reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Quality of Life › Section 388-97-0900 - Self determination and participation

Current through Register Vol. 24-14, July 15, 2024
The resident has the right to:
(1) Choose activities, schedules, and health
					 care consistent with his or her interests, assessments, and plan of
					 care;
(2) Interact with members of
					 the community both inside and outside the nursing home;
(3) Make choices about aspects of his or her
					 life in the facility that are significant to the resident; and
(4) Participate in social, religious, and
					 community activities that do not interfere with the rights of other residents
					 in the nursing home.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-0900, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Quality of Life › Section 388-97-0920 - Participation in resident and family groups

Current through Register Vol. 24-14, July 15, 2024
The department repealed this section from April 13, 2020,
						through May 7, 2022, in response to the state of emergency related to the
						COVID-19 pandemic. The requirements of this section were not in effect during
						that time.
(1) A resident has the
					 right to organize and participate in resident groups in the nursing
					 home.
(2) The nursing home must
					 provide a resident or family group, if one exists, with private
					 space.
(3) Staff or visitors may
					 attend meetings only at the group's invitation.
(4) The nursing home must provide a
					 designated staff individual responsible for providing assistance and responding
					 to written requests that result from group meetings.
(5) When a resident or family group exists,
					 the nursing home must listen to the views and act upon the grievances and
					 recommendations of residents and families concerning proposed policy and
					 operational decisions affecting resident care and life in the nursing
					 home.
(6) A resident's family has
					 the right to meet in the nursing home with the families of other residents in
					 the facility.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-0920, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Quality of Life › Section 388-97-0940 - Activities

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Provide for an ongoing program of
					 activities designed to meet, in accordance with the comprehensive assessment,
					 the interests and the physical, mental, and psychosocial well-being of each
					 resident;
(2) Provide activities
					 meaningful to the residents at various times throughout every day and evening
					 based on each resident's need and preference; and
(3) Ensure that the activities program is
					 directed by a qualified professional who:
(a)
					 Is a qualified therapeutic recreation specialist or an activities professional
					 who is eligible for certification as a therapeutic recreation specialist or as
					 an activities professional by a recognized accrediting body on or after October
					 1, 1990; or
(b) Has two years of
					 experience in a social or recreational program within the last five years, one
					 of which was full-time in a patient activities program in a health care
					 setting; or
(c) Is a qualified
					 occupational therapist or occupational therapy assistant.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Quality of Life › Section 388-97-0960 - Social services

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Provide medically related social services
					 to attain or maintain the highest practicable physical, mental, and
					 psychosocial well-being of each resident; and
(2) Employ a qualified social worker on a
					 full-time basis if the nursing home has more than one hundred twenty beds. A
					 qualified social worker is an individual with:
(a) A bachelor's degree in social work or a
					 bachelor's degree in a human services field including but not limited to
					 sociology, special education, rehabilitation counseling, and psychology;
					 and
(b) One year of supervised
					 social work experience in a health care setting working directly with patients
					 or residents.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Quality of Life › Section 388-97-0980 - Pets

Current through Register Vol. 24-14, July 15, 2024
(1) Each resident
					 must have a reasonable opportunity to have regular contact with animals, if
					 desired.
(2) The nursing home must:
(a) Consider the recommendations of nursing
					 home residents, resident councils, and staff;
(b) Determine how to provide residents access
					 to animals;
(c) Determine the type
					 and number of animals available in the facility, which the facility can safely
					 manage. Such animals should include only those customarily considered domestic
					 pets;
(d) Ensure that any
					 resident's rights, preferences, and medical needs are not compromised by the
					 presence of an animal; and
(e)
					 Ensure any animal visiting or living on the premises has a suitable
					 temperament, is healthy, and otherwise poses no significant health or safety
					 risks to residents, staff, or visitors.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Resident Assessment and Plan of Care › Section 388-97-1000 - Resident assessment

