PDFWAC 388-78A-2190
Activities of daily living.
Assistance with activities of daily living is a service that the assisted living facility may provide.
(1) If an assisted living facility chooses not to provide assistance with activities of daily living:
(a) The assisted living facility must admit or retain only those residents who are independent in activities of daily living; except that
(b) A resident, or the resident's representative, may independently arrange for outside services to assist with activities of daily living.
(2) When an assisted living facility chooses to provide, either directly or indirectly, assistance with activities of daily living, the assisted living facility must provide that assistance consistent with the reasonable accommodation requirements in state and federal laws.
(3) When an assisted living facility chooses to provide, either directly or indirectly, assistance with activities of daily living, the assisted living facility must provide to each resident, consistent with the resident's assessed needs, minimal assistance with the following activities of daily living:
(a) Bathing: Minimal assistance with bathing means the assisted living facility must provide the resident with occasional:
(i) Reminding or cuing to wash and dry all areas of the body as needed;
(ii) Stand-by assistance getting into and out of the tub or shower; and
(iii) Physical assistance limited to steadying the resident during the activity.
(b) Dressing: Minimal assistance with dressing means the assisted living facility must provide the resident with occasional:
(i) Reminding or cuing to put on, take off, or lay out clothing, including prostheses when the assistance of a licensed nurse is not required;
(ii) Stand-by assistance during the activity; and
(iii) Physical assistance limited to steadying the resident during the activity.
(c) Eating: Minimal assistance with eating means the assisted living facility must provide the resident with occasional:
(i) Reminding or cuing to eat and drink; and
(ii) Physical assistance limited to cutting food up, preparing food and beverages, and bringing food and fluids to the resident.
(d) Personal hygiene: Minimal assistance with personal hygiene means the assisted living facility must provide the resident with occasional:
(i) Reminding and cuing to comb hair, perform oral care and brush teeth, shave, apply makeup, and wash and dry face, hands and other areas of the body;
(ii) Stand-by assistance during the activity; and
(iii) Physical assistance limited to steadying the resident during the activity.
(e) Transferring: Minimal assistance in transferring means the assisted living facility must provide the resident with occasional:
(i) Reminders or cuing to move between surfaces, for example to and from the bed, chair and standing;
(ii) Stand-by assistance during the activity; and
(iii) Physical assistance limited to steadying the resident during self-transfers.
(f) Toileting: Minimal assistance in toileting means the assisted living facility must provide the resident with occasional:
(i) Reminders and cuing to toilet, including resident self-care of ostomy or catheter, to wipe and cleanse, and to change and adjust clothing, protective garments and pads;
(ii) Stand-by assistance during the activity; and
(iii) Physical assistance limited to steadying the resident during the activity.
(g) Mobility: Minimal assistance in mobility means the assisted living facility must provide the resident with occasional:
(i) Reminding or cuing to move between locations on the assisted living facility premises;
(ii) Stand-by assistance during the activity; and
(iii) Physical assistance limited to steadying the resident during the activity; and
(h) Medication assistance: As defined in RCW 69.41.010.
(4) The assisted living facility may choose to provide more than minimal assistance with activities of daily living consistent with state and federal law.
[Statutory Authority: Chapter 18.20 RCW and RCW 18.20.310. WSR 19-07-033, § 388-78A-2190, filed 3/13/19, effective 4/13/19. Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2190, filed 6/18/13, effective 7/19/13. Statutory Authority: RCW 18.20.090 (2004 c 142 § 19) and chapter 18.20 RCW. WSR 04-16-065, § 388-78A-2190, filed 7/30/04, effective 9/1/04.]