Skilled Nursing Facilities
CMS Updates Federal Shutdown Survey Guidance to States
SNF | CMS has updated QSO memo 26-01 related to the federal government shutdown. In this memo, the reasons for revisit have been updated. If you have questions, please reach out to Elena Madrid. Read MoreTimely, Impartial, & Accurate Admission Decision-Making: C. Auris & Other MDRO's
SNF | DSHS has released a "Dear Provider" letter regarding the importance of facilities ensuring that admission decisions comply with requirements at WAC 388-97 0040(6). Read MoreSA2 '25 Preliminary CMID Reports Are Available
SNF | The second Semi-Annual 2025 (SA2 '25) Preliminary Case Mix Index Detail (CMID) Report is available. Read MorePre-Admission Screening and Resident Review (PASSR) Delays Subject of Guidance
SNF | This recent "Dear Provider" letter details the actions Skilled Nursing Facilities need to take regarding delays with the PASRR Level II evaluations and determinations. Read MoreGuidance on Temporary Staffing Sales Tax Issued
AL SNF | Washington’s operating budget includes a tax on temporary staffing services. Here is the Interim guidance that defines temporary staffing services, including temporary nursing pool or agency staff. Read MorePre-Admission Screening and Resident Review (PASRR) Webinar
SNF | The Department of Social and Health Services (DSHS) invites you and any interested staff to participate in the upcoming 2025 PASRR Annual Hospital/Nursing Facility (NF) Webinar. Read MoreAHCA/NCAL Releases New #GetVaccinated Resources
AL SNF | In partnership with Moderna, AHCA/NCAL has launched its 2025-2026 #GetVaccinated campaign, which offers new and updated vaccination resources for long term care providers. Read MoreNominations for 2026/2027 AHCA/NCAL Committees Due October 10
AL SNF | The deadline to nominate yourself or another member to participate on one of AHCA/NCAL's 2026-2027 committee is Friday, October 10. All AHCA/NCAL members are encouraged to participate in this process. Read MoreAnnouncing the RCS Survey Agency Fall Forums
AL SNF | Long-term care providers are invited to attend the Home and Community Living Administration, Division of Residential Care Services Fall 2025 NH and ALF Forums on November 12. Read MoreNotification of Resident Representatives and Family
SNF | WHCA has received concerns voiced on behalf of resident families that they are not being notified in a timely manner when their loved one is transferred to the hospital/emergency room for evaluation and/or treatment. Read MoreOctober is Residents' Rights Month
AL SNF | October is resident rights month, and this year’s theme is “Stand with Me.” It is a time to celebrate each resident’s individuality, while advocating for their right to choose, refuse, and live to their fullest potential. Read MoreHelp Define Health Workforce Data Priorities by October 10
AL SNF | Washington Workforce Data Project Team has extended the deadline to Friday, October 10 to give you more time to share your insights on Washington’s health workforce needs. Read MoreDSHS Releases Two New Dear Provider Letters
AL SNF | DSHS has released a Dear Provider letter on the new CMS episode-based payment model, and a Dear Provider letter on the importance of seasonal vaccinations. Read MoreNew Process for Submitting IDR Requests
AL SNF | DSHS has issued a Dear Provider letter regarding the new process for all provider types to submit Informal Dispute Resolution (IDR) requests using the online form. WHCA is hosting a free webinar on October 28 to provide an overview of the process. Read MoreTemporary Pause in Nursing Home Care Compare Updates
SNF | DSHS has issued a revised "Dear Provider" letter that amends the letter issued August 21, 2025, with updated information regarding CMS guidance that temporarily paused the monthly updates to the nursing home (NH) Care Compare website. Read MoreFederal Government Shuts Down
AL SNF | The federal government shut down should have minimal impact on long-term care, as Medicare and Medicaid are mandatory programs that continue even during a lapse of appropriations. However, there may be slight delays in payments, waiver approvals, and technical assistance. Read MoreAHCA/NCAL National Quality Awards – Quality Results and Resources
AL SNF | Have you submitted your intent to apply for the AHCA/NCAL National Quality Awards? Take the first step and submit your Intent to Apply by the deadline: November 13, 8 pm EST. Read MoreNew Targeted MDRO HAI Outbreak Disclosure List
AL SNF | In September, the DOH HAI/AR Section launched an HAI outbreak disclosure list that will describe current and recent healthcare outbreaks involving targeted multidrug resistant organisms (MDRO). Read More2nd Semi-Annual '25 Preliminary CMID Reports Coming Soon
SNF | The SA2 '25 Preliminary CMID Report includes MDS assessments from 04/1/2025 to 09/30/2025. This report will be emailed to the address authorized by your facility as of 10/13/2025. Read MoreExpired CMS Memos and Updated Practice Guidance
SNF | On September 2, Centers of Medicare and Medicaid Services (CMS) made several updates to the Policy & Memos to States and CMS Locations page. Read the full letter now. Read MoreHealth Workforce Survey Aims to Target Employer Workforce Needs
AL SNF | The Center for Health Workforce Studies at the University of Washington is seeking your input to help guide future decisions across the state about how to strengthen data resources for health workforce policy and planning. Read MoreWashington’s Clean Building Performance Standards
AL SNF | In 2019, Washington became the first state to adopt statewide performance standards for commercial buildings, including skilled nursing and assisted living centers. There are several key things providers need to know. Read MoreRCS Staff to Wear Masks During Respiratory Illness Season
AL SNF | After reviewing available data, the decision has been made that starting Wednesday, October 1, all Residential Care Services (RCS) staff will wear face masks when conducting on-site visits in long-term care (LTC) settings. Read the full letter now. Read MoreA Recap of the ACIP Vaccine Recommendations
AL SNF | The Advisory Committee on Immunization Practices (ACIP) recently held its quarterly meeting on September 18th and 19th. In this session, they reviewed COVID-19 vaccines including updates to the vaccine implementation. Read MoreLawsuit Dismissal Permanently Prevents Minimum Staffing Regulations
SNF | Recently, the U.S. Department of Justice (DOJ) withdrew its appeal of the District Court decision in AHCA v. Kennedy. The DOJ filed an appeal in June – but recently filed an opposed motion to drop the appeal. The DOJ’s actions mean the Court rulings will stand. Read MoreProposed Changes to Nursing Assistant Specialty Training Programs
AL SNF | WABON is hosting several sessions where interested parties can vote on including/excluding the specialty classes from the core nursing assistant training curriculum. If you are interested in learning more or share your thoughts, join one of the sessions next week. Read More"Dear Provider" Letters Regarding Naloxone (Narcan)
AL SNF | Washington state's DSHS has released two updated "Dear Provider" letters, which supersede previous letters, regarding the importance of having naloxone in long-term facilities. Read MoreSept. 22 2022 | Resident Falls
Resident falls can be devastating to the residents, their family, and facility staff. One out of every five falls results in serious injury such as... Read MoreCMS Revises Two Memos Regarding Updates to Nursing Home Care Compare & Five Star
SNF | The Centers for Medicare and Medicaid Services (CMS) released two revised memos pertaining to the Five Star Quality Rating System and Nursing Home Care Compare. Read MoreNew Resource to Navigate Changes to Coding Falls on the MDS
SNF | The Centers for Medicare and Medicaid Services (CMS) recently released the RAI Manual v1.20.1 effective October 1, 2025. This update includes significant changes to the definitions and coding guidance related to falls in J1700, J1800, and J1900C. Read MoreCMS Releases the FY26 Mission and Priority Document
SNF | The Centers for Medicare & Medicaid Services (CMS) released the Fiscal Year (FY) 2026 Mission and Priority Document (MPD), which is issued annually to direct and prioritize the agency’s work for the year. Read MoreAHCA/NCAL Webinar: Intro to the Quality Award Journey
AL SNF | AHCA/NCAL is hosting a webinar on the National Quality Award Program, with a focus on helping first-time applicants understand the structure and purpose of the program. Read MoreIlluminate the Journey: LTC Providers Connect in Spokane
AL SNF | Last week, Washington Health Care Association was proud to welcome nearly 400 providers and associate business partners from Washington and Idaho to Spokane for the 2025 WHCA+IHCA Fall Conference. Read MoreKey Resources for the SNF QRP are Now Available
SNF | The Centers for Medicare and Medicaid Services (CMS) posted several key resources for the Skilled Nursing Facility Quality Reporting Program (SNF QRP) for the FY 2027 and FY 2028 program years. Read MoreJoin the CDC for Open Office Hours
AL SNF | Join the Centers for Disease Control and Prevention (CDC) Project Firstline, along with the National Infection Prevention Forum (NIPF) for monthly Open Office Hours on 9/23/2025. Submit questions in advance here by September 18th for consideration. Read MoreCDC Publishes 2025-2026 US Flu Vaccination Recommendations
AL SNF | The Centers for Disease Prevention and Control recently released the 2025-2026 influenza vaccine recommendations in its Morbidity and Mortality Week Report (MMWR). Routine annual influenza vaccination is recommended for all persons aged ≥6 months without a contraindication. Read MoreImportant Updates about WHCA Education
AL SNF | Beginning October 1, 2025, two new tax and payment policies will impact WHCA’s virtual and in-person education opportunities. Read MoreNow Available: The Final MDS 3.0 RAI User’s Manual
SNF | The final Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.20.1 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. Read MoreNo LTC Connections Next Week
AL SNF | Due to the WHCA + IHCA 2025 Fall Conference, there will be no formal issue of Long-Term Connections published next week. We will keep our members abreast of any pertinent information, articles, or policy changes that occur with a special news alert if necessary. Read MoreNew Targeted MDRO HAI Outbreak Disclosure List
AL SNF | This month, the DOH HAI/AR Section is launching an HAI outbreak disclosure list that will describe current and recent healthcare outbreaks involving targeted multidrug resistant organisms (MDRO). The information on the disclosure list will be available to local public health officials and healthcare facility infection preventionists. Read MoreHELMS Portal Support
AL SNF | HELMS is the new online portal available to healthcare providers for submitting applications, renewals, status changes, and account updates. All Washington state nurses and nursing applicants need to create a HELMS portal account. Read MoreFree Virtual IPC Conference Opportunity
SNF | DSHS Residential Care Services (RCS) invites nursing home providers, administrators, infection control specialists, and RCS regulators and licensors to join for a free, full-day virtual conference on September 17, from 9:00 AM to 4:00 PM PST. Read MoreWhen Media Calls, WHCA Can Help
AL SNF | If you receive a call from a reporter, WHCA is standing by to support you. We can help you understand your role, navigate the media inquiry, plan a potential response, and increase the potential of your community’s story being heard. Read MoreGet AHCA's New MDS Program for Your Interdisciplinary Team
SNF | American Health Care Association (AHCA) is offering a dynamic new program for nurses, administrators, social workers, and your entire MDS team. Read More"Dear Administrator" Letters Regarding Nursing Home Care Compare Updates
SNF | Residential Care Services (RCS) has recently released letters regarding updates to the NH Care Compare website. Read both letters now. Read MoreRCS Q&A Sessions for New Rules On Communication Standards Effective September 6, 2025
AL SNF | New rules for Adult Family Homes, Assisted Living Facilities, Enhanced Services Facilities and Nursing Homes go into effect September 6, 2025. Residential Care Services is offering drop-in sessions for each setting type, where they will answer your questions. Read MoreAugust 22 2025 | Elopement
A missing resident can be a scary and dangerous situation. Many long-term care facilities have developed and implemented systems to minimize the likelihood of resident... Read MoreEmergency Rules Filed: Communications During Emergencies
AL SNF | DSHS filed emergency rules for LTC providers regarding communications during emergencies and disasters on August 14. The rulemaking was required by SHB 1218, legislation that passed in 2021. Read More“Late Adopters” Guidance on Antipsychotics Expires
SNF | On July 30, 2025, federal guidance regarding “late adopters” failing to reduce utilization of anti-psychotic medications expired. A recently released "Dear Provider Letter" details revised guidance. Read MoreMedicare Prospective Payment System Final Rule Summary
SNF | This “Dear Provider Letter” provides a summary of the changes and updates to policies and payment rates under the SNF PPS for fiscal year 2026. Read MoreInfection Control Enhanced Enforcement Suspended
SNF | Effective July 30, State Agencies and nursing home (NH) providers will no longer follow the guidance issued in QSO-23-10-NH, as it has been expired by CMS. Read MoreReminder: MDS & Resident Assessments Roles and Responsibilities
SNF | In recent months, federal and state regulators have demonstrated an increased attention on MDS practices. AHCA/NCAL wants to provide some reminders on key requirements for MDS roles and responsibilities as well as highlight resources we have for providers. Read MoreFraud Alert: Scammers Impersonating Office of Health Professions Staff
AL SNF | The Washington State DOH Office of Health Professions (OHP) has become aware of ongoing scams targeting licensed health professionals. These scams involve fraudulent communications that appear to come from OHP staff. Read MoreHELMS Online Portal Reminder
AL SNF | HELMS is the new online portal available to healthcare providers for submitting applications, renewals, status changes, and account updates. All Washington state nurses and nursing applicants need to create a HELMS portal account. Read MoreWashington’s 2025 Legislative Session: New Tools For Housing Production and Reform
AL SNF | Providers serving independent seniors whose housing is governed by the Residential Landlord Tenant Act (RLTA) will have an interest in this Ballard Spahr briefing on housing legislation that passed in 2025.
