A Nevada healthcare facility bond is a license surety bond that certain care facilities and in-home care agencies must file with the state to get or renew their license. Nevada’s official name for it is the “Health Care Facilities and Services Bond.” It is required under NRS 449.065. The law applies to a facility for intermediate care, a facility for skilled nursing, a peer support recovery organization, a residential facility for groups, a home for individual residential care, an agency to provide personal care services in the home, and an agency to provide nursing in the home. The bond amount is set by the number of employees: $5,000, $25,000, or $50,000. The bond protects an older patient (or a patient with a disability) who suffers property damage because the facility failed to protect their property. If the facility is no longer covered by the bond, its license is suspended by operation of law.
| Item | Detail |
|---|---|
| Who requires it | Nevada’s health facility licensing authority. NRS 449.065 names the Administrator of the Division of Public and Behavioral Health. As of July 2025 the Bureau of Health Care Quality and Compliance (HCQC), which handles this licensing, transferred from the Division of Public and Behavioral Health to the Nevada Health Authority (hcqc.nv.gov). [VERIFY against hcqc.nv.gov: confirm the current office name and mailing address for filing bonds after the July 2025 transfer.] |
| Who must file it | A facility for intermediate care, a facility for skilled nursing, a peer support recovery organization, a residential facility for groups, a home for individual residential care, an agency to provide personal care services in the home, and an agency to provide nursing in the home (NRS 449.065). |
| Governing law | NRS 449.065 (surety bond required for initial license and renewal). NRS 449.067 sets out an approved substitute for the bond. |
| Official form | [VERIFY against hcqc.nv.gov: confirm the exact bond form the Nevada Health Authority / HCQC requires and where the current form is posted.] |
| Bond amount | Set by employee count: $5,000 for fewer than 7 employees; $25,000 for at least 7 but not more than 25 employees; $50,000 for more than 25 employees (NRS 449.065). |
| Premium basis | [CLIENT FLAG: insert All n One premium structure, e.g. percentage of bond amount by credit tier.] |
| Coverage term | The bond is required at initial licensing and at each renewal, and the license is suspended by law if the bond lapses. [VERIFY against hcqc.nv.gov: confirm the Nevada health facility license renewal cycle, e.g. whether the bond runs on an annual term tied to license renewal.] |
| Obligee / payee | The bond is payable to the Aging and Disability Services Division of the Department of Health and Human Services (NRS 449.065). It is filed with the state licensing authority (see “Who requires it” above). |
How much is the bond, and how is the amount set?
Nevada does not size this bond to your revenue or to a case-by-case estimate. NRS 449.065 fixes the amount by the number of people the facility or agency employs. The more staff you have, the larger the bond.
| Number of employees | Required bond amount |
|---|---|
| Fewer than 7 employees | $5,000 |
| At least 7 but not more than 25 employees | $25,000 |
| More than 25 employees | $50,000 |
The thresholds are exact. A facility with exactly 7 employees falls in the $25,000 bracket, because that bracket is “at least 7 but not more than 25.” The $5,000 bracket is only for facilities with fewer than 7 employees, and the $50,000 bracket applies once you pass 25.
Because the amount is set by statute rather than estimated, you generally know your bond amount as soon as you know your staff count. If your employee count crosses one of these thresholds, your required bond amount changes at your next renewal. [VERIFY against hcqc.nv.gov: confirm whether the state expects a facility to increase its bond mid-term when it crosses an employee threshold, or only at renewal.]
What does the bond cover?
The condition of this bond is narrow and specific. Under NRS 449.065, the bond is conditioned to provide indemnification to an older patient, or a patient with a physical disability, an intellectual disability, or a related condition, who the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Related Condition determines has suffered property damage as a result of any act or failure to act by the facility, agency, organization, or home to protect that patient’s property.
Key points about coverage:
- The bond protects the patient’s property. It answers for property damage a covered patient suffers when the facility fails to protect their property, as determined by the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Related Condition.
- The bond is payable to the Aging and Disability Services Division of the Department of Health and Human Services, which is the state entity named to receive it.
- The statute’s stated condition is this patient property-protection indemnification. It does not, in the text of NRS 449.065, list a broader condition such as general compliance with chapter 449 or a guarantee to apply funds to a particular purpose. [VERIFY against the full text of NRS 449.065 on leg.state.nv.us and against hcqc.nv.gov guidance: confirm whether the state describes any coverage beyond the older-patient property-damage indemnification before adding it here.]
- The bond is not a substitute for meeting your licensing and care obligations. It is a financial backstop for a specific harm, not general liability or malpractice coverage.
How much does the bond cost?
You do not pay the full bond amount. You pay a premium, which is a small percentage of the bond amount and depends mainly on the bond size ($5,000, $25,000, or $50,000) and your credit.
[CLIENT FLAG: insert All n One Insurance pricing for the Nevada healthcare facility bond, e.g. premium rate range by credit tier with worked examples for a $5,000, a $25,000, and a $50,000 bond. Do not publish a premium number until All n One provides it.]
