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 019-024 10/18/2019 QSO-20-02-NH Updates to the NH Compare Website & the Five Star Quality Rating System Current
NH 025-035 08/08/2025 Expired - QSO 19-07-NH: Enhanced Oversight and Enforcement of Non-Improving Late Adopters Current
NH 021-090 11/18/2021 CR-103 Nursing Home Rule Filing Current

Amended December 3, 2021

NH 012-016 11/27/2012 CR 102 Formal Phase of Proposed Amendments to Chapter 388-97 WA Current
NH 020-065 09/16/2020 COVID-19 Proclamations Extended Through October 1, 2020 Current
NH 025-063 12/18/2025 WASHINGTON (WA) STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN NURSING HOMES (NH)  Current
NH 022-024 04/22/2022 QSO 22-15-NH & NLTC & LSC, Physician Visits and Delegation to Physician Assistants and Nurse Practitioners Current
NH 024-011 03/15/2024 Temporary Process for Verification of Nursing Assistant-Registered (NAR) Eligibility to Continue Working Past 4 Months in a Nursing Home (NH)) Superseded

Superseded 2/28/2025

NH 016-040 12/01/2016 S&C 17-09-ALL: Infection Control Pilot - 2017 Update 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 015-029 08/11/2015 Revisions to Questions on the Complaint Hotline Current
NH 025-044 09/22/2025 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON Current
NH 022-009 01/18/2022 CR-103E Emergency Rule Supersedes Previous Emergency Rule Related to the Transfer & Discharge of NH Residents Current
NH 023-038 11/09/2023 Informal Dispute Resolution (IDR) Pilot Project for Nursing Homes Wrap Up and Feedback Request Current
NH 013-021 10/24/2013 Updates to Complaint Hotline Script Superseded

Replaced by NH 014-014

NH 019-015 08/02/2019 NH Locator Expansion Current
NH 025-055 10/31/2025 PROPOSED AMENDMENTS TO CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC Current
NH 019-025 10/18/2019 QSO-20-01-NH Consumer Alerts Added to the NH Compare Website & the Five Star Quality Rating System Current
NH 025-036 08/08/2025 Revised QSO-25-23-ALL: Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE) Current
NH 012-017 12/31/2012 S&C 12-09: Federal Requirements for the Independent Informal Dispute Resolution (IIDR) Process 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 025-065 12/19/2025 UPDATED TRAINING & REFERENCE MATERIALS: PAYROLL-BASED JOURNAL (PBJ) DATA SUBMISSION & THE WA STATE MINIMUM DIRECT CARE NURSING (MDCN) 3.4 HOURS PER RESIDENT DAY (HPRD) THRESHOLD Current
NH 016-041 12/01/2016 Permanent Rule Filing Chapter 388-97 WAC Current
NH 014-008 07/17/2014 LTC Ombuds Access to Resident Information & Records Superseded

Replaced by 014-022