In Nevada, the license families see for assisted living is "Residential Facility for Groups (RFG)", issued by the Nevada Health Authority, Health Care Purchasing and Compliance Division, Bureau of Health Care Quality and Compliance (HCQC). Before admission and each year after, the facility must get the results of a general physical exam of the resident by a qualified health care provider, and a new exam if the resident's physical condition changes significantly. The facility must give the resident and the State Long-Term Care Ombudsman written notice at least 30 days before an involuntary discharge, allowed only if health improved, anyone's safety is endangered, charges went unpaid, needs can no longer be met, or the facility closes.
Key facts
- The median monthly cost of assisted living in Nevada was $6,241 in CareScout's 2025 Cost of Care Survey, or $74,895 a year, $41 above the national median of $6,200 a month. (CareScout, 2026)
- Nevada's Home and Community Based Services Waiver for the Frail Elderly can pay for Augmented Personal Care in a licensed residential facility for groups, for people 65 or older who need nursing facility level of care. (Nevada Medicaid Services Manual, 2024)
- Within 24 hours after admission, the facility must make sure a new resident has a tuberculosis screening test, unless the resident had a negative test in the past 12 months and has no TB symptoms. (Nev. Admin. Code 441A.380, 2023)
- Nevada lets facility caregivers give insulin only with an FDA-approved auto-injection device made for home use, as directed by a physician and with the resident's consent. (Nev. Rev. Stat. 449.0304 and 449.0302 subsection 6, 2025)
- A facility caring for a resident whose dementia may endanger themselves or others without a secure unit or one staff member per six residents must hold a dementia endorsement on its license. (Nev. Admin. Code 449.2754, 2023)
Nevada licenses assisted living as a residential facility for groups (RFG) under NRS 449.017 and NAC 449.156 to 449.27706, and state law says the term includes an assisted living facility. A facility may use the words assisted living only if its RFG license also carries an Assisted Living endorsement (NAC 449.2751), and each license sets a resident category (Category 1 for residents who can get to safety on their own within 4 minutes, Category 2 for those who cannot). The Bureau of Health Care Quality and Compliance, now part of the Nevada Health Authority, licenses RFGs, and the facts below are for the RFG license.
Rules change and communities can set stricter policies. Before you sign, confirm the details with the community and the Nevada Health Authority, Health Care Purchasing and Compliance Division, Bureau of Health Care Quality and Compliance (HCQC). This page is general information, not legal advice.
The rules at a glance
| Medical assessment before move-in | Before admission and each year after, the facility must get the results of a general physical exam of the resident by a qualified health care provider, and a new exam if the resident's physical condition changes significantly. The state's interpretive guidelines say the pre-admission exam must be from within the 6 months before move-in. [5][6] More on this |
|---|---|
| TB test | Within 24 hours after admission, the facility must make sure a new resident has a tuberculosis screening test, unless the resident had a negative test in the past 12 months and has no TB symptoms. A resident with a past positive test needs a chest X-ray instead, and others are retested yearly unless the medical director sets another schedule. [7] More on this |
| Notice before a move-out | The facility must give the resident and the State Long-Term Care Ombudsman written notice at least 30 days before an involuntary discharge, allowed only if health improved, anyone's safety is endangered, charges went unpaid, needs can no longer be met, or the facility closes. Unpaid charges first need a delinquency notice 30 days earlier, with 15 days to pay. [8] More on this |
| Who may give medications | Nevada lets facility caregivers give insulin only with an FDA-approved auto-injection device made for home use, as directed by a physician and with the resident's consent. A caregiver who helps with any medicine must first complete at least 16 hours of medication training. [9][10] More on this |
| Memory care and dementia | A facility caring for a resident whose dementia may endanger themselves or others without a secure unit or one staff member per six residents must hold a dementia endorsement on its license. The administrator needs 3 years of dementia care experience or an equivalent, and each caregiver may have no more than six residents while they are awake. [11][12] |
| Long-term care ombudsman | The State Long Term Care Ombudsman Program, run by the Aging and Disability Services Division, takes complaints for residents of residential facilities for groups and other long-term care facilities and can be reached at 1-888-282-1155. [13] Official page More on this |
| Medicaid help | Nevada's Home and Community Based Services Waiver for the Frail Elderly can pay for Augmented Personal Care in a licensed residential facility for groups, for people 65 or older who need nursing facility level of care. Waiver slots are limited, so the state keeps a waitlist when none are open, and waiver funds do not pay room and board. [14][15] Official page More on this |
What assisted living costs in Nevada
The median monthly cost of assisted living in Nevada was $6,241 in CareScout's 2025 Cost of Care Survey, or $74,895 a year, $41 above the national median of $6,200 a month. [16]
A median is the middle of the rates communities reported, so many charge more or less. Rates differ between regions and by the care a resident needs, so ask each community for its full fee list in writing. More: assisted living costs in every state, a monthly budget and the costs that aren't in the base rate.