Current through Register Vol. 24-14, July 15, 2024
The department amended or suspended portions of this
						section from April 13, 2020, through May 10, 2021, in response to the state of
						emergency related to the COV-ID-19 pandemic. For requirements in place during
						that time, see WAC 388-97-10001.
(1)
					 The nursing home must:
(a) Provide resident
					 care based on a systematic, comprehensive, interdisciplinary assessment, and
					 care planning process in which the resident participates, to the fullest extent
					 possible;
(b) Conduct initially and
					 periodically a comprehensive, accurate, standardized, reproducible assessment
					 of each resident's functional capacity;
(c) At the time each resident is admitted:
(i) Have physician's orders for the
					 resident's immediate care; and
(ii)
					 Ensure that the resident's immediate care needs are identified in an admission
					 assessment.
(d) Ensure
					 that the comprehensive assessment of a resident's needs describes the
					 resident's capability to perform daily life functions and significant
					 impairments in functional capacity.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Resident Assessment and Plan of Care › Section 388-97-10001 - Resident assessment-Requirements in effect April 13, 2020, through May 10, 2021, in response to the state of emergency related to the COVID-19 pandemic

Current through Register Vol. 24-14, July 15, 2024
In response to the state of emergency related to the
						COVID-19 pandemic, the department adopted emergency rules under
						RCW
						34.05.350 on April 13, 2020, to amend and
						suspend portions of WAC
						388-97-0300. The emergency rules
						remained in effect until May 10, 2021. The following rule was in effect during
						that time:
(1) The nursing home must:
(a) Provide resident care based on a
					 systematic, comprehensive, interdisciplinary assessment, and care planning
					 process in which the resident participates, to the fullest extent
					 possible;
(b) Conduct initially and
					 periodically a comprehensive, accurate, standardized, reproducible assessment
					 of each resident's functional capacity;
(c) As soon as practicable after each
					 resident is admitted:
(i) Have physician's
					 orders for the resident's immediate care; and
(ii) Ensure that the resident's immediate
					 care needs are identified in an admission assessment.
(d) Ensure that the comprehensive assessment
					 of a resident's needs describes the resident's capability to perform daily life
					 functions and significant impairments in functional capacity.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Resident Assessment and Plan of Care › Section 388-97-1020 - Comprehensive plan of care

Current through Register Vol. 24-14, July 15, 2024
The department amended or suspended portions of this
						section from April 13, 2020, through May 10, 2021, in response to the state of
						emergency related to the COVID-19 pandemic. For requirements in place during
						that time, see WAC 388-97-10201.
(1)
					 The nursing home must develop a comprehensive plan of care for each resident
					 that includes measurable objectives and timetables to meet a resident's
					 medical, nursing and mental, and psychosocial needs that are identified in the
					 comprehensive assessment.
(2) The
					 comprehensive plan of care must:
(a) Describe
					 the services that are to be furnished to attain or maintain the resident's
					 highest practicable physical, mental, and psy-chosocial well-being as required
					 under WAC
					 388-97-1060;
(b) Describe any services that would
					 otherwise be required, but are not provided due to the resident's exercise of
					 rights, including the right to refuse treatment (refer to WAC
					 388-97-0300 and
					 388-97-0260);
(c) Be developed within seven days after
					 completion of the comprehensive assessment;
(d) Be prepared by an interdisciplinary team
					 that includes the attending physician, a registered nurse with responsibility
					 for the resident, and other appropriate staff in disciplines as determined by
					 the resident's needs;
(e) Consist
					 of an ongoing process which includes a meeting if desired by the resident or
					 the resident's representative; and
(f) Include the ongoing participation of the
					 resident to the fullest extent possible, the resident's family, or the
					 resident's surrogate decision maker.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Resident Assessment and Plan of Care › Section 388-97-10201 - Comprehensive plan of care-Requirements in effect April 13, 2020, through May 10, 2021, in response to the state of emergency related to the COVID-19 pandemic

