WAC Sections
SUBCHAPTER I RESIDENT RIGHTS, CARE AND RELATED SERVICES Definitions | ||
| HTMLPDF | 388-97-0001 | Definitions. |
Admission, Transfer and Discharge | ||
| HTMLPDF | 388-97-0020 | Nursing facility care. |
| HTMLPDF | 388-97-0040 | Discrimination prohibited. |
| HTMLPDF | 388-97-0060 | Nursing facility admission and payment requirements. |
| HTMLPDF | 388-97-0080 | Discharge planning. |
| HTMLPDF | 388-97-0100 | Utilization review. |
| HTMLPDF | 388-97-0120 | Individual transfer and discharge rights and procedures. |
| HTMLPDF | 388-97-01201 | Individual transfer and discharge rights and procedures—Requirements in effect April 13, 2020, through May 23, 2023, in response to the state of emergency related to the COVID-19 pandemic. |
| HTMLPDF | 388-97-0140 | Transfer and discharge appeals for resident in medicare or medicaid certified facilities. |
| HTMLPDF | 388-97-01401 | Transfer and discharge appeals for resident in medicare or medicaid certified facilities—Requirements in effect November 30, 2021, through May 23, 2023, in response to the state of emergency related to the COVID-19 pandemic. |
| HTMLPDF | 388-97-0160 | Discharge or leave of a nursing facility resident. |
Resident Rights | ||
| HTMLPDF | 388-97-0180 | Resident rights. |
| HTMLPDF | 388-97-0200 | Free choice. |
| HTMLPDF | 388-97-0220 | Statute implemented in resident decision making, informed consent, and advance directives. |
| HTMLPDF | 388-97-0240 | Resident decision making. |
| HTMLPDF | 388-97-0260 | Informed consent. |
| HTMLPDF | 388-97-0280 | Advance directives. |
| HTMLPDF | 388-97-0300 | Notice of rights and services. |
| HTMLPDF | 388-97-03001 | Notice of rights and services—Requirements in effect May 15, 2020, through May 7, 2022, in response to the state of emergency related to the COVID-19 pandemic. |
| HTMLPDF | 388-97-0320 | Notification of changes. |
| HTMLPDF | 388-97-0340 | Protection of resident funds. |
| HTMLPDF | 388-97-0360 | Privacy and confidentiality. |
| HTMLPDF | 388-97-0380 | Electronic monitoring equipment—Audio monitoring and video monitoring. |
| HTMLPDF | 388-97-0400 | Electronic monitoring equipment—Resident requested use. |
| HTMLPDF | 388-97-0420 | Work. |
| HTMLPDF | 388-97-0440 | Self-administration of drugs. |
| HTMLPDF | 388-97-0460 | Grievance rights. |
| HTMLPDF | 388-97-0480 | Examination of survey results. |
| HTMLPDF | 388-97-0500 | Resident mail. |
| HTMLPDF | 388-97-0520 | Access and visitation rights. |
| HTMLPDF | 388-97-0540 | Telephone. |
| HTMLPDF | 388-97-0560 | Personal property. |
| HTMLPDF | 388-97-0580 | Roommates/rooms. |
| HTMLPDF | 388-97-0600 | Refusal of certain transfers. |
| HTMLPDF | 388-97-0620 | Chemical and physical restraints. |
| HTMLPDF | 388-97-0640 | Prevention of abuse. |
Quality of Life | ||
| HTMLPDF | 388-97-0860 | Resident dignity and accommodation of needs. |
| HTMLPDF | 388-97-0880 | Environment. |
| HTMLPDF | 388-97-0900 | Self determination and participation. |
| HTMLPDF | 388-97-0920 | Participation in resident and family groups. |
| HTMLPDF | 388-97-0940 | Activities. |
| HTMLPDF | 388-97-0960 | Social services. |
| HTMLPDF | 388-97-0980 | Pets. |
Resident Assessment and Plan of Care | ||
| HTMLPDF | 388-97-1000 | Resident assessment. |
| HTMLPDF | 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. |
| HTMLPDF | 388-97-1020 | Comprehensive plan of care. |
| HTMLPDF | 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. |
| HTMLPDF | 388-97-1040 | Dementia care. |
Quality of Care | ||
| HTMLPDF | 388-97-1060 | Quality of care. |
