Washington Administrative Code (Last Updated: November 23, 2016) |
Title 388. Social and Health Services, Department of |
Chapter 388-97. Nursing homes. |
Section 388-97-0001. Definitions. |
Section 388-97-0020. Nursing facility care. |
Section 388-97-0040. Discrimination prohibited. |
Section 388-97-0060. Nursing facility admission and payment requirements. |
Section 388-97-0080. Discharge planning. |
Section 388-97-0100. Utilization review. |
Section 388-97-0120. Individual transfer and discharge rights and procedures. |
Section 388-97-0140. Transfer and discharge appeals for resident in medicare or medicaid certified facilities. |
Section 388-97-0160. Discharge or leave of a nursing facility resident. |
Section 388-97-0180. Resident rights. |
Section 388-97-0200. Free choice. |
Section 388-97-0220. Statute implemented in resident decision making, informed consent, and advance directives. |
Section 388-97-0240. Resident decision making. |
Section 388-97-0260. Informed consent. |
Section 388-97-0280. Advance directives. |
Section 388-97-0300. Notice of rights and services. |
Section 388-97-0320. Notification of changes. |
Section 388-97-0340. Protection of resident funds. |
Section 388-97-0360. Privacy and confidentiality. |
Section 388-97-0380. Electronic monitoring equipment—Audio monitoring and video monitoring. |
Section 388-97-0400. Electronic monitoring equipment—Resident requested use. |
Section 388-97-0420. Work. |
Section 388-97-0440. Self-administration of drugs. |
Section 388-97-0460. Grievance rights. |
Section 388-97-0480. Examination of survey results. |
Section 388-97-0500. Resident mail. |
Section 388-97-0520. Access and visitation rights. |
Section 388-97-0540. Telephone. |
Section 388-97-0560. Personal property. |
Section 388-97-0580. Roommates/rooms. |
Section 388-97-0600. Refusal of certain transfers. |
Section 388-97-0620. Chemical and physical restraints. |
Section 388-97-0640. Prevention of abuse. |
Section 388-97-0660. Resident protection program definition. |
Section 388-97-0680. Investigation of mandated reports. |
Section 388-97-0700. Preliminary finding. |
Section 388-97-0720. Notice to individual of preliminary findings. |
Section 388-97-0725. Notice to others of preliminary findings. |
Section 388-97-0740. Disputing a preliminary finding. |
Section 388-97-0760. Hearing procedures to dispute preliminary finding. |
Section 388-97-0780. Finalizing the preliminary finding. |
Section 388-97-0800. Reporting final findings. |
Section 388-97-0820. Appeal of administrative law judge's initial order or finding. |
Section 388-97-0840. Disclosure of investigative and finding information. |
Section 388-97-0860. Resident dignity and accommodation of needs. |
Section 388-97-0880. Environment. |
Section 388-97-0900. Self determination and participation. |
Section 388-97-0920. Participation in resident and family groups. |
Section 388-97-0940. Activities. |
Section 388-97-0960. Social services. |
Section 388-97-0980. Pets. |
Section 388-97-1000. Resident assessment. |
Section 388-97-1020. Comprehensive plan of care. |
Section 388-97-1040. Dementia care. |
Section 388-97-1060. Quality of care. |
Section 388-97-1080. Nursing services. |
Section 388-97-1100. Dietary services. |
Section 388-97-1120. Meal provision. |
Section 388-97-1140. Individual dietary needs. |
Section 388-97-1160. Dietary personnel. |
Section 388-97-1180. Dietary menus. |
Section 388-97-1200. Dietary orders. |
Section 388-97-1220. Modified diets. |
Section 388-97-1240. Tube feedings. |
Section 388-97-1260. Physician services. |
Section 388-97-1280. Specialized habilitative and rehabilitative services. |
Section 388-97-1300. Pharmacy services. |
Section 388-97-1320. Infection control. |
Section 388-97-1340. Influenza and pneumococcal immunizations. |
Section 388-97-1360. Surveillance, management and early identification of individuals with active tuberculosis. |
Section 388-97-1380. Tuberculosis—Testing required. |
Section 388-97-1400. Tuberculosis—Testing method—Required. |
Section 388-97-1440. Tuberculosis—No testing. |
Section 388-97-1460. Tuberculosis—One test. |
Section 388-97-1480. Tuberculosis—Two-step skin testing. |
Section 388-97-1500. Tuberculosis—Positive test result. |
Section 388-97-1520. Tuberculosis—Negative test result. |
Section 388-97-1540. Tuberculosis—Declining a skin test. |
Section 388-97-1560. Tuberculosis—Reporting—Required. |
Section 388-97-1580. Tuberculosis—Test records. |
Section 388-97-1600. Care of residents with active tuberculosis. |
Section 388-97-1620. General administration. |
Section 388-97-1640. Required notification and reporting. |
