Assisted Living in Nevada
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Families looking for assisted living in Nevada (NV) have a wide array of communities to choose from, since estimated that there are more than 30,000 assisted living communities serving seniors across the U.S., and over 94 statewide. The state is also home to a rapidly growing number of senior citizens, with adults over 65 making up an estimated 15.3 percent of the population. A resident in an assisted living community in Nevada will pay $3,400 per month on average.
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What You Should Know About Assisted Living in Nevada
In Nevada, assisted living communities are officially known as residential facilities for groups. These entities are defined as any establishment that “furnishes food, shelter, assistance, and limited supervision to persons who are aged or infirm, have physical or other disabilities, or have chronic illnesses.”
Assisted living residences in Nevada must provide services that allow residents to stay on premises even as their mental and physical abilities deteriorate. This emphasis on resident independence and continuity of living arrangements sets Nevada apart from many other states with no such guidelines.
The Division of Health, Bureau of Health Care Quality and Compliance is in charge of licensing Nevada’s residential communities. The bureau requires any group home that intends to provide assisted living services or care for elderly residents with additional concerns such as chronic illness or cognitive difficulties to apply for a special licensing endorsement and submit evidence of relevant training.
Financial Assistance for Assisted Living in Nevada
Low-income seniors living in Nevada have several options to consider when searching for financial assistance for assisted living:
Home and Community Based Waiver (HCBW)
The Home and Community Based Waiver, or HCBW, is a program from the Nevada Aging and Disability Services Division that offers nonmedical assistance to elderly Nevadans hoping to retain their independence. Their services can be used to augment personal care in a licensed residential community and include help with chores, daily living activities and medication oversight.
Who Is Eligible?
Individuals who are a minimum of 65 years of age and at risk of being placed in a nursing home meet the primary eligibility requirements for the HCBW program. Applicants must also meet certain financial criteria.
How to Apply
To apply for assistance as part of the HCBW program, eligible seniors or their caregivers must contact the nearest regional office of the Aging and Disability Services Division. A social worker then evaluates the applicant’s needs, determines eligibility and makes a recommendation regarding benefits.
The Department of Health & Human Services Aging and Disability Services Division offers an Assisted Living (AL) Waiver for seniors who meet eligibility requirements and who would benefit from enrollment in a qualified residential community with 24-hour supervised care.
Who is Eligible?
AL Waivers are only available to applicants who are 65 years of age or older, recommended for nursing home placement, and financially eligible. Applicants must also reside or plan to reside within an assisted living community that receives a Low-Income Housing Tax Credit (LIHTC).
How to Apply
To apply for an AL Waiver, applicants must contact the nearest regional office of the Aging and Disability Services Division (ADSD). Applications are referred to a social worker, who interviews the person requesting services and makes a recommendation regarding benefits.
IMPORTANT NOTE: Each assisted living residence in Nevada has its own policies regarding payment options, and not all those residences accept payment from the financial assistance programs listed above. Always ask the community’s financial department about acceptable forms of payment and whether they have their own rate assistance programs for lower-income applicants.
More Ways to Finance Assisted Living
While many families use their own funds or personal assets to pay for assisted living, there are plenty of additional options to cover these costs. Visit our 9 Ways to Pay for Assisted Living page for more information.
Free Assisted Living Resources in Nevada
Older adults and loved ones in search of information on senior care can find details through a number of nonprofit organizations and government-funded agencies with offices in Nevada.
From a basic overview of services available to in-depth instructions on finding appropriate accommodations for low-income, disabled or military-affiliated individuals, these groups offer a solid starting point for anyone hoping to better understand their choices for long-term senior care.
Nevada Aging and Disability Services Division
The Nevada Aging and Disability Services Division (NADSD) operates under the Department of Health & Human Services and offers a wide range of resources for aging Nevadans and their loved ones. Through the NADSD, individuals can contact elder protective services, find financial help for assisted living, learn more about the homemaker program, consult with experts in the Long Term Care Ombudsman Program, find elder advocates, discover other community options for the elderly, and talk to State Health Insurance Assistance Program (SHIP) volunteers. Other services may also be available, depending on the office.
The Long Term Care Ombudsman Program and the Aging and Disability Services offices operates out of the following offices.
