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 › Administration › Section 388-97-1640 - Required notification and reporting

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing home must immediately notify
					 the department's aging and disability services administration of:
(a) Any allegations of resident abandonment,
					 abuse, or neglect, including substantial injuries of an unknown source,
					 financial exploitation and misappropriation of a resident's property;
(b) Any unusual event, having an actual or
					 potential negative impact on residents, requiring the actual or potential
					 implementation of the nursing home's disaster plan. These unusual events
					 include but are not limited to those listed under WAC
					 388-97-1740(1)(a) through
					 (k), and could include the evacuation of all
					 or part of the residents to another area of the nursing home or to another
					 address; and
(c) Circumstances
					 which threaten the nursing home's ability to ensure continuation of services to
					 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 › Administration › Section 388-97-1660 - Staff and equipment

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must ensure that:
(a) Sufficient numbers
					 of appropriately qualified and trained staff are available to provide necessary
					 care and services safely under routine conditions, as well as fire, emergency,
					 and disaster situations;
(b)
					 Adequate equipment, supplies and space are available to carry out all functions
					 and responsibilities of the nursing home;
(c) All staff, including management, provide
					 care and services consistent with:
(i)
					 Empowering each resident to attain or maintain the highest practicable
					 physical, mental, and psychosocial well-being, self-care and
					 independence;
(ii) Respecting
					 resident rights; and
(iii)
					 Enhancing each resident's quality of life.
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 388-97-1680 - Staff development

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must have a staff development program that is under the direction of a
					 designated registered nurse or licensed practical nurse.
(2) The nursing home must:
(a) Ensure each employee receives initial
					 orientation to the facility and its policies and is initially assigned only to
					 duties for which the employee has demonstrated competence;
(b) Ensure all employees receive appropriate
					 inservice education to maintain a level of knowledge appropriate to, and
					 demonstrated competence in, the performance of ongoing job duties consistent
					 with the principle of assisting the resident to attain or maintain the highest
					 practicable physical, mental, and psychosocial well-being. To this end, the
					 nursing home must:
(i) Assess the specific
					 training needs of each employee and address those needs; and
(ii) Determine the special needs of the
					 nursing home's resident population which may require training
					 emphasis.
(c) Comply
					 with other applicable training requirements, such as, but not limited to, the
					 bloodborne pathogen standard.
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 388-97-1700 - Medical director

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must designate a physician to serve as medical director.
(2) The medical director is responsible for:
(a) Implementation of resident care policies;
					 and
(b) The coordination of medical
					 care in the facility.
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 388-97-1720 - Clinical records

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must:
(a) Maintain clinical records on
					 each resident in accordance with accepted professional standards and practices
					 that are:
(i) Complete;
(ii) Accurately documented;
(iii) Readily accessible; and
(iv) Systematically organized.
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 388-97-1740 - Disaster and emergency preparedness

Current through Register Vol. 24-14, July 15, 2024
The department amended or suspended portions of this
						section from June 23, 2020, through June 7, 2022, in response to the state of
						emergency related to the COVID-19 pandemic. For requirements in place during
						that time, see WAC 388-97-17401.
(1)
					 The nursing home must develop and implement detailed written plans and
					 procedures to meet potential emergencies and disasters. At a minimum the
					 nursing home must ensure these plans provide for:
(a) Fire or smoke;
(b) Severe weather;
(c) Loss of power;
(d) Earthquake;
(e) Explosion;
(f) Missing resident, elopement;
(g) Loss of normal water supply;
(h) Bomb threats;
(i) Armed individuals;
(j) Gas leak, or loss of service;
					 and
(k) Loss of heat
					 supply.
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 388-97-17401 - Disaster and emergency preparedness-Requirements in effect June 23, 2020, through June 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 June 23, 2020, to amend and
						suspend portions of WAC
						388-97-1740. The emergency rules
						remained in effect until June 7, 2022. The following rule was in effect during
						that time:
(1) The nursing home must
					 develop and implement detailed written plans and procedures to meet potential
					 emergencies and disasters. At a minimum the nursing home must ensure these
					 plans provide for:
(a) Fire or
					 smoke;
(b) Severe
					 weather;
(c) Loss of
					 power;
(d) Earthquake;
(e) Explosion;
(f) Missing resident, elopement;
(g) Loss of normal water supply;
(h) Bomb threats;
(i) Armed individuals;
(j) Gas leak, or loss of service;
					 and
(k) Loss of heat
					 supply.
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 388-97-1760 - Quality assessment and assurance

