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 022-048 08/25/2022 CR-103P (Permanent Rule) Filed to Add Sections to Chapters 388-76, 388-78A, 388-97, and 388-107 WAC to Re-establish Inspection Schedules Current
NH 021-036 07/01/2021 Safe Start for Long-Term Care Plans Updated Current

Superseded August 8, 2025

NH 018-019 08/23/2018 CR 101 Filed to Propose Adding and Amending Sections to Chapter 388-97 WAC (TB Screening) Current
NH 025-006 02/28/2025 Rescinding the Temporary Process for Verification of Nursing Assistant - Registered (NAR) Eligibility to Continue Working Past 120 Days in a NH Superseded

Superseded June 30, 2025

NH 013-018 09/26/2013 Revisions to RAI User's Manual Current
NH 020-006 02/28/2020 QSO-20-11-NH Release of Additional Toolkits to Ensure Safety and Quality in Nursing Homes Current
NH 025-028 06/30/2025 Reinstating the Temporary Process for Verification of Nursing Assistant-Registered (NAR) Eligibility to Continue Working Past 4 Months in a NH Current
NH 015-033 10/08/2015 New Background Check Result Letters Current
NH 022-053 09/22/2022 Ninth CR-103E Extension Filed for Emergency Rules Amending or Suspending Some NH Requirements Related to PASRR Current
NH 025-052 10/16/2025 CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS Superseded
NH 020-013 03/23/2020 REQUESTS FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) Superseded

Superseded by 020-015

NH 016-028 09/14/2016 Pre-admission Screening & Resident Review (PASRR) Updates Webinar Current
NH 017-017 06/21/2017 S&C 17-30-NH: Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases & Outbreaks of Legionnaires’ Disease (LD) Current
NH 026-013 03/26/2026 CR 103P Filed to Amend Chapter 388-97 WAC Codifying COVID Requirements During the Pandemic Current
NH 020-079 11/06/2020 CR-103E Filed to Extend Emergency Rules Amending NH Requirements & CR-101 Filed to Consider Permanently Amending the Rules for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms Current
NH 024-061 12/20/2024 Character, Competency, and Suitability Reviews Current
NH 012-013 09/26/2012 Emergency Preparedness Current
NH 022-061 10/31/2022 QSO-20-39-NH Revised, Updating Guidance for Nursing Home Visitation Current

Superseded August 8, 2025

NH 021-030 04/23/2021 CR-103E Filed to Extend Emergency Rule Amending NH Requirements Related to Physician Services Current
NH 016-037 11/16/2016 S&C 14-36 (Revisions); Infection Control Breaches Which Warrant Referral to Public Health Authorities Current
NH 024-012 03/19/2024 Change in Community COVID-19 Guidance Current
NH 023-016 04/14/2023 CR-101 Filed to Propose Amending Rules Related to Resident Access to Death with Dignity Medications Current
NH 026-036 09/03/2026 Rescinding QSO-24-21-NH & QSO-21-02 NH Refer to QSSAM 26-04-NH Protecting the Voting Rights and Autonomy of Vulnerable Residents in Long-Term Care Facilities Current
NH 026-037 09/03/2026 CMS Releases QSO-26-12-NH to Announce Payroll Based Journal (PBJ) Transitioning to the Internet Quality Improvement and Evaluation System (iQIES) Current
NH 021-051 07/02/2021 Safe Start for Long-Term Care Plans Updated Current