Nursing Services | ||
| HTMLPDF | 388-97-1080 | Nursing services. |
| HTMLPDF | 388-97-1090 | Direct care hours. |
| HTMLPDF | 388-97-1100 | Dietary services. |
| HTMLPDF | 388-97-1120 | Meal provision. |
| HTMLPDF | 388-97-1140 | Individual dietary needs. |
| HTMLPDF | 388-97-1160 | Dietary personnel. |
| HTMLPDF | 388-97-1180 | Dietary menus. |
| HTMLPDF | 388-97-1200 | Dietary orders. |
| HTMLPDF | 388-97-1220 | Modified diets. |
| HTMLPDF | 388-97-1240 | Tube feedings. |
Physician Services | ||
| HTMLPDF | 388-97-1260 | Physician services. |
| HTMLPDF | 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. |
Specialized Habilitative and Rehabilitative Services | ||
| HTMLPDF | 388-97-1280 | Specialized habilitative and rehabilitative services. |
| HTMLPDF | 388-97-1300 | Pharmacy services. |
Infection Control | ||
| HTMLPDF | 388-97-1320 | Infection control. |
| HTMLPDF | 388-97-1340 | Influenza and pneumococcal immunizations. |
| HTMLPDF | 388-97-1360 | Surveillance, management and early identification of individuals with active tuberculosis. |
| HTMLPDF | 388-97-1380 | Tuberculosis—Testing required. |
| HTMLPDF | 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. |
| HTMLPDF | 388-97-1400 | Tuberculosis—Testing method—Required. |
| HTMLPDF | 388-97-1440 | Tuberculosis—No testing. |
| HTMLPDF | 388-97-1460 | Tuberculosis—One test. |
| HTMLPDF | 388-97-1480 | Tuberculosis—Two-step skin testing. |
| HTMLPDF | 388-97-1500 | Tuberculosis—Positive test result. |
| HTMLPDF | 388-97-1520 | Tuberculosis—Negative test result. |
| HTMLPDF | 388-97-1540 | Tuberculosis—Declining a skin test. |
| HTMLPDF | 388-97-1560 | Tuberculosis—Reporting—Required. |
| HTMLPDF | 388-97-1580 | Tuberculosis—Test records. |
| HTMLPDF | 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. |
| HTMLPDF | 388-97-1600 | Care of residents with active tuberculosis. |
Administration | ||
| HTMLPDF | 388-97-1620 | General administration. |
| HTMLPDF | 388-97-1640 | Required notification and reporting. |
| HTMLPDF | 388-97-1645 | Resident roster and complete contact information. |
| HTMLPDF | 388-97-1660 | Staff and equipment. |
| HTMLPDF | 388-97-1680 | Staff development. |
| HTMLPDF | 388-97-1700 | Medical director. |
| HTMLPDF | 388-97-1720 | Clinical records. |
| HTMLPDF | 388-97-1740 | Disaster and emergency preparedness. |
| HTMLPDF | 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. |
| HTMLPDF | 388-97-1760 | Quality assessment and assurance. |
| HTMLPDF | 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. |
| HTMLPDF | 388-97-1780 | Policies and procedures. |
| HTMLPDF | 388-97-1790 | Background checks—General. |
| HTMLPDF | 388-97-1800 | Criminal history disclosure and background inquiries. |
| HTMLPDF | 388-97-1820 | Disqualification from nursing home employment. |
| HTMLPDF | 388-97-1840 | Retaliation or discrimination prohibited. |
Miscellaneous Services | ||
| HTMLPDF | 388-97-1860 | Laundry services. |
| HTMLPDF | 388-97-1880 | Short-term care, including respite services and adult day or night care. |
| HTMLPDF | 388-97-1900 | Dialysis services. |
Preadmission Screening and Resident Review (PASRR) in Medicaid Certified Facilities. | ||
| HTMLPDF | 388-97-1910 | Definitions related with PASRR. |
| HTMLPDF | 388-97-1915 | PASRR requirements prior to admission of new residents. |
| HTMLPDF | 388-97-19151 | PASRR requirements for new residents—Requirements in effect April 13, 2020, through May 10, 2023, in response to the state of emergency related to the COVID-19 pandemic. |