Current through Register Vol. 24-14, July 15, 2024
The department amended or suspended portions of this
						section from June 23, 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 388-97-17601.
(1)
					 The nursing home must maintain a process for quality assessment and assurance.
					 The department may not require disclosure of the records of the quality
					 assessment and assurance committee except in so far as such disclosure is
					 related to ensuring compliance with the requirements of this section.
(2) The nursing home must ensure the quality
					 assessment and assurance process:
(a) Seeks
					 out and incorporates input from the resident and family councils, if any, or
					 individual residents and support groups; and
(b) Reviews expressed concerns and
					 grievances.
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 388-97-17601 - Quality assessment and assurance-Requirements in effect June 23, 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 June 23, 2020, to amend and
						suspend portions of WAC
						388-97-1760. The emergency rules
						remained in effect until May 7, 2022. The following rule was in effect during
						that time:
(1) The nursing home must
					 maintain a process for quality assessment and assurance. The department may not
					 require disclosure of the records of the quality assessment and assurance
					 committee except in so far as such disclosure is related to ensuring compliance
					 with the requirements of this section.
(2) The nursing home must ensure the quality
					 assessment and assurance process:
(a) Seeks
					 out and incorporates input from the residents and resident representatives;
					 and
(b) At a minimum, reviews
					 adverse events and infection control.
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 388-97-1780 - Policies and procedures

Current through Register Vol. 24-14, July 15, 2024
(1) The
					 nursing home must develop and implement written policies and procedures,
					 including those specified in
					 RCW
					 74.42.430, for all services provided in the
					 facility.
(2) The nursing home must
					 ensure the written policies and procedures:
(a) Promote and protect each resident's:
(i) Rights, including health care decision
					 making;
(ii) Personal interests;
					 and
(iii) Financial and property
					 interests.
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 388-97-1790 - Background checks-General

Current through Register Vol. 24-14, July 15, 2024
(1) If any
					 background check results show that an employee or prospective employee has a
					 conviction or pending charge for a crime that is not automatically
					 disqualifying under chapter 388-113 WAC, then the nursing home must:
(a) Determine whether the person has the
					 character, competence and suitability to work with vulnerable adults in
					 long-term care; and
(b) Document in
					 writing the basis for making the decision, and make it available to the
					 department upon request.
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 388-97-1800 - Criminal history disclosure and background inquiries

Current through Register Vol. 24-14, July 15, 2024
(1) As used in this section, the term
					 "nursing home" includes a nursing facility and a skilled nursing
					 facility.
(2) The nursing home
					 must:
(a) Have a valid criminal history
					 background check for any individual employed, directly or by contract, or any
					 individual accepted as a volunteer or student who may have unsupervised access
					 to any resident; and
(b) Repeat the
					 check every two years.
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 388-97-1820 - Disqualification from nursing home employment

