reglab/housing_qa huggingface dataset:
WA Rev Code § 74.42.300 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.300 - Nutritionist—Menus, special diets.

RCW 74.42.300 Nutritionist—Menus, special diets.(1) The facility shall have a staff member trained or experienced in food management and nutrition responsible for planning menus that meet the requirements of subsection (2) of this section and supervising meal preparation and service to insure that the menu plan is followed.(2) The menu plans shall follow the orders of the resident's physician.(3) The facility shall:(a) Meet the nutritional needs of each resident;(b) Have menus written in advance;(c) Provide a variety of foods at each meal;(d) Provide daily and weekly variations in the menus; and(e) Adjust the menus for seasonal changes.(4) If the facility has residents who require medically prescribed special diets, the menus for those residents shall be planned by a professionally qualified dietitian or reviewed and approved by the attending physician. The preparation and serving of meals shall be supervised to insure that the resident accepts the special diet.[ 1979 ex.s. c 211 § 30.]
WA Rev Code § 74.42.310 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.310 - Staff duties at meals.

RCW 74.42.310 Staff duties at meals.(1) A facility shall have sufficient personnel to supervise the residents, direct self-help dining skills, and to insure that each resident receives enough food.(2) A facility shall provide table service for all residents, including residents in wheelchairs, who are capable and willing to eat at tables.[ 1980 c 184 § 10; 1979 ex.s. c 211 § 31.]
WA Rev Code § 74.42.320 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.320 - Sanitary procedures for food preparation.

RCW 74.42.320 Sanitary procedures for food preparation.Facilities shall have effective sanitary procedures for the food preparation staff including procedures for cleaning food preparation equipment and food preparation areas.[ 1979 ex.s. c 211 § 32.]
WA Rev Code § 74.42.330 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.330 - Food storage.

RCW 74.42.330 Food storage.The facility shall store dry or staple food items at an appropriate height above the floor in a ventilated room not subject to sewage or wastewater backflow or contamination by condensation, leakage, rodents or vermin. Perishable foods shall be stored at proper temperatures to conserve nutritive values.[ 1979 ex.s. c 211 § 33.]
WA Rev Code § 74.42.340 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.340 - Administrative support—Purchasing—Inventory control.

RCW 74.42.340 Administrative support—Purchasing—Inventory control.(1) The facility shall provide adequate administrative support to efficiently meet the needs of residents and facilitate attainment of the facility's goals and objectives.(2) The facility shall:(a) Document the purchasing process;(b) Adequately operate the inventory control system and stockroom;(c) Have appropriate storage facilities for all supplies and surplus equipment; and(d) Train and assist personnel to do purchase, supply, and property control functions.[ 1980 c 184 § 11; 1979 ex.s. c 211 § 34.]
WA Rev Code § 74.42.350 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.350 - Organization chart.

RCW 74.42.350 Organization chart.The facility shall have and keep current an organization chart showing:(1) The major operating programs of the facility;(2) The staff divisions of the facility;(3) The administrative personnel in charge of the programs and divisions; and(4) The lines of authority, responsibility, and communication of administrative personnel.[ 1979 ex.s. c 211 § 35.]
WA Rev Code § 74.42.370 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.370 - Licensed administrator.

RCW 74.42.370 Licensed administrator.The facility shall have an administrator who is a licensed nursing home administrator under chapter 18.52 RCW. The administrator is responsible for managing the facility and implementing established policies and procedures.[ 1979 ex.s. c 211 § 37.]
WA Rev Code § 74.42.380 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.380 - Director of nursing services.

RCW 74.42.380 Director of nursing services.(1) The facility shall have a director of nursing services. The director of nursing services shall be a registered nurse or an advanced registered nurse practitioner.(2) The director of nursing services is responsible for:(a) Coordinating the plan of care for each resident;(b) Permitting only licensed personnel to administer medications: PROVIDED, That nothing herein shall be construed as prohibiting graduate nurses or student nurses from administering medications when permitted to do so under chapter 18.79 RCW and rules adopted under it: PROVIDED FURTHER, That nothing herein shall be construed as prohibiting persons certified under *chapter 18.135 RCW from practicing pursuant to the delegation and supervision requirements of *chapter 18.135 RCW and rules adopted under it; and(c) Insuring that the licensed practical nurses and the registered nurses comply with chapter 18.79 RCW, and persons certified under *chapter 18.135 RCW comply with the provisions of that chapter and rules adopted under it.[ 1994 sp.s. c 9 § 753; 1989 c 372 § 6; 1985 c 284 § 2; 1979 ex.s. c 211 § 38.]NOTES:*Reviser's note: Chapter 18.135 RCW was repealed by 2012 c 153 § 20.Severability—Headings and captions not law—Effective date—1994 sp.s. c 9: See RCW 18.79.900 through 18.79.902.
WA Rev Code § 74.42.390 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.390 - Communication system.

