Section 654.250 - Limitations on administration of multiple facilities; secondary administrator's license; fee; administrative fine; waiver1. Except as otherwise provided in subsection 8, a person licensed as a nursing facility administrator or health services executive may not be the administrator of record of more than one nursing facility at the same time for more than 90 days in a calendar year.2. If a person licensed as a nursing facility administrator or health services executive is the administrator of record of more than one nursing facility, the person must: (a) Immediately notify the Board that he or she is the administrator of record of more than one nursing facility; and(b) Obtain a secondary administrator's license for each additional nursing facility for which he or she is the administrator of record by paying a nonrefundable fee of $100 for each license. The Board may impose an administrative fine on a licensee for failure to comply with paragraph (a). The amount of such a fine will be at least $500 for a first violation and at least $1,000 for a second or subsequent violation, but will not exceed $10,000 for each violation.
3. Except as otherwise provided in subsections 4 and 8, a person licensed as an administrator of a residential facility for groups or health services executive who is the administrator of record for more than one facility may be an administrator of record for not more than 150 beds located in not more than five residential facilities for groups. For purposes of this subsection, multiple facilities located on the same campus are deemed to be a single facility.4. If a person licensed as an administrator of a residential facility for groups or health services executive operates more than one residential facility for groups, the person must: (a) Immediately notify the Board that he or she is operating more than one residential facility for groups; and(b) Obtain a secondary administrator's license for each additional residential facility for groups that he or she is operating by paying a nonrefundable fee of $100 for each license. The Board may impose an administrative fine on a licensee for failure to comply with paragraph (a). The amount of such a fine will be at least $500 for a first violation and at least $1,000 for a second or subsequent violation, but will not exceed $10,000 for each violation.
5. Each license and secondary license issued by the Board must include the name of the nursing facility or the residential facility for groups for which the license or secondary license was obtained. The Board will label each secondary administrator's license issued pursuant to subsection 2 or 4 as an "A," "B," "C" or "D" license.6. A person licensed as a nursing facility administrator and as an administrator of a residential facility for groups, or a person licensed as a health services executive, who is the administrator of record for more than one facility may be an administrator of record for not more than 150 beds located in all facilities for which he or she is the administrator of record. For purposes of this subsection, multiple facilities located on the same campus are deemed to be a single facility.7. A nursing facility administrator, administrator of a residential facility for groups or health services executive shall surrender and return a license to the Board not later than 15 calendar days after:(a) Relinquishing his or her responsibilities at the nursing facility or residential facility for groups for which the license was obtained; or(b) The closure of the nursing facility or residential facility for groups for which the license was obtained. The Board may impose an administrative fine on a licensee for failure to comply with this subsection. The amount of such a fine will be at least $500 for a first violation and at least $1,000 for a second or subsequent violation, but will not exceed $10,000 for each violation.
8. Upon application to the Board, a nursing facility administrator, f administrator of a residential facility for groups or health services executive may, at the discretion of the Board, receive a waiver for a specified period of time from the limitations imposed by this section.9. If the Board imposes an administrative fine pursuant to subsection 2, 4 or 7 and the fine is not paid in accordance with the terms of the written notice to the licensee of the fine, the Board will refer the matter to an investigator and the legal counsel for the Board to initiate disciplinary action against the licensee pursuant to NAC 654.210.Nev. Admin. Code § 654.250
Added to NAC by Bd. of Exam'rs for Nursing Fac. Admin., eff. 3-27-92; A by Bd. of Exam'rs for Admin'rs of Facilities for Long-Term Care, 11-29-95; R187-97, 3-12-98; R131-04, 9-24-2004; R209-05, 5-4-2006; A by Bd. of Exam'rs for Long-Term Care Admin'rs by R129-09, 10-15-2010; R174-12, 2-20-2013; A by R030-16A, eff. 9/9/2016; A by R139-17AP, eff. 5/16/2018NRS 654.110, as amended by section 7 of Assembly Bill No. 165, chapter 130, Statutes of Nevada 2017, at page 597, NRS 654.140, as amended by section 9 of Assembly Bill No. 165, chapter 130, Statutes of Nevada 2017, at page 599, and NRS 654.190, as amended by section 12 of Assembly Bill No. 165, chapter 130, Statutes of Nevada 2017, at page 600