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing home must not employ directly
					 or by contract, or accept as a volunteer or student, any individual:
(a) Who has a criminal conviction or pending
					 charge for a crime, which is automatically disqualifying under chapter 388-113
					 WAC;
(b) Who has one or more of the
					 following disqualifying negative actions:
(i)
					 Is on a registry based upon a final finding of abuse, neglect, or financial
					 exploitation of a vulnerable adult, unless the finding was made by adult
					 protective services prior to October 2003;
(ii) Has a founded finding of abuse or
					 neglect of a child that was made against the person, unless the finding was
					 made by child protective services prior to October 1, 1998;
(iii) Had a contract or license denied,
					 terminated, revoked, or suspended due to abuse, neglect, financial
					 exploitation, or mistreatment of a child or vulnerable adult;
(iv) Has relinquished a license or terminated
					 a contract because an agency was taking an action against the individual
					 related to alleged abuse, neglect, financial exploitation or mistreatment of a
					 child or vulnerable adult;
(v) Was
					 found in any dependency action to have sexually assaulted or exploited any
					 child or to have physically abused any child;
(vi) Was found by a court in a domestic
					 relations proceeding under
					 Title
					 26 RCW, or under any comparable
					 state or federal law, to have sexually abused or exploited any child or to have
					 physically abused any child;
(vii)
					 A court has issued a permanent restraining order or order of protection, either
					 active or expired, against the individual that was based upon abuse, neglect,
					 financial exploitation, or mistreatment of a child or vulnerable adult;
					 or
(viii) Is a registered sex
					 offender.
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 388-97-1840 - Retaliation or discrimination prohibited

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee or the nursing home must not
					 discriminate or retaliate in any manner against a resident or employee in its
					 nursing home who has initiated or participated in any action or proceeding
					 authorized under nursing home licensing law. Examples of such participation
					 include, but are not limited to the following:
(a) The resident, or someone acting on behalf
					 of the resident, or the employee:
(i) Made a
					 complaint, including a whistle blower complaint, to the department, the
					 department of health, the long-term care ombuds, attorney general's office, the
					 courts or law enforcement;
(ii)
					 Provided information to the department, the department of health, the long-term
					 care ombuds, attorney general's office, the courts or law enforcement;
					 or
(iii) Testified in a proceeding
					 related to the nursing home or its 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 › Miscellaneous Services › Section 388-97-1860 - Laundry services

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must meet the requirements of WAC
					 388-97-2780, and:
(a) Launder nursing home linens on the
					 premises; or
(b) Contract with a
					 laundry service capable of meeting quality standards, infection control, and
					 turn-around time requirements; and
(c) Make provision for laundering of
					 residents' personal clothing.
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 › Miscellaneous Services › Section 388-97-1880 - Short-term care, including respite services and adult day or night care

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home may provide short-term care to individuals which include:
(a) Respite services to provide relief care
					 for families or other caregivers of individuals with disabilities which must:
(i) Provide short-term care and supervision
					 in substitution for the caregiver;
(ii) Be for short-term stays up to a maximum
					 of thirty-one days; and
(iii) Not
					 be used as a short-term placement pending the individual's admission to the
					 nursing home.
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 › Miscellaneous Services › Section 388-97-1900 - Dialysis services

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must ensure that appropriate care, treatment, and services are provided to
					 each nursing home resident who receives dialysis in the nursing home.
(2) For the purposes of this section the
					 following definitions apply:
(a) "Dialysis"
					 means the process of separating crystalloids and colloids in solution by means
					 of the crystalloids and colloids unequal diffusion through a natural or
					 artificial semipermeable membrane. This includes both peritoneal and
					 hemodialysis.
(b) A "kidney center"
					 means a facility as defined and certified by the federal government to provide
					 end stage renal (ESRD) 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 › Preadmission Screening and Resident Review (PASRR) in Medicaid Certified Facilities › Section 388-97-1915 - PASRR requirements prior to admission of new residents

Current through Register Vol. 24-14, July 15, 2024
Prior to every admission of a new resident, the nursing
						facility must:
(1) Verify that a PASRR
					 level I screening has been completed, and deny admission until that screening
					 has been completed.
(2) Verify that
					 a PASRR level II evaluation has been completed when the individual's PASRR
					 level I screening indicates that the individual may have serious mental illness
					 and/or intellectual disability or related condition, and deny admission until
					 that evaluation has been completed, unless all three of the following criteria
					 apply and are documented in the PASRR level I screening:
(a) The individual is admitted directly from
					 a hospital after receiving acute inpatient care;
(b) The individual requires nursing facility
					 services for the condition for which he or she received care in the hospital;
					 and
(c) The individual's attending
					 physician has certified that the individual is likely to require fewer than
					 thirty days of nursing facility 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 › Preadmission Screening and Resident Review (PASRR) in Medicaid Certified Facilities › Section 388-97-1920

