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Chapter 388-97 WAC

Last Update: 2/6/13

NURSING HOMES

WAC Sections

SUBCHAPTER I
RESIDENT RIGHTS, CARE AND RELATED SERVICES
Definitions
388-97-0001 Definitions.
Admission, Transfer and Discharge
388-97-0020 Nursing facility care.
388-97-0040 Discrimination prohibited.
388-97-0060 Nursing facility admission and payment requirements.
388-97-0080 Discharge planning.
388-97-0100 Utilization review.
388-97-0120 Individual transfer and discharge rights and procedures.
388-97-0140 Transfer and discharge appeals for resident in medicare or medicaid certified facilities.
388-97-0160 Discharge or leave of a nursing facility resident.
Resident Rights
388-97-0180 Resident rights.
388-97-0200 Free choice.
388-97-0220 Statute implemented in resident decision making, informed consent, and advance directives.
388-97-0240 Resident decision making.
388-97-0260 Informed consent.
388-97-0280 Advance directives.
388-97-0300 Notice of rights and services.
388-97-0320 Notification of changes.
388-97-0340 Protection of resident funds.
388-97-0360 Privacy and confidentiality.
388-97-0380 Electronic monitoring equipment -- Audio monitoring and video monitoring.
388-97-0400 Electronic monitoring equipment -- Resident requested use.
388-97-0420 Work.
388-97-0440 Self-administration of drugs.
388-97-0460 Grievance rights.
388-97-0480 Examination of survey results.
388-97-0500 Resident mail.
388-97-0520 Access and visitation rights.
388-97-0540 Telephone.
388-97-0560 Personal property.
388-97-0580 Roommates/rooms.
388-97-0600 Refusal of certain transfers.
388-97-0620 Chemical and physical restraints.
388-97-0640 Prevention of abuse.
388-97-0660 Resident protection program definition.
388-97-0680 Investigation of mandated reports.
388-97-0700 Preliminary finding.
388-97-0720 Notice to individual of preliminary findings.
388-97-0725 Notice to others of preliminary findings.
388-97-0740 Disputing a preliminary finding.
388-97-0760 Hearing procedures to dispute preliminary finding.
388-97-0780 Finalizing the preliminary finding.
388-97-0800 Reporting final findings.
388-97-0820 Appeal of administrative law judge's initial order or finding.
388-97-0840 Disclosure of investigative and finding information.
Quality of Life
388-97-0860 Resident dignity and accommodation of needs.
388-97-0880 Environment.
388-97-0900 Self determination and participation.
388-97-0920 Participation in resident and family groups.
388-97-0940 Activities.
388-97-0960 Social services.
388-97-0980 Pets.
Resident Assessment and Plan of Care
388-97-1000 Resident assessment.
388-97-1020 Comprehensive plan of care.
388-97-1040 Dementia care.
Quality of Care
388-97-1060 Quality of care.
Nursing Services
388-97-1080 Nursing services.
388-97-1100 Dietary services.
388-97-1120 Meal provision.
388-97-1140 Individual dietary needs.
388-97-1160 Dietary personnel.
388-97-1180 Dietary menus.
388-97-1200 Dietary orders.
388-97-1220 Modified diets.
388-97-1240 Tube feedings.
Physician Services
388-97-1260 Physician services.
Specialized Habilitative and Rehabilitative Services
388-97-1280 Specialized habilitative and rehabilitative services.
388-97-1300 Pharmacy services.
Infection Control
388-97-1320 Infection control.
388-97-1340 Influenza and pneumococcal immunizations.
388-97-1360 Surveillance, management and early identification of individuals with active tuberculosis.
388-97-1380 Tuberculosis -- Testing required.
388-97-1400 Tuberculosis -- Testing method -- Required.
388-97-1440 Tuberculosis -- No testing.
388-97-1460 Tuberculosis -- One test.
388-97-1480 Tuberculosis -- Two-step skin testing.
388-97-1500 Tuberculosis -- Positive test result.
388-97-1520 Tuberculosis -- Negative test result.
388-97-1540 Tuberculosis -- Declining a skin test.
388-97-1560 Tuberculosis -- Reporting -- Required.
388-97-1580 Tuberculosis -- Test records.
388-97-1600 Care of residents with active tuberculosis.
Administration
388-97-1620 General administration.
388-97-1640 Required notification and reporting.
388-97-1660 Staff and equipment.
388-97-1680 Staff development.
388-97-1700 Medical director.