Because the bond amount is fixed by employee count rather than estimated, your premium is easy to quote once we know which of the three bond amounts applies to you. [CLIENT FLAG: confirm whether All n One quotes this bond as a flat fee per bond size or as a percentage of the bond amount.]
Can I use something other than a surety bond?
Yes. NRS 449.067 lets a facility deposit an approved security in place of the surety bond, with approval from the Administrator of the Division of Public and Behavioral Health. The deposit must be at least equal to the surety bond amount required by NRS 449.065, and it may be:
- an obligation of a bank, savings and loan association, savings bank, thrift company, or credit union licensed to do business in Nevada;
- bills, bonds, notes, debentures, or other obligations of the United States or any agency or instrumentality of it, or guaranteed by the United States; or
- any obligation of the State of Nevada, or of a city, county, town, township, school district, or other instrumentality of the state, or guaranteed by the state.
The deposit must state that the amount may not be withdrawn except by the direct and sole order of the Administrator of the Aging and Disability Services Division. In practice most facilities use a surety bond because a deposit ties up cash or securities of equal value, while a surety bond costs only a premium.
Who is exempt?
NRS 449.065 provides two carve-outs that work differently:
- State-operated facilities are exempt. The requirement does not apply to a facility or agency operated and maintained by the State of Nevada or one of its agencies.
- Certain facilities may be exempted for undue hardship. The Administrator may exempt a peer support recovery organization, a residential facility for groups, or a home for individual residential care if the Administrator determines the requirement would result in undue hardship. This is a discretionary exemption you must request and be granted, not an automatic one.
If neither applies to you, you need the bond (or an approved substitute deposit) to hold your license.
How do I get bonded and file for my Nevada facility license?
- Confirm your license type and your employee count. Your bond amount ($5,000, $25,000, or $50,000) follows directly from the number of employees under NRS 449.065.
- Get a surety bond quote. Apply with All n One Insurance for the required amount. Approval and premium depend mainly on the bond size and your credit.
- Receive and sign your bond. All n One issues the bond as principal and surety, payable to the Aging and Disability Services Division of the Department of Health and Human Services, as NRS 449.065 requires.
- File the bond with the state licensing authority as part of your initial license application or renewal. [VERIFY against hcqc.nv.gov: confirm the current filing office, mailing address, and required bond form after the July 2025 transfer of HCQC to the Nevada Health Authority.]
- Keep the bond in force. Your license is suspended by operation of law if you are no longer covered by the bond or an approved substitute, so renew the bond on time and keep it active for as long as you hold the license.
Frequently asked questions
Who has to file a Nevada healthcare facility bond?
A facility for intermediate care, a facility for skilled nursing, a peer support recovery organization, a residential facility for groups, a home for individual residential care, an agency to provide personal care services in the home, and an agency to provide nursing in the home. NRS 449.065 requires the bond both when you first apply for a license and at each renewal.
How much does the bond have to be?
It is set by employee count: $5,000 for fewer than 7 employees, $25,000 for at least 7 but not more than 25 employees, and $50,000 for more than 25 employees. A facility with exactly 7 employees is in the $25,000 bracket.
What does the bond actually cover?
It is conditioned to indemnify an older patient, or a patient with a physical disability, an intellectual disability, or a related condition, for property damage the patient suffers because the facility failed to protect their property, as determined by the Attorney for the Rights of Older Persons and Persons with a Physical Disability, an Intellectual Disability or a Related Condition. It is not general liability or malpractice insurance.
Can I post cash or securities instead of a surety bond?
Yes. NRS 449.067 allows an approved deposit of qualifying bank, United States, or Nevada government obligations, at least equal to the required bond amount, with approval from the Administrator. The deposit can only be released by order of the Administrator of the Aging and Disability Services Division. Most facilities choose a surety bond so they do not tie up cash or securities.
What happens if my bond lapses?
Your license is suspended by operation of law when you are no longer covered by the required bond or an approved substitute. Keeping the bond active is a condition of keeping your license.
Are any facilities exempt from the bond?
Facilities operated and maintained by the State of Nevada are exempt. In addition, the Administrator may exempt a peer support recovery organization, a residential facility for groups, or a home for individual residential care if the requirement would cause undue hardship. That discretionary exemption must be requested and granted.
Does my bond amount change if I hire more staff?
It can. The amount is tied to employee count, so crossing a threshold (7 employees, or more than 25) moves you into a higher bond bracket. [VERIFY against hcqc.nv.gov: confirm whether the state expects the higher bond mid-term or at the next renewal.]
How much will the bond cost me?
[CLIENT FLAG: insert All n One premium guidance, e.g. a percentage-of-bond-amount range or flat fee by bond size, with a worked example for each of the three bond amounts. Do not publish a premium figure until All n One provides it.]
