To gain a comprehensive understanding of the services we offer, kindly take a moment to review our service disclosure, which outlines some of the processes involved in delivering our offerings.
Personal Care
Personal care services mean both physical assistance and/or prompting and supervising the performance of direct personal care tasks as determined by the resident’s needs and do not include tasks performed by a licensed health professional. (WAC 388-76-10000)
Medication Services
If the home admits residents who need medication assistance or medication administration services by a legally authorized person, the home must have systems in place to ensure the services provided meet the medication needs of each resident and meet all laws and rules relating to medications. (WAC 388-76-10430) The type and amount of medication assistance provided by the home is as follows:
- Medication assistance is carried out under nurse delegation.
- The provider or caregiver will assist the resident with their medications if needed. If a resident is unable to administer their own medications, is unaware that they are taking medications due to confusion, or is unable to determine when they need a specific medication (medication — as needed), nurse delegation will be required for the caregiver to administer the medication to the resident.
- Under Washington law, an RN determines that the resident is in a predictable and stable condition and receives consent from the resident/representative to delegate the nursing task. The resident’s family/representative may also administer medications to the resident.
- All medications will be kept in locked storage and logged onto the resident’s records when taken. If the resident does not need assistance with medication administration, a lockable container will be provided to secure the medication in the resident’s room.
- Medication should be brought to the facility by the resident, the responsible party, or delivered by the pharmacy and billed directly to the resident or responsible party. – All medications, including vitamins or other food supplements, must be approved in writing by a physician and be included in the resident’s medication log.
- A cognitively alert resident may take over-the-counter medication without a physician’s order, but it is the policy of the adult family home to notify the physician when this occurs. If a resident refuses a medication, the physician will also be notified.
Skilled Nursing Services and Nurse Delegation
If the home identifies that a resident has a need for nursing care and the home is not able to provide the care per Chapter 18.79 RCW, the home must contract with a nurse currently licensed in the state of Washington to provide the nursing care and service, or hire or contract with a nurse to provide nurse delegation. (WAC 388-76-10405) The home provides the following skilled nursing services:
Registered Nurses or Licensed Practical Nurses are available only on a contracted basis as provided by DSHS.
Staffing
The home’s provider or entity representative must live in the home or employ or have a contract with a resident manager who lives in the home and is responsible for the care and services of each resident at all times. The provider, entity representative, or resident manager is exempt from the requirement to live in the home if the home has 24-hour staffing coverage and a staff person who can make needed decisions is always present in the home. (WAC 388-76-10040)
The provider lives in the home.
The normal staffing levels for the home are:
- Registered nurse, days and times: As required.
- Licensed practical nurse, days and times: As required.
- Certified nursing assistant or long-term care workers, days and times: 24 hrs.
- Awake staff at night
Cultural or Language Access
The home must serve meals that accommodate cultural and ethnic backgrounds (388-76-10415) and provide informational materials in a language understood by residents and prospective residents (Chapter 388-76 various sections)
Medicaid
The home must fully disclose the home’s policy on accepting Medicaid payments. The policy must clearly state the circumstances under which the home provides care for Medicaid-eligible residents and for residents who become eligible for Medicaid after admission. (WAC 388-76-10522)
The home accepts Medicaid payments.
Home also accepts Private residents who become eligible for Medicaid after admission.
If you have more questions, please contact us.