Chapter 388-78A. Assisted living facility licensing rules.  


Section 388-78A-2010. Purpose.
Section 388-78A-2020. Definitions.
Section 388-78A-2030. Assisted living facility license required.
Section 388-78A-2032. Assisted living facility license not required.
Section 388-78A-2035. Disclosure statement to nonresident individuals.
Section 388-78A-2040. Other requirements.
Section 388-78A-2050. Resident characteristics.
Section 388-78A-2060. Preadmission assessment.
Section 388-78A-2070. Timing of preadmission assessment.
Section 388-78A-2080. Qualified assessor.
Section 388-78A-2090. Full assessment topics.
Section 388-78A-2100. On-going assessments.
Section 388-78A-2110. Resident participation in assessments.
Section 388-78A-2120. Monitoring residents' well-being.
Section 388-78A-2130. Service agreement planning.
Section 388-78A-2140. Negotiated service agreement contents.
Section 388-78A-2150. Signing negotiated service agreement.
Section 388-78A-2160. Implementation of negotiated service agreement.
Section 388-78A-2170. Required assisted living facility services.
Section 388-78A-2180. Activities.
Section 388-78A-2190. Activities of daily living.
Section 388-78A-2200. Health support services.
Section 388-78A-2202. Respite—General.
Section 388-78A-2204. Respite—Information.
Section 388-78A-2206. Respite—Assessment.
Section 388-78A-2208. Respite—Negotiated service agreement.
Section 388-78A-2210. Medication services.
Section 388-78A-2220. Prescribed medication authorizations.
Section 388-78A-2230. Medication refusal.
Section 388-78A-2240. Nonavailability of medications.
Section 388-78A-2250. Alteration of medications.
Section 388-78A-2260. Storing, securing, and accounting for medications.
Section 388-78A-2270. Resident controlled medications.
Section 388-78A-2280. Medication organizers.
Section 388-78A-2290. Family assistance with medications and treatments.
Section 388-78A-2300. Food and nutrition services.
Section 388-78A-2305. Food sanitation.
Section 388-78A-2310. Intermittent nursing services.
Section 388-78A-2320. Intermittent nursing services systems.
Section 388-78A-2330. Tube feeding.
Section 388-78A-2340. Resident-arranged services.
Section 388-78A-2350. Coordination of health care services.
Section 388-78A-2360. Adult day services.
Section 388-78A-2370. Dementia care.
Section 388-78A-2380. Restricted egress.
Section 388-78A-2390. Resident records.
Section 388-78A-2400. Protection of resident records.
Section 388-78A-2410. Content of resident records.
Section 388-78A-2420. Record retention.
Section 388-78A-2430. Resident review of records.
Section 388-78A-2440. Resident register.
Section 388-78A-2450. Staff.
Section 388-78A-2460. Quality assurance committee.
Section 388-78A-2461. Background checks—General.
Section 388-78A-2462. Background checks—Who is required to have.
Section 388-78A-2464. Background checks—Process—Background authorization form.
Section 388-78A-24641. Background checks—Washington state name and date of birth background check.
Section 388-78A-24642. Background checks—National fingerprint background check.
Section 388-78A-2465. Background check—Results—Inform.
Section 388-78A-2466. Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely.
Section 388-78A-2467. Background check—Sharing by health care facilities.
Section 388-78A-2468. Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check.
Section 388-78A-24681. Background checks—Employment—Provisional hire—Pending results of national fingerprint background check.
Section 388-78A-2469. Background check—Disclosure statement.
Section 388-78A-2470. Background check—Employment-disqualifying information—Disqualifying negative actions.
Section 388-78A-24701. Background checks—Employment—Nondisqualifying information.
Section 388-78A-2471. Background check—Confidentiality—Use restricted—Retention.
Section 388-78A-2474. Training and home care aide certification requirements.
Section 388-78A-2480. Tuberculosis—Testing—Required.
Section 388-78A-2481. Tuberculosis—Testing method—Required.
Section 388-78A-2482. Tuberculosis—No testing.
Section 388-78A-2483. Tuberculosis—One test.
Section 388-78A-2484. Tuberculosis—Two step skin testing.
Section 388-78A-2485. Tuberculosis—Positive test result.
Section 388-78A-2486. Tuberculosis—Negative test result.
Section 388-78A-2487. Tuberculosis—Declining a skin test.
Section 388-78A-2488. Tuberculosis—Reporting—Required.
Section 388-78A-2489. Tuberculosis—Test records.
Section 388-78A-2490. Specialized training for developmental disabilities.
Section 388-78A-2500. Specialized training for mental illness.
Section 388-78A-2510. Specialized training for dementia.
Section 388-78A-2520. Administrator qualifications—General.
Section 388-78A-2521. Certification of training.
Section 388-78A-2522. Administrator qualifications—Prior to 2004.
Section 388-78A-2523. Administrator qualifications—NH administrator license.
Section 388-78A-2524. Administrator qualifications—Certification of training, and three years experience.
Section 388-78A-2525. Administrator qualifications—Associate degree, certification of training, and two years experience.
Section 388-78A-2526. Administrator qualifications—Bachelor's degree, certification of training, and one year experience.
Section 388-78A-2527. Administrator qualifications—Five years experience.
Section 388-78A-2530. Qualifying administrator training program.