Read More Recent "Dear Provider" Letters for Skilled Nursing Facilities
SNF | The Department of Social and Health Services (DSHS) has recently issued Dear Provider/Administrator letters to SNFs on the following topics: CMS prospective payment system final rule, oversight/enforcement actions for non-improving “late adopters", and guidance for the COVID-19 Public Health Emergency expiration. Read MoreNorth Auburn Rehabilitation & Health Earns 5-Star Quality Measures Rating
SNF | Shoutout to North Auburn Rehabilitation & Health for earning a 5-Star Quality Measures Rating from CMS - a major accomplishment and a true reflection of the dedication, compassion, and clinical excellence shown by the entire team! Congratulations to the entire team at North Auburn Rehabilitation & Health and Caldera Care! Read MoreRCS Voices Concerns Regarding Facility Failed Practices Related to CPR
SNF | In recent discussions with Residential Care Services, concerns were raised related to recent deficiencies regarding facility staff initiation of CPR (Cardiopulmonary Resuscitation). Appendix PP of the State Operations Manual includes CPR requirements in nursing homes. Read MoreCMS Issues FY 2026 SNF Final Payment Rule
SNF | The Centers for Medicare and Medicaid Services (CMS) recently issued the final rule for the skilled nursing facility prospective payment system (PPS) fiscal year (FY) 2026. Read MoreBCCU July Newsletter
AL SNF | As August begins, the Background Check Central Unit (BCCU) is sharing a few important reminders and resources related to their Background Check System processes. This month’s newsletter includes articles on their website, security features, BCS usernames, and more. Read MoreAnnual Long-Term Care Respiratory Virus Season Preparedness Call
AL SNF | WA DOH invites all long-term care settings to join a webinar about preparedness for respiratory virus season on September 22nd. This call will include presentations and panelists from local health jurisdictions and DSHS. Read MoreLong-Term Care Infection Prevention Q&A Call
AL SNF | Long-term care partners in WA from all settings are invited to join DSHS at a Q&A call about infection prevention topics on September 29th. The purpose of this call is to talk through issues so you can provide a safer environment for staff and residents. Read MoreDSHS Requirement for Reporting Building Leadership Changes
AL SNF | SNF and AL providers are responsible for reporting building leadership changes to DSHS. If you have questions about this or other notification requirements, please contact Elena Madrid (for skilled nursing facilities) and Vicki McNealley (for assisted living). Read MoreWhat is HELMS?
AL SNF | The Washington State Healthcare Enforcement and Licensing Management System (HELMS) will provide licensees and employers better service, increase work efficiency, and provide greater access to data on the healthcare system. Read MoreFacility Use of Narcan Subject of Legislative Inquiry
SNF | Representative Adam Bernbaum (D-24) recently met with WHCA representatives to discuss the use of Narcan (Naloxone) in skilled nursing facilities. The conversation focused on whether facilities are equipped and authorized to stock and administer Narcan. Read MoreUpdated COVID-19 Reporting Expectations
AL SNF | On July 18, DSHS issued an updated Dear Provider Letter outlining new expectations in reporting COVID-19 outbreaks to the Complaint Resolution Unit (CRU). Reporting COVID-19 outbreaks to the CRU is now encouraged but not required. Read MoreNew Urine PCR Consensus Statement Now Available
SNF | A new open-access consensus statement has been created by The Post-Acute and Long-Term Care Medical Association (PALTmed, formerly PALTC/AMDA). Read MoreJuly 25 2025 | Medication Errors: Costly Risks Worth Preventing
The frequency of medication errors resulting in resident harm is and has historically been low; insurance claims related to medication errors represent less than 2%... Read MoreProviderOne Social Services Newsletter - July 2025
AL SNF | ProviderOne has released their newsletter for the month of July. This issue features information on billing guides, reporting medical leave, billing for bed holds, and more. Read MoreUPDATE: CMS Extends Mandatory SNF Provider Enrollment Revalidation Deadline to January 1, 2026
SNF | CMS is extending the deadline for the mandatory SNF provider enrollment off-cycle revalidation from August 1, 2025, to January 1, 2026. Read MoreTOMORROW: Open Office Hours with CDC and SMEs
SNF | Join the Centers for Disease Control and Prevention (CDC) Project Firstline, along with the National Infection Prevention Forum (NIPF) for monthly Open Office Hours on 7/24/2025. Read MoreCMS Releases Edits to the State Operations Manual-Appendix PP
SNF | On Friday, July 11, the Centers for Medicare and Medicaid Services released technical updates to Appendix PP via Transmittal 231. The posted copy of Appendix PP was also updated to match these changes. Read MoreCMS Posts Frequently Asked Questions about the SNF Validation Program
SNF | The Centers for Medicare and Medicaid Services (CMS) has finalized a policy for skilled nursing facilities who participate in the SNF Quality Reporting Program validation process beginning in the fall of 2025 for the FY 2027 SNF QRP. Read MorePersonal Care Services Survey
AL SNF | DSHS has announced that the Home and Community Living Administration will be conducting telephone or face-to-face interviews with people who receive services from WA state using the National Core Indicators-Aging and Disabilities (NCI-AD) survey. Read MoreUpdate on Death with Dignity Act Medications in LTC Facilities
AL SNF | DSHS has released a new "Dear Provider/Administrator" letter regarding the Death with Dignity (DWD) Act medications in long-term care facilities. Read the full letter now. Read MoreAdvocates in Action
AL SNF | Whether it's penning an op-ed, hosting a rally or a tour, or joining a delegation to D.C., these WHCA members are inspiring advocates who are making an impact in our long-term care community. Read MoreWA Cares Launches Provider Training
AL SNF | Before the WA Cares Fund benefits begin in July 2026, WA Cares will work to register a diverse range of qualified providers for each covered service. To ensure quality care, providers must meet minimum qualifications to participate. Read MoreFederal Budget Bill: Impacts to Medicaid Funding in Washington
AL SNF | On July 4, President Trump signed the federal tax and spending bill into law. Medicaid funding for SNF and AL facilities will continue to be funded at the same federally matched percentage they are today. Read MoreEliminating Certification Barriers for Nursing Assistants
SNF | WHCA is part of a coalition that includes the Washington State Board of Nursing (WABON), LeadingAge, and the Washington State Hospital Association (WSHA) on a federal nursing assistant initiative. We have approached Rep. Emily Randall to help champion a bipartisan effort to amend federal standards. Read MoreAdministrator in Training Program Renamed to "Administrator Residency"
SNF | Effective July 15, the Board of Nursing Home Administrators will begin using the term "Administrator Residency" in place of "Administrator in Training" on their forms and website. You can view the BNHA Interpretive Statement here. Read MoreSponsorships and Registration Now Open: WHCA-PAC Fall Golf Invitational
AL SNF | Whether you're an avid golfer, shot-shanker extraordinaire or just a big fan of golf carts, we encourage you to join your colleagues and business partners on September 8 for the WHCA-PAC's 2025 Fall Golf Invitational. Register today to save your spot! Read MoreDSHS Offers Clarification on Infection Prevention and Control Guidance
AL SNF | DSHS recently issued a reminder that all assisted living and skilled nursing facilities must follow CDC guidance in infection prevention and control standards. Read MoreImpacts of Federal Tax and Spending Law on LTC
AL SNF | While the new federal tax and spending bill includes significant impacts to Medicaid benefit programs, Medicaid funding for skilled nursing facilities and assisted living are not directly impacted and will continue to be funded at the same federally matched percentage they are today. Read MoreICYMI: WHCA Partners with ReadyCNA for Video Training Program
AL SNF | WHCA is partnering with ReadyCNA, a Cinematic Health production, to provide a state-approved nursing assistant training program curriculum with high quality, video-based online theory coursework. Read MoreJune 20 2025 | Transfer & Discharge Requirements – Notification of Ombudsman
As most of you are aware by now, the Centers for Medicare and Medicaid Services (CMS) made some key changes to Appendix PP of the State... Read MoreREMINDER: August 1 Mandatory SNF Provider Enrollment Revalidation Deadline
SNF | Skilled nursing facility providers enrolled in Medicare or Medicare/Medicaid must submit a mandatory off-cycle provider enrollment revalidation by August 1, 2025, or risk having enrollment suspended or revoked. Read MoreiQIES NH/LTC Launch: Guidance to Surveyors and Survey, Certification and Enforcement Staff
SNF | On July 14, the Centers for Medicare and Medicaid Services (CMS) will launch the new Internet Quality Improvement & Evaluation System (iQIES). Read their full "Dear Administrator" letter now. Read MoreUpdate on WA State 24/7 Registered Nurse Staffing Exception Request Process
AL | DSHS has released a new "Dear Provider/Administrator" letter regarding the 24/7 RN staffing exception being updated to better align with federal guidance and lessons learned over the last decade. Read the full letter here. Read MoreReinstating the Temporary Process for Verification of NAR Eligibility
SNF | To alleviate the backlog of NAR certifications as the Department of Health adjusts to a new licensing system, RCS has decided to reinstate the temporary process for verifying NAR staff. Read the full letter here. Read MoreNew "Dear Provider/Administrator" Letters
AL SNF | DSHS has issued several updates on the following topics: Emergency Preparedness Consideration for Summer Hazards, Updates to Behavioral Health Support Team Supports, and Upcoming Training for the Residential Search Tool Locator. Read MoreDOH Updates How They Notify of Expiring Credentials
AL SNF | Effective May 1 of this year, the Department of Health (DOH) no longer sends printed certificates and paper renewal notices to licensed healthcare professionals including RNs, LPNs, HCAs, NACs, NARs, and others. Read MoreCongratulations to Washington's AHCA/NCAL Silver Quality Award Recipients!