| HTMLPDF | 388-97-1975 | PASRR requirements after admission of a resident. |
| HTMLPDF | 388-97-19751 | PASRR requirements after admission of a resident—Requirements in effect April 13, 2020, through May 10, 2023, in response to the state of emergency related to the COVID-19 pandemic. |
| HTMLPDF | 388-97-2000 | Preadmission screening and resident review (PASRR) determination and appeal rights. |
Intermediate Care Facilities for the Mentally Retarded | ||
| HTMLPDF | 388-97-2020 | Intermediate care facilities for individuals with intellectual disabilities. |
SUBCHAPTER II PHYSICAL ENVIRONMENT General | ||
| HTMLPDF | 388-97-2040 | Design. |
| HTMLPDF | 388-97-2060 | New construction compliance. |
| HTMLPDF | 388-97-2080 | Fire standards and approval, and other standards. |
| HTMLPDF | 388-97-2100 | Maintenance and repair. |
| HTMLPDF | 388-97-2120 | Noise. |
| HTMLPDF | 388-97-2140 | Accessibility in new construction. |
| HTMLPDF | 388-97-2160 | Types of new construction. |
| HTMLPDF | 388-97-2180 | ICF/IID exceptions to physical plan requirements. |
| HTMLPDF | 388-97-2200 | Emergency power. |
Resident Care Unit | ||
| HTMLPDF | 388-97-2220 | Location of the resident care unit. |
| HTMLPDF | 388-97-2240 | Required service areas on resident care units. |
| HTMLPDF | 388-97-2260 | Staff work stations on resident care units. |
| HTMLPDF | 388-97-2280 | Call systems on resident care units. |
| HTMLPDF | 388-97-2300 | Telephones on resident care units. |
| HTMLPDF | 388-97-2320 | Utility service rooms on resident care units. |
| HTMLPDF | 388-97-2340 | Drug facilities on resident care units. |
| HTMLPDF | 388-97-2360 | Linen storage on resident care units. |
| HTMLPDF | 388-97-2380 | Janitors closets on resident care units. |
Resident Rooms | ||
| HTMLPDF | 388-97-2400 | Resident rooms. |
| HTMLPDF | 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. |
| HTMLPDF | 388-97-2420 | Capacity of resident rooms. |
| HTMLPDF | 388-97-2440 | Size of resident rooms. |
| HTMLPDF | 388-97-2460 | Privacy in resident rooms. |
| HTMLPDF | 388-97-2480 | Resident isolation rooms. |
| HTMLPDF | 388-97-2500 | Resident room size variance. |
Resident Room Equipment | ||
| HTMLPDF | 388-97-2520 | Resident room equipment. |
| HTMLPDF | 388-97-2540 | Resident bed and bedside equipment. |
| HTMLPDF | 388-97-2560 | Lockable storage space in a resident room. |
| HTMLPDF | 388-97-2580 | Wardrobes in a resident room. |
| HTMLPDF | 388-97-2600 | Seating in a resident room. |
| HTMLPDF | 388-97-2620 | Lighting in resident rooms. |
| HTMLPDF | 388-97-2640 | Call signal device in resident rooms. |
| HTMLPDF | 388-97-2660 | Cubicle curtains in resident rooms. |
| HTMLPDF | 388-97-2680 | Miscellaneous equipment in resident rooms in a new building or addition. |
Resident Toilet and Bathing Facilities | ||
| HTMLPDF | 388-97-2700 | Resident toilet facilities or rooms. |
| HTMLPDF | 388-97-2720 | Resident bathing facilities or rooms. |
| HTMLPDF | 388-97-2740 | Locks in toilet and bathing facilities. |
Dining, Dayrooms, and Resident Activity Areas | ||
| HTMLPDF | 388-97-2760 | Dining, dayrooms, and resident activity areas. |
Laundry Services | ||
| HTMLPDF | 388-97-2780 | Laundry services and storage. |
Dementia Care Unit | ||
| HTMLPDF | 388-97-2800 | Dementia care unit. |
| HTMLPDF | 388-97-2820 | Dining areas on a dementia care unit. |
| HTMLPDF | 388-97-2840 | Outdoor areas on a dementia care unit. |
| HTMLPDF | 388-97-2860 | Indoor areas on a dementia care unit. |
| HTMLPDF | 388-97-2880 | Ambulation route on a dementia care unit in a new building or addition. |
