Facilities must inform DPBH staff immediately if a resident or staff tests positive two weeks or more following their second dose of the COVID-19 vaccine.

Nevada skilled nursing facilities are required to complete a daily census survey under a directive from the State's Chief Medical Officer. The State will use this information for internal dashboards that will merge with data provided by the hospitals.  State health officials hope that having this data will help to organize transitions and tell the full story of need within Nevada.

Skilled nursing facilities must report any outbreaks of COVID-19 immediately, and continue reporting until there are no new cases. An outbreak is defined as any new occurrence in residents or staff.

A Long Term Care (LTC) facility shall ensure that all crimes or alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities). Additionally, these violations or alleged violations must be investigated and the results of the investigation must be reported to the Bureau within 5 days.

The following sentinel events apply to the long-term care setting. Please click on the links to view the reporting requirements:

1A. Surgery or other invasive procedure performed on the wrong site

1B. Surgery or other invasive procedure performed on the wrong patient

1C. Wrong surgical or other invasive procedure performed on a patient

2A. Patient death or serious injury associated with the use of contaminated drugs, devices, or biologics provided by the healthcare setting

2B. Patient death or serious injury associated with the use or function of a device in patient care, in which the device is used or functions other than as intended

2C. Patient death or serious injury associated with intravascular air embolism that occurs while being cared for in a healthcare setting

3A. Discharge or release of a patient/resident of any age, who is unable to make decision, to other than an authorized person

3B. Patient death or serious injury associated with patient elopement (disappearance)

3C. Patient suicide, attempted suicide, or self-harm that results in serious injury, while being cared for in a healthcare setting

4A. Patient death or serious injury associated with a medication error (e.g., errors involving the wrong drug, wrong dose, wrong patient, wrong time, wrong rate, wrong preparation, or wrong route of administration)

4B. Patient death or serious injury associated with unsafe administration of blood products

4E. Patient death or serious injury associated with a fall while being cared for in a healthcare setting

4F. Any Stage 3, Stage 4, and unstageable pressure ulcers acquired after admission/presentation to a healthcare setting

4H. Patient death or serious injury resulting from the irretrievable loss of an irreplaceable biological specimen

4I. Patient death or serious injury resulting from failure to follow up or communicate laboratory, pathology, or radiology test results

5A. Patient or staff death or serious injury associated with an electric shock in the course of a patient care process in a healthcare setting

5B. Any incident in which systems designated for oxygen or other gas to be delivered to a patient contains no gas, the wrong gas, or are contaminated by toxic substances

5C. Patient or staff death or serious injury associated with a burn incurred from any source in the course of a patient care process in a healthcare setting

5D. Patient death or serious injury associated with the use of physical restraints or bedrails while being cared for in a healthcare setting

7A. Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed healthcare provider

7B. Abduction of patient/resident of any age

7C. Sexual abuse/assault on a patient or staff member within or on the grounds of a healthcare setting

7D. Death or serious injury of a patient or staff member resulting from a physical assault (i.e., battery) that occurs within or on the grounds of a healthcare setting

CMS is requiring facilities to report COVID-19 cases in their facility to the CDC National Health Safety Network (NHSN) on a weekly basis. CDC and CMS will use information collected through the new NHSN Long-term Care COVID-19 Module to strengthen COVID-19 surveillance locally and nationally; monitor trends in infection rates; and help local, state, and federal health authorities get help to nursing homes faster. Nursing home reporting to the CDC is a critical component of the national COVID-19 surveillance system and to efforts to reopen America.

Effective 7/15/20, Nevada’s Chief Medical Officer, Dr. Ihsan Azzam, is requesting that all skilled nursing facilities participate in the Nevada Health Alert Network (NVHAN).

It is understood during this time of crisis that skilled nursing facilities are extremely busy taking care of residents; therefore, in addition to general demographics the only information being requested is:

1. The skilled nursing facility census reported daily; and
2. Whether the facility can safely accept new residents, including recovering COVID-19 residents that are within the scope of care provided by skilled nursing facilities.

Skilled Nursing Facilities in Nevada must complete a COVID-19 Daily Status Survey via a link sent in an email from the Division of Public and Behavioral Health (DPBH).

An Intermediate Care Facility (Incl. Distinct Part Long-Term Care) must report the occurrence of a fire or disaster to the Bureau of Health Care Quality and Compliance (HCQC) within 24 hours.

Under the ACA, long term care facilities must submit information about staff working in direct care. This includes agency and contract staff. Direct care staff are defined by the CMS as anyone that uses interpersonal contact or is involved in residential care management to provide care and services that allows the recipients to attain or maintain the highest achievable mental, physical, and psychological health and well-being.