AL SNF | Congratulations to Avamere Assisted Living in Wenatchee and Colville Health and Rehabilitation Center, who both received the Silver Achievement in Quality for AHCA/NCAL's National Quality Award Program! WHCA is proud and honored to represent facilities like these. Read MoreUnderstanding Risk in Aging Services: Highlights from the CNA Aging Services Claims Report – 11th Edition
AL SNF | The 11th Edition of the CNA Aging Services Claims Report offers valuable insight into the evolving risk landscape facing long-term care and senior living providers. Read MoreDeadline for MDS Submissions as a Result of iQIES
SNF | No Minimum Data Set (MDS) submissions will be accepted from July 10, 2025, through July 14, 2025. Normal transmissions are expected to resume July 15, 2025. All assessments should be prepared and signed as normal. Read MoreWashington Adopts June Revenue Forecast: Growth Continues, But Deficit Looms
AL SNF | On June 24, the Washington State Economic and Revenue Forecast Council adopted the June Revenue Forecast, which includes key updates for the state’s fiscal outlook. Contact Lauri St. Ours for additional information. Read MoreWHCA Launches Legislator Tour Campaign
AL SNF | Hosting a facility tour is a powerful way to help state officials understand how their decisions directly impact your residents and staff. WHCA is launching its Facility Tours Campaign tomorrow, June 26, from 11:30-12pm. Read MoreUpdated Level 1 PASRR Form
SNF | A DSHS "Dear Administrator" letter regarding the updated Level 1 Pre-Admission Screening and Resident Review (PASRR) Form is now accessible online. Read MoreJune 30 Provider Payment Delays Announced
AL SNF | Due to the timing of the State Biennium End and the observance of Independence Day, payments to providers for the week of June 30, 2025, will be delayed and made the following week on Tuesday, July 8, 2025. Read MoreSenate Finance Committee Releases Their Portion of Budget Bill
AL SNF | The chair of the Senate Finance Committee, which oversees Medicaid and Medicare, released their portion of the "big, beautiful" budget reconciliation bill. AHCA/NCAL has provided a summary of the LTC impacts. Read MoreJune 30 Provider Payment Delays Announced
AL SNF | Due to the timing of the State Biennium End and the observance of Independence Day, payments to providers for the week of June 30, 2025, will be delayed and made the following week on Tuesday, July 8, 2025. Read MoreWHCA Member Monica Chopra Selected to Join DELP Program
AL SNF | Congratulations to Monica Chopra of Cascadia Senior Living for being selected to join AHCA/NCAL's Diversity Executive Leadership Program (DELP). We are proud to count Monica and leaders like her in our membership. Read MoreClarification from CMS Regarding Guidance for F801
SNF | A Dear Provider letter has been released by CMS regarding Guidance for F801 Qualified Dietician or Other Clinically Qualified Nutrition Professional. Read the full letter here. Read MoreClarifying Speech Language Pathologists Qualifications
SNF | On Friday, May 23rd, the Centers for Medicare and Medicaid Services (CMS) posted MLN 13922, which discussed technical updates to Chapter 15 of the Medicare Benefit Policy Manual. Read MoreInput Requested: Help Shape Antibiotic Stewardship in Washington State Nursing Homes
SNF | The Washington State Department of Health invites Medical Directors, Infection Preventionists, Pharmacists, Directors of Nursing, Administrators, Resident Care Supervisors, and MDS Coordinators working in Skilled Nursing Facilities to take part in a brief survey. Read MoreTop 10 Employment Law Changes in Washington State
AL SNF | Our partners at Ballard Spahr Lane Powell have compiled an overview of new labor and employment laws passed by the Washington State Legislature during the recent session and the steps your facility may need to take. Read MoreBed License Fee Increases Effective July 1 – What Providers Need to Know
AL SNF | Governor Bob Ferguson has approved significant increases to annual bed licensing fees for Skilled Nursing Facilities and Assisted Living communities as part of Washington’s 2025–2027 operating budget. Read MoreJune 26 Webinar: Launch Your Facility Tour
AL SNF | Hosting your local legislator for a facility tour is one of the best ways to build relationships and secure support for your important work. From invite to follow-up, WHCA makes every step of this activity easy, fun and effective. Read MoreCMS Announces QIO Program 13th Scope of Work
SNF | The Centers for Medicare and Medicaid Services (CMS) recently posted updates to the QIO Program website, noting the 13th Scope of Work launch to support health care quality improvement. Read MoreUpdate to DOH COVID-19 Recommendations for Healthcare Settings
AL SNF | The Washington State Department of Health (DOH) has updated its recommendations regarding the use of personal protective equipment (PPE) by healthcare personnel (HCP) when caring for patients with COVID-19. Read MoreWashington PASRR Level I Form Updated
SNF | WHCA has been notified by the Health Care Authority (HCA) that the Washington PASRR (pre-admission screening and resident review) Level 1 form has been updated and will be released on 6/13/2025. Read MoreDear Provider Letter Regarding QIP Facility Visits
AL SNF | DSHS has recently released a "Dear Provider" letter regarding the changes in how the Long-Term Care (LTC) Quality Improvement Program (QIP) conducts facility visits. Read MoreDear Provider Letter Regarding Background Check Requirements Postponement
AL SNF | The Washington State Department of Social and Health Services has recently released a "Dear Provider" letter regarding the postponement of background check requirements. Read MoreNew Quality in Focus Videos Available
SNF | The Centers for Medicare and Medicaid Services (CMS) recently added four new Quality in Focus (QIF) videos to its Quality, Safety & Education Portal (QSEP). These videos are available on demand, 24/7. Read MoreUpcoming ePOC Transition to iQIES for Nursing Homes
SNF | On July 14, 2025, the Centers for Medicare and Medicaid Services (CMS) will release the new Internet Quality Improvement & Evaluation System (iQIES) Electronic Plan of Correction (ePOC) system functionality to participating Nursing Homes and State Agencies. Read MoreCongratulations to the WA AHCA Bronze National Quality Award Recipients
AL SNF | Congratulations to the Washington state long-term care facilities who achieved a Bronze Award in AHCA's National Quality Award Program this year. WHCA is honored and proud to represent these facilities and their exceptional commitment to quality care and continuous quality improvement. Read MoreNWHRN Releases Resources Regarding Emergency Preparedness
AL SNF | Northwest Healthcare Response Network (NWHRN) has compiled a convenient list of resources, tools and templates to assist long term care providers with their disaster preparedness and emergency planning. Read MoreDSHS Offering Free Payroll Based Journal (PBJ) and Minimum Staffing Rule Training
SNF | WHCA, LeadingAge WA, and Residential Care Services (RCS) are partnering to provide free training for SNF Administrators and staff who are responsible for submission of PBJ and direct care nursing HPRD (hours per resident day) data. Read MoreCongratulations to the Newly Sworn-in WHCA Board Officers!