Section 388-97-1660. Staff and equipment. |
Section 388-97-1680. Staff development. |
Section 388-97-1700. Medical director. |
Section 388-97-1720. Clinical records. |
Section 388-97-1740. Disaster and emergency preparedness. |
Section 388-97-1760. Quality assessment and assurance. |
Section 388-97-1780. Policies and procedures. |
Section 388-97-1790. Background checks—General. |
Section 388-97-1800. Criminal history disclosure and background inquiries. |
Section 388-97-1820. Disqualification from nursing home employment. |
Section 388-97-1840. Retaliation or discrimination prohibited. |
Section 388-97-1860. Laundry services. |
Section 388-97-1880. Short-term care, including respite services and adult day or night care. |
Section 388-97-1900. Dialysis services. |
Section 388-97-1910. Definitions related with PASRR. |
Section 388-97-1915. PASRR requirements prior to admission of new residents. |
Section 388-97-1975. PASRR requirements after admission of a resident. |
Section 388-97-2000. Preadmission screening and resident review (PASRR) determination and appeal rights. |
Section 388-97-2020. Intermediate care facilities for individuals with intellectual disabilities. |
Section 388-97-2040. Design. |
Section 388-97-2060. New construction compliance. |
Section 388-97-2080. Fire standards and approval, and other standards. |
Section 388-97-2100. Maintenance and repair. |
Section 388-97-2120. Noise. |
Section 388-97-2140. Accessibility in new construction. |
Section 388-97-2160. Types of new construction. |
Section 388-97-2180. ICF/IID exceptions to physical plan requirements. |
Section 388-97-2200. Emergency power. |
Section 388-97-2220. Location of the resident care unit. |
Section 388-97-2240. Required service areas on resident care units. |
Section 388-97-2260. Staff work stations on resident care units. |
Section 388-97-2280. Call systems on resident care units. |
Section 388-97-2300. Telephones on resident care units. |
Section 388-97-2320. Utility service rooms on resident care units. |
Section 388-97-2340. Drug facilities on resident care units. |
Section 388-97-2360. Linen storage on resident care units. |
Section 388-97-2380. Janitors closets on resident care units. |
Section 388-97-2400. Resident rooms. |
Section 388-97-2420. Capacity of resident rooms. |
Section 388-97-2440. Size of resident rooms. |
Section 388-97-2460. Privacy in resident rooms. |
Section 388-97-2480. Resident isolation rooms. |
Section 388-97-2500. Resident room size variance. |
Section 388-97-2520. Resident room equipment. |
Section 388-97-2540. Resident bed and bedside equipment. |
Section 388-97-2560. Lockable storage space in a resident room. |
Section 388-97-2580. Wardrobes in a resident room. |
Section 388-97-2600. Seating in a resident room. |
Section 388-97-2620. Lighting in resident rooms. |
Section 388-97-2640. Call signal device in resident rooms. |
Section 388-97-2660. Cubicle curtains in resident rooms. |
Section 388-97-2680. Miscellaneous equipment in resident rooms in a new building or addition. |
Section 388-97-2700. Resident toilet facilities or rooms. |
Section 388-97-2720. Resident bathing facilities or rooms. |
Section 388-97-2740. Locks in toilet and bathing facilities. |
Section 388-97-2760. Dining, dayrooms, and resident activity areas. |
Section 388-97-2780. Laundry services and storage. |
Section 388-97-2800. Dementia care unit. |
Section 388-97-2820. Dining areas on a dementia care unit. |
Section 388-97-2840. Outdoor areas on a dementia care unit. |
Section 388-97-2860. Indoor areas on a dementia care unit. |
Section 388-97-2880. Ambulation route on a dementia care unit in a new building or addition. |
Section 388-97-2900. Physical plant on a dementia care unit. |
Section 388-97-2920. Special egress control devices on a dementia care unit. |
Section 388-97-2940. Specialized rehabilitation. |
Section 388-97-2960. Outpatient rehabilitation. |
Section 388-97-2980. Food service areas. |
Section 388-97-3000. Storage of equipment. |
Section 388-97-3020. Storage of resident room equipment in a new building or addition. |
Section 388-97-3040. General storage in new construction. |
Section 388-97-3060. Lighting. |
Section 388-97-3080. Natural or artificial light. |
Section 388-97-3100. Outside lighting. |
Section 388-97-3120. Light shields. |
Section 388-97-3140. Illumination levels in new buildings and additions. |
Section 388-97-3160. Night lights in new construction. |
Section 388-97-3180. Switches in new construction. |
Section 388-97-3200. Electrical outlets. |
Section 388-97-3220. Safety. |
Section 388-97-3240. Safety—Poisons and nonmedical chemicals. |