Current through Register Vol. 24-14, July 15, 2024
In response to the state of emergency related to the
						COVID-19 pandemic, the department adopted emergency rules under
						RCW
						34.05.350 on April 13, 2020, to amend and
						suspend portions of WAC
						388-97-0300. The emergency rules
						remained in effect until May 10, 2021. The following rule was in effect during
						that time:
(1) The nursing home must
					 develop a comprehensive plan of care for each resident that includes measurable
					 objectives and timetables to meet a resident's medical, nursing and mental, and
					 psychosocial needs that are identified in the comprehensive
					 assessment.
(2) The comprehensive
					 plan of care must:
(a) Describe the services
					 that are to be furnished to attain or maintain the resident's highest
					 practicable physical, mental, and psychosocial well-being as required under WAC
					 388-97-1060;
(b) Describe any services that would
					 otherwise be required, but are not provided due to the resident's exercise of
					 rights, including the right to refuse treatment (refer to WAC
					 388-97-0300 and
					 388-97-0260);
(c) Be prepared by an interdisciplinary team
					 that includes the attending physician, a registered nurse with responsibility
					 for the resident, and other appropriate staff in disciplines as determined by
					 the resident's needs;
(d) Consist
					 of an ongoing process which includes a meeting if desired by the resident or
					 the resident's representative; and
(e) Include the ongoing participation of the
					 resident to the fullest extent possible, the resident's family, or the
					 resident's surrogate decision maker.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Resident Assessment and Plan of Care › Section 388-97-1040 - Dementia care

Current through Register Vol. 24-14, July 15, 2024
(1) A nursing home
					 must ensure that it provides residents with dementia with an environment
					 designed to attain or maintain the highest level of functioning and well-being
					 possible, taking into consideration the resident's medical condition and
					 functional status. Therefore, the nursing home must:
(a) Have a program designed to meet the
					 identified needs of the residents;
(b) Develop and implement program policies
					 and procedures; and
(c) Train all
					 staff, who have resident contact, in the special needs and care approaches
					 applicable to residents with dementia. This training must be ongoing and
					 consistent with requirements under WAC
					 388-97-1680(2)(b).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Quality of Care › Section 388-97-1060 - Quality of care

Current through Register Vol. 24-14, July 15, 2024
(1) Consistent with
					 resident rights, the nursing home must provide each resident with the necessary
					 care and services to attain or maintain the highest practicable physical,
					 mental and psychosocial well-being, self-care and independence in accordance
					 with his or her comprehensive assessment and plan of care.
(2) Based on the comprehensive assessment of
					 a resident, the nursing home must ensure that:
(a) A resident's abilities in activities of
					 daily living do not decline unless circumstances of the resident's clinical
					 condition demonstrate that the decline was unavoidable. This includes the
					 resident's ability to:
(i) Bathe, dress, and
					 groom;
(ii) Transfer and
					 ambulate;
(iii) Toilet;
(iv) Eat; and
(v) Use speech, language, or other functional
					 communication systems.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1080 - Nursing services

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must ensure that a sufficient number of qualified nursing personnel are
					 available on a twenty-four hour basis seven days per week to provide nursing
					 and related services to attain or maintain the highest practicable physical,
					 mental and psychosocial well-being of each resident as determined by resident
					 assessments and individual plans of care.
(2) The nursing home must:
(a) Designate a registered nurse or licensed
					 practical nurse to serve as charge nurse who is accountable for nursing
					 services on each shift; and
(b)
					 Have a full time director of nursing service who is a registered
					 nurse.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1090 - Direct care hours

Current through Register Vol. 24-14, July 15, 2024
(1) Each nursing
					 home must provide a minimum of 3.4 hours of direct care per resident day (HRD).
					 Direct care means the staffing domain identified and defined in the Centers for
					 Medicare and Medicaid Services' five star quality rating system and as reported
					 through the Centers for Medicare and Medicaid Services' payroll-based journal.
					 Compliance with the minimum staffing standard must be measured using the
					 Centers for Medicare and Medicaid Services' payroll based journal and nursing
					 home census and payroll data.
(a) For
					 purposes of calculating hours per resident day minimum staffing standards for
					 facilities with sixty-one or more licensed beds, the director of nursing
					 services classification (job title code five), as identified in the Centers for
					 Medicaid and Medicaid Service's payroll-based journal, shall not be
					 used.
(b) For facilities with sixty
					 or fewer beds, the director of nursing services classification (job title code
					 five) shall be included in calculating hours per resident day minimum staffing
					 standards.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1100 - Dietary services

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Provide each resident with a nourishing,
					 palatable, well-balanced diet that meets their daily nutritional and special
					 dietary needs.
(2) Serve food in an
					 attractive manner and at temperatures safe and acceptable to each
					 resident.
(3) Ensure that food
					 service is in compliance with chapter 246-215 WAC.
(4) Retain dated menus, dated records of
					 foods received, a record of the number of meals served, and standardized
					 recipes for at least three months for department review as necessary.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1100, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1120 - Meal provision

