ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type(desc) Letter Date Subject Status Notes
NH 022-056 10/04/2022 CMS Updated Guidance in QSO-22-15-NH & NLTC & LSC, Related to Nurse Aide Training Competency and Evaluation Requirements Rescinded
NH 018-003 02/01/2018 Department of Health Influenza Update Current
NH 020-074 11/13/2020 POSTPONED: RCS Reimplementation of Inspection and Investigation Activities Current

Amended

NH 025-062 12/16/2025 CR-105 FILED TO REPEAL SECTIONS OF CHAPTER 388-97 WAC THAT HAVE EXPIRED (NURSING HOMES) Current
NH 017-014 05/26/2017 S&C 17-27-NH: Implementation Issues, Long-Term Care Regulatory Changes: Substandard Quality of Care (SQC) and Clarification of Notice Before Transfer or Discharge Requirements Current
NH 021-045 06/16/2021 Discontinuation of Rapid Response Team Current
NH 019-004 02/01/2019 Notification of Final Rule Adjusting Civil Money Penalties for Inflation Current
NH 012-017 12/31/2012 S&C 12-09: Federal Requirements for the Independent Informal Dispute Resolution (IIDR) Process Current
NH 022-031 05/26/2022 CR-103E Filed to Extend Emergency Rules Amending NH Requirements for Disaster and Emergency Preparedness and Resident Rooms Current
NH 014-008 07/17/2014 LTC Ombuds Access to Resident Information & Records Superseded

Replaced by 014-022

NH 016-013 06/10/2016 Release of Draft Long-Term Care Facility (LTCF) Resident Assessment Instrument (RAI) 3.0 User’s Manual Version 1.14 Current
NH 020-022 04/16/2020 CMS/CDC Infection Control Guidance, Additional Blanket Waivers, COVID-19 Transfer/Discharge & Proclamation 20-44 Current

Superseded August 8, 2025

NH 024-019 04/11/2024 CMS Released QSO-24-08-NH, Enhanced Barrier Precautions in Nursing Homes Current
NH 026-026 06/25/2026 Cannabis Guidance for Long-Term Care Facilities and Guidance Regarding Substitute House Bill 2152 (Ryan’s Law) for Nursing Homes Current
NH 020-066 09/18/2020 CR 103E Filed to Extend Emergency Rule Amending NH Requirements and CR-101 Filed to Consider Permanently Amending the Rule for Clinical Records Current
NH 021-019 02/26/2021 Chapter 246-101 WAC, Notifiable Conditions Proposed Rules and Public Hearing Notice Current
NH 013-023 12/12/2013 Background Check Result Letters Effective January 6, 2014 Current
NH 026-014 03/24/2026 Update to RCS Staff Mask Wearing in LTC Settings During Respiratory Illness Season Current
NH 022-057 10/05/2022 Statewide 1135 Waiver Approved by CMS to Extend Nurse Aide Training and Certification Deadline Current
NH 021-057 07/16/2021 Long-Term Care Proclamations Remain in Effect Current
NH 015-007 03/11/2015 S&C 15-26: NH Compare 3.0 Five Star Quality Rating System Expanded & Strengthened Current
NH 016-021 07/20/2016 Emergency Evacuations Current
NH 024-025 05/30/2024 TB Rulemaking and Community Partner Engagement for NH, AFH, ALF and ESF to Resume in July 2024 Current
NH 017-015 05/26/2017 Electronic Plan of Correction (ePOC) Update Current
NH 021-074 09/24/2021 BYD DE2322 and 3M 8210 Respirators Current