Section 388-97-3260. Safety—Storage of equipment and supplies. |
Section 388-97-3280. Safety—Handrails. |
Section 388-97-3300. Water supply. |
Section 388-97-3320. Hot water. |
Section 388-97-3340. Cross connections. |
Section 388-97-3360. Pest control. |
Section 388-97-3380. Sewage and liquid waste disposal. |
Section 388-97-3400. General new construction documents. |
Section 388-97-3420. Preliminary new construction documents. |
Section 388-97-3440. Final new construction documents. |
Section 388-97-3460. Preinstallation submissions for new construction. |
Section 388-97-3480. New construction timelines. |
Section 388-97-3500. Exemptions to new construction requirements. |
Section 388-97-3520. State building code in new construction. |
Section 388-97-3540. Electrical codes and standards in new construction. |
Section 388-97-3560. Elevator codes in new construction. |
Section 388-97-3580. Local codes and ordinances in new construction. |
Section 388-97-3600. Entrances and exits in new construction. |
Section 388-97-3620. Lobbies in new construction. |
Section 388-97-3640. Interview space in new construction. |
Section 388-97-3660. Offices in new construction. |
Section 388-97-3680. Inservice education space in new construction. |
Section 388-97-3700. Staff areas in new construction. |
Section 388-97-3720. Visiting and private space in new construction. |
Section 388-97-3740. Outdoor recreation space and walkways in new construction. |
Section 388-97-3760. Pools in new construction. |
Section 388-97-3780. Pharmacies in new construction. |
Section 388-97-3800. Elevators in new construction. |
Section 388-97-3840. Walking surfaces in a new building or addition. |
Section 388-97-3860. Doors in new construction. |
Section 388-97-3880. Floor finishes in new construction. |
Section 388-97-3900. Carpets in new construction. |
Section 388-97-3920. Coving in new construction. |
Section 388-97-3940. Walls in new construction. |
Section 388-97-3960. Accessories in new construction. |
Section 388-97-3980. Miscellaneous in new construction. |
Section 388-97-4000. Heating systems in new construction. |
Section 388-97-4020. Cooling systems in new construction. |
Section 388-97-4040. Ventilation systems in new construction. |
Section 388-97-4060. Handwashing sinks in new construction. |
Section 388-97-4080. Drinking fountains in new construction. |
Section 388-97-4100. Mixing valves or mixing faucets in new construction. |
Section 388-97-4120. Spouts in new construction. |
Section 388-97-4140. Faucet controls in new construction. |
Section 388-97-4160. Initial nursing home license. |
Section 388-97-4166. Liability insurance required. |
Section 388-97-4167. Liability insurance required—Commercial general liability insurance or business liability insurance coverage. |
Section 388-97-4168. Liability insurance required—Professional liability insurance coverage. |
Section 388-97-4180. Nursing home license renewal. |
Section 388-97-4200. Department review of initial nursing home license applications. |
Section 388-97-4220. Reasons for denial, suspension, modification, revocation of, or refusal to renew a nursing home license. |
Section 388-97-4240. Appeal of the department's licensing decision. |
Section 388-97-4260. Management agreements. |
Section 388-97-4280. Change of ownership. |
Section 388-97-4300. Licensed bed capacity. |
Section 388-97-4320. Relocation of residents. |
Section 388-97-4340. License relinquishment. |
Section 388-97-4360. Inspections and deficiency citation report. |
Section 388-97-4380. Plan of correction. |
Section 388-97-4400. Acceptable and unacceptable plans of correction. |
Section 388-97-4420. Informal department review. |
Section 388-97-4425. Notice—Service complete. |
Section 388-97-4430. Notice—Proof of service. |
Section 388-97-4440. Appeal rights. |
Section 388-97-4460. Remedies. |
Section 388-97-4480. Criteria for imposing optional remedies. |
Section 388-97-4500. Severity and scope of deficiencies. |
Section 388-97-4520. Separate deficiencies—Separate remedies. |
Section 388-97-4540. Stop placement. |
Section 388-97-4560. Amount of civil fine. |
Section 388-97-4580. Civil fine accrual and due dates and interest. |
Section 388-97-4600. Civil penalty fund. |
Section 388-97-4620. Temporary management. |
Section 388-97-4640. Receivership. |
Section 388-97-4660. Temporary managers and receivers—Application. |
Section 388-97-4680. Temporary managers and receivers—Considerations before appointment. |
Section 388-97-4700. Duties and powers of temporary manager and receiver. |
Section 388-97-4720. Termination of temporary management and receivership. |