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Provide a minimum of three meals in each
					 twenty-four period, at regular times similar to normal meal times in the
					 community;
(2) Make fresh fruits
					 and vegetables, in season, available to residents on a daily basis;
(3) Make reasonable efforts to:
(a) Accommodate individual mealtime
					 preferences and portion sizes, as well as preferences for between meal and
					 evening snacks when not medically contraindicated;
(b) Offer a late breakfast or an alternative
					 to the regular breakfast for late risers; and
(c) Provide food consistent with the cultural
					 and religious needs of the residents.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1140 - Individual dietary needs

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Encourage residents to continue eating
					 independently;
(2) Provide
					 effective adaptive utensils as needed to promote independence;
(3) Allow sufficient time for eating in a
					 relaxed manner;
(4) Provide
					 individualized assistance as needed;
(5) Provide table service, for all residents
					 capable of eating at a table, in a dining area/room, located outside of the
					 resident's room; and
(6) Offer a
					 substitute of similar nutritive value when a resident refuses food
					 served.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1140, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1160 - Dietary personnel

Current through Register Vol. 24-14, July 15, 2024
The nursing home must have sufficient support personnel
						capable of carrying out the functions of dietary services and must:
(1) Employ a qualified dietitian either
					 full-time, part-time or on a consultant basis who must:
(a) Approve regular and therapeutic menus
					 which meet the dietary allowances of the Food and Nutrition Board of the
					 National Research Council, National Academy of Sciences;
(b) Prepare dated menus for general and
					 modified diets at least three weeks in advance;
(c) Provide services which include:
(i) Nutrition assessment;
(ii) Liaison with medical and nursing staff,
					 and administrator;
(iii) Inservice
					 training; and
(iv) Guidance to the
					 director of food service, and food service staff.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1180 - Dietary menus

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Ensure that menus are followed;
(2) Post the current dated general menu,
					 including substitutes, in the food service area and in a place accessible and
					 conspicuous to residents and visitors, in print the residents can read;
					 and
(3) Note any changes to the
					 regular menu on the posted menu.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1180, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1200 - Dietary orders

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Ensure that residents' diets are provided
					 as prescribed by the physician. Diet modifications, for texture only, may be
					 used as an interim measure when ordered by a registered nurse; and
(2) Provide supplementary fluid and
					 nourishment in accordance with each resident's needs as determined by the
					 assessment process.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1200, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1220 - Modified diets

Current through Register Vol. 24-14, July 15, 2024
The nursing home must review a resident's modified diet
						to ensure that the food form and texture are consistent with the resident's
						current needs and functional level:
(1) At the request of the resident.
(2) When the resident's condition
					 warrants.
(3) At the time of the
					 plan of care review.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1220, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Nursing Services › Section 388-97-1240 - Tube feedings

Current through Register Vol. 24-14, July 15, 2024
If the nursing home prepares tube feeding formula, or
						mixes additives to the prepared formula it must ensure that:
(1) Each resident's tube feedings are of
					 uniform consistency and quality; and
(2) Tube feeding formulas are prepared,
					 stored, distributed, and served in such a manner so as to maintain uniformity
					 and to prevent contamination.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1240, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Physician Services › Section 388-97-1260 - Physician services

Current through Register Vol. 24-14, July 15, 2024
The department amended or suspended portions of this
						section from April 28, 2020, through May 7,2022, in response to the state of
						emergency related to the COVID-19 pandemic. For requirements in place during
						that time, see WAC 388-97-12601.
(1)
					 The nursing home must ensure that the resident is seen by the physician
					 whenever necessary.
(2) Except as
					 specified in
					 RCW
					 74.42.200, a physician must personally
					 approve in writing a recommendation that an individual be admitted to a nursing
					 home.
(3) The nursing home must
					 ensure that:
(a) Except as specified in
					 RCW
					 74.42.200, the medical care of each resident
					 is supervised by a physician;
(b)
					 Another physician supervises the medical care of residents when their attending
					 physician is unavailable; and
(c)
					 Physician services are provided 24 hours per day, in case of
					 emergency.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Physician Services › Section 388-97-12601 - Physician services-Requirements in effect April 28, 2020, through May 7, 2022, in response to the state of emergency related to the COVID-19 pandemic