How to check a community in Nevada
The state's Find a Health Facility search lists active licenses, and families can choose the credential type Residential Facility for Groups and click View Details on a result to see state inspection findings. Complaints can be filed with HCQC through its Facility Complaint Form. Search Nevada's records. [2][3]
The licensing agency: Nevada Health Authority, Health Care Purchasing and Compliance Division, Bureau of Health Care Quality and Compliance (HCQC). [1][4] Our guide on how to read an inspection report explains what to look for.
Put Nevada's paperwork on a date
Parent Move Plan counts every task back from the move-in day, including the medical assessment and TB screening the community will ask for, so nothing lands in the last week.
Get your first 3 days freeFrequently asked questions
How much does assisted living cost in Nevada?
The median monthly cost of assisted living in Nevada was $6,241 in CareScout's 2025 Cost of Care Survey, or $74,895 a year, $41 above the national median of $6,200 a month. A median is the middle of the rates communities reported, so many charge more or less, and rates differ between regions and by the care a resident needs.
What medical assessment does Nevada require before moving into assisted living?
Before admission and each year after, the facility must get the results of a general physical exam of the resident by a qualified health care provider, and a new exam if the resident's physical condition changes significantly. The state's interpretive guidelines say the pre-admission exam must be from within the 6 months before move-in.
Does Nevada require a TB test for assisted living?
Within 24 hours after admission, the facility must make sure a new resident has a tuberculosis screening test, unless the resident had a negative test in the past 12 months and has no TB symptoms. A resident with a past positive test needs a chest X-ray instead, and others are retested yearly unless the medical director sets another schedule.
How much notice must an assisted living community in Nevada give before a move-out?
The facility must give the resident and the State Long-Term Care Ombudsman written notice at least 30 days before an involuntary discharge, allowed only if health improved, anyone's safety is endangered, charges went unpaid, needs can no longer be met, or the facility closes. Unpaid charges first need a delinquency notice 30 days earlier, with 15 days to pay.
Who can give medications in assisted living in Nevada?
Nevada lets facility caregivers give insulin only with an FDA-approved auto-injection device made for home use, as directed by a physician and with the resident's consent. A caregiver who helps with any medicine must first complete at least 16 hours of medication training.
Who can help with a complaint about assisted living in Nevada?
The State Long Term Care Ombudsman Program, run by the Aging and Disability Services Division, takes complaints for residents of residential facilities for groups and other long-term care facilities and can be reached at 1-888-282-1155.
Does Medicaid pay for assisted living in Nevada?
Nevada's Home and Community Based Services Waiver for the Frail Elderly can pay for Augmented Personal Care in a licensed residential facility for groups, for people 65 or older who need nursing facility level of care. Waiver slots are limited, so the state keeps a waitlist when none are open, and waiver funds do not pay room and board.
Sources
- Nevada Health Authority, Bureau of Health Care Quality and Compliance: Residential facility for groups (adult group care/assisted living) (2026) (checked October 22, 2026)
- Nevada Health Authority, Bureau of Health Care Quality and Compliance: Find a Health Facility (2026) (checked October 22, 2026)
- Nevada Health Authority, Bureau of Health Care Quality and Compliance: Health Facility Licensing, For Consumers (2026) (checked October 22, 2026)
- Nevada Health Authority: About Us (2026) (checked October 22, 2026)
- Nev. Admin. Code 449.274, Medical care of resident, periodic physical examination (via Cornell LII), 2023 (checked October 22, 2026)
- Nevada Bureau of Health Care Quality and Compliance: Residential Facilities for Groups, NAC regulations with interpretive guidelines (revised December 2024) (checked October 22, 2026)
- Nev. Admin. Code 441A.380, Admission of persons to facilities for the dependent: testing (via Cornell LII), 2023 (checked October 22, 2026)
- Nev. Rev. Stat. 449A.114 and 449A.282, Notice and limits on involuntary discharge of a residential facility for groups resident (Nevada Legislature), 2023 (checked October 22, 2026)
- Nev. Rev. Stat. 449.0304 and 449.0302 subsection 6, Tasks employees may perform, including insulin by auto-injection device (Nevada Legislature), 2025 (checked October 22, 2026)
- Nev. Admin. Code 449.196, Qualifications and training of caregivers (via Cornell LII), 2023 (checked October 22, 2026)
- Nev. Admin. Code 449.2754, Residential facility which provides care to persons with Alzheimer's disease: endorsement (via Cornell LII), 2023 (checked October 22, 2026)
- Nev. Rev. Stat. 449.1845, Annual assessment of each resident; placement based on assessment (Nevada Legislature), 2019 (checked October 22, 2026)
- Nevada Aging and Disability Services Division: Long Term Care Ombudsman (2026) (checked October 22, 2026)
- Nevada Medicaid Services Manual, Chapter 2200, Home and Community Based Services Waiver for the Frail Elderly (effective November 1, 2024) (checked October 22, 2026)
- Nevada Medicaid: Waiver for the Frail Elderly (FE) (2026) (checked October 22, 2026)
- CareScout: Cost of Care Survey 2025, Ranked Median Costs by State (2026) (checked October 22, 2026)