RCW 74.42.390 Communication system.The facility shall have a communication system, including telephone service, that insures prompt contact of on-duty personnel and prompt notification of responsible personnel in an emergency.[ 1979 ex.s. c 211 § 39.]
WA Rev Code § 74.42.400 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.400 - Engineering and maintenance personnel.

RCW 74.42.400 Engineering and maintenance personnel.The facility shall have sufficient trained and experienced personnel for necessary engineering and maintenance functions.[ 1979 ex.s. c 211 § 40.]
WA Rev Code § 74.42.410 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.410 - Laundry services.

RCW 74.42.410 Laundry services.The facility shall manage laundry services to meet the residents' daily clothing and linen needs. The facility shall have available at all times enough linen for the proper care and comfort of the residents.[ 1979 ex.s. c 211 § 41.]
WA Rev Code § 74.42.420 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.420 - Resident record system.

RCW 74.42.420 Resident record system.The facility shall maintain an organized record system containing a record for each resident. The record shall contain:(1) Identification information, including the information listed in RCW 18.51.095(1);(2) Admission information, including the resident's medical and social history;(3) A comprehensive plan of care and subsequent changes to the comprehensive plan of care;(4) Copies of initial and subsequent periodic examinations, assessments, evaluations, and progress notes made by the facility and the department;(5) Descriptions of all treatments, services, and medications provided for the resident since the resident's admission;(6) Information about all illnesses and injuries including information about the date, time, and action taken; and(7) A discharge summary.Resident records shall be available to the staff members directly involved with the resident and to appropriate representatives of the department. The facility shall protect resident records against destruction, loss, and unauthorized use. The facility shall keep a resident's record after the resident is discharged as provided in RCW 18.51.300.[ 2021 c 159 § 10; 1979 ex.s. c 211 § 42.]NOTES:Findings—2021 c 159: See note following RCW 18.20.520.
WA Rev Code § 74.42.430 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.430 - Written policy guidelines.

RCW 74.42.430 Written policy guidelines. (Effective until January 1, 2022.)The facility shall develop written guidelines governing:(1) All services provided by the facility;(2) Admission, transfer or discharge;(3) The use of chemical and physical restraints, the personnel authorized to administer restraints in an emergency, and procedures for monitoring and controlling the use of the restraints;(4) Procedures for receiving and responding to residents' complaints and recommendations;(5) Access to, duplication of, and dissemination of information from the resident's record;(6) Residents' rights, privileges, and duties;(7) Procedures if the resident is adjudicated incompetent or incapable of understanding his or her rights and responsibilities;(8) When to recommend initiation of guardianship proceedings under *chapter 11.88 RCW; and(9) Emergencies;(10) Procedures for isolation of residents with infectious diseases;(11) Procedures for residents to refuse treatment and for the facility to document informed refusal.The written guidelines shall be made available to the staff, residents, members of residents' families, and the public.[ 1980 c 184 § 12; 1979 ex.s. c 211 § 43.]NOTES:*Reviser's note: Chapter 11.88 RCW was repealed in its entirety by 2020 c 312 § 904, effective January 1, 2022.RCW 74.42.430Written policy guidelines. (Effective January 1, 2022.)The facility shall develop written guidelines governing:(1) All services provided by the facility;(2) Admission, transfer or discharge;(3) The use of chemical and physical restraints, the personnel authorized to administer restraints in an emergency, and procedures for monitoring and controlling the use of the restraints;(4) Procedures for receiving and responding to residents' complaints and recommendations;(5) Access to, duplication of, and dissemination of information from the resident's record;(6) Residents' rights, privileges, and duties;(7) Procedures if the resident is adjudicated incompetent or incapable of understanding his or her rights and responsibilities;(8) When to recommend initiation of guardianship, conservatorship, or other protective arrangement proceedings under chapter 11.130 RCW;(9) Emergencies;(10) Procedures for isolation of residents with infectious diseases; and(11) Procedures for residents to refuse treatment and for the facility to document informed refusal.The written guidelines shall be made available to the staff, residents, members of residents' families, and the public.[ 2020 c 312 § 739; 1980 c 184 § 12; 1979 ex.s. c 211 § 43.]NOTES:Effective dates—2020 c 312: See note following RCW 11.130.915.
WA Rev Code § 74.42.440 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.440 - Facility rated capacity not to be exceeded.