Current through Register Vol. 24-14, July 15, 2024
In response to the state of emergency related to the
						COVID-19 pandemic, the department adopted emergency rules under
						RCW
						34.05.350 on April 28, 2020, to amend and
						suspend portions of WAC
						388-97-1260. The emergency rules
						remained in effect until May 7, 2022. The following rule was in effect during
						that time:
(1) The nursing home must
					 ensure that the resident is seen by the physician whenever necessary.
(2) Except as specified in
					 RCW
					 74.42.200, a physician must personally
					 approve in writing a recommendation that an individual be admitted to a nursing
					 home.
(3) The nursing home must
					 ensure that:
(a) Except as specified in
					 RCW
					 74.42.200, the medical care of each resident
					 is supervised by a physician;
(b)
					 Another physician supervises the medical care of residents when their attending
					 physician is unavailable; and
(c)
					 Physician services are provided 24 hours per day, in case of
					 emergency.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Specialized Habilitative and Rehabilitative Services › Section 388-97-1280 - Specialized habilitative and rehabilitative services

Current through Register Vol. 24-14, July 15, 2024
(1) If specialized habilitative and
					 rehabilitative services such as, but not limited to, physical therapy,
					 speech-language pathology, occupational therapy, and mental health
					 rehabilitative services for mental illness and mental retardation, are required
					 in the resident's comprehensive plan of care, the facility must:
(a) Provide the required services;
					 or
(b) Obtain the required services
					 from an outside provider of specialized rehabilitative services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Specialized Habilitative and Rehabilitative Services › Section 388-97-1300 - Pharmacy services

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must:
(a) Obtain routine and emergency
					 drugs and biologicals for its residents under an agreement with a licensed
					 pharmacy;
(b) Ensure that
					 pharmaceutical services:
(i) Meet the needs
					 of each resident;
(ii) Establish
					 and monitor systems for the accurate acquiring, receiving, dispensing, and
					 administering of all drugs and biologicals; and
(c) Employ or obtain the services of a
					 licensed pharmacist who must:
(i) Provide
					 consultation on all aspects of the provision of pharmacy services in the
					 nursing home;
(ii) Determine that
					 nursing home drug records are in order;
(iii) Perform regular reviews at least once
					 each month of each resident's drug therapy; and
(iv) Document and report drug irregularities
					 to the attending physician and the director of nursing.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1320 - Infection control

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must:
(a) Establish and maintain an
					 effective infection control program designed to provide a safe, sanitary, and
					 comfortable environment and to help prevent the development and transmission of
					 disease and infection;
(b) Prohibit
					 any employee with a communicable disease or infected skin lesion from direct
					 contact with residents or their food, if direct contact could transmit the
					 disease; and
(c) Require staff to
					 wash their hands after each direct resident contact for which handwashing is
					 indicated by accepted professional practice.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1340 - Influenza and pneumococcal immunizations

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing home shall provide residents
					 access on-site or make available elsewhere, the ability to obtain the influenza
					 virus immunization on an annual basis.
(2) Upon admission, the nursing home shall
					 inform residents or the resident's representative, verbally and in writing, of
					 the benefits of receiving the influenza virus immunization and the pneumococcal
					 disease immunization.
(3) Nursing
					 homes who rely exclusively upon treatment by nonmedical religious healing
					 methods, including prayer, are exempt from the above rules.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1340, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1360 - Surveillance, management and early identification of individuals with active tuberculosis

Current through Register Vol. 24-14, July 15, 2024
(1) The
					 nursing home must develop and implement policies and procedures that comply
					 with nationally recognized tuberculosis standards set by the Centers for
					 Disease Control (CDC), and applicable state law. Such policies and procedures
					 include, but are not limited to, the following:
(a) Evaluation of any resident or employee
					 with symptoms suggestive of tuberculosis whether tuberculin skin test results
					 were positive or negative;
(b)
					 Identifying and following up residents and personnel with suspected or actual
					 tuberculosis, in a timely manner; and
(c) Identifying and following up visitors and
					 volunteers with symptoms suggestive of tuberculosis.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1380 - Tuberculosis-Testing required