AL SNF | On May 19, during the 2025 WHCA Annual Convention, we proudly welcomed our new board officers as they officially began their two-year terms. We extend our heartfelt congratulations and sincere thanks for their commitment and service. Read MoreFederal Government Appeals Staffing Mandate Ruling
AL SNF | The US Department of Justice recently filed notice that it would appeal the Northern District of Texas ruling that vacated the federal staffing mandate. While this move is disappointing, it was not entirely unexpected. Read MoreNew DSHS Dear Provider Letters
AL SNF | DSHS has recently released several "Dear Provider" letters for long-term care providers regarding home care aid certification, the Medicaid Residential Support Waiver Program, FAQs for resolving resident nonpayment issues, and Case Mix Index Detail Report Authorization. Read each one now. Read MoreLong-Term Care Updates for Providers from Tacoma-Pierce County Health Department
AL SNF | Tacoma-Pierce County Health Department has several updates for long-term care providers, including norovirus prevention, emergency preparedness, and an opportunity to tour a MultiCare PACE Facility next Wednesday, June 11. Read MoreDSHS Plans Changes to Background Checks Following Passed Legislation
AL SNF | Engrossed Substitute House Bill (ESHB) 1385 focused on implementing the National Crime Prevention and Privacy Compact. Residential Care Services (RCS) has scheduled live webinars where interested parties can attend and share feedback on the proposed rules. Read MoreWHCA Annual Convention Wrap-Up
AL SNF | We had such a wonderful time connecting with each and every one of our members who attended WHCA's Annual Convention in Tacoma last week. We are so grateful for the opportunity to bring like-minded people together to learn, network, and have fun. Read MoreCMS Releases Updated Appendix PP of the State Operations Manual
SNF | On April 25, the Centers for Medicare & Medicaid Services (CMS) issued the long-awaited revisions to the State Operations Manual (SOM) Appendix PP. This updated guidance includes the revised expectations and guidelines related to the changes effective April 28, 2025. Read MoreUpcoming Center for Medicaid & Medicare Free Training Opportunity
SNF | WHCA, LeadingAge WA, and RCS are partnering to provide free training for NH Administrators and staff who are responsible for submission of PBJ and direct care nursing HPRD data. This training is meant to supplement, not replace, training and guidance materials provided by CMS. Read MoreWHCA in the News
AL SNF | WHCA's work to elevate our members' voices has been persistent and consistent. From opposing state and federal Medicaid funding cuts to efforts to inform the public about the issues facing providers, we celebrate our advocates. Read MoreMeasles Resources from the CDC
AL SNF | The Center for Disease Control and Prevention (CDC) has released several resources for long-term care providers regarding measles. Read MoreInformal Dispute Resolution Requests to Move to an Online Format – Coming Soon
AL SNF | WHCA staff met with Residential Care Services (RCS) headquarters staff last week to discuss streamlining the informal dispute resolution (IDR) request process. Read MoreLead, Serve, and Shape the Future of Long-Term Care: Become a WHCA Volunteer Advisory Consultant
AL SNF | WHCA is seeking dedicated volunteer professionals to serve a two-year term as Volunteer Advisory Consultants — a unique opportunity to lead and contribute your knowledge and insight to help shape the future of long-term care in Washington State. Read MoreReimagining DSHS: Reorganization Efforts Aim to Improve Agency Services
AL SNF | The Department of Social and Health Services (DSHS) has launched Reimagine DSHS, a reorganization effort to improve access and outcomes for over 1.8 million Washington residents. Read MoreBackground Check Central Unit's April Newsletter is Here
AL SNF | DSHS's BCCU newsletter for April has been released! Read the full newsletter now, featuring updated information on WSP RAPsheet Training, BCS Spring Cleaning, Background Check Costs, and more. Read MoreChanges to Consultation Services at Residential Care Services
AL SNF | WHCA met with RCS/DSHS director Amy Abbott on April 29. We were updated on coming changes to the Quality Improvement Program (QIP) and Behavioral Health Support Team available through RCS. Read MoreKey Takeaways from April 29 RCS Forum for SNF and AL
AL SNF | The April 29 Residential Care Services (RCS) forum offered helpful regulatory updates and resources for assisted living and skilled nursing facility providers across Washington State. Read MoreHome Care Aide Workforce Updates
AL SNF | Important clarification regarding OCA numbers, and an update on the emergency rules regarding alternative certification timelines. Read MoreReminder of Upcoming Annual HCP Influenza Vaccination Data Reporting Deadline
SNF | The deadline for nursing homes to report health care personnel (HCP) influenza vaccination coverage in the Centers for Disease Control and Prevention’s (CDC’s) National Health Safety Network (NHSN) is fast approaching. Read MoreBoard of Nursing Advances Nursing Assistant Skills Testing Integration
AL SNF | The Board of Nursing is progressing on integrating nursing assistant skills testing into training programs. These changes are detailed in Chapter 246-841A-WAC. The CR-101 that details rulemaking has been filed as WSR 25-05-087. Read MoreLegislature Slated to Adjourn on Sunday
AL SNF | This week, the Washington Legislature has been working long days to finalize and adopt the 2025-2027 operating budget before adjourning the 105-day regular session on April 27. Read MoreFinal WCN Clinical Placement Initiative Meetings
SNF | The Washington Center for Nursing (WCN) Clinical Placement Initiative (CPI) heads towards the finish line with their May regional meetings, held May 6-8. The more voices they can bring to the table, the better they can ensure that their work reflects the needs of Washington’s healthcare and education communities. Read MoreApr 17 2025 | The Benefits of Working Towards a National Quality Award
The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) has hosted a long-standing opportunity for WHCA member skilled nursing and assisted living providers to... Read MoreFederal Administration Requests Information on Deregulation
SNF | The OMB is seeking ideas for deregulation, and skilled nursing providers are in a unique and important position to share ideas about federal regulations that are onerous, redundant, obsolete, or ineffective. Read MoreSupporting Student Nurses: Board of Nursing Seeks Preceptors
SNF | The Washington State Board of Nursing is seeking experienced LPNs and RNs to serve as preceptors for student nurses. Grants are available to qualified applicants. Read MoreSNF Off-Cycle Provider Enrollment Reporting Delayed Until August 1st
SNF | The Center for Medicare & Medicaid Services (CMS) has notified AHCA/NCAL that the mandatory off-cycle SNF provider enrollment revalidation deadline has been pushed back to August 1, 2025. Read MoreNow Available – AHCA Summary of FY26 SNF Proposed Payment Rule
SNF | CMS recently issued the proposed rule for the skilled nursing facility (SNF) prospective payment system (PPS) fiscal year (FY) 2026 update. Read MoreProposed Federal Medicaid Cuts Demand Provider Action
AL SNF | The potential for crippling federal Medicaid cuts is driving WHCA’s work with AHCA and the Central Washington Families Coalition. Here is a brief that details potential impacts to Washington State. We urge you to oppose federal Medicaid cuts. Read MoreWHCA Members in the News
AL SNF | We continue to work diligently to educate the Legislature and the public about the critical need to invest in Medicaid funding for long-term care services in skilled nursing and assisted living centers throughout Washington. Take a look at some updated media clips regarding facility funding. Read MoreFederal Court Finds CMS Exceeded Authority for SNF Staffing Mandate
SNF | This past Monday, a Texas federal court ruling found in favor of the American Health Care Association (AHCA) and LeadingAge, plaintiffs challenging the Centers for Medicaid & Medicare Services (CMS) mandatory staffing rule for skilled nursing facilities adopted during the Biden administration. Read MoreSocial Security Changes Potentially Affecting Residents in Long-Term Care
AL SNF | Starting April 14, 2025, the Social Security Administration (SSA) will implement updated identity verification procedures intended to enhance security and combat fraud. The identity verification changes apply only to new applicants for Social Security retirement benefits or individuals making changes to their account, including changes to direct deposit. Read MoreDraft MDS 3.0 RAI User’s Manual Now Available
SNF | The Centers for Medicare and Medicaid Services (CMS) has posted the draft Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.20.1, which will be effective beginning October 01, 2025. Read MoreCMP Reinvestment Program Paused
SNF | According to the Centers for Medicare and Medicaid Services (CMS), the Civil Money Penalty Reinvestment Program (CMPRP) is currently paused. Read MoreHappening Friday, April 4th: AHCA Office Hours on SNF Provider Enrollment Revalidation
SNF | AHCA will be hosting a members-only “Office Hours” this Friday, April 4 from 2 – 3 PM EST regarding the mandatory off-cycle provider enrollment revalidation that SNF providers enrolled in Medicare/Medicaid must submit by May 1. Read MoreAHCA/NCAL Opens 2025 Awards Program Nominations
AL SNF | Nominations for the 2025 AHCA/NCAL Awards Program are now open! This program recognizes exceptional individuals who go above and beyond and make extraordinary contributions to the long-term care profession. Read MoreWA State Board of Health Adjustment of COVID-19 Reporting Requirements
AL SNF | The Washington State Board of Health (Board) filed a CR-101, Preproposal Statement of Inquiry, for chapter 246-101 WAC, which establishes the reporting requirements for healthcare providers, facilities, laboratories, and other entities. Read MoreClif Porter, CEO of AHCA/NCAL, to Join WHCA Annual Convention
AL SNF | Newly-appointed CEO of American Health Care Association/National Center for Assisted Living (AHCA/NCAL) Clif Porter will take the stage at the closing keynote of our upcoming Annual Convention to talk about where the long-term care sector is going. Read MoreClarification of CMS' Provider Enrollment Site Visits and Specific Disclosure Requirements
SNF | The Centers for Medicare and Medicaid Services (CMS) has released a new "Dear Provider" letter regarding their Quality, Safety & Oversight Group's new memorandum type. Read MoreRCS Issues Emergency Preparedness Guidance on Volcanic Ashfall
AL SNF | Residential Care Services (RCS) has issued a new "Dear Provider" letter regarding possible future ashfall Mount Spurr, a volcano about 80 miles outside of Anchorage, Alaska. Read MoreRCS Field Staff to No Longer Wear Masks in Facilities Starting April 7
AL SNF | Residential Care Services (RCS) has released a new "Dear Provider" letter regarding their mask policies. Read MoreAHCA Member Webinar on Medicare Cost Report Changes
SNF | AHCA will host a webinar on Tuesday, April 1, 2025, at 2 PM EST to educate AHCA members on the first updates to the SNF Medicare Cost Report in 15 years. Read MoreMay 1 Mandatory SNF Provider Enrollment Revalidation Deadline Approaching
SNF | Skilled nursing facility (SNF) providers enrolled in Medicare or Medicare/Medicaid must submit a mandatory off-cycle provider enrollment revalidation by May 1, 2025. Read MoreSignificant Revisions to Enhance Quality & Oversight of the LTC Survey Process
SNF | Centers for Medicare and Medicaid Services (CMS) has postponed the updates to the LTC Survey Process and Appendix PP, with the new implementation date now scheduled for April 28, 2025. Read MoreNow Available – Comprehensive MDS Education Program in ahcancalED
SNF | AHCA has launched a comprehensive training program titled Learning the Minimum Data Set – Training for the Interdisciplinary Team – a boot camp training for every team member who is involved in the nursing facility resident assessment process. Read MoreMar 21 2025 | Responsibilities of the Director of Nursing
On January 13, 2025, the Centers for Medicare & Medicaid Services (CMS) released a memo which identifies their 2025 Mission and Priorities. Contained within this document are... Read MoreGrassroots Update: We Salute Our Members – and Urge Your Engagement
AL SNF | The voices of our members fuel WHCA’s advocacy work. Our members are stepping up in a big way—and we want to acknowledge our champions. In addition to powerful legislative testimony, WHCA members are adding their voices to the fight for funding in the media. Read MoreGet Ready for Public Budget Hearings