RCW 74.42.440 Facility rated capacity not to be exceeded.The facility may only admit individuals when the facility's rated capacity will not be exceeded and when the facility has the capability to provide adequate treatment, therapy, and activities.[ 1979 ex.s. c 211 § 44.]
WA Rev Code § 74.42.455 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.455 - Transitional care management.

RCW 74.42.455 Transitional care management.(1) Nursing facilities may provide telephone or web-based transitional care management services to persons discharged from the facility to home for up to thirty days postdischarge.(2) When a nursing facility provides transitional care management services, the facility must coordinate postdischarge care and service needs with in-home agencies licensed under chapter 70.127 RCW, and other authorized care providers, to promote evidence-based transition care planning. In-home service agencies and other authorized care providers, including the department, shall, when appropriate, determine resident eligibility for postdischarge care and services and coordinate with nursing facilities to plan a safe transition of the client to the home setting. When a resident is discharged to home and is without in-home care or services due to the resident's refusal of care or their ineligibility for care, the nursing facility may provide telephone or web-based transitional care management services. These services may include care coordination services, review of the discharge plan, instructions to promote compliance with the discharge plan, reminders or assistance with scheduling follow-up appointments with other health care professionals consistent with the discharge plan, and promotion of self-management of the client's health condition. Web-based transition care services may include patient education and the provision of services described in this section. They are not intended to include telehealth monitoring.(3) If the nursing facility identifies concerns in client care that result from telephone or web-based transitional care management services, the nursing facility will notify the client's primary care physician. The nursing facility will also discuss with the client options for care or other services which may include in-home services provided by agencies licensed under chapter 70.127 RCW.[ 2011 c 366 § 7.]NOTES:Findings—Purpose—Conflict with federal requirements—2011 c 366: See notes following RCW 18.20.020.
WA Rev Code § 74.42.460 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.460 - Organization plan and procedures.

RCW 74.42.460 Organization plan and procedures.The facility shall have a written staff organization plan and detailed written procedures to meet potential emergencies and disasters. The facility shall clearly communicate and periodically review the plan and procedures with the staff and residents. The plan and procedures shall be posted at suitable locations throughout the facility. The planning requirement of this section shall complement the comprehensive disaster preparedness planning requirement of RCW 18.51.580.[ 2021 c 159 § 12; 1979 ex.s. c 211 § 46.]NOTES:Findings—2021 c 159: See note following RCW 18.20.520.
WA Rev Code § 74.42.470 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.470 - Infected employees.

RCW 74.42.470 Infected employees.No employee with symptoms of a communicable disease may work in a facility. The facility shall have written guidelines that will help enforce this section.[ 1979 ex.s. c 211 § 47.]
WA Rev Code § 74.42.480 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.480 - Living areas.

RCW 74.42.480 Living areas.The facility shall design and equip the resident living areas for the comfort and privacy of each resident.[ 1979 ex.s. c 211 § 48.]
WA Rev Code § 74.42.490 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.490 - Room requirements—Waiver.

RCW 74.42.490 Room requirements—Waiver.Each resident's room shall:(1) Be equipped with or conveniently located near toilet and bathing facilities;(2) Be at or above grade level;(3) Contain a suitable bed for each resident and other appropriate furniture;(4) Have closet space that provides security and privacy for clothing and personal belongings;(5) Contain no more than four beds;(6) Have adequate space for each resident; and(7) Be equipped with a device for calling the staff member on duty.The department may waive the space, occupancy, and certain equipment requirements of this section for an existing building constructed prior to January 1, 1980, or space and certain equipment for new intermediate care facilities for persons with intellectual disabilities for as long as the department considers appropriate if the department finds that the requirements would result in unreasonable hardship on the facility, the waiver serves the particular needs of the residents, and the waiver does not adversely affect the health and safety of the residents.[ 2010 c 94 § 28; 1980 c 184 § 13; 1979 ex.s. c 211 § 49.]NOTES:Purpose—2010 c 94: See note following RCW 44.04.280.
WA Rev Code § 74.42.500 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.500 - Toilet and bathing facilities.

RCW 74.42.500 Toilet and bathing facilities.Toilet and bathing facilities shall be located in or near residents' rooms and shall be appropriate in number, size, and design to meet the needs of the residents. The facility shall provide an adequate supply of hot water at all times for resident use. Plumbing shall be equipped with control valves that automatically regulate the temperature of the hot water used by residents.[ 1979 ex.s. c 211 § 50.]
WA Rev Code § 74.42.510 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.510 - Room for dining, recreation, social activities—Waiver.