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1920, 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 › Preadmission Screening and Resident Review (PASRR) in Medicaid Certified Facilities › Section 388-97-1940

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1940, 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 › Preadmission Screening and Resident Review (PASRR) in Medicaid Certified Facilities › Section 388-97-1960

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1960, 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 › Preadmission Screening and Resident Review (PASRR) in Medicaid Certified Facilities › Section 388-97-1980

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-1980, 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 › Preadmission Screening and Resident Review (PASRR) in Medicaid Certified Facilities › Section 388-97-2000 - Preadmission screening and resident review (PASRR) determination and appeal rights

Current through Register Vol. 24-14, July 15, 2024
(1) The resident
					 has the right to choose to remain in the nursing facility and receive
					 specialized services if:
(a) He or she has
					 continuously resided in a nursing facility since October 1, 1987; and
(b) The department determined, in 1990, that
					 the resident required specialized services for a serious mental illness or
					 developmental disability but did not require nursing facility
					 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 › Intermediate Care Facilities for the Mentally Retarded › Section 388-97-2020 - Intermediate care facilities for individuals with intellectual disabilities

Current through Register Vol. 24-14, July 15, 2024
(1) ICF/IID nursing
					 facilities must meet the requirements of 42 C.F.R. § 483 Subpart I and the
					 requirements of this subchapter except that in an ICF/IID nursing facility:
(a) There must be at least one registered
					 nurse or licensed practical nurse on duty eight hours per day, and additional
					 licensed staff on any shift if indicated. WAC
					 388-97-1080(2)(a) and (3)(a) and
					 (b) do not apply to ICF/MR nursing
					 facilities; and
(b) A medical
					 director is not required.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › General › Section 388-97-2040 - Design

Current through Register Vol. 24-14, July 15, 2024
The design of a nursing home must facilitate
						resident-centered care and services in a safe, clean, comfortable and homelike
						environment that allows the resident to use his or her personal belongings to
						the greatest extent possible.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2040, 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 II - PHYSICAL ENVIRONMENT › General › Section 388-97-2060 - New construction compliance

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that:
(1) New construction, as defined in WAC
					 388-97-2160, complies with all
					 the requirements of subchapter II of this chapter;
(2) New construction must maintain compliance
					 with the regulations in effect at the time of initial submission to the
					 department of health, certificate of need and construction review services;
					 except if the previous construction jeopardizes resident health and safety, the
					 department may require compliance with current construction rules;
(3) The department of health, certificate of
					 need and construction review programs, are contacted for review and that the
					 programs issue applicable determinations and approvals for all new
					 construction; and
(4) Construction
					 is completed in compliance with the final construction review services approved
					 documents. Compliance with these standards and regulations does not relieve the
					 nursing home of the need to comply with applicable state and local building and
					 zoning codes.
(5) The department
					 has done a pre-occupancy survey and has notified the nursing home that it may
					 begin admitting residents.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW. 10-02-021, §
						  388-97-2060, 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, § 388-97-2060, 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 II - PHYSICAL ENVIRONMENT › General › Section 388-97-2080 - Fire standards and approval, and other standards

Current through Register Vol. 24-14, July 15, 2024
The nursing home must:
(1) Conform to at least the minimum standards
					 for the prevention of fire, and for the protection of life and property against
					 fire, according to the International Fire Code,
					 RCW
					 19.27.031, the federal Life Safety Code, 42
					 C.F.R. 483.70(a), and additional state requirements in chapter 212-12 WAC;
					 and
(2) Comply with all other
					 applicable requirements of state and federal law.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2080, 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 II - PHYSICAL ENVIRONMENT › General › Section 388-97-2100 - Maintenance and repair

Current through Register Vol. 24-14, July 15, 2024
All nursing homes must:
(1) Maintain electrical, mechanical, and
					 patient care equipment in safe and operating condition; and
(2) Ensure floors, walls, ceilings, and
					 equipment surfaces are maintained in clean condition and in good
					 repair.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2100, 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 II - PHYSICAL ENVIRONMENT › General › Section 388-97-2120 - Noise

