Nevada · Personal care agency license · Free checklist
Nevada personal care agency license checklist
Every step to a Nevada personal care agency license, from the company, office and bond to the online application, the state’s fee, the prelicensure survey and your first attendants and clients, each with the rule or HCQC source it comes from. Already licensed? Choose that answer for the 2026 rule-change to-do list. Tick steps off as you go and email it to yourself.
- Rule-verified October 3, 2026
- 75 possible steps, each cited
- Free, no account
Quick answer
In Nevada, "no person, state or local government or agency thereof may operate or maintain in this State an agency to provide personal care services in the home without first obtaining a license" (NRS 449B.100). You apply online, uploading HCQC’s checklist of business, insurance, bond and owner documents (HCQC Licensing Checklist), and pay the state’s nonrefundable fee of $1,374 (NAC 449.013(1)(n)).
Then "the Division shall conduct an investigation concerning the premises, facilities, qualifications of personnel, methods of operation and policies of the applicant and perform a prelicensure survey" (NAC 449.0112(1)). So your written policies and forms need to be ready before the license, not after.
Steps that cite NRS or NAC come from the statute (chapter 449B) or the rules, including the personal care rules as R089-24 amended them on February 27, 2026. Steps that say "HCQC asks" or "HCQC says" come from HCQC’s Licensing Checklist, its license, renewal and background check pages or its 12.2024 inspection workbook. Where we add a reading or advice of our own, the step says "by our reading". The application, step by step →
Tailor your checklist
9 quick questions
Your answers stay in this browser. The checklist below updates as you answer.
That may be a different license: an employment agency to provide nonmedical services
An employment agency that contracts with people in Nevada to provide nonmedical personal care in the home needs its own license from the State Board of Health, with its own state fee. HCQC warns that applying for the wrong license can delay processing and the fee is not refunded. By our reading, if your business employs or contracts the caregivers and sends them to clients, you need the personal care agency license: change your first answer to see its checklist.
PCA page, Licensing and Applications; NRS 449B.105(1); NAC 449.013(1)(r)A solo independent contractor is not an agency
An independent contractor who provides these services without the help of employees is not an agency under the statute. By our reading, once you hire staff you are likely to need the license, and a company always does. Ask HCQC before you take on employees, and change your first answer when you do.
NRS 449B.015(2)(a)Skilled nursing is outside this license
Personal care attendants may not insert or irrigate catheters, give injections other than insulin through an approved auto-injector, apply prescription or aseptic dressings, do physical assessments or perform any skilled nursing task beyond a certified nursing assistant’s scope. This checklist covers the personal care agency license only. Ask HCQC which license fits your plan.
NAC 449.3978(2), as amended by R089-24 section 62Your checklist
Showing the steps for a new Nevada personal care agency set up as an LLC with an office it rents or owns, fewer than 7 employees and an administrator with a high school diploma, private pay only, with none of the optional tasks that add steps. Answer the questions above to tailor it, or choose "Already licensed" for the 2026 rule-change to-do list.
Set up the agency
PCA page, Licensing and Applications; NRS 449B.105(1); NAC 449.013(1)(r)Who needs a license →
Licensing Checklist, Articles of Organization to Partnership Agreement
Licensing Checklist, Articles of Organization to Partnership Agreement
Licensing Checklist, Articles of Organization to Partnership Agreement
NAC 449.3973(1), as amended by R089-24 section 58Nevada step by step →
Licensing Checklist, Resume, High School Diploma, Proof of age
Apply online and pay the state
The prelicensure survey
Licensed: your first attendants and clients
Already licensed: bring your agency up to the 2026 rules
The services you offer
Every year, and when things change
Email me this checklist
We send the checklist with your answers and a link back to it. Nothing else unless you tick the box.
CareRulebook
Tick off “write your policies and forms” from your answers
Answer a few questions about your agency and CareRulebook writes its Nevada personal care agency policy and procedure manual, to the rules as R089-24 changed them on February 27, 2026, with your details filled in and the rule each policy meets quoted under it. Policy 1.3 indexes every one of HCQC’s 55 survey checklist tags to the policy or form that answers it. Already licensed? It ends with a checklist of what changed since 2023.
- 35 policies, 127 requirements mapped
- All 55 tags of HCQC’s checklist indexed
- Editable Word and PDF
- 12 months of updates: download again after a rule change
$199CareRulebook founding price for the first 50 Nevada agencies, then $249. Not an HCQC fee.
Frequently asked questions
What do I need to get a personal care agency license in Nevada?
A license to operate an agency to provide personal care services in the home, from the Health Care Purchasing and Compliance Division of the Nevada Health Authority (its HCQC bureau runs licensing). Before you apply: a company with a Nevada State Business License, a physical location in Nevada with a lease or deed and a local business license, an administrator who qualifies, elder abuse training, liability insurance, a surety bond and fingerprint checks for each 10% owner. You apply online and pay the state’s nonrefundable fee of $1,374, and the Division reviews your policies at a prelicensure survey before it issues the license.
Do I need a nurse for a Nevada personal care agency?
No. The administrator needs to be at least 18 with a high school diploma or equivalent, or a Nevada long-term care administrator license, and attendants need no certification. If attendants will take vital signs, run blood glucose tests or give insulin by pen, a physician, physician assistant or licensed nurse (or a pharmacist, for glucose tests and insulin) must train them first, before the task, every year and whenever the device changes. The rule also allows an experienced employee who was trained that way; HCQC has not said how it reads that route.