| HTMLPDF | 388-97-2900 | Physical plant on a dementia care unit. |
| HTMLPDF | 388-97-2920 | Special egress control devices on a dementia care unit. |
Specialized and Outpatient Rehabilitation | ||
| HTMLPDF | 388-97-2940 | Specialized rehabilitation. |
| HTMLPDF | 388-97-2960 | Outpatient rehabilitation. |
Food Services Areas | ||
| HTMLPDF | 388-97-2980 | Food service areas. |
Storage | ||
| HTMLPDF | 388-97-3000 | Storage of equipment. |
| HTMLPDF | 388-97-3020 | Storage of resident room equipment in a new building or addition. |
| HTMLPDF | 388-97-3040 | General storage in new construction. |
Lighting and Electrical | ||
| HTMLPDF | 388-97-3060 | Lighting. |
| HTMLPDF | 388-97-3080 | Natural or artificial light. |
| HTMLPDF | 388-97-3100 | Outside lighting. |
| HTMLPDF | 388-97-3120 | Light shields. |
| HTMLPDF | 388-97-3140 | Illumination levels in new buildings and additions. |
| HTMLPDF | 388-97-3160 | Night lights in new construction. |
| HTMLPDF | 388-97-3180 | Switches in new construction. |
| HTMLPDF | 388-97-3200 | Electrical outlets. |
Safety | ||
| HTMLPDF | 388-97-3220 | Safety. |
| HTMLPDF | 388-97-3240 | Safety—Poisons and nonmedical chemicals. |
| HTMLPDF | 388-97-3260 | Safety—Storage of equipment and supplies. |
| HTMLPDF | 388-97-3280 | Safety—Handrails. |
Water Supply | ||
| HTMLPDF | 388-97-3300 | Water supply. |
| HTMLPDF | 388-97-3320 | Hot water. |
| HTMLPDF | 388-97-3340 | Cross connections. |
Pest Control and Sewage and Waste Disposal | ||
| HTMLPDF | 388-97-3360 | Pest control. |
| HTMLPDF | 388-97-3380 | Sewage and liquid waste disposal. |
New Construction Documents | ||
| HTMLPDF | 388-97-3400 | General new construction documents. |
| HTMLPDF | 388-97-3420 | Preliminary new construction documents. |
| HTMLPDF | 388-97-3440 | Final new construction documents. |
| HTMLPDF | 388-97-3460 | Preinstallation submissions for new construction. |
| HTMLPDF | 388-97-3480 | New construction timelines. |
| HTMLPDF | 388-97-3500 | Exemptions to new construction requirements. |
Codes and Standards in New Construction | ||
| HTMLPDF | 388-97-3520 | State building code in new construction. |
| HTMLPDF | 388-97-3540 | Electrical codes and standards in new construction. |
| HTMLPDF | 388-97-3560 | Elevator codes in new construction. |
| HTMLPDF | 388-97-3580 | Local codes and ordinances in new construction. |
Administration and Public Areas in New Construction | ||
| HTMLPDF | 388-97-3600 | Entrances and exits in new construction. |
| HTMLPDF | 388-97-3620 | Lobbies in new construction. |
| HTMLPDF | 388-97-3640 | Interview space in new construction. |
| HTMLPDF | 388-97-3660 | Offices in new construction. |
| HTMLPDF | 388-97-3680 | Inservice education space in new construction. |
| HTMLPDF | 388-97-3700 | Staff areas in new construction. |
Visiting, Private, and Outdoor Recreation Space and Walkways in New Construction | ||
| HTMLPDF | 388-97-3720 | Visiting and private space in new construction. |
| HTMLPDF | 388-97-3740 | Outdoor recreation space and walkways in new construction. |
Pools and Pharmacies in New Construction | ||
| HTMLPDF | 388-97-3760 | Pools in new construction. |
| HTMLPDF | 388-97-3780 | Pharmacies in new construction. |
General Design Requirements in New Construction | ||
| HTMLPDF | 388-97-3800 | Elevators in new construction. |
| HTMLPDF | 388-97-3840 | Walking surfaces in a new building or addition. |
| HTMLPDF | 388-97-3860 | Doors in new construction. |
| HTMLPDF | 388-97-3880 | Floor finishes in new construction. |
| HTMLPDF | 388-97-3900 | Carpets in new construction. |
| HTMLPDF | 388-97-3920 | Coving in new construction. |
| HTMLPDF | 388-97-3940 | Walls in new construction. |
| HTMLPDF | 388-97-3960 | Accessories in new construction. |
| HTMLPDF | 388-97-3980 | Miscellaneous in new construction. |
Heating, Ventilation, and Air Conditioning Systems in New Construction | ||
| HTMLPDF | 388-97-4000 | Heating systems in new construction. |
| HTMLPDF | 388-97-4020 | Cooling systems in new construction. |
| HTMLPDF | 388-97-4040 | Ventilation systems in new construction. |
Plumbing and Fixtures in New Construction | ||
| HTMLPDF | 388-97-4060 | Handwashing sinks in new construction. |
| HTMLPDF | 388-97-4080 | Drinking fountains in new construction. |
| HTMLPDF | 388-97-4100 | Mixing valves or mixing faucets in new construction. |
| HTMLPDF | 388-97-4120 | Spouts in new construction. |
| HTMLPDF | 388-97-4140 | Faucet controls in new construction. |
SUBCHAPTER III NURSING HOME LICENSE Initial License Application | ||
| HTMLPDF | 388-97-4160 | Initial nursing home license. |
| HTMLPDF | 388-97-4166 | Liability insurance required. |
| HTMLPDF | 388-97-4167 | Liability insurance required—Commercial general liability insurance or business liability insurance coverage. |
| HTMLPDF | 388-97-4168 | Liability insurance required—Professional liability insurance coverage. |
License Renewal | ||
| HTMLPDF | 388-97-4180 | Nursing home license renewal. |
Department Review of License Applications and Appeals | ||
| HTMLPDF | 388-97-4200 | Department review of initial nursing home license applications. |
| HTMLPDF | 388-97-4220 | Reasons for denial, suspension, modification, revocation of, or refusal to renew a nursing home license. |
| HTMLPDF | 388-97-4240 | Appeal of the department's licensing decision. |
Management Agreements and Changes of Ownership | ||
| HTMLPDF | 388-97-4260 | Management agreements. |
| HTMLPDF | 388-97-4280 | Change of ownership. |
Licensed Bed Capacity, Relocation of Residents and License Relinquishment | ||
| HTMLPDF | 388-97-4300 | Licensed bed capacity. |
| HTMLPDF | 388-97-4320 | Relocation of residents. |
| HTMLPDF | 388-97-4340 | License relinquishment. |
SUBCHAPTER IV NURSING HOME LICENSURE PROGRAM ADMINISTRATION | ||
| HTMLPDF | 388-97-4360 | Inspections and deficiency citation report. |
| HTMLPDF | 388-97-4361 | Inspection timelines. |
| HTMLPDF | 388-97-4380 | Plan of correction. |
| HTMLPDF | 388-97-4400 | Acceptable and unacceptable plans of correction. |
| HTMLPDF | 388-97-4420 | Informal department review. |
| HTMLPDF | 388-97-4425 | Notice—Service complete. |
| HTMLPDF | 388-97-4430 | Notice—Proof of service. |
| HTMLPDF | 388-97-4440 | Appeal rights. |
| HTMLPDF | 388-97-4460 | Remedies. |
| HTMLPDF | 388-97-4480 | Criteria for imposing optional remedies. |
| HTMLPDF | 388-97-4500 | Severity and scope of deficiencies. |
| HTMLPDF | 388-97-4520 | Separate deficiencies—Separate remedies. |
| HTMLPDF | 388-97-4540 | Stop placement. |
| HTMLPDF | 388-97-4560 | Amount of civil fine. |
| HTMLPDF | 388-97-4580 | Civil fine accrual and due dates and interest. |
| HTMLPDF | 388-97-4600 | Civil penalty fund. |
| HTMLPDF | 388-97-4620 | Temporary management. |
| HTMLPDF | 388-97-4640 | Receivership. |
| HTMLPDF | 388-97-4660 | Temporary managers and receivers—Application. |
| HTMLPDF | 388-97-4680 | Temporary managers and receivers—Considerations before appointment. |
| HTMLPDF | 388-97-4700 | Duties and powers of temporary manager and receiver. |
| HTMLPDF | 388-97-4720 | Termination of temporary management and receivership. |