AL SNF | Key state budget proposals are slated for release next Monday and may feature Medicaid rate cuts and/or freezes. We’re here to help advocates prepare to testify powerfully on short notice. Read MoreRCS Announces a Training Opportunity for Nursing Home Providers
SNF | This free webinar is a joint training for nursing home providers and their staff, Residential Care Services and their staff, and the associations and their staff. Registration is now open! Read MoreICYMI: Group Purchasing Membership Benefit
AL SNF | WHCA has partnered with Incite Strategic Partners to bring a group purchasing program to our provider members. Through group purchasing, our members have the opportunity to receive competitive pricing for dining options, medical supplies and services, housekeeping supplies, and more. Read MoreConnecting With Our Members
AL SNF | WHCA's regulatory team has made it a goal to visit more of our member facilities more often so we can learn how to better serve you. Take a look at some of the highlights from the last few months! We're looking forward to coming to your facility soon. Read MoreWHCA On-Demand Education Offerings
AL SNF | WHCA now has several on-demand education offerings are available for purchase! Read MoreRCS Guidance on Immigration Enforcement in LTC Settings
AL SNF | Residential Care Services has released a revised "Dear Provider" letter regarding immigration enforcement in long-term care settings. Read MoreCMS Further Delays Implementation of Surveyor Guidance Changes
SNF | The Centers for Medicare and Medicaid Services (CMS) released QSO-25-14-NH on March 7. The memo updates previously released guidance from November 18, 2024, and January 15, 2025. Read MoreTakeaways from the State and Federal Policy Updates at the 2025 Winter Symposium
AL SNF | The 2025 WHCA Winter Symposium wrapped up last Wednesday with a final-day session lineup focused on state and federal policy updates. Read MoreCMS Updates from the Medicare Learning Network
SNF | DSHS has released a new "Dear Provider" letter regarding the most recent guidance issued by the Centers for Medicare & Medicaid Services (CMS) through the CMS Medicare Learning Network (MLN). Read MoreAmerican Health Care Association Releases 2025 Policy Priorities For A Better Way
SNF | The American Health Care Association (AHCA) has unveiled its 2025 policy priorities, “The Better Way," encouraging the Trump Administration and Congress to work with nursing homes to protect access to care and prepare for a growing elderly population. Read MoreNew DSHS "Dear Administrator" Letter on Verification of NAR Eligibility
SNF | DSHS has released a new "Dear Administrator" letter regarding the temporary process for verification of NAR eligibility. Read MoreWithdrawal Memo and Notice of CR-101 Filing
AL SNF | The Washington State Board of Nursing (board) has withdrawn the CR-101 integrating skills testing into nursing assistant training programs, filed on September 27, 2024 under WSR 24-20-087. Read MoreWHCA Excellence in Service Awards: Nomination Deadline Approaching Soon
AL SNF | We are accepting nominations to award dedicated individuals in both assisted living and skilled nursing facilities until next Monday, March 3. Don't delay - submit your nomination today! Read MoreThe Background Check Unit Temporarily Suspends Telephone Calls Through Friday
AL SNF | Due to staffing and resource constraints, BCCU will temporarily suspend phone hours for the remainder of the week. During this time, their team will be fully dedicated to monitoring and responding to inquiries via the BCCU Inquiry Inbox. Read MoreRECALL - Frozen Supplemental Shakes
AL SNF | Lyons Magnus LLC is recalling 4 oz. Lyons ReadyCare and Sysco Imperial Frozen Supplemental Shakes in a variety of flavors due to the potential for the products to be contaminated with Listeria monocytogenes. Read MoreWHCA On-Demand Education Offerings
AL SNF | Need to level up your skills and learn on your own schedule? Check out the on-demand education offerings on WHCA's Learning Hub. Read MoreALTSA Winter Newsletter - Available Now
AL SNF | The Aging and Long-Term Support Administration (ALTSA) is excited to announce that the winter edition of their newsletter is now available for download! Read MoreWABON Workshops: RN and LPN Licensing and Continuing Competency Rules
AL SNF | The Washington State Board of Nursing (WABON) filed a rulemaking notification (CR-101) on November 21, 2024, under WSR 24-24-011 to consider amendments to WAC 246-840-015 through 246-840-260. You are invited to participate in the upcoming workshops to discuss changes to RN and LPN licensing and continuing competency rules. Read MoreUltimate Resource for Successful Nursing Home Administration
SNF | American Health Care Association (AHCA) offers a multi-faceted training and resource program for administrators and managers in skilled nursing facilities. Read MoreFeb 20 2025 | Reporting of Crimes — F607 and F609
4An often overlooked or misunderstood federal requirement is the result of section 1150B of the Social Security Act (SSA). On March 23, 2011, federal laws... Read MoreGrassroots Update: Bring Down the House This Saturday
HB 1476 would freeze SNF rates at 2022 costs until 2028. We need to mount powerful testimony and other engagement in opposition to this dangerous legislation. Read MoreCelebrate 'Tapestry of Life' May 11-17
| SNF | - National Skilled Nursing Care Week (NSNCW) is May 11-17, and AHCA has launched the 2025 NSNCW Planning Guide, promotional resources, logos, graphics, and products to help you prepare for the celebration! Read MoreKnow Your Rights: Civil Immigration Enforcement in Washington
| AL | | SNF | - In consideration of recent executive orders on immigration that may impact long-term care facilities, the state Attorney General's office has created a website with information about civil immigration rights in Washington. Read MoreStay Safe in Freezing Temperatures: Winter Weather Tips
AL SNF | DSHS urges residents to take precautions to stay safe this week as our state experiences its first serious cold snap this winter. Read MoreEverett Herald Endorses Medicaid Funding for Skilled Nursing, Assisted Living
AL SNF | The Editorial Board at the Everett Herald published an editorial this week urging lawmakers to boost state Medicaid funding for long-term care. WHCA CEO Carma Matti-Jackson provided key insights for this powerful endorsement. Read MoreIt's Time for WHCA Members to Shine!
AL SNF | WHCA is proud to announce that nominations for the 2025 Excellence in Service Awards and applications for the 2025 Washington Foundation for Long-Term Care Scholarships are now open! Read More'Compassion + Action' - March is Social Work Month
SNF | Social workers are a crucial part of many skilled nursing facilities. We honor and celebrate these dedicated individuals next month. Read MoreLTC Respiratory Immunization Award — '24 - '25 Registration Survey Now Open
AL SNF | The 2024-2025 LTC Respiratory Immunization Award Registration Survey is now open for providers. The deadline to complete the survey is May 31, 2025. Read MoreBudget Update from DSHS
AL SNF | The Washington State Department of Social Health and Services (DSHS) has released an update on what they are doing in response to the significant budget shortfall the state is facing. Read MoreRCS Updated Emergency Planning Site
SNF | RCS has updated its site for Emergency Planning. Visit their website for the full resource page. Read MoreJoin us in Olympia for the "Have a Heart" Rally
AL SNF | Come to Olympia in force on Friday, February 14 to meet with legislators and invite policymakers to “Have a Heart for Seniors and Caregivers” during a rally on the steps of the Capitol. Pre-register today and add your facility to our impressive list of committed advocates. Read MoreIncreased Regulatory Focus by the WA State Fire Marshal
SNF | The WA Office of the State Fire Marshal has identified widespread fire alarm functionality concerns which place skilled nursing facility residents and staff at potential risk. Read MoreWHCA Excellence in Service Awards Nominations Open Next Week!
AL SNF | Calling all long-term care employees! Is there a nurse, administrator, caregiver, or other member of your facility who has gone above and beyond the past year? Nominate them for an Excellence in Service Award! Read MoreDSHS Updates Regarding Disaster Preparedness Requirements
AL SNF | DSHS has released a new Dear Provider letter for all Washington long-term care employees regarding possible amendments to several Chapters on disaster preparedness requirements. Read MoreBCCU January 2025 Monthly Newsletter
AL SNF | Background Check Central Unit's monthly newsletter for January is available now! This edition features A Look Back at 2024, Legislative Session and Fingerprint Updates, and AOC Rerun Progress. Read MorePreparing for ICE Visits in Light of Executive Orders
U.S. Immigration and Customs Enforcement (ICE) has been empowered to take aggressive actions to enforce immigration laws. These developments have left employers, particularly those in industries like education, manufacturing, health care, and childcare, uncertain about how to handle ICE interactions effectively and in compliance with the law. Read MoreBreaking: Trump Administration Rescinds Pause of Federal Assistance Programs
Yesterday, a federal judge issued a temporary to block the pause on all federal financial assistance programs that may be impacted by the President’s new executive orders. Read MoreEmergency Preparedness Proposed Rule Withdrawn
This week, the Office of Management & Budget (OMB) withdrew a proposed rule that would have updated emergency preparedness (EP) standards across a variety of... Read MoreNew Executive Order: Diversity, Equity, and Inclusion (DEI) Programs Terminated
The Trump administration has released a new executive order stating that all federal DEI programs have been terminated. Every federal contract or grant award must... Read MoreAHCA/NCAL Update: Impact Halt in Federal Agency Communications
The first week of the Trump Administration has seen a flurry of activity with a high volume of executive orders issued by the President. A... Read MoreNWHRN Regional 2024 HVA Survey
As part of Northwest Healthcare Response Network (NWHRN)'s ongoing efforts to provide a well-informed Healthcare Coalition Hazard Vulnerability Assessment (HVA), NWHRN kindly requests the most... Read MoreJan 23 2025 | Reporting Facility Investigation Outcome – 5 Day Requirement
There is a portion of the federal requirements related to facility investigations of abuse, neglect, exploitation, or mistreatment that has historically received little attention. However,... Read MoreWHCA Call for Presentations - Make a Submission!
AL SNF | Speakers, educators, presenters! WHCA is still collecting calls for presentations for our 2025 Annual Convention and our 2025 Fall Conference. February 15th is the deadline for Annual Convention submissions, and May 31 is the deadline for Fall Conference submissions. Read MoreLast Chance! Apply for a 2025 National Quality Award by TOMORROW!
AL SNF | If you haven’t applied for a 2025 National Quality Award yet, time is running out! Read MoreAnnouncing the Winter 2025 NH and ALF Forums
AL SNF | You are invited to attend the Aging and Long-Term Care Support Administration, Division of Residential Care Services Winter 2025 NH and ALF Forums. They are open to providers and an occasion for you to meet your Residential Care Services Field Managers and Regional Administrators. Read MoreHelp Expand Senior Care Participation in CPI Meetings
AL SNF | The Washing Center for Nursing is still recruiting for state-wide participants to join the Clinical Placement Initiative. Join WCN on this impactful journey to reshape nursing education! Read MoreStaffing Mandate Litigation Update: Preliminary Injunction Denied in Kansas v. Becerra
SNF | The U.S. District Court in the Northern District of Iowa denied the states’ motion for preliminary injunction against the federal staffing mandate. AHCA/NCAL will continue to keep you apprised of any further legal developments as well as continue to fight the mandate through additional avenues. Read MoreUpdated Tools for NHSN RSV and Influenza Reporting Requirements
AL SNF | The National Healthcare Safety Network (NSHN) now requires nursing facilities to report information for resident RSV and influenza confirmed cases and vaccines. Previously this was optional prior to January 2025. Read MoreVaccine & COVID-19 Updates & Resources
AL SNF | Tacoma-Pierce County Health Department has released several updates for long-term care providers regarding vaccinations and COVID-19 resources. Read MoreApply for a 2025 National Quality Award – One Week Left!