388-97-1720 Clinical records.
388-97-1740 Disaster and emergency preparedness.
388-97-1760 Quality assessment and assurance.
388-97-1780 Policies and procedures.
388-97-1800 Criminal history disclosure and background inquiries.
388-97-1820 Disqualification from nursing home employment.
388-97-1840 Retaliation or discrimination prohibited.
Miscellaneous Services
388-97-1860 Laundry services.
388-97-1880 Short-term care, including respite services and adult day or night care.
388-97-1900 Dialysis services.
Preadmission Screening and Resident Review (PASRR) in Medicaid Certified Facilities.
388-97-1920 Preadmission screening -- Level I.
388-97-1940 Advanced categorical determinations, not subject to preadmission screening -- Level II.
388-97-1960 Preadmission screening -- Level II.
388-97-1980 Resident review.
388-97-2000 Preadmission screening and resident review (PASRR) determination and appeal rights.
Intermediate Care Facilities for the Mentally Retarded
388-97-2020 Intermediate care facilities for individuals with intellectual disabilities.
SUBCHAPTER II
PHYSICAL ENVIRONMENT
General
388-97-2040 Design.
388-97-2060 New construction compliance.
388-97-2080 Fire standards and approval, and other standards.
388-97-2100 Maintenance and repair.
388-97-2120 Noise.
388-97-2140 Accessibility in new construction.
388-97-2160 Types of new construction.
388-97-2180 ICF/IID exceptions to physical plan requirements.
388-97-2200 Emergency power.
Resident Care Unit
388-97-2220 Location of the resident care unit.
388-97-2240 Required service areas on resident care units.
388-97-2260 Staff work stations on resident care units.
388-97-2280 Call systems on resident care units.
388-97-2300 Telephones on resident care units.
388-97-2320 Utility service rooms on resident care units.
388-97-2340 Drug facilities on resident care units.
388-97-2360 Linen storage on resident care units.
388-97-2380 Janitors closets on resident care units.
Resident Rooms
388-97-2400 Resident rooms.
388-97-2420 Capacity of resident rooms.
388-97-2440 Size of resident rooms.
388-97-2460 Privacy in resident rooms.
388-97-2480 Resident isolation rooms.
388-97-2500 Resident room size variance.
Resident Room Equipment
388-97-2520 Resident room equipment.
388-97-2540 Resident bed and bedside equipment.
388-97-2560 Lockable storage space in a resident room.
388-97-2580 Wardrobes in a resident room.
388-97-2600 Seating in a resident room.
388-97-2620 Lighting in resident rooms.
388-97-2640 Call signal device in resident rooms.
388-97-2660 Cubicle curtains in resident rooms.
388-97-2680 Miscellaneous equipment in resident rooms in a new building or addition.
Resident Toilet and Bathing Facilities
388-97-2700 Resident toilet facilities or rooms.
388-97-2720 Resident bathing facilities or rooms.
388-97-2740 Locks in toilet and bathing facilities.
Dining, Dayrooms, and Resident Activity Areas
388-97-2760 Dining, dayrooms, and resident activity areas.
Laundry Services
388-97-2780 Laundry services and storage.
Dementia Care Unit
388-97-2800 Dementia care unit.
388-97-2820 Dining areas on a dementia care unit.
388-97-2840 Outdoor areas on a dementia care unit.
388-97-2860 Indoor areas on a dementia care unit.
388-97-2880 Ambulation route on a dementia care unit in a new building or addition.
388-97-2900 Physical plant on a dementia care unit.
388-97-2920 Special egress control devices on a dementia care unit.
Specialized and Outpatient Rehabilitation
388-97-2940 Specialized rehabilitation.
388-97-2960 Outpatient rehabilitation.
Food Services Areas
388-97-2980 Food service areas.
Storage
388-97-3000 Storage of equipment.
388-97-3020 Storage of resident room equipment in a new building or addition.
388-97-3040 General storage in new construction.
Lighting and Electrical
388-97-3060 Lighting.
388-97-3080 Natural or artificial light.
388-97-3100 Outside lighting.
388-97-3120 Light shields.
388-97-3140 Illumination levels in new buildings and additions.
388-97-3160 Night lights in new construction.
388-97-3180 Switches in new construction.
388-97-3200 Electrical outlets.
Safety
388-97-3220 Safety.
388-97-3240 Safety -- Poisons and nonmedical chemicals.
388-97-3260 Safety -- Storage of equipment and supplies.