Current through Register Vol. 24-14, July 15, 2024
(1) All nursing
					 homes must maintain comfortable sound levels, to include minimizing the use of
					 the public address system and taking reasonable precautions with noisy services
					 so residents are not disturbed, particularly during their sleeping time;
					 and
(2) In new construction, the
					 nursing home must:
(a) Have walls,
					 floor/ceiling and roof/ceiling assemblies constructed with materials that
					 provide comfortable sound levels in all resident areas, rated at an STC 50 or
					 greater; and
(b) Utilize an
					 alternative to the public address system for nonemergency communication that
					 best serves the residents' needs.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › General › Section 388-97-2140 - Accessibility in new construction

Current through Register Vol. 24-14, July 15, 2024
The nursing home must be readily accessible to a person
						with disability and comply with WAC
						388-97-3520.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2140, 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 II - PHYSICAL ENVIRONMENT › General › Section 388-97-2160 - Types of new construction

Current through Register Vol. 24-14, July 15, 2024
New construction includes, but is not limited to:
(1) New structures.
(a) A new building to be licensed as a
					 nursing home; or
(b) An addition to
					 a building currently licensed as a nursing home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › General › Section 388-97-2180 - ICF/IID exceptions to physical plan requirements

Current through Register Vol. 24-14, July 15, 2024
The following regulations do not apply to nursing homes
						certified exclusively under 42 C.F.R. § 483, Subpart I, or successor
						laws:
(1) WAC
					 388-97-2440, regarding the
					 required number of square feet per bed; and
(2) WAC
					 388-97-2660, regarding cubicle
					 curtains.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW. 13-04-093, §
						  388-97-2180, filed 2/6/13, effective 3/9/13. Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2180, 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 II - PHYSICAL ENVIRONMENT › General › Section 388-97-2200 - Emergency power

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing
					 home must have an alternate source of power and automatic transfer equipment to
					 connect the alternate source within ten seconds of the failure of the normal
					 source.
(2) The nursing home must
					 ensure the alternate source is a generator:
(a) With on-site fuel supply;
(b) Permanently fixed in place;
(c) Approved for emergency service;
					 and
(d) An on premises emergency
					 generator, as defined in NFPA 99, Health care facilities, when life support
					 systems are used.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Care Unit › Section 388-97-2220 - Location of the resident care unit

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that:
(1) Each resident care unit is located to
					 minimize through traffic to any general service, diagnostic, treatment, or
					 administrative area; and
(2)
In new construction,
the resident care unit, and the services to
					 support resident care and nursing needs, are designed to serve a maximum of
					 sixty beds on the same floor.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2220, 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 II - PHYSICAL ENVIRONMENT › Resident Care Unit › Section 388-97-2240 - Required service areas on resident care units

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing home must ensure each
					 resident care unit has at least the following required service areas:
(a) A staff work station;
(b) A medicine storage and preparation
					 area;
(c) A utility room that
					 maintains separated clean and soiled functions;
(d) Storage space for linen, other supplies,
					 and equipment; and
(e) Housekeeping
					 services and janitor's closet.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Care Unit › Section 388-97-2260 - Staff work stations on resident care units

Current through Register Vol. 24-14, July 15, 2024
(1) On each unit, the nursing home must have
					 a staff work station appropriate to the needs of staff using the space. At a
					 minimum, the nursing home must equip the area with:
(a) A charting surface;
(b) A rack or other storage for current
					 health records;
(c) Storage for
					 record and clerical supplies;
(d) A
					 telephone;
(e) A resident call
					 system; and
(f) A clock.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Care Unit › Section 388-97-2280 - Call systems on resident care units

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide a system that meets the
						following standards:
(1) A wired or
					 wireless communication system which registers a call by distinctive light at
					 the room door and by distinctive light and audible tone at the staff work
					 station. The system must be equipped to receive resident calls from:
(a) The bedside of each resident;
(b) Every common area, dining and activity
					 areas, common use toilet rooms, and other areas used by residents;
					 and
(c) Resident toilet, bath and
					 shower rooms.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Care Unit › Section 388-97-2300 - Telephones on resident care units

