Revised Code of Washington - RCW Title 74 Public Assistance - Chapter 74.42 Nursing Homes -- Resident Care, Operating Standards

74.42.010 Definitions
Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter. (1) "Department" means the department of social and health services ...

74.42.020 Minimum standards
The standards in RCW 74.42.030 through 74.42.570 are the minimum standards for facilities licensed under chapter 18.51 RCW: PROVIDED, HOWEVER, That RCW 74.42.040, 74.42.140 through ...

74.42.030 Resident to receive statement of rights, rules, services, and charges
Each resident or guardian or legal representative, if any, shall be fully informed and receive in writing, in a language the resident or his or ...

74.42.040 Resident's rights regarding medical condition, care, and treatment
The facility shall insure that each resident and guardian, if any: (1) Is fully informed by a physician about his or her health and medical ...

74.42.050 Residents to be treated with consideration, respect -- Complaints
(1) Residents shall be treated with consideration, respect, and full recognition of their dignity and individuality. Residents shall be encouraged and assisted in the exercise ...

74.42.055 Discrimination against medicaid recipients prohibited
(1) The purpose of this section is to prohibit discrimination against medicaid recipients by nursing homes which have contracted with the department to provide skilled ...

74.42.056 Department assessment of medicaid eligible individuals -- Requirements
A nursing facility shall not admit any individual who is medicaid eligible unless that individual has been assessed by the department. Appropriate hospital discharge shall ...

74.42.057 Notification regarding resident likely to become medicaid eligible
If a nursing facility has reason to know that a resident is likely to become financially eligible for medicaid benefits within one hundred eighty days, ...

74.42.058 Department case management services
(1) To the extent of available funding, the department shall provide case management services to assist nursing facility residents, in conjunction and partnership with nursing ...

74.42.060 Management of residents' financial affairs
The facility shall allow a resident or the resident's guardian to manage the resident's financial affairs. The facility may assist a resident in the management ...

74.42.070 Privacy
Residents shall be given privacy during treatment and care of personal needs. Residents who are spouses or domestic partners shall be given privacy during visits ...

74.42.080 Confidentiality of records
Residents' records, including information in an automatic data bank, shall be treated confidentially. The facility shall not release information from a resident's record to a ...

74.42.090 Work tasks by residents
No resident may be required to perform services for the facility; except that a resident may be required to perform work tasks specified or included ...

74.42.100 Personal mail
The facility shall not open the personal mail that residents send or receive.[1979 ex.s. c 211 § 10.] ...

74.42.110 Freedom of association -- Limits
Residents shall be allowed to communicate, associate, meet privately with individuals of their choice, and participate in social, religious, and community group activities unless this ...

74.42.120 Personal possessions
The facility shall allow residents to have personal possessions as space or security permits.[1979 ex.s. c 211 § 12.] ...

74.42.130 Individual financial records
The facility shall keep a current, written financial record for each resident. The record shall include written receipts for all personal possessions and funds received ...

74.42.140 Prescribed plan of care -- Treatment, medication, diet services
The facility shall care for residents by providing residents with authorized medical services which shall include treatment, medication, and diet services, and any other services ...

74.42.150 Plan of care -- Goals -- Program -- Responsibilities -- Review
(1) Under the attending physician's instructions, qualified facility staff will establish and maintain a comprehensive plan of care for each resident which shall be kept ...

74.42.160 Nursing care
The facility shall provide the nursing care required for the classification given each resident. The nursing care shall help each resident to achieve and maintain ...

74.42.170 Rehabilitative services
(1) The facility shall provide rehabilitative services itself or arrange for the provision of rehabilitative services with qualified outside resources for each resident whose comprehensive ...

74.42.180 Social services
(1) The facility shall provide social services, or arrange for the provision of social services with qualified outside resources, for each resident whose comprehensive plan ...

74.42.190 Activities program -- Recreation areas, equipment
The facility shall have an activities program designed to encourage each resident to maintain normal activity and help each resident return to self care. A ...

74.42.200 Supervision of health care by physician -- When required
The health care of each resident shall be under the continuing supervision of a physician: PROVIDED, That a resident of a facility licensed pursuant to ...