Nevada Aging and Disability Services Division-Carson City
3416 Goni Road, Suite 132, Carson City, NV 89706
Nevada Division of Aging Services-Elko Regional Office
1010 Ruby Vista Drive, Elko, NV 89801
Nevada Division for Aging Services-Las Vegas Regional Office
1860 E. Sahara Avenue, Las Vegas, NV 89104
Nevada Division for Aging Services-Reno Regional Office
9670 Gateway Drive, Suite 200, Reno, NV 89502
Nevada is home to many military veterans, all of whom can seek assistance from local VA centers. That assistance includes help with residential senior care options, with special attention to the services and benefits available to military veterans and their families.
For more information, contact one of the Nevada VA Centers listed below:
Social Security offers several kinds of assistance for Nevada seniors looking into long-term care, and local offices are set up to help interested parties find more information on Social Security benefits, care types, and programs such as the Home and Community Based Waiver (HCBW) and the Assisted Living Waiver.
See below, for a complete list of Social Security offices in Nevada.
10416 S Eastern Avenue, Henderson, NV 89052
1-800-772-1213 or TTY: 1-800-325-0778
1250 S Buffalo Dr, Las Vegas, NV 89117
1-800-772-1213 or TTY: 1-800-325-0778
4340 Simmons Street, North Las Vegas, NV 89032
1-866-614-9667 or TTY: 1-800-325-0778
1170 Harvard Way, Reno, NV 89502
1-888-808-5481 or TTY: 1-800-325-0778
Residents living in Clark County in Southern Nevada can seek long-term care placement assistance from Clark County Social Service. This organization works to find appropriate housing and care options for elderly Clark County residents who can no longer thrive independently.
To inquire about the CCSS program or find out how to apply, call (702) 455-4270 or visit their website here.
The Nevada Medicare State Health Insurance Assistance Program (SHIP) is a network of volunteers that counsels seniors on long-term care options as well as providing information regarding Medicare and supplemental health insurance to help pay for assisted living and other care programs. Services include eligibility and enrollment information for Medicare and Part D, claim and appeals assistance, outreach efforts such as seminars and health fairs, and referrals to other related organizations.
To contact SHIP, call (800) 307-4444.
Assisted Living Laws and Regulations in Nevada
Assisted Living Service Plan Requirements
Upon acceptance into an assisted living community, new residents must be assessed and assigned either a Care Category 1 (ambulatory) or Care Category 2 (non-ambulatory) designation. Communities admitting non-ambulatory residents must adhere to an additional set of fire and life safety guidelines.
The administrator is in charge of scheduling and maintaining accurate health assessments. All services are arranged to complement a resident's abilities and provide extra care when needed.
Assisted Living Admission Requirements
Assisted living residences in Nevada are not permitted to admit anyone who is bedridden or requires 24-hour medical supervision. Exceptions to this rule are only made for residents in a hospice program or for other reasons that have been granted a government exemption.
Assisted living communities are also not permitted to accept residents with high-risk and/or high-maintenance medical issues or treatment regimens such as unmanageable incontinence, colostomies and supplemental oxygen unless that resident is physically and mentally able to monitor and oversee their own care or if there is a licensed medical professional providing ongoing supervision.
Assisted Living Scope of Care
Assisted living communities in Nevada must provide written information regarding basic rates and all the included services as well as documentation listing charges for optional services and any pertinent refund policies.
Assisted living services in Nevada must include personal care; a minimum of 10 hours of activities per week; protective supervision; access to dental, optical, and other crucial types of assistance; and laundry facilities. There must also be an administrator who constantly and consistently oversees residential living and makes changes according to residents’ evolving individual and group needs.
Nevada requires assisted living communities in the state to provide all residents with three meals per day. Those meals must adhere to guidelines set forth by the Food and Nutrition Board of the National Academy of Sciences, with allowances made for residents’ religious beliefs, medically required special diets and personal tastes. Staff must also provide snacks. Residents must eat in the communal dining room unless prevented by injury or illness; in those cases, meals may be served in the resident’s room for no more than 14 consecutive days.
Any community with more than 10 residents must consult with a registered dietician on a quarterly basis, if not more often, for help with weekly menus, nutritional assessments and staff training.