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide twenty-four hour access to
						a telephone for resident use which:
(1) Provides auditory privacy;
(2) Is accessible to a person with a
					 disability and accommodates a person with sensory impairment;
(3) Is not located in a staff office or at a
					 nurse's station; and
(4) Does not
					 require payment for local calls.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2300, 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 II - PHYSICAL ENVIRONMENT › Resident Care Unit › Section 388-97-2320 - Utility service rooms on resident care units

Current through Register Vol. 24-14, July 15, 2024
(1) All nursing homes must:
(a) Provide utility rooms designed, equipped,
					 and maintained to ensure separation of clean and sterile supplies and equipment
					 from those that are contaminated;
(b) Ensure that each clean utility room has:
(i) A work counter;
(ii) A sink equipped with single use hand
					 drying towels and soap for handwashing; and
(iii) Closed storage units for supplies and
					 small equipment; and
(c)
					 Ensure that each soiled utility room has:
(i)
					 A work counter and a sink large enough to totally submerge the items being
					 cleaned and disinfected;
(ii)
					 Storage for cleaning supplies and other items, including equipment, to meet
					 nursing home needs;
(iii) Locked
					 storage for cleaning agents, disinfectants and other caustic or toxic
					 agents;
(iv) Adequate space for
					 waste containers, linen hampers, and other large equipment; and
(v) Adequate ventilation to remove odors and
					 moisture.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Care Unit › Section 388-97-2340 - Drug facilities on resident care units

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide an area designed and
						equipped for drug preparation and locked storage convenient to each work
						station. The nursing home must ensure:
(1) The drug facilities are well illuminated,
					 ventilated, and equipped with a work counter, sink with hot and cold running
					 water, and drug storage units;
(2)
					 The drug storage units are one or more of the following:
(a) Locked cabinetry constructed in
					 accordance with board of pharmacy regulations for drug storage which has:
(i) Separately keyed storage for Schedule II
					 and III controlled substances; and
(ii) Segregated storage of different
					 residents' drugs; or
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Care Unit › Section 388-97-2360 - Linen storage on resident care units

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide:
(1) A clean area for storage of clean linen
					 and other bedding. This may be an area within the clean utility room;
(2) A soiled linen area for the collection
					 and temporary storage of soiled linen. This may be within the soiled utility
					 room; and
(3)
In new
					 construction,
storage for linen barrels and clean linen carts.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2360, 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 II - PHYSICAL ENVIRONMENT › Resident Care Unit › Section 388-97-2380 - Janitors closets on resident care units

Current through Register Vol. 24-14, July 15, 2024
(1) The nursing home must have a janitor's
					 closet with a service sink and adequate storage space for housekeeping
					 equipment and supplies convenient to each resident unit.
(2)
In new construction
a
					 janitor's closet must meet the ventilation requirements of Table 6, in WAC
					 388-97-4040.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2380, 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 II - PHYSICAL ENVIRONMENT › Resident Rooms › Section 388-97-2400 - Resident rooms

Current through Register Vol. 24-14, July 15, 2024
The department amended or suspended portions of this
						section from June 23, 2020, through June 7, 2022, in response to the state of
						emergency related to the COVID-19 pandemic. For requirements in place during
						that time, see WAC 388-97-24001.
(1)
					 The nursing home must ensure that each resident bedroom:
(a) Has direct access to a hall or
					 corridor;
(b) Is located on an
					 exterior wall with a transparent glass window; and
(c) Is located to prevent through
					 traffic.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Rooms › Section 388-97-24001 - Resident rooms-Requirements in effect June 23, 2020, through June 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 June 23, 2020, to amend and
						suspend portions of WAC
						388-97-2400. The emergency rules
						remained in effect until June 7, 2022. The following rule was in effect during
						that time:
(1) The nursing home must
					 ensure that each resident bedroom:
(a) Has
					 direct access to a hall or corridor; and
(b) Is located to prevent through
					 traffic.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Rooms › Section 388-97-2420 - Capacity of resident rooms