388-97-3280 Safety -- Handrails.
Water Supply
388-97-3300 Water supply.
388-97-3320 Hot water.
388-97-3340 Cross connections.
Pest Control and Sewage and Waste Disposal
388-97-3360 Pest control.
388-97-3380 Sewage and liquid waste disposal.
New Construction Documents
388-97-3400 General new construction documents.
388-97-3420 Preliminary new construction documents.
388-97-3440 Final new construction documents.
388-97-3460 Preinstallation submissions for new construction.
388-97-3480 New construction timelines.
388-97-3500 Exemptions to new construction requirements.
Codes and Standards in New Construction
388-97-3520 State building code in new construction.
388-97-3540 Electrical codes and standards in new construction.
388-97-3560 Elevator codes in new construction.
388-97-3580 Local codes and ordinances in new construction.
Administration and Public Areas in New Construction
388-97-3600 Entrances and exits in new construction.
388-97-3620 Lobbies in new construction.
388-97-3640 Interview space in new construction.
388-97-3660 Offices in new construction.
388-97-3680 Inservice education space in new construction.
388-97-3700 Staff areas in new construction.
Visiting, Private, and Outdoor Recreation Space and Walkways in New Construction
388-97-3720 Visiting and private space in new construction.
388-97-3740 Outdoor recreation space and walkways in new construction.
Pools and Pharmacies in New Construction
388-97-3760 Pools in new construction.
388-97-3780 Pharmacies in new construction.
General Design Requirements in New Construction
388-97-3800 Elevators in new construction.
388-97-3840 Walking surfaces in a new building or addition.
388-97-3860 Doors in new construction.
388-97-3880 Floor finishes in new construction.
388-97-3900 Carpets in new construction.
388-97-3920 Coving in new construction.
388-97-3940 Walls in new construction.
388-97-3960 Accessories in new construction.
388-97-3980 Miscellaneous in new construction.
Heating, Ventilation, and Air Conditioning Systems in New Construction
388-97-4000 Heating systems in new construction.
388-97-4020 Cooling systems in new construction.
388-97-4040 Ventilation systems in new construction.
Plumbing and Fixtures in New Construction
388-97-4060 Handwashing sinks in new construction.
388-97-4080 Drinking fountains in new construction.
388-97-4100 Mixing valves or mixing faucets in new construction.
388-97-4120 Spouts in new construction.
388-97-4140 Faucet controls in new construction.
SUBCHAPTER III
NURSING HOME LICENSE
Initial License Application
388-97-4160 Initial nursing home license.
388-97-4166 Liability insurance required.
388-97-4167 Liability insurance required--Commercial general liability insurance or business liability insurance coverage.
388-97-4168 Liability insurance required--Professional liability insurance coverage.
License Renewal
388-97-4180 Nursing home license renewal.
Department Review of License Applications and Appeals
388-97-4200 Department review of initial nursing home license applications.
388-97-4220 Reasons for denial, suspension, modification, revocation of, or refusal to renew a nursing home license.
388-97-4240 Appeal of the department's licensing decision.
Management Agreements and Changes of Ownership
388-97-4260 Management agreements.
388-97-4280 Change of ownership.
Licensed Bed Capacity, Relocation of Residents and License Relinquishment
388-97-4300 Licensed bed capacity.
388-97-4320 Relocation of residents.
388-97-4340 License relinquishment.
SUBCHAPTER IV
NURSING HOME LICENSURE PROGRAM ADMINISTRATION
388-97-4360 Inspections and deficiency citation report.
388-97-4380 Plan of correction.
388-97-4400 Acceptable and unacceptable plans of correction.
388-97-4420 Informal department review.
388-97-4425 Notice--Service complete.
388-97-4430 Notice--Proof of service.
388-97-4440 Appeal rights.
388-97-4460 Remedies.
388-97-4480 Criteria for imposing optional remedies.
388-97-4500 Severity and scope of deficiencies.
388-97-4520 Separate deficiencies -- Separate remedies.
388-97-4540 Stop placement.
388-97-4560 Amount of civil fine.
388-97-4580 Civil fine accrual and due dates and interest.
388-97-4600 Civil penalty fund.
388-97-4620 Temporary management.
388-97-4640 Receivership.
388-97-4660 Temporary managers and receivers -- Application.
388-97-4680 Temporary managers and receivers -- Considerations before appointment.
388-97-4700 Duties and powers of temporary manager and receiver.
388-97-4720 Termination of temporary management and receivership.