AL SNF | AHCA would like to remind all long-term care facilities that the application deadline for the 2025 Quality Award process is next Thursday, January 23, 2025, 8pm ET. More information on the National Quality Award Program and applications can be found on their website. Read MoreREMINDER: New NHSN Reporting Requirements Effective January 1
SNF | Beginning on January 1, 2025, nursing homes must electronically report information about COVID-19, influenza, and respiratory syncytial virus (RSV) weekly to the Centers for Disease Control and Prevention's (CDC) National Health Safety Network (NHSN). Read MoreCeca Foundation Invites You to Share Stories
AL SNF | Ceca, a 501c3 charity dedicated to recognizing the efforts of long-term care workers, is collecting stories about the impact care workers have on people’s lives. $2,500 cash prizes will be given to select National Ceca Award recipients. The deadline to submit is February 15, 2025. Read MoreCheck Your Bookmarks! WHCA’s Website Navigation Has Changed
AL SNF | We have given whca.org a minor facelift to make it easier to find member resources and information about your benefits. Some of your bookmarks and pathways may have changed.
Read More"Tapestry of Life" Announced as Theme for 2025 National Skilled Nursing Care Week
SNF | The American Health Care Association (AHCA) is pleased to announce "Tapestry of Life" as the theme for this year’s National Skilled Nursing Care Week (NSNCW), which will kick off on Mother’s Day, Sunday, May 11. Read MoreCredentialing Freeze in February: Apply and Renew in January.
AL SNF | Washington State's DOH is excited to announce the upcoming launch of a new licensing system for all health professionals and facilities in Washington during the third week of February 2025! This new system will help create efficiencies, improve user experience, streamline processing, strengthen data access, and reduce paper-based activities. Read MoreFree Screening of "Everybody’s Work: Healing What Hurts Us All" and Panel Discussion
AL SNF | Join WABON for a free screening of "Everybody's Work", a documentary on the pervasive issue of racism in healthcare, on January 28th at Seattle University, followed by a panel discussion with community experts. Read MoreHCA/DSHS Clarification of Documentation Requirements for CBHS
AL SNF | HCA communicated updated guidance in coordination with DSHS for ALF and ESF providers who are also providing Community Behavioral Health Support Services (CBHS). Read MoreNEW! WHCA SNF Monthly Webinar Series: Regulatory Compliance Bootcamp
SNF | Register now! WHCA has partnered with the Institute of Post-Acute Care (InsPAC) to offer a skilled nursing facility focused monthly webinar series. Each webinar is only $58 (with access code) for WHCA members, and $75 to non-members. Read MoreREMINDER: New NHSN Reporting Requirements Effective January 1
SNF | The National Healthcare Safety Network (NHSN) Team hosted a webinar for long-term care facilities on December 11, 2024. The webinar covered important updates on reporting requirements for residents and healthcare personnel that will be implemented on January 1, 2025. You can access the webinar slides here. Read MoreNov 22 2024 | Every Long-Term Care Employee is a Resident Advocate
The ombuds program in Washington state is vital in holding up the rights of residents staying and living in assisted living and skilled nursing facilities.... Read MoreRevised LTC Surveyor Guidance: Significant Revisions to the Survey Process
SNF | Updated information regarding the long-term care survey process (QSO-25-07-NH) is now posted and available online. Read MoreReminder about Apple Health Communication Requirements
SNF | This week, DSHS issued a notice to SNF providers reminding them of the requirement to communicate with the Home and Community Services Division when patients apply for or convert to an Apple Health benefit for their SNF services. Read MoreSafety Net Increase Cancelled
SNF | In October, SNF operators were informed by DSHS that an increase in the Safety Net Assessment (SNA) would go into effect on January 1, 2025. DSHS will not increase the assessment on January 1, as had previously been communicated. Read MoreUpdated Dear Provider Letter on Investigation Referral Process
AL SNF | This letter, posted on December 6 from Residential Care Services (RCS), details amended Adult Protective Service (APS) investigation protocols. Read MoreSafeguard Your Residents and Staff With AHCA/NCAL's Emergency Preparedness Guide
AL SNF | Develop and maintain an effective emergency response plan with AHCA's Emergency Preparedness Plan: Best Practice Guide and Template . Developed specifically for long term care providers, this customizable, digital resource offers a complete guide for policy and procedure review and site-specific tailoring. Read MoreProviderOne Claims Submission Deadline Changes: Christmas and New Years
AL SNF | Due to the observance of Christmas and New Years holidays, ProviderOne claims submission deadlines have been moved up to ensure that providers are able to receive payment and Remittance Advices (RAs) on Friday of each impacted week. Read MoreOSHA Recordkeeping Webinars to Prepare for Annual Requirements
AL SNF | January is OSHA recordkeeping season. For those new to recordkeeping, or if you just want a refresher, ERNwest will be hosting webinars in January. Training is free and you can register online now. Read MoreDec 13 2024 | Visitation
Imagine yourself in your own home, reading or watching TV. Someone you’ve known for years – or maybe, instead, a new acquaintance you met just last... Read MoreRegister for WHCA's Top 10 Citations Webinars
AL SNF | What are the most often cited regulations in Washington’s assisted living and skilled nursing facilities, and why? These webinar sessions, hosted by WHCA's Vicki McNealley and Elena Madrid, respectively, are invaluable resources for learning the best ways to address these citations and discuss ideas on how to prevent them from recurring. Happening January 9 for assisted living and January 16 for skilled nursing! Read MoreDSHS Licensing Agency-Provider Meetings - New Date!
AL SNF | *Rescheduled from November 20 to December 18 due to a mass power outage. Join us for the Fall 2024 DSHS Licensing Agency-Provider Meeting. Gain insight into key regulatory updates, discuss important policy changes, and explore quality improvement initiatives aimed at enhancing care in long-term care settings. Read MoreStaffing Agency Reporting Requirements in Effect Soon
AL SNF | Beginning January 2025, temporary staffing agencies designated “Nursing Pools” in Washington will be required to complete the annual reporting requirements outlined in RCW 18.52C.060. In Washington, temporary nurse staffing agencies are required to register as nurse pools. This important law is intended to provide agency rates transparency and accountability. You can review state law regarding agency staffing at Chapter 18.52C RCW. Read MoreOIG Releases Nursing Facility Compliance Program Guidance
SNF | The Health and Human Services (HHS) Office of the Inspector General (OIG) published its General Compliance Program Guidelines document in November 2023. This week, the OIG published the updated Nursing Facility Industry Segment Specific Compliance Guidelines. This is the first update to the Nursing Facility ICPG since 2008. Read MoreDepartment of Labor Overtime Rule Struck Down
Earlier this month, a federal judge in Texas struck down the “Overtime Rule” from the Department of Labor (DOL) that would raise the minimum salary threshold for employees who are classified as “exempt” from payment of overtime wages under the white-collar exemptions to the Fair Labor Standards Act. Read MoreManage Your Conveyances Easier Thanks to L&I
If you own, operate, or manage a building with conveyances (elevators, escalators, stair chairs, etc.) the Washington State Department of Labor & Industries (L&I) has important news for you. L&I’s new Conveyance Management Portal (CMP or Portal) will launch on Feb. 26, 2025. Read MoreOSHA Injury and Illness Recordkeeping Requirements & Resources for Providers
AL SNF | Washington skilled nursing and assisted living providers are subject to OSHA Injury and Illness Recordkeeping and Reporting Requirements, including the requirement to submit OSHA Form 300A-Summary of Work-Related Injuries and Illnesses by January 31, 2025. Read MoreTelehealth Waivers for Prescribing Controlled Medications Extended Through 2025
AL SNF | The Drug Enforcement Administration (DEA), in collaboration with the Department of Health and Human Services (HHS), has issued a third extension of telemedicine flexibilities for prescribing controlled medications. Read MoreCMS Updates Guidance for Mandatory Off-Cycle SNF Provider Enrollment Revalidations
SNF | The Centers for Medicare and Medicaid Services (CMS) has updated its sub-regulatory guidance for the SNF Mandatory Off-Cycle SNF Provider Enrollment Revalidation process. Read MoreCMS Releases Updated Survey Guidance for SNFs
SNF | On November 18, 2024, the Centers for Medicare and Medicaid Services (CMS) released a memo titled "Long-Term Care (LTC) Surveyor Guidance Process: Significant Updates Aim to Enhance the Quality and Oversight of LTC Surveys." Surveyors will use this guidance to determine compliance with requirements beginning February 24, 2025. Read MoreStatewide Background Check Processing Resumes
AL SNF | As of November 18th, the AOC system is back online and fully functional. To ensure completeness, BCCU will re-run all background checks submitted since November 1st through December 6th. Read MoreReminder: Facilities Must Have a Current Medical Test Site Waiver to Process Lab Tests
AL SNF | Information regarding the above topic is now posted and available online. Read MoreUpdate on Background Checks System Failure
AL SNF | Yesterday, we informed you about the DSHS leadership decision to allow preliminary background checks while the Washington State Administrative Office of the Courts is down. If you missed that alert, please review it now. Read MoreJoin the WCN Clinical Placement Initiative!
SNF | WCN is still recruiting for state-wide participants to join the Clinical Placement Initiative. This Initiative aims to transform clinical placement opportunities for nursing students in Washington State. Read MoreThanksgiving Adjustment to ProviderOne Payments
AL SNF | In observance of Thanksgiving, state offices will be closed Thursday, November 28, 2024, and Friday, November 29, 2024. As a result, provider payments for the week of November 25, 2024, will be made on Wednesday, November 27, 2024, including the delivery of Remittance Advices (RAs) and HIPAA 835 remittance files. Read MorePayment Glitches Trigger ProviderOne Quality Improvement Efforts
AL SNF | On October 17, WHCA CEO Carma Matti-Jackson sent the attached letter to the Washington State Health Care Authority (HCA) to raise concern about three incidents in 2024 where unannounced ProviderOne payment delays affected Washington skilled nursing providers. On November 6, WHCA representatives met to discuss concerns.
