The short answer Nevada licenses both home health agencies and personal care agencies under NRS/NAC 449. Personal care attendants must complete an agency pre-service training program plus 8 hours of annual training, while home health aides follow the federal 75-hour Medicare standard.
What Nevada requires
Nevada
PCA annual training. Under NAC 449.3975, attendants of licensed personal care agencies must receive not less than 8 hours of training annually related to the needs of the agency's clients, at the agency's expense.
Source ↗
PCA pre-service training. NAC 449.3977 requires attendants to complete a training program, including supervised on-the-job instruction, before independently providing personal care, and to obtain first aid and CPR certification within 6 months of hire; an attendant may perform a task only after being trained on it, with annual retraining.
Source ↗
State survey guidance. Nevada DPBH's interpretive guidelines for agencies to provide personal care services in the home detail how surveyors verify attendant training, competency, and CPR/first aid documentation.
Source ↗
Home health aides. Nevada does not impose a higher state hour requirement for home health aides; Medicare-certified home health agencies follow the federal 75-hour training/competency and 12-hour annual in-service standard in 42 CFR 484.80.
Source ↗
☆ Rules change. We watch them for you.
Get one short email when Nevada's home care requirements change. No spam, unsubscribe anytime.
Reviewed quarterly by Vitable Health.
The federal baseline (applies in every state)
Federal
75-hour HHA training standard. Under 42 CFR 484.80(b), home health aides at Medicare-certified home health agencies must complete a training program of at least 75 hours, including at least 16 hours of classroom training completed before beginning at least 16 hours of supervised practical (hands-on) training.
Source ↗
Competency evaluation / CNA pathway. 42 CFR 484.80(a) allows aides to qualify by completing the 75-hour training and competency evaluation program, by passing a competency evaluation alone, or by completing a state nurse aide training and competency evaluation program (CNA) and being in good standing on the state nurse aide registry.
Source ↗
12-hour annual in-service. 42 CFR 484.80(d) requires home health aides to receive at least 12 hours of in-service training during each 12-month period, which may occur while the aide is furnishing care and must be supervised by a registered nurse.
Source ↗
RN trainer requirements. Under 42 CFR 484.80(b)(3) and (c)(2), classroom and supervised practical training must be performed by or under the general supervision of a registered nurse with at least 2 years of nursing experience, at least 1 year of which must be in home health care; competency evaluations must likewise be performed by an RN in consultation with other professionals.
Source ↗
Primary sources for this page
- https://www.leg.state.nv.us/nac/nac-449.html
- https://www.law.cornell.edu/regulations/nevada/NAC-449-3977
- https://www.dpbh.nv.gov/siteassets/regulatory/hcqc/healthfacilities/hf---non-medical/agency-to-provide-personal-care-services-in-the-home-files/PCS_Interpretive_Guidelines.pdf
- https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-484/subpart-B/section-484.80