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Home care staff requirements in Nevada

Nevada licenses non-medical personal care agencies (agencies to provide personal care services in the home); in 2025 the law for them moved to a new chapter, NRS 449B, with the same substance. Within 10 days of hiring, the agency must collect fingerprints for a state and FBI check, and repeat the check at least every 5 years. Attendants need training before working alone, elder abuse training before first care and every year, 8 hours of training a year, first aid and CPR within 6 months, and documented TB screening.

Licenses

• An agency to provide personal care services in the home must hold a license before operating in Nevada (NRS 449B.100).
• These agencies are licensed by the Health Care Purchasing and Compliance Division of the Nevada Health Authority (NRS 449B.030).
• In 2025, Assembly Bill 519 moved the law for these agencies out of NRS chapter 449 into a new chapter without changing the substance (2025 Statutes of Nevada, chapter 158, Legislative Counsel's Digest; NRS 449B).
• Agencies to provide nursing in the home are a separate license type and count as medical facilities under NRS 449 (NRS 449.0015; NRS 449.0151).

Background checks

• Within 10 days after hiring an employee or contractor, the agency must get a written statement about disqualifying crimes, confirm it orally and in writing, and verify any required license or certificate (NRS 449B.310(1)(a)-(c)).
• Within that same 10 days, the agency must collect one set of fingerprints and send them to the Central Repository for Nevada Records of Criminal History for an FBI report (NRS 449B.310(1)(d)-(e)).
• The fingerprint step can be skipped if the person was fingerprinted for an FBI report in the past 6 months with no disqualifying crime (NRS 449B.310(2)).
• The background investigation must be completed as soon as practicable and repeated at least once every 5 years after the first one (NRS 449B.310(4)).
• The agency must keep copies of the fingerprints, the authorization and proof of submission for as long as the person works there (NRS 449B.330(1)-(2)).
• Personnel files must show the agency checked the attendant's references and complied with the background check statute (NAC 449.3976(1)(d)-(e)).

Training and competency

• Attendants must complete a training program, including supervised on-the-job instruction, before providing personal care services on their own (NAC 449.3977(1)(b)).
• Required topics include documentation and time records, client rights and confidentiality, aging and disability needs, communication, first aid and CPR, and service-specific skills such as emergencies, nutrition, bowel and bladder care, skin care, fall prevention, infection control, body mechanics and safe environment (NAC 449.3977(1)(c)).
• Each attendant must be evaluated and found competent in the required training areas, and must have completed the training within the 12 months before first caring for a client (NAC 449.3977(2)-(3)).
• Each attendant must receive at least 8 hours of training each year related to client needs (NAC 449.3975(6)).
• Employees who provide care must receive training to recognize and prevent abuse of older persons before first giving care and every year after (NRS 449B.225(5)).
• The agency must make sure each unlicensed caregiver completes the state's mandatory caregiver training, which must include infectious disease control, and document it in the personnel file (NRS 449B.220(1)(a), (3)(a)).
• Agencies must provide cultural competency training to employees with regular direct client contact, through a state-approved course (NRS 449B.280).
• The agency must provide or arrange required training, pay its cost, and pay wages for training time (NAC 449.39735(1)).

Health screening

• Each attendant's personnel file must document the TB tests or certificates required by NAC 441A.375 (NAC 449.3976(1)(c)).
• Under NAC 441A.375, covered workers need a physical exam or health care provider certificate of good health and freedom from active TB, plus a TB screening test within the prior 12 months, before starting work, with yearly screening after that unless a documented risk assessment allows less often (NAC 441A.375(3)-(4)).

Also in the personnel file

• Attendants must be at least 18 years old (NAC 449.3975(1)).
• Each attendant must obtain a Red Cross or equivalent first aid and CPR certificate within 6 months after starting work (NAC 449.3976(1)(f)).
• An attendant who drives clients must have proof of at least the state minimum auto liability insurance in the personnel file (NAC 449.3976(1)(h)).
• The personnel file must also include contact information, start date, proof of age, and records of all training and performance evaluations, with course content, date, hours, instructor signature and completion certificate (NAC 449.3976(1)-(2)).

Common questions

Some rules for Nevada weren't confirmed from an official source. Check with the state before relying on this page.

Sources

• NRS Chapter 449B, Agencies to Provide Personal Care Services (Nevada Legislature, official)
• NAC Chapter 449, including NAC 449.396-449.3982 personal care agency rules (Nevada Legislature, official)
• NAC Chapter 441A, including NAC 441A.375 TB testing (Nevada Legislature, official)
• NRS Chapter 449, medical facilities (Nevada Legislature, official)
• 2025 Statutes of Nevada, chapter 158 (AB 519) (Nevada Legislature, official)

This page summarizes state licensing rules in plain words, with links to the rules themselves. It is not legal advice, rules change, and your license type decides what applies: check the linked source and your licensing agency. Medicare-certified home health agencies also follow 42 CFR 484.80. Checked October 2026.

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