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 022-065 12/29/2022 CR-103E Emergency Rules Filed to Continue to Extend Waived Rules Related to Transfer and Discharge of Nursing Home Residents Current
NH 021-044 05/26/2021 Source Control Regardless of Vaccination Status Current
NH 023-039 11/17/2023 Quality, Safety and Education Portal (QSEP) 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 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Superseded August 8, 2025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 015-026 07/27/2015 CR 101 Filed to Propose Adding & Amending Sections to Chapter 388-97 WAC Current
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 021-011 02/05/2021 Certificates of Parental Improvement and Background Checks Current
NH 013-006 04/17/2013 S&C 13-14: Physician Delegation of Tasks in SNFs and NFs Current
NH 015-005 02/12/2015 Mandated Reporting Requirements for Facility Staff Current
NH 021-066 09/03/2021 Correction Regarding LTC Setting Requirements Under Governor Proclamation 21-14, COVID Vaccination Requirements Current
NH 022-041 07/07/2022 Reimplementation of the Nursing Home State Survey Report or DSHS 10-207 Form Current
NH 016-021 07/20/2016 Emergency Evacuations Current
NH 021-092 12/17/2021 RCS Access to Facilities 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 012-002 02/22/2012 Nursing Home Guidelines (aka "The Purple Book") Fifth Edition (February 2012) Effective Immediately Current
NH 014-001 03/07/2014 CR 102 Filed: Formal Phase of Proposed Amendments to Chapter 388-97 WAC (Background Checks) Current
NH 023-040 11/17/2023 Strengthened Enhanced Enforcement for Infection Control Deficiencies and Quality Improvement Activities in NH Current

Superseded August 14, 2025

NH 022-033 05/27/2022 Use of Emergency Medical Services by Licensed and Certified Long-Term Care Providers Rescinded
NH 026-006 02/12/2026 Revisions to the State Operations Manual (SOM) Chapters 5 and 7 Current
NH 015-027 07/27/2015 S&C 15-47-NH: Medication Related Adverse Events Current
NH 016-014 06/10/2016 S&C 16-26-NH: FY2016 to FY2017 Nursing Home Action Plan Current
NH 013-007 05/15/2013 Safety Risk of Medical Devices Current
NH 023-006 03/03/2023 Emergency Rules Filed Related to Minimum Staffing Standards in Nursing Homes (3.4 Direct Care Hours and RN Requirements) Current
NH 026-014 03/24/2026 Update to RCS Staff Mask Wearing in LTC Settings During Respiratory Illness Season Current