Current through Register Vol. 24-14, July 15, 2024
The department amended or suspended portions of this
						section from January 25, 2021, through September 23, 2021, in response to the
						state of emergency related to the COVID-19 pandemic. For requirements in place
						during that time, see WAC 388-97-13801.
(1) The nursing home must develop and
					 implement a system to ensure that facility personnel and residents have
					 tuberculosis testing within three days of employment or admission.
(2) The nursing home must also ensure that
					 facility personnel are tested annually.
(3) For the purposes of WAC
					 388-97-1360 through
					 388-97-1580
"person"
means facility personnel and residents.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1380, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-13801 - Tuberculosis-Testing required-Requirements in effect January 25, 2021, through September 23, 2021, in response to the state of emergency related to the COVID-19 pandemic

Current through Register Vol. 24-14, July 15, 2024
In response to the state of emergency related to the
						COVID-19 pandemic, the department adopted emergency rules under
						RCW
						34.05.350 on January 25, 2021, to amend and
						suspend portions of WAC
						388-97-1380. The emergency rules
						remained in effect until September 23, 2021. The following rule was in effect
						during that time:
(1) Unless the
					 nursing home decides to defer tuberculosis testing in accordance with
					 subsection (2) of this section, or the resident or staff person is excluded
					 from testing from WAC
					 388-97-1440, the nursing home
					 must:
(a) Ensure that facility personnel and
					 residents have tuberculosis testing within three days of employment or
					 admission; and
(b) Ensure that
					 facility personnel are tested annually.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1400 - Tuberculosis - Testing method - Required

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that all tuberculosis
						testing is done through either:
(1)
					 Intradermal (Mantoux) administration with test results read:
(a) Within forty-eight to seventy-two hours
					 of the test; and
(b) By a trained
					 professional; or
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1440 - Tuberculosis - No testing

Current through Register Vol. 24-14, July 15, 2024
The nursing home is not required to have a person tested
						for tuberculosis if the person has:
(1) A documented history of a previous
					 positive skin test results;
(2) A
					 documented history of a previous positive blood test; or
(3) Documented evidence of:
(a) Adequate therapy for active disease;
					 or
(b) Completion of treatment for
					 latent tuberculosis infection preventive therapy.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1460 - Tuberculosis - One test

Current through Register Vol. 24-14, July 15, 2024
The nursing home is only required to have a person take
						one test if the person has any of the following:
(1) A documented history of a negative result
					 from a previous two step test done no more than one to three weeks apart;
					 or
(2) A documented negative result
					 from one skin or blood test in the previous twelve months.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW. 10-02-021, §
						  388-97-1460, filed 12/29/09, effective 1/29/10. Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1460, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1480 - Tuberculosis - Two-step skin testing

Current through Register Vol. 24-14, July 15, 2024
Unless the person meets the requirement for having no
						skin testing or only one test, the nursing home, choosing to do skin testing,
						must ensure that each person has the following two-step skin testing:
(1) An initial skin test within three days of
					 employment; and
(2) A second test
					 done one to three weeks after the first test.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW. 10-02-021, §
						  388-97-1480, filed 12/29/09, effective 1/29/10. Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1480, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1500 - Tuberculosis - Positive test result

Current through Register Vol. 24-14, July 15, 2024
When there is a positive result to tuberculosis skin or
						blood testing the nursing home must:
(1) Ensure that the person has a chest X ray
					 within seven days;
(2) Evaluate
					 each resident or person with a positive test result for signs and symptoms of
					 tuberculosis; and
(3) Follow the
					 recommendation of the person's health care provider.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW. 10-02-021, §
						  388-97-1500, filed 12/29/09, effective 1/29/10. Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1500, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1520 - Tuberculosis - Negative test result

Current through Register Vol. 24-14, July 15, 2024
The nursing home may be required by the public health
						provider or licensing authority to ensure that persons with negative test
						results have follow-up testing in certain circumstances, such as:
(1) After exposure to active
					 tuberculosis;
(2) When tuberculosis
					 symptoms are present; or
(3) For
					 periodic testing as determined by the health provider.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW. 10-02-021, §
						  388-97-1520, filed 12/29/09, effective 1/29/10. Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1520, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1540 - Tuberculosis - Declining a skin test