Read MoreRCS "Dear Provider" Letter Notifying Providers on Referrals to Labor and Industries for Respiratory Protection Program Citations
AL SNF | Residential Care Services (RCS) issued a Dear Provider Letter reminding providers of the need to have systems in place for standard and transmission-based precautions, including a written Respiratory Protection Program (RPP) for staff who are required to wear a fit-tested N95 mask in the workplace. Read MoreRCS "Dear Provider" Letter Reminding Providers to Consider Emergency Preparedness Relating to Flooding
AL SNF | DSHS has written a Dear Provider Letter guiding assisted living and skilled nursing facility providers on emergency preparedness considerations for flooding, here. Read MoreResidential Care Services Clarifies Use of Emergency Medical Services
AL SNF | DSHS has released a new "Dear Provider" letter regarding calling emergency medical services (EMS). Read MoreWABON Nursing Board Weekly Bulletin - Nov. 1, 2024
AL SNF | The Washington Board of Nursing (WABON) has released their updated weekly bulletin for November 1st. Read MoreLTC Ombuds Access to Residents & Resident Records
AL SNF | Information regarding the above topic is now posted available online. Read MoreCMS Issues Final Rule Impacting Nursing Home NHSN Reporting Starting January 1, 2025
SNF | Beginning on January 1, 2025, nursing homes will be required to electronically report information about COVID-19, influenza, and respiratory syncytial virus (RSV). This will replace the current nursing home COVID-19 reporting requirements to NHSN that are set to sunset on December 31, 2024. Read MoreBCCU October Newsletter & Outage Updates
AL SNF | The BCCU has released their monthly newsletter. Additionally, the Washington Courts system is currently experiencing major network outages causing delays in processing of background checks. The outage is expected to continue throughout the week. Read MoreSNF QRP Provider Threshold Report May Show Incorrect Data
SNF | The Internet Quality Improvement and Evaluation System (iQIES) reported an issue with the data reported on the SNF Provider Threshold Report. This report allows providers to monitor their compliance status of the required data submission for the SNF Quality Reporting Program (QRP). Read MoreCDC Updates Guidance for COVID and Pneumonia Vaccines
AL SNF | The Centers for Disease Prevention and Control (CDC) Director Mandy Cohen has endorsed two new recommendations from CDC's Advisory Committee on Immunization Practices' (ACIP) regarding the COVID and Pneumonia vaccines. These recommendations concern those 65 years of age and older, as well as those who are moderately to severely immunocompromised. Read MoreThe NEWLY Released Nursing Home Salary & Benefits Report is Now Available
SNF | The 2024-2025 Nursing Home Salary & Benefits Report is an essential resource for long-term care providers. Supported by AHCA and published by Hospital & Healthcare Compensation Service (HCS) in partnership with LeadingAge. Read MoreResidential Care Services Provides Reminders of Vaccine Recommendations
SNF | In an amended Dear Provider Letter to both assisted living and skilled nursing facilities, Residential Care Services reminds providers that flu, Covid-19, RSV and pneumococcal vaccines are the best protection against illness. Clarification is provided from the previous letter issued regarding guidance and resources. Please disregard the previous letter dated October 16, 2024. Read MoreNHSN Reporting Resources Available for Skilled Nursing Facilities
SNF | Comagine Health continues to offer National Healthcare Safety Network (NHSN) Open Office Hour webinars for SNFs. Learn and get your questions answered by subject matter experts. Register here. Resources are available to assist in reporting. Read MoreRefer a Friend to Start their Quality Award Journey
AL SNF | With just two weeks to go until the November 14th AHCA/NCAL Quality Award Intent to Apply (ITA) deadline, they need your help to encourage providers who are not active in the Quality Award Program to engage by submitting an Intent to Apply. Read MoreUpdated CDC Vaccine Recommendations
AL SNF | The Centers for Disease Prevention and Control (CDC) Director Mandy Cohen has endorsed two new recommendations from CDC's Advisory Committee on Immunization Practices' (ACIP) regarding the COVID and Pneumonia vaccines. These recommendations concern those 65 years of age and older, as well as those who are moderately to severely immunocompromised. Read MoreNotice of Change to Safety Net Assessment (Effective Jan 1, 2025)
SNF | Effective January 1, 2025, the upper level of the SNA will increase from $29.00 to $32.00. The lower level of $1.00 will not change. The exemption categories, defining which facilities pay and whether they pay at the higher or lower level, will not change. Medicaid payment rates will be adjusted to reflect the higher SNA amount. Read MoreAttend the DSHS Licensing Agency-Provider Meeting on Nov. 20
AL SNF | ALTSA would like to invite you to participate in their Division of Residential Care Services Fall 2024 NH and ALF Forums. This is an opportunity to meet your Field Managers and Regional Administrators, discuss important topics of provider interest, hear regulatory updates, receive education, and learn opportunities for quality improvement. Read MoreImportant Information to Assist with Accurate Weekly NHSN Reporting
SNF | The National Health Safety Network (NHSN) Long-Term Care Facility (LTCF) Team shared important information regarding the recent modifications to the Long-term Care Facility Component. The information described is valuable to assist with accurate reporting for the Respiratory Pathogens and Vaccination Module (which includes COVID-19, influenza and RSV). Read MoreReview your SNF QRP Quarterly Provider Preview Reports by November 14
SNF | The Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Provider Preview Reports have been updated and are now available in iQIES. These reports contain your facility’s performance scores for quality measures (QMs), which will be published on Care Compare and Provider Data Catalog (PDC) during the January 2025 refresh. Read MoreGet Ready for the November 14 Payroll-Based Journal Deadline
SNF | Staffing data for July 1 – September 30, 2024 is due by 11:59 PM EST on November 14. Skilled nursing providers are advised to submit their data early and consult the staffing reports in CASPER to confirm the accuracy and completeness of their submissions. Read MoreAHCA Regulatory Resources for LTC Providers in 2024
SNF | Throughout 2024, the AHCA/NCAL Regulatory and Clinical Team has continued to update long-term care (LTC) providers with recently published resources. All available AHCA regulatory resources (including those listed below) are outlined in the document “AHCA Regulatory Resources,” available at the top of the AHCA Survey Preparedness page. Read MoreParticipants Needed for Research Study on Long Term Care Workers’ Experiences
AL SNF | A team of researchers at the University of Washington Center for Health Workforce Studies is interested in learning from your personal experience and expertise about how you started in long-term care & what is needed to better support you in your work. Participants will be compensated with a $50 e-gift card. Read MoreOct 25 2024 | Ombuds Access to Residents and Resident Councils
Washington state is known for its robust advocacy channels for residents living or staying in long term care (LTC) facilities, including assisted living and skilled... Read MoreAvian Flu Advisory - What You Need to Know
On October 20, 2024, Washington State Department of Health and Benton-Franklin Health District reported that four people are under investigation for avian influenza infection in the state. Read more on what actions to take and where to find further resources here. Read MoreAHCA/NCAL Board Elections: Logan Pratt Re-Elected
AL SNF | Congratulations to Logan Pratt, General Counsel at Caring Places Management, for securing a repeat term on the AHCA/NCAL Board of Directors. In this capacity, Logan will help set national priorities for assisted living providers. Congratulations, Logan! Read MoreDSHS Seeks Informal Dispute Resolution Volunteers
SNF | The Informal Dispute Resolution (IDR) process allows providers to dispute survey and inspection findings. The Department is seeking provider and consumer volunteers to serve on an IDR panel charged with making recommendations about these appeals. Learn more about volunteering here.
Read MoreWABON Update: Title Change for Advanced Practice Nurses
AL SNF | The title of Advanced Registered Nurse Practitioner (ARNP) will be changing to Advanced Practice Registered Nurse (APRN) in Washington, effective June 30, 2027. While 2027 may seem like a long way out, it will arrive quickly. Now is the time to think about all the places where the ARNP title shows up in your business practices. Read MoreDSHS Releases Semi-Annual Case Mix Index Details (CMID) Reports
SNF | The second 2024 semi-annual CMID report has been released to facilities by DSHS. This is a preliminary version of the final CMID report used to set rates beginning January 2025. Read more here. Read MoreOctober 17 CMS Open Door Forum for SNFs
SNF | The Centers for Medicare and Medicaid Services (CMS) is hosting an open-door forum to detail important updates for skilled nursing centers, including changes to ownership reporting requirements and MDS updates. The virtual meeting is scheduled from 2-3 p.m. ET (11-Noon PT) on Thursday, October 17. You must pre-register. Read more here. Read MoreNational Healthcare Safety Network Technical Issues Reported
SNF | There are current technical issues in the application for the Respiratory Pathogens and Vaccinations (RPV) and Point of Care (POC) modules in the Long-term Care Facility Component of the National Healthcare Safety Network (NHSN). Technical experts are at work to resolve those problems. Read more here. Read MoreWABON Weekly Bulletin Updates
AL SNF | This week, the Washington Board of Nursing update provides information about how to become a nursing professor, an update on the University of Washington’s Workforce Sentinel Network, updates on multi-state nursing licenses, and an opportunity to volunteer for a work group to update the NCLEX. Learn more in this information-packed newsletter.
Read MoreFree COVID Tests Available Now
AL SNF | The Department of Human Health Services (HHS) and the Administration for Strategic Preparedness and Response (ASPR) are offering free COVID tests for the public. Y0u can currently order four tests per household. Order your tests and find more information and resources on COVID preparedness here. Read MoreUpcoming AHCA/NCAL Webinars on Mandatory Provider Enrollment Revalidation
SNF | AHCA/NCAL will host two upcoming webinars to help skilled nursing providers and their vendors understand the Mandatory Off-cycle Revalidation process. Registration for both webinars is required and is free for AHCA/NCAL provider members, vendors, and REIT partners. Read MorePharMerica's 2024-25 Fall Risk Toolkit
AL SNF | PharMerica has released a new Fall Risk Toolkit for long-term care facilities to utilize! This updated toolkit takes a deep dive into the causes of falls, how your pharmacist can help mitigate medication-related risks, and steps your community can take to evaluate risk and prevent life-altering falls. Read MoreCelebrating Washington’s AHCA Quality Awards Winners
AL SNF | The AHCA Quality Awards program is a rigorous, three-level process that evaluates long-term care organizations’ capabilities using nationally recognized standards for excellence. We congratulate the 2024 award winners from Washington state and wish you success in your pursuit of excellence. Read MoreNew AHCA Member Resource: Public Safety Power Shutoff
AL SNF | A Public Safety Power Shutoff (PSPS) is a planned shutoff of power lines to help prevent wildfires. Utilities are increasingly resorting to PSPS to mitigate the risk of fires sparked by electrical equipment. This newly published Public Safety Power Shutoff resource provides a comprehensive guide to support nursing homes in preparing for PSPS events. Read MoreIV Fluids-Conservation Strategies Needed in Response to Resource Limitations
AL SNF | Hurricane Helene is directing impacting resources and availability of intravenous fluids across the nation. LTC facilities providing IV and other impacted fluids need to evaluate their current resources, supply chains, access, and implement conservation strategies, as necessary. Read MoreNHSN Changes for SNF Reporting Now in Effect
SNF | The National Healthcare Safety Network (NHSN) the CDC’s internet-based surveillance system for disease control, has rolled out new reporting/surveillance requirements for long-term care residents in skilled nursing facilities. A synopsis of changes and registration information for CDC webinars regarding those changes is provided here. Read MoreBoard of Nursing Files a CR-101 to Change Skills Testing for Nursing Assistants
AL SNF | In 2023, the Washington State Board of Nursing faced challenges with mass testing for NA certification, including limited testing availability and the need for students to travel further to access testing sites. To address these challenges, the board decided to transition to administering testing through nursing assistant training programs. Read MoreIt’s A Wrap: WHCA/IHCA Fall Conference Highlights
AL SNF | Over 300 providers and associate business partners convened in Spokane last week at the 2025 WHCA/IHCA Fall Conference. Read on for some of the highlights from this year’s event! Read MoreUpcoming Residents Rights Webinar: Sex, Drugs, and Rock & Roll
AL SNF | October is LTC Residents Rights month! WHCA is offering training, information and resources, and a dedicated webpage on all things residents rights. Tomorrow, October 3rd, WHCA is hosting an invaluable webinar to kick off this 12-week campaign. Join us for Sex, Drugs, and Rock & Roll! Read MoreSurvey on Surveys for LTC Facilities
AL SNF | Attention, WHCA Members: Did you have a recent Assisted Living inspection, SNF survey, or complaint investigation? We want to hear from you! Please complete a short survey to provide us feedback, so that we can better serve you and help you prepare for future surveys and inspections. Read MoreState and Federal Regulators Offer Guidance on Residents Right to Vote
SNF | The November general election is almost here—and citizens throughout Washington state will be receiving mail-in ballots for the 2024 General Election. Skilled nursing and assisted living providers have a role to ensure that residents are supported in their right to vote. Read MoreResidential Care Services (RCS) Surveyors and Investigators to Wear Masks Onsite During the Respiratory Virus Season
AL SNF | DSHS issued a Dear Provider Letter notifying skilled nursing and assisted living facility providers that surveyors and complaint investigators, along with other RCS staff, will begin wearing medical masks for onsite facility visits starting October 1. Read MoreDSHS Rulemaking Update
AL SNF | In early September, WHCA representatives met with DSHS Residential Care Services (RCS) staff regarding plans for updating rules and requirements for Washington SNF and AL providers. WHCA’s role is to represent members as stakeholders in this work so we shape regulations before they are adopted. There are several issues that will take center stage in the coming months. Read MoreNo LTC Connections Next Week
There will be no LTC Connections next Wednesday, September 25, due to our Fall Conference in Spokane! We are greatly looking forward to connecting with our members in person next week, and LTC Connections will continue as scheduled on October 2. Read MoreWHCA Campaign Celebrates Residents Rights Month in October
AL SNF | October is LTC Residents Rights month! In observation, WHCA is offering training, information and resources, and a dedicated webpage on all things residents rights including a downloadable poster for use in member care centers. Read MoreNursing Conference Focuses on Possibilities
AL SNF | The Washington Board of Nursing 2024 conference, “Voice & Vision: The Possibilities” is scheduled for October 2 in Tumwater. If you are interested in learning personal and professional strategies for growth, renewal and recommitment to the nursing profession, the conference could be for you. Earn 5.25 CEUs for attendance. Read More"Shiver Me Timbers!" An Earthquake Exercise for LTC!
