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 022-063 11/16/2022 QSO-23-02-ALL Released, Revising Guidance for Staff Vaccination Requirements Current
NH 020-041 06/16/2020 COVID 19: Reopening of Washington State and Resident Visits to the Community Current

Amended 01/11/2021

NH 024-031 07/12/2024 Upcoming Training Opportunity: Substance Use Disorder 101 Current
NH 020-059 08/17/2020 CR-103E Filed to Extend Emergency Rules Amending or Suspending Some NH Requirements and CR 101 Filed to Consider Permanently Amending the Rules Current
NH 015-018 05/18/2015 S&C 15-36: Requesting an Appeal with the Departmental Appeals Board (DAB) Current
NH 018-016 06/07/2018 Clostridium Difficile Infection (CDI) “Toolkit” Current
NH 022-013 02/11/2022 CR-103E Filed to Extend Emergency Rules Amending NH Requirements for Disaster and Emergency Preparedness, Quality Assessment and Assurance, and Resident Rooms Current
NH 020-085 11/13/2020 National Suicide Prevention Lifeline Current
NH 025-011 03/26/2025 QSSAM-25-1-ALL: Clarification of CMS' Provider Enrollment Site Visits and Specific Disclosure Requirements for SNF and NF Current
NH 026-007 02/12/2026 COVID-19 Testing Considerations for Admissions / Move-ins From Hospitals Current
NH 020-021 04/16/2020 Emergency Rules (CR 103E) Amending or Suspending Some NH Requirements Current
NH 014-007 07/17/2014 Final Amendments Related to Chapter 388-97 WAC Current
NH 017-030 11/03/2017 Proposed Amendments to Chapter 388-97 WAC (Direct Care Hours) Current
NH 020-068 09/24/2020 Influenza and Pneumococcal Reminders Current
NH 015-029 08/11/2015 Revisions to Questions on the Complaint Hotline Current
NH 021-033 04/29/2021 Sources to Access Vaccines for Residents Current
NH 016-020 07/14/2016 Services to Enable Accessible Communication with People Who are Deaf, Deaf-Blind, Hard of Hearing or Speech Disabled Current
NH 022-055 09/29/2022 Residential Care Services Long-Term Care Quality Improvement Program Current
NH 025-018 05/23/2025 CR-101 Filed to Update Background Check Requirements Superseded

Superseded June 5, 2025

NH 025-035 08/08/2025 Expired - QSO 19-07-NH: Enhanced Oversight and Enforcement of Non-Improving Late Adopters Current
NH 022-002 01/06/2022 CMS Changes to COVID-19 Survey Activities and Increased Oversight Current
NH 023-032 10/05/2023 Resuming the Exception Requests to the 24-Hour RN Staffing Requirement and Process Update Current

Superseded June 30, 2025

NH 025-003 01/31/2025 Increased Regulatory Focus by the Office of the State Fire Marshal (OSFM) Current
NH 025-063 12/18/2025 WASHINGTON (WA) STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN NURSING HOMES (NH)  Current
NH 025-022 06/05/2025 Updates to the Long-Term Care Quality Improvement Program (LTC QIP) Current