Assisted Living Medicaid Policy
The state subsidizes a variety of waiver programs that augment personal care while living in an assisted living residence. A mandatory personal needs allowance ensures that communities leave Medicaid-eligible residents enough money for basic needs after room and board charges. There is an additional supplement for residents who are blind or aged and reside in a community that services less than 16 residents.
Assisted Living Facility Requirements
Communities that provide assisted living services must provide each resident with a private sleeping area/bedroom and toilet facilities. Residents are permitted to share a room if it is mutually agreeable.
Medication Management Regulations
While any resident who is able to self-administer medication may do so, staff must be properly trained before they can handle or hand out any prescription or over-the-counter medication.
Administrators and unlicensed staff must both take a 16-hour medication course, including four hours of hands-on training, followed by 8 additional hours of continuing education annually if they wish to administer medication. Training must be conducted by an instructor or provider approved by the Division of Health, Bureau of Health Care Quality and Compliance.
Assisted living residences in Nevada may only house residents who require regular injections if those injections are administered by the resident, a medical professional, or an LPN trained to administer such injections. Nurses who own or are employed by the assisted living residence are not allowed to administer medications by injection.
Caregivers may bring supplies to a patient self-administering insulin; however, only nurses can provide insulin assistance in the form of pre-filled insulin pens or syringes.
Any assisted living community that declines to store or assist patients with medication is exempt from the above requirements. In these instances, patients may still hold and self-administer their own medication.
Staffing for assisted living communities in Nevada starts with an administrator, who must be licensed by the Nevada State Board of Examiners for Administrators of Facilities for Long Term Care. There must also be at least one staff member who organizes and runs the activity program; in communities licensed for 50 or more residents, that staff member must be a full-time employee.
Nevada has no law regarding minimum staff-to-patient ratios; however, assisted living residences must have enough staff on hand to meet the standard of care expected for residents to function independently. There must be a caregiver on the premises any time there is a resident on site, and communities with 20 or more residents must have a caregiver on hand who is awake and on active duty as well as a second caregiver available for duty with 10-minute notice.
Staff Training Requirements
All caregivers must receive a minimum of four hours of training within their first 60 days of employment, and that training must be related to resident-specific care as determined by residential makeup. Additionally, all caregivers must receive an addition 8 hours of continuing education and training each year.
All caregivers must be instructed in first aid and CPR within 30 days of employment, with certification kept on file on-site. Under certain circumstances, there may be first-aid training exemptions made for a registered nurse (RN) or licensed practical nurse (LPN) working under the direction of an RN.
Background Checks for ALR Staff in Nevada
All employees must be fingerprinted and undergo a criminal background check within the first 10 days of employment. This check must be conducted in-state and by either the Department of Public Safety or the Federal Bureau of Investigation. Any prior convictions for violations related to abuse, neglect, exploitation, or the care of a dependent person rules out employment.
Requirements for Reporting Abuse
Nevada is serious about preventing elder abuse and the state has two hotlines to report abuse. Those residing in Las Vegas/Clark County should call (702) 486-6930 and all other areas of the state may call (888) 729-0571.
In addition complaints against specific AL residences may be filed online at the Nevada Division of Public and Behavioral Health or you may report by phone to the designated regional area.
Assisted Living Facilities in Nevada
Top-Rated Caring Stars Winners in Nevada
Caring.com’s Caring Stars award program recognizes the best assisted living facilities across the U.S. based on reviews from family caregivers and older adults. This award is meant to help older adults and their loved ones find the best assisted living or in-home care option in their area. The list below shows up to 10 listings that have won the most Caring Stars annual awards in their state, sorted by their current overall average rating. For a complete list of Caring Stars winners for each year, please visit our Caring Stars info center.
Oakmont of Las Vegas
Las Vegas, NV Cost Levels
Atria Summit Ridge
Reno, NV $$$
Sunrise of Henderson
Henderson, NV $$$
Las Vegas, NV $$$
Five Star Premier Residences of Reno
Reno, NV Cost Levels
MorningStar Senior Living of Sparks
Sparks, NV $$$
The Seasons of Reno
Reno, NV Cost Levels
Prestige Assisted Living at Henderson
Henderson, NV $$
Prestige Senior Living at Mira Loma
Henderson, NV $
Merrill Gardens at Siena Hills
Henderson, NV $$$