inspection, you might or might not
be contacted by an inspector prior to the
inspection depending on the application type.
After the inspection, when you are found to be
in full compliance with all the applicable
regulations, a supervisor will approve the
application and you will receive a printed
license in the mail.
Outpatient
Facilities (office based surgery)
·
Permit Application for Outpatient Facilities
(pdf)
OPF
Miscellaneous
applications, forms and other licensure
information
Plan Review Documents
·
Plan Review Application and Instructions (word)
(pdf)
·
Functional Plan Instructions
o
Ambulatory Surgical Center
(word)
(pdf)
o
Hospital
(word)
(pdf)
o
Psychiatric Hospital
(word)
(pdf)
o
Rehabilitation Hospital
(word)
(pdf)
o
Skilled Nursing Facility
(word)
(pdf)
·
Plan Review of Food Establishments within Health
Facilities (word)
(pdf)
Plan Review and Permitting of Swimming Pools and
Spas within Health Facilities Instruction Page (word)
(pdf) |