AL SNF | The Shiver Me Timbers! earthquake exercise program has been created specifically for Long Term Care facilities. All the necessary exercise materials have been created so the exercise can easily be organized and run by a facility. Read MoreSept 13 2024 | WHCA Welcomes Members to Report on Their DSHS Survey/Inspection Experience
We encourage members who have experienced a recent survey or inspection who are interested in sharing their thoughts and ideas on the survey process to complete our quick informational Survey on Surveys. Read MoreUpdates for Providers of Long-Term Care Facilities and Homes
AL SNF | Tacoma Pierce County Health Department has released several updates for LTC facilities related to COVID outbreaks and vaccines, RSV vaccines, and preparing for the upcoming flu season. Read MoreCelebrate Inspiring Generations for National Assisted Living Week, Sept. 8-15
AL SNF | National Assisted Living Week® (NALW) 2024 is HAPPENING NOW! How are you celebrating “Inspiring Generations” this week? The NALW website offers valuable resources to help. Read MoreFree Training: Washington State's Crisis System
AL SNF | DSHS issued a recent Dear Administrator Letter announcing an upcoming webinar on the state’s crisis system. These trainings are available on three different occasions: September 13th, October 15th, and October 24th. Read MoreState, WHCA, and LeadingAge Washington Team Up to Offer Free Webinar
AL SNF | The Department of Social and Health Services (DSHS) issued a recent Dear Administrator Letter announcing a collaborative presentation on the role of Emergency Medical Services (EMS) in Long Term Care. The webinar is scheduled for September 12, 2024, from 1 – 3 PM. Read MoreReminder of Requirements Related to Resident's Right to Vote
AL SNF | DSHS issued a recent Dear Administrator Letter emphasizing certain residents’ rights relating to the upcoming election, including the right to vote and the right to promptly receive unopened mail. Read MoreNew Top Line for Skilled Nursing Centers Available - Q3
SNF | Your Top-Line is an LTC Trend Tracker℠ publication that includes metrics and graphics outlining skilled nursing center's progress on Five Star performance, the AHCA/NCAL Quality Initiative, and other necessary data to help skilled nursing centers achieve their desired goals. Read MoreRSV: Why It’s Different and Why It Matters for Long Term Care
The Respiratory Syncytial Virus (RSV) is a respiratory virus that impacts long term care residents each year. RSV is more common during the fall and... Read MoreOSHA Hazard Communication Standard Updates
AL SNF | OSHA issued a final rule updating the Hazard Communication Standard (Haz-Com Standard) to align with the seventh revision of the United Nations' Globally Harmonized System of Classification and Labelling of Chemicals (GHS). Read MoreIRS and Employer Educational Assistance Programs
AL SNF | On August 28, 2024, the Internal Revenue Service (IRS) issued a reminder that employers who offer educational assistance programs can also use them to help pay for their employees’ student loan obligations through December 31, 2025. Read MoreSurvey Tip - Transfer and Discharge
SNF | A new survey tip has been posted on the AHCA Survey Regulatory page for your review on regulations regarding Resident Rights. Read MoreWA DOH Updates & Announcements: Infection Prevention, Online Education, Free COVID-19 Tests
AL SNF | Washington State’s Department of Health (WA DOH) is offering a number of resources for long-term care providers, including training sessions about Respiratory Virus Preparedness, Communicating with Families about Antibiotics, and a SNF Antimicrobial Stewardship Collaborative. Read MoreJoin the WCN Washington Clinical Placement Initiative
SNF | The Washington Center for Nursing (WCN) is still recruiting for state-wide participants to join their Clinical Placement Initiative. This Initiative aims to transform clinical placement opportunities for nursing programs in Washington State. Read MoreReceive $100 for Completing a Survey about the Cost/Benefit of Vaccinating in LTC
AL SNF | $100 is being offered by the Post-Acute and Long-Term Care Medical Association (Paltmed) to administrators who complete a seminal survey on the cost/benefit of vaccinating in skilled nursing facilities or assisted living communities. Read MoreNew COVID Vaccines Approved for the 2024-2025 Respiratory Virus Season
AL SNF | The Food and Drug Administration (FDA) has approved updated COVID-19 vaccines for the 2024-2025 respiratory virus season. Residents of long-term care facilities are strongly encouraged to receive a COVID-19 vaccine this fall. Read MoreSurvey Tip - Transfer and Discharge
SNF | A new survey tip has been posted to the AHCA Survey Regulatory page for your review. This tip sheet focuses on F622 - Transfer and Discharge, providing essential guidance. Read MoreHealthcare Interpretations Task Force Address Several Life Safety Issues
SNF | The Healthcare Interpretations Task Force (HITF) met and made some important and impactful interpretations recently that could directly affect your life safety survey and your organization’s Life Safety Code® (LSC) compliance. Read MoreAug 26 2024 | Overview of State & Federal CMPs: Including Federal Changes to CMS Civil Monetary Penalties (CMP) Policy
On July 31st the Centers for Medicare & Medicaid Services (CMS) issued the final rule for the skilled nursing facility (SNF) prospective payment system (PPS)... Read MoreGrassroots Update: SNF Medicaid Survey Deadline Extended to 9/1
If you are a SNF operator, it is important that we hear from you about challenges related to Medicaid case management. Our informed advocacy on... Read MoreDSHS/ALTSA Updated "Dear Provider" Letter
SNF | Information regarding the above topic is now available online. Read MoreCMS Civil Monetary Penalties-Final Rule
SNF | On July 31, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule updating Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective payment System (SNF PPS) for fiscal year 2025. Read MoreCMS Makes Updates to Appendix PP: Facility Assessment
SNF | On August 9, 2024, the Centers of Medicare, and Medicaid Services (CMS) released an updated version of Appendix PP to incorporate the revised Facility Assessment rule and guidance. Read MoreUPDATED LINK: Participate in Medicare Advantage Experience Reporting Effort
SNF | AHCA/NCAL is launching an effort to collect data on Medicare Advantage (MA) provider experiences, particularly related to prior authorizations and MA plan compliance with the CY2024 MA Final Rule (CMS-4201-F). Read MoreMDS Resources and Summer Webinars
SNF | DSHS is providing videos to help skilled nursing facility professionals understand MDS fundamentals. These videos were recorded during recent training sessions with ALTSA staff. Additional CMS information is also provided. Read MoreIncrease in Medicare Provider Enrollment Site Visit Contractor Activity
SNF | As you may recall, in the CY 2023 Physician Fee Schedule final rule, CMS changed the provider enrollment risk level for SNFs from limited to high. Read MoreStill Available: Free COVID-19 Tests from HHS
AL SNF | As we head into the fall respiratory virus season, AHCA/NCAL is reminding providers about the availability of free COVID-19 tests through the Department of Health and Human Services (HHS) Abbott BinaxNOW Test Kit Program. Read MoreThe Q2 '24 Revised Preliminary CMID Reports are Available Now
SNF | The Q2 '24 Revised Preliminary Case Mix Index Detail (CMID) Reports have been released to the authorized email address for your facility. Read MoreAHCA NCAL Quality Award Portal and Intent to Apply – Now Open for 2025!
AL SNF | AHCA/NCAL would like to share that the 2025 Quality Award Portal and Intent to Apply process are now open! All centers are encouraged to submit an Intent to Apply for the 2025 application cycle. Read MoreResidential Care Services and Providers to Join Together for Quarterly Meeting in Seattle Area
AL SNF | WHCA and LeadingAge Washington have worked closely with Washington’s assisted living and skilled nursing facility licensing agency, Residential Care Services (RCS), to bring information and collaboration amongst the survey teams, their supervisors, and long-term care providers. Read MoreSurvey Tip: Transfer and Discharge Pt. 2
SNF | A new survey tip has been posted to the AHCA Survey Regulatory page for your review. Read MoreCMS Releases the Final MDS 3.0 RAI User’s Manual version 1.19.1
SNF | The final Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.19.1 is now available in the Downloads section on CMS’ MDS 3.0 RAI Manual webpage. It will be effective beginning October 01, 2024. Read MoreSubmit Your Comment on Proposed Mandatory Reporting of Acute Respiratory Illnesses in NHSN
SNF | The Centers of Medicare and Medicaid Services (CMS) published the 2025 Home Health Prospective Payment System rule June 26, 2024. Read