WAC 388-78A-2170  Required assisted living facility services. (1) The assisted living facility must provide housing and assume general responsibility for the safety and well-being of each resident, as defined in this chapter, consistent with the resident’s assessed needs and negotiated service agreement.

(2) The assisted living facility must provide each resident with the following basic services, consistent with the resident’s assessed needs and negotiated service agreement:

  • Activities – Arranging for activities in accordance with WAC

388-78A-2180;

  • Housekeeping – Providing a safe, clean and comfortable environment for each resident, including personal living quarters and all other resident accessible areas of the building;
  • Laundry – Keeping the resident’s clothing clean and in good repair, and laundering towels, washcloths, bed linens on a weekly basis or more often as necessary to maintain cleanliness;
  • Meals – Providing meals in accordance with WAC 388-78A-2300; and
  • Nutritious snacks – Providing nutritious snack items on a scheduled and nonscheduled basis, and providing nutritious snacks in accordance with WAC 388-78A-2300.

(3) The assisted living facility must:

  • Provide care and services to each resident by staff persons who are able to communicate with the resident in a language the resident understands; or
  • Make provisions for communications between staff persons and residents to ensure an accurate exchange of information.

(4) The assisted living facility must ensure each resident is able to obtain individually preferred personal care items when:

  • The preferred personal care items are reasonably available; and
  • The resident is willing and able to pay for obtaining the preferred items.

[Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2170, 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-2170, filed 7/30/04, effective 9/1/04.]

WAC 388-78A-2180  Activities.  The assisted living facility must:

(1) Provide space and staff support necessary for:

  • Each resident to engage in independent or self-directed ac-tivities that are appropriate to the setting, consistent with the resident’s assessed interests, functional abilities, preferences, and negotiated service agreement; and
  • Group activities at least three times per week that may be planned and facilitated by caregivers consistent with the collective interests of a group of residents.

(2) Make available routine supplies and equipment necessary for activities described in subsection (1) of this section.

[Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2180, 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-2180, filed 7/30/04, effective 9/1/04.]

WAC 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:

  • The assisted living facility must admit or retain only those residents who are independent in activities of daily living; except that
  • A resident, or the resident’s representative, may independ-ently arrange for outside services to assist with activities of daily living.
  • 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.
  • 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:
  • Bathing: Minimal assistance with bathing means the assisted living facility must provide the resident with occasional:
  • Reminding or cuing to wash and dry all areas of the body as needed;
  • Stand-by assistance getting into and out of the tub or show-er; and
  • Physical assistance limited to steadying the resident dur-ing the activity.
  • Dressing: Minimal assistance with dressing means the assisted living facility must provide the resident with occasional:
  • Reminding or cuing to put on, take off, or lay out clothing, including prostheses when the assistance of a licensed nurse is not required;
  • Stand-by assistance during the activity; and
  • Physical assistance limited to steadying the resident dur-ing the activity.
  • Eating: Minimal assistance with eating means the assisted living facility must provide the resident with occasional:
  • Reminding or cuing to eat and drink; and
  • Physical assistance limited to cutting food up, preparing food and beverages, and bringing food and fluids to the resident.
  • Personal hygiene: Minimal assistance with personal hygiene means the assisted living facility must provide the resident with occasional:
  • 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;
  • Stand-by assistance during the activity; and
  • Physical assistance limited to steadying the resident dur-ing the activity.
  • Transferring: Minimal assistance in transferring means the assisted living facility must provide the resident with occasional:
  • Reminders or cuing to move between surfaces, for example to and from the bed, chair and standing;
  • Stand-by assistance during the activity; and
  • Physical assistance limited to steadying the resident dur-ing self-transfers.
  • Toileting: Minimal assistance in toileting means the assisted living facility must provide the resident with occasional:
  • 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;
  • Stand-by assistance during the activity; and
  • Physical assistance limited to steadying the resident dur-ing the activity.
  • Mobility: Minimal assistance in mobility means the assisted living facility must provide the resident with occasional:
  • Reminding or cuing to move between locations on the assisted living facility premises;
  • Stand-by assistance during the activity; and
  • Physical assistance limited to steadying the resident dur-ing the activity; and
  • 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.]

WAC 388-78A-2200  Health support services.  Health support services are an optional service that the assisted living facility may provide. The assisted living facility may choose to provide any of the following health support services; however, an assisted living facility may or may not need to provide additional health support services to comply with the reasonable accommodation requirements in federal and state law. The assisted living facility may provide:

  • Blood glucose testing;
  • Puree diets;
  • Calorie controlled diabetic diets;
  • Dementia care;
  • Mental health care; and
  • Developmental disabilities care.

[Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2200, 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-2200, filed 7/30/04, effective 9/1/04.]