74.42.210 Pharmacist services
The facility shall either employ a licensed pharmacist responsible for operating the facility's pharmacy or have a written agreement with a licensed pharmacist who will ...

74.42.220 Contracts for professional services from outside the agency
(1) If the facility does not employ a qualified professional to furnish required services, the facility shall have a written contract with a qualified professional ...

74.42.225 Self-medication programs for residents -- Educational program -- Implementation
The department shall develop an educational program for attending and staff physicians and patients on self-medication. The department shall actively encourage the implementation of such ...

74.42.230 Physician or authorized practitioner to prescribe medication
(1) The resident's attending or staff physician or authorized practitioner approved by the attending physician shall order all medications for the resident. The order may ...

74.42.240 Administering medication
(1) No staff member may administer any medication to a resident unless the staff member is licensed to administer medication: PROVIDED, That nothing herein shall ...

74.42.250 Medication stop orders -- Procedure for developmentally disabled
(1) When the physician's order for medication does not include a specific time limit or a specific number of dosages, the facility shall notify the ...

74.42.260 Drug storage, security, inventory
(1) The facility shall store drugs under proper conditions of sanitation, temperature, light, moisture, ventilation, segregation, and security. Poisons, drugs used externally, and drugs taken ...

74.42.270 Drug disposal
Any drug that is discontinued or outdated and any container with a worn, illegible, or missing label shall be properly disposed.[1979 ex.s. c 211 § ...

74.42.280 Adverse drug reaction
Medication errors and adverse drug reactions shall be recorded and reported immediately to the practitioner who ordered the drug. The facility shall report adverse drug ...

74.42.285 Immunizations -- Rules
(1) Long-term care facilities shall: (a) Provide access on-site or make available elsewhere for all residents to obtain the influenza virus immunization on an annual ...

74.42.290 Meal intervals -- Food handling -- Utensils -- Disposal
(1) The facility shall serve at least three meals, or their equivalent, daily at regular times with not more than fourteen hours between a substantial ...

74.42.300 Nutritionist -- Menus, special diets
(1) The facility shall have a staff member trained or experienced in food management and nutrition responsible for planning menus that meet the requirements of ...

74.42.310 Staff duties at meals
(1) A facility shall have sufficient personnel to supervise the residents, direct self-help dining skills, and to insure that each resident receives enough food. (2) ...

74.42.320 Sanitary procedures for food preparation
Facilities shall have effective sanitary procedures for the food preparation staff including procedures for cleaning food preparation equipment and food preparation areas.[1979 ex.s. c 211 ...

74.42.330 Food storage
The facility shall store dry or staple food items at an appropriate height above the floor in a ventilated room not subject to sewage or ...

74.42.340 Administrative support -- Purchasing -- Inventory control
(1) The facility shall provide adequate administrative support to efficiently meet the needs of residents and facilitate attainment of the facility's goals and objectives. (2) ...

74.42.350 Organization chart
The facility shall have and keep current an organization chart showing: (1) The major operating programs of the facility; (2) The staff divisions of the ...

74.42.360 Adequate staff
The facility shall have staff on duty twenty-four hours daily sufficient in number and qualifications to carry out the provisions of RCW 74.42.010 through 74.42.570 ...

74.42.370 Licensed administrator
The facility shall have an administrator who is a licensed nursing home administrator under chapter 18.52 RCW. The administrator is responsible for managing the facility ...

74.42.380 Director of nursing services
(1) The facility shall have a director of nursing services. The director of nursing services shall be a registered nurse or an advanced registered nurse ...

74.42.390 Communication system
The facility shall have a communication system, including telephone service, that insures prompt contact of on-duty personnel and prompt notification of responsible personnel in an ...

74.42.400 Engineering and maintenance personnel
The facility shall have sufficient trained and experienced personnel for necessary engineering and maintenance functions.[1979 ex.s. c 211 § 40.] ...

74.42.410 Laundry services
The facility shall manage laundry services to meet the residents' daily clothing and linen needs. The facility shall have available at all times enough linen ...

74.42.420 Resident record system
The facility shall maintain an organized record system containing a record for each resident. The record shall contain: (1) Identification information; (2) Admission information, including ...