How much does the Nevada license cost?
The state’s fees are $1,374 to apply and $687 for each yearly renewal, both nonrefundable, plus $41.22 (6% of the renewal fee) on issue and each renewal for the cancer reporting system. The surety bond, insurance, business licenses and fingerprinting are extra. These are the state’s fees, not CareRulebook prices.
I am already licensed. What do I need to change?
Choose "Already licensed" above. The checklist then lists what changed since 2023: the new statute chapter (NRS 449B) and regulator, the R089-24 changes of February 27, 2026 (medication assistance after 16 hours of approved training, nail care, exercise and appointments, isolation and abandonment in abuse reporting, live CPR skills, 30 days to report a new administrator), yearly infection control training and plan, cultural competency every two years, the complaint policy and log and the preferred-name policy as R004-24 revised them, and the unsettled license expiry date.
Can I take clients while my application is pending?
No. No one may operate a personal care agency in Nevada without first obtaining the license, which comes after the prelicensure survey. Operating without one is a misdemeanor, and the Division may serve a cease and desist order.
Is this checklist free?
Yes. It is free to use and to email to yourself. It is guidance, not legal advice, so check each step against the rule or HCQC source it links to.
Get Nevada rule-change alerts
Nevada’s personal care rules changed on February 27, 2026, the Division has proposed R164-26 on appeals, and the State Board of Health approved changes to chapter 449 fees and renewal dates in 2026. Leave your email and we will tell you when a Nevada change affects your checklist or your policies.
No spam. Only emails about Nevada home care rule changes. How we use your email.
Keep reading
Nevada
How to start a home care agency in Nevada
The full guide behind this checklist.
Nevada
The Nevada license application
HCQC’s 18 uploads, the state’s fees, the surety bond, owners’ fingerprints, the survey, renewal, changes and a sale.
Product
Build your Nevada policy manual
Written to the 2026 rules, with HCQC’s 55 tags indexed. Preview free.
Kansas
Kansas license checklist
The same tool for a KDHE supportive care license.
Washington
Washington license checklist
The same tool for a DOH in-home services license.
Colorado
Colorado license checklist
The same tool for a CDPHE Class B home care agency license.
Texas
Texas license checklist
The same tool for a Texas HCSSA license.
Sources
- NRS chapter 449B, Agencies to Provide Personal Care Services and Related Entities (added by AB 519, 2025; page revised 4/15/2026) · Nevada Legislature, Legislative Counsel Bureau (Internet Archive copy) · retrieved October 2, 2026
- NAC 449.396 to 449.3982, Agencies to Provide Personal Care Services in the Home (compiled text, NAC-449 revised 8-24, as amended by LCB File No. R089-24, filed February 27, 2026) · Nevada Legislature, Legislative Counsel Bureau (State Board of Health regulations; Internet Archive copies) · retrieved October 3, 2026
- LCB File No. R089-24, approved regulation of the State Board of Health (filed February 27, 2026), with the adopted text, informational statement, notice of hearing and Board packet · Nevada Legislature, Legislative Counsel Bureau, Register of Administrative Regulations; Nevada Health Authority · retrieved October 3, 2026
- NAC chapter 449 general provisions that apply to personal care agencies (449.0112, 449.0113, 449.0114, 449.0116, 449.0118, 449.01065, 449.011901 to 449.011951, 449.013, 449.9987), compiled text revised 8-24 · Nevada Legislature, Legislative Counsel Bureau (Internet Archive copy) · retrieved October 2, 2026
- LCB File No. R063-21, approved regulation (filed August 22, 2023): infection control training for unlicensed caregivers and the written infection control plan · Nevada Legislature, Legislative Counsel Bureau, Register of Administrative Regulations (Internet Archive copy) · retrieved October 3, 2026
- LCB File No. R004-24, approved regulation (filed November 15, 2024): cultural competency training, complaint policy and log, preferred names and pronouns · Nevada Legislature, Legislative Counsel Bureau, Register of Administrative Regulations (Internet Archive copy) · retrieved October 3, 2026
- NRS 432B.220, persons required to report abuse or neglect of a child · Nevada Legislature, Legislative Counsel Bureau (Internet Archive copy) · retrieved October 3, 2026
- NAC 441A.375, tuberculosis surveillance and testing of employees (applied to attendants by NAC 449.3976) · Nevada Legislature, Legislative Counsel Bureau (Internet Archive copy) · retrieved October 3, 2026
- Agency to Provide Personal Care Services in the Home (Personal Care Agency), page last updated 07/21/2026 · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 2, 2026
- Licensing Checklist for Personal Care Services (PCS), page last updated 04/09/2026 · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 2, 2026
- Agencies to Provide Personal Care Services in the Home Workbook (12.2024), linked as the Initial Inspection Workbook, with the PCS Policies & Procedures/Form/Document Checklist · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 2, 2026
- Licensee search export: Agency to Provide Personal Care Services in the Home (credential codes PCS and PCO), October 2, 2026 · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 2, 2026
- Background Check Requirements and FAQs (page last updated 05/26/2026) · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 3, 2026
- Health Facilities Licensing, License Renewal and renewal fee schedule pages · Nevada Health Authority, Bureau of Health Care Quality and Compliance · retrieved October 3, 2026
- Medicaid Services Manual chapter 3500, Personal Care Services Program (July 1, 2026) · Nevada Health Authority, Nevada Medicaid · retrieved October 3, 2026