296-17A-6107  <<  296-17A-6108 >>   296-17A-6109

(Effective until January 1, 2018.)

WAC 296-17A-6108

Classification 6108.

6108-00 Convalescent or nursing homes, rest homes, and homes for the aged
Applies to establishments engaged in providing various levels of health care, depending on a patient's needs. Convalescent or nursing homes are state-licensed institutions. The extent of professional or medical services provided ranges from complete medical care for postoperative patients and patients requiring extensive nursing care due to illnesses such as terminal cancer, kidney disorders, and heart disease, to only minimal medical or professional care for other patients. Rest homes provide daily living assistance care to the aged or those with some limits on ability for self-care, but where medical care is not yet a major element. Homes for the aged provide care for people who, due to illness, physical infirmity, or advanced age, are unable to care for themselves and who need nursing and/or health-related care, but do not require the degree of care and treatment that a skilled or intermediate care facility is designed to provide. Patients in homes for the aged, because of their mental or physical condition, require some nursing care, including the administering of medications and treatments, or the supervision of self-administered medications in accordance with a physician's orders. Generally these homes will employ therapists, registered nurses, practical nurses, nurses aides and orderlies to provide the necessary medical care to their patients. The homes also may employ cooks, waitresses, maids, maintenance personnel, social workers and recreational directors, but usually do not employ a resident physician, although they may have arrangements with physicians who are on call for emergencies.
This classification excludes boarding houses which are to be reported separately in classification 6509.
[WSR 07-01-014, recodified as § 296-17A-6108, filed 12/8/06, effective 12/8/06. Statutory Authority: RCW 51.16.035. WSR 98-18-042, § 296-17-685, filed 8/28/98, effective 10/1/98; WSR 85-24-032 (Order 85-33), § 296-17-685, filed 11/27/85, effective 1/1/86; WSR 85-06-026 (Order 85-7), § 296-17-685, filed 2/28/85, effective 4/1/85; WSR 83-24-017 (Order 83-36), § 296-17-685, filed 11/30/83, effective 1/1/84; WSR 82-24-047 (Order 82-38), § 296-17-685, filed 11/29/82, effective 1/1/83; WSR 81-24-042 (Order 81-30), § 296-17-685, filed 11/30/81, effective 1/1/82; Order 75-38, § 296-17-685, filed 11/24/75, effective 1/1/76; Order 73-22, § 296-17-685, filed 11/9/73, effective 1/1/74.]
(Effective January 1, 2018.)

WAC 296-17A-6108

Classification 6108.

6108-00 Nursing homes and skilled nursing centers
Classification 6108 applies to skilled nursing facilities (SNF). This includes nursing homes, rehabilitation centers, and similar facilities. While the level of care is less urgent than for patients requiring hospitalization, SNFs, such as nursing homes, provide 24-hour supervised nursing care. They also provide personal care, therapy, nutritional management, organized activities, and social services to individuals unable to care for themselves due to injury, illness, or advanced age. These facilities are inspected and licensed by the Washington department of social and health services (DSHS); their administrators are licensed by the Washington department of health (DOH).
Types of workers employed in nursing homes often include, but are not limited to:
• Activity directors;
• Administrative staff;
• Caregivers;
• Chaplains;
• Cooks and chefs;
• Dietary aides;
• Dieticians;
• Dishwashers;
• Housekeepers;
• Janitors;
• Laundry workers;
• Lawn care workers;
• Maintenance personnel;
• Nurses' aides and assistants;
• Practical nurses;
• Registered nurses;
• Social workers;
• Therapists and therapists' assistants.
Medical services provided to residents generally include:
• Checking and monitoring for wellness;
• Dispensing medicine;
• Medical exams;
• Rehabilitative therapies;
• Total nursing care due to illness, injury, or surgery.
Personal care provided to residents may include performing or assisting with:
• Bathing;
• Brushing teeth or hair;
• Dressing;
• Feeding;
• Shaving.
This classification excludes:
• Residences providing varying levels of medical services or basic personal care but not licensed by DSHS as SNF or nursing home, that are to be reported separately in classification 6509.
• Hospitals inspected and licensed by the DOH which are classified in 6105, 6120, 6121, 7200, or 7400 (assigned only by the hospital underwriter).
• Home care providers working in their clients' homes who are to be reported separately in classification 6511 or 6512.
• Home health and nursing providers working in their clients' homes who are to be reported separately in classification 6110.
For administrative purposes, classification 6108 is divided into the following subclassification(s):
6108-00 DSHS licensed nursing homes.
[Statutory Authority: RCW 51.16.035 and WAC 296-17-31029. WSR 17-10-059, § 296-17A-6108, filed 5/2/17, effective 1/1/18. WSR 07-01-014, recodified as § 296-17A-6108, filed 12/8/06, effective 12/8/06; WSR 98-18-042, § 296-17-685, filed 8/28/98, effective 10/1/98; WSR 85-24-032 (Order 85-33), § 296-17-685, filed 11/27/85, effective 1/1/86; WSR 85-06-026 (Order 85-7), § 296-17-685, filed 2/28/85, effective 4/1/85; WSR 83-24-017 (Order 83-36), § 296-17-685, filed 11/30/83, effective 1/1/84; WSR 82-24-047 (Order 82-38), § 296-17-685, filed 11/29/82, effective 1/1/83; WSR 81-24-042 (Order 81-30), § 296-17-685, filed 11/30/81, effective 1/1/82; Order 75-38, § 296-17-685, filed 11/24/75, effective 1/1/76; Order 73-22, § 296-17-685, filed 11/9/73, effective 1/1/74.]
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