74.42.430 Written policy guidelines
The facility shall develop written guidelines governing: (1) All services provided by the facility; (2) Admission, transfer or discharge; (3) The use of chemical and ...

74.42.440 Facility rated capacity not to be exceeded
The facility may only admit individuals when the facility's rated capacity will not be exceeded and when the facility has the capability to provide adequate ...

74.42.450 Residents limited to those the facility qualified to care for -- Transfer or discharge of residents -- Appeal of department discharge decision -- Reasonable accommodation
(1) The facility shall admit as residents only those individuals whose needs can be met by: (a) The facility; (b) The facility cooperating with community ...

74.42.460 Organization plan and procedures
The facility shall have a written staff organization plan and detailed written procedures to meet potential emergencies and disasters. The facility shall clearly communicate and ...

74.42.470 Infected employees
No employee with symptoms of a communicable disease may work in a facility. The facility shall have written guidelines that will help enforce this section.[1979 ...

74.42.480 Living areas
The facility shall design and equip the resident living areas for the comfort and privacy of each resident.[1979 ex.s. c 211 § 48.] ...

74.42.490 Room requirements -- Waiver
Each resident's room shall: (1) Be equipped with or conveniently located near toilet and bathing facilities; (2) Be at or above grade level; (3) Contain ...

74.42.500 Toilet and bathing facilities
Toilet and bathing facilities shall be located in or near residents' rooms and shall be appropriate in number, size, and design to meet the needs ...

74.42.510 Room for dining, recreation, social activities -- Waiver
The facility shall provide one or more areas not used for corridor traffic for dining, recreation, and social activities. A multipurpose room may be used ...

74.42.520 Therapy area
The facility's therapy area shall be large enough and designed to accommodate the necessary equipment, conduct an examination, and provide treatment: PROVIDED, That developmentally disabled ...

74.42.530 Isolation areas
The facility shall have isolation areas for residents with infectious diseases or make other provisions for isolating these residents.[1979 ex.s. c 211 § 53.] ...

74.42.540 Building requirements
(1) The facility shall be accessible to and usable by all residents, personnel, and the public, including individuals with disabilities: PROVIDED, That no substantial structural ...

74.42.550 Handrails
The facility shall have handrails that are firmly attached to the walls in all corridors used by residents: PROVIDED, That the department may waive the ...

74.42.560 Emergency lighting for facilities housing developmentally disabled persons
If a living unit of a facility for the developmentally disabled houses more than fifteen residents, the living unit shall have emergency lighting with automatic ...

74.42.570 Health and safety requirements
The facility shall meet state and local laws, rules, regulations, and codes pertaining to health and safety.[1980 c 184 § 14; 1979 ex.s. c 211 ...

74.42.580 Penalties for violation of standards
The department may deny, suspend, revoke, or refuse to renew a license or provisional license, assess monetary penalties of a civil nature, deny payment, seek ...

74.42.600 Department inspections -- Notice of noncompliance -- Penalties -- Coordination with department of health
(1) In addition to the inspection required by chapter 18.51 RCW, the department shall inspect the facility for compliance with resident rights and direct care ...

74.42.620 Departmental rules
The department shall adopt rules pursuant to chapter 34.05 RCW necessary to carry out the policies and provisions of RCW 74.42.010 through 74.42.570. The department ...

74.42.630 Conflict with federal requirements
If any part of chapter 184, Laws of 1980 shall be found to be in conflict with federal requirements which are a prescribed condition to ...

74.42.640 Quality assurance committee
(1) To ensure the proper delivery of services and the maintenance and improvement in quality of care through self-review, each facility may maintain a quality ...

74.42.900 Severability -- 1979 ex.s. c 211
If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application ...

74.42.910 Construction -- Conflict with federal requirements
If any part of this act is found to be in conflict with federal requirements which are a prescribed condition to the allocation of federal ...

74.42.920 Chapter 74.42 RCW suspended -- Effective date delayed until January 1, 1981
Chapter 74.42 RCW shall be suspended immediately, and its effective date delayed so that it shall take effect on January 1, 1981.[1980 c 184 § ...