RCW 74.42.510 Room for dining, recreation, social activities—Waiver.The facility shall provide one or more areas not used for corridor traffic for dining, recreation, and social activities. A multipurpose room may be used if it is large enough to accommodate all of the activities without the activities interfering with each other: PROVIDED, That the department may waive the provisions of this section for facilities constructed prior to January 1, 1980.[ 1979 ex.s. c 211 § 51.]
WA Rev Code § 74.42.520 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.520 - Therapy area.

RCW 74.42.520 Therapy area.The facility's therapy area shall be large enough and designed to accommodate the necessary equipment, conduct an examination, and provide treatment: PROVIDED, That developmentally disabled facilities shall not be subject to the provisions of this section if therapeutic services are obtained by contract with other facilities.[ 1979 ex.s. c 211 § 52.]
WA Rev Code § 74.42.530 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.530 - Isolation areas.

RCW 74.42.530 Isolation areas.The facility shall have isolation areas for residents with infectious diseases or make other provisions for isolating these residents.[ 1979 ex.s. c 211 § 53.]
WA Rev Code § 74.42.540 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.540 - Building requirements.

RCW 74.42.540 Building requirements.(1) The facility shall be accessible to and usable by all residents, personnel, and the public, including individuals with disabilities: PROVIDED, That no substantial structural changes shall be required in any facilities constructed prior to January 1, 1980.(2) The facility shall meet the requirements of American national standards institute (ANSI) standard No. A117.1 (1961), or, if applicable, the requirements of chapter 70.92 RCW if the requirements are stricter than ANSI standard No. A117.1 (1961), unless the department waives the requirements of ANSI standard No. A117.1 (1961) under subsection (3) of this section.(3) The department may waive, for as long as the department considers appropriate, provisions of ANSI standard No. A117.1 (1961) if:(a) The construction plans for the facility or a part of the facility were approved by the department before March 18, 1974;(b) The provisions would result in unreasonable hardship on the facility if strictly enforced; and(c) The waiver does not adversely affect the health and safety of the residents.[ 1979 ex.s. c 211 § 54.]
WA Rev Code § 74.42.550 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.550 - Handrails.

RCW 74.42.550 Handrails.The facility shall have handrails that are firmly attached to the walls in all corridors used by residents: PROVIDED, That the department may waive the provisions of this section in developmentally disabled facilities.[ 1979 ex.s. c 211 § 55.]
WA Rev Code § 74.42.560 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.560 - Emergency lighting for facilities housing persons with developmental disabilities.

RCW 74.42.560 Emergency lighting for facilities housing persons with developmental disabilities.If a living unit of a facility for the developmentally disabled houses more than fifteen residents, the living unit shall have emergency lighting with automatic switches for stairs and exits.[ 1979 ex.s. c 211 § 56.]
WA Rev Code § 74.42.570 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.570 - Health and safety requirements.

RCW 74.42.570 Health and safety requirements.The facility shall meet state and local laws, rules, regulations, and codes pertaining to health and safety.[ 1980 c 184 § 14; 1979 ex.s. c 211 § 57.]
WA Rev Code § 74.42.580 (2021)
2021 Revised Code of Washington|Title 74 - Public Assistance|Chapter 74.42 - Nursing Homes—Resident Care, Operating Standards.|74.42.580 - Penalties for violation of standards.

RCW 74.42.580 Penalties for violation of standards.The department may deny, suspend, revoke, or refuse to renew a license or provisional license, assess monetary penalties of a civil nature, deny payment, seek receivership, order stop placement, appoint temporary management, order emergency closure, or order emergency transfer as provided in RCW 18.51.054 and 18.51.060 for violations of requirements of this chapter or, in the case of medicaid contractors, the requirements of Title XIX of the social security act, as amended, or rules adopted thereunder. Chapter 34.05 RCW shall apply to any such actions, except for receivership, and except that stop placement, appointment of temporary management, emergency closure, emergency transfer, and summary license suspension shall be effective pending any hearing, and except that denial of payment shall be effective pending any hearing when the department determines deficiencies jeopardize the health and safety of the residents or seriously limit the nursing home's capacity to provide adequate care.[ 1989 c 372 § 13; 1987 c 476 § 27; 1980 c 184 § 15; 1979 ex.s. c 211 § 58.]