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that a person take the blood
						test for tuberculosis if they decline the skin test.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW. 10-02-021, §
						  388-97-1540, filed 12/29/09, effective 1/29/10. Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1540, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1560 - Tuberculosis - Reporting - Required

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Report any person with tuberculosis
					 symptoms or a positive chest X ray to the appropriate health care provider or
					 public health provider;
(2) Follow
					 the infection control and safety measures ordered by the person's health care
					 provider, including a public health provider;
(3) Institute appropriate measures for the
					 control of the transmission of droplet nuclei;
(4) Apply living or work restrictions where
					 residents or personnel are, or may be, infectious and pose a risk to other
					 residents and personnel; and
(5)
					 Ensure that personnel caring for a resident with suspected tuberculosis comply
					 with the WISHA standard for respiratory protection found in chapter 296-842
					 WAC.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW. 10-02-021, §
						  388-97-1560, filed 12/29/09, effective 1/29/10. Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1560, filed
						  9/24/08, effective 11/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1580 - Tuberculosis-Test records

Current through Register Vol. 24-14, July 15, 2024
(1) The department
					 amended or suspended portions of this section from January 25, 2021, through
					 September 23, 2021, in response to the state of emergency related to the
					 COVID-19 pandemic. For requirements in place during that time, see WAC
					 388-97-15801.
(2) The nursing home
					 must:
(a) Keep the records of tuberculin test
					 results, reports of X-ray findings, and any physician or public health provider
					 orders in the nursing home;
(b)
					 Make the records readily available to the appropriate health authority and
					 licensing agency;
(c) Retain the
					 records for 18 months beyond the date of employment termination; and
(d) Provide the person a copy of their test
					 results.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-15801 - Tuberculosis-Test records-Requirements in effect January 25, 2021, through September 23, 2021, in response to the state of emergency related to the COVID-19 pandemic

Current through Register Vol. 24-14, July 15, 2024
(1) In response to
					 the state of emergency related to the COVID-19 pandemic, the department adopted
					 emergency rules under
					 RCW
					 34.05.350 on January 25, 2021, to amend and
					 suspend portions of WAC
					 388-97-1580. The emergency rules
					 remained in effect until September 23, 2021. The following rule was in effect
					 during that time:
(2) The nursing
					 home must:
(a) Keep the records of tuberculin
					 test results, reports of X-ray findings, and any physician or public health
					 provider orders in the nursing home;
(b) Keep the records of the tuberculosis
					 symptom assessment and the documented rationale for deferring the tuberculosis
					 testing in the nursing home, if tuberculosis testing is deferred in accordance
					 with WAC 388-97-1380(2);
(c) Make the records readily available to the
					 appropriate health authority and licensing agency;
(d) Retain the records for 18 months beyond
					 the date of employment termination; and
(e) Provide the person a copy of their test
					 results.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Infection Control › Section 388-97-1600 - Care of residents with active tuberculosis

Current through Register Vol. 24-14, July 15, 2024
(1) When the nursing home accepts the care of
					 a resident with suspected or confirmed tuberculosis, the nursing home must:
(a) Coordinate the resident's admission,
					 nursing home care, discharge planning, and discharge with the health care
					 provider;
(b) Provide necessary
					 education about tuberculosis for staff, visitors, and residents; and
(c) Ensure that personnel caring for a
					 resident with active tuberculosis comply with the WISHA standards for
					 respiratory protection, chapter 296-842 WAC.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter I - RESIDENT RIGHTS, CARE AND RELATED SERVICES › Administration › Section 388-97-1620 - General administration

Current through Register Vol. 24-14, July 15, 2024
(1) The
					 nursing home must be administered in a manner that enables it to use its
					 resources effectively and efficiently to attain or maintain the highest
					 practicable physical, mental, and psychosocial well-being of each
					 resident.
(2) The nursing home
					 must:
(a) Be licensed under
					 chapter
					 18.51 RCW;
(b) Operate and provide services in
					 compliance with:
(i) All applicable federal,
					 state and local laws, regulations, and codes;
(ii) Accepted professional standards and
					 principles that apply to professionals providing services in nursing homes;
					 and
(c) Have a governing
					 body or designated individuals functioning as a governing body, that is legally
					 responsible for establishing and implementing policies regarding the management
					 and operation of the nursing home.