Current through Register Vol. 24-14, July 15, 2024
(1) The
					 nursing home must ensure that any resident bedroom has:
(a) No more than two beds between any
					 resident bed and exterior window wall; and
(b) A maximum capacity of four
					 beds.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-97 - Nursing homes › Subchapter II - PHYSICAL ENVIRONMENT › Resident Rooms › Section 388-97-2440 - Size of resident rooms

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that minimum usable room
						space exclusive of toilet rooms, closets, lockers, wardrobes, must:
(1) In existing facilities, be at least
					 eighty square feet per bed in each multibed room and at least one hundred
					 square feet for each single bed room;
(2)
In a new building or
					 addition,
be one-hundred and ten square feet per bed in multibed rooms,
					 and one-hundred square feet in single bed rooms;
(3)
In new construction,
ensure
					 that the minimum usable room space is also exclusive of vestibules;
					 and
(4) For exceptions to room size
					 requirements refer to WAC
					 388-97-2180.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2440, 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 II - PHYSICAL ENVIRONMENT › Resident Rooms › Section 388-97-2460 - Privacy in resident rooms

Current through Register Vol. 24-14, July 15, 2024
The nursing home must ensure that each resident bedroom
						is designed or equipped to ensure full visual privacy for each
						resident.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2460, 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 II - PHYSICAL ENVIRONMENT › Resident Rooms › Section 388-97-2480 - Resident isolation rooms

Current through Register Vol. 24-14, July 15, 2024
If a nursing home provides an isolation room, the nursing
						home must ensure the room is uncarpeted and contains:
(1) A handwashing sink with water supplied
					 through a mixing valve;
(2) Its own
					 adjoining toilet room containing a bathing facility; and
(3)
In new construction,
the
					 handwashing sink must be located between the entry door and the nearest
					 bed.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2480, 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 II - PHYSICAL ENVIRONMENT › Resident Rooms › Section 388-97-2500 - Resident room size variance

Current through Register Vol. 24-14, July 15, 2024
The director of residential care services, aging and
						disability services administration, or their designee, may permit exceptions to
						WAC 388-97-2420(1)(a)
						 and
						388-97-2440(1) 
						when the nursing home demonstrates in writing that the exception:
(1) Is in accordance with the special needs
					 of the resident; and
(2) Will not
					 adversely affect any resident's health or safety.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2500, 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 II - PHYSICAL ENVIRONMENT › Resident Room Equipment › Section 388-97-2520 - Resident room equipment

Current through Register Vol. 24-14, July 15, 2024
The nursing home must determine a resident's furniture
						and equipment needs at the time of admission and routinely thereafter to ensure
						resident comfort. Except as specified in WAC
						388-97-0560, the nursing home
						must provide each resident with the following items required in WAC
						388-97-2540 through
						388-97-2680.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2520, 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 II - PHYSICAL ENVIRONMENT › Resident Room Equipment › Section 388-97-2540 - Resident bed and bedside equipment

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide:
(1) A comfortable bed of size and height to
					 maximize a resident's independent functioning. Beds may be arranged to satisfy
					 the needs and desires of the individual resident provided the arrangement does
					 not negatively impact the health or safety of other residents;
(2) Appropriate bedding; and
(3) A bedside cabinet that allows for storage
					 of small personal articles and a separate drawer or enclosed compartment for
					 storage of resident care utensils/equipment.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2540, 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 II - PHYSICAL ENVIRONMENT › Resident Room Equipment › Section 388-97-2560 - Lockable storage space in a resident room

Current through Register Vol. 24-14, July 15, 2024
The nursing home must provide:
(1) A lockable storage space accessible to
					 each resident for storage of small personal items, upon request; and
(2)
In a new building or
					 addition,
a lockable cabinet space or drawer for storage of personal
					 belongings for each resident bed, in addition to the bedside cabinet.
Statutory Authority:
						  Chapters
						  18.51 and
						  74.42 RCW and
						  42 C.F.R.
						  489.52. 08-20-062, § 388-97-2560, filed
						  9/24/08, effective 11/1/08.