Section 388-78A-2540. Administrator requirements.
Section 388-78A-2550. Administrator training documentation.
Section 388-78A-2560. Administrator responsibilities.
Section 388-78A-2570. Notification of change in administrator.
Section 388-78A-2580. Use of home health/home care.
Section 388-78A-2590. Management agreements—General.
Section 388-78A-2592. Management agreements—Licensee.
Section 388-78A-2593. Management agreements—Terms of agreement.
Section 388-78A-2594. Management agreements—Department review.
Section 388-78A-2595. Management agreements—Resident funds.
Section 388-78A-2600. Policies and procedures.
Section 388-78A-2610. Infection control.
Section 388-78A-2620. Pets.
Section 388-78A-2630. Reporting abuse and neglect.
Section 388-78A-2640. Reporting significant change in a resident's condition.
Section 388-78A-2650. Reporting fires and incidents.
Section 388-78A-2660. Resident rights.
Section 388-78A-2665. Resident rights—Notice—Policy on accepting medicaid as a payment source.
Section 388-78A-2670. Services by resident for assisted living facility.
Section 388-78A-2680. Electronic monitoring equipment—Audio monitoring and video monitoring.
Section 388-78A-2690. Electronic monitoring equipment—Resident requested use.
Section 388-78A-2700. Safety measures and disaster preparedness.
Section 388-78A-2710. Disclosure of services.
Section 388-78A-2720. Timing of disclosure.
Section 388-78A-2730. Licensee's responsibilities.
Section 388-78A-2732. Liability insurance required—Ongoing.
Section 388-78A-2733. Liability insurance required—Commercial general liability insurance or business liability insurance coverage.
Section 388-78A-2734. Liability insurance required—Professional liability insurance coverage.
Section 388-78A-2740. Licensee qualifications.
Section 388-78A-2750. Application process.
Section 388-78A-2760. Necessary information.
Section 388-78A-2770. Change in licensee/change of ownership—When change in licensee is required.
Section 388-78A-2773. Change in licensee/change of ownership—When change in licensee not required.
Section 388-78A-2775. Change in licensee/change of ownership—Application.
Section 388-78A-2777. Change in licensee/change of ownership—Revised application.
Section 388-78A-2780. Change in licensee/change of ownership—Notice to department and residents.
Section 388-78A-2783. Change in licensee/change of ownership—Relinquishment of license.
Section 388-78A-2785. Change in licensee/change of ownership—Ninety days notice.
Section 388-78A-2787. Change in licensee/change of ownership—Sixty days notice.
Section 388-78A-2790. Annual renewal.
Section 388-78A-2800. Changes in licensed bed capacity.
Section 388-78A-2810. Criteria for increasing licensed bed capacity.
Section 388-78A-2820. Building requirements and exemptions.
Section 388-78A-2830. Conversion of licensed nursing homes.
Section 388-78A-2840. Licenses for multiple buildings.
Section 388-78A-2850. Required reviews of building plans.
Section 388-78A-2860. Relocation of residents during construction.
Section 388-78A-2870. Vacant buildings.
Section 388-78A-2880. Changing use of rooms.
Section 388-78A-2890. Time frame for approval.
Section 388-78A-2900. Retention of approved construction documents.
Section 388-78A-2910. Applicable building codes.
Section 388-78A-2920. Area for nursing supplies and equipment.
Section 388-78A-2930. Communication system.
Section 388-78A-2940. Two-way intercom systems.
Section 388-78A-2950. Water supply.
Section 388-78A-2960. Sewage and liquid waste disposal.
Section 388-78A-2970. Garbage and refuse disposal.
Section 388-78A-2980. Lighting.
Section 388-78A-2990. Heating-cooling—Temperature.
Section 388-78A-3000. Ventilation.
Section 388-78A-3010. Resident room—Room furnishings-storage.
Section 388-78A-3020. Calculating floor space.
Section 388-78A-3030. Toilet rooms and bathrooms.
Section 388-78A-3040. Laundry.
Section 388-78A-3050. Day rooms.
Section 388-78A-3060. Storage space.
Section 388-78A-3070. Stairs—Ramps.
Section 388-78A-3080. Guardrails—Handrails.
Section 388-78A-3090. Maintenance and housekeeping.
Section 388-78A-3100. Safe storage of supplies and equipment.
Section 388-78A-3110. Areas for cleaning and storing soiled equipment, supplies and laundry.
Section 388-78A-3120. Areas for handling and storing clean supplies and equipment.
Section 388-78A-3130. Plant restrictions.
Section 388-78A-3140. Responsibilities during inspections.
Section 388-78A-3150. Statements of deficiencies.
Section 388-78A-3152. Plan of correction—Required.
Section 388-78A-3160. Authorized enforcement remedies.
Section 388-78A-3170. Circumstances that may result in enforcement remedies.
Section 388-78A-3180. Required enforcement remedies.
Section 388-78A-3190. Denial, suspension, revocation, or nonrenewal of license statutorily required.
Section 388-78A-3200. Progression of enforcement remedies.
Section 388-78A-3210. Informal dispute resolution.
Section 388-78A-3220. Appeal rights.
Section 388-78A-3230. Fees.
Section 388-78A-4000. Notice—Service complete.
Section 388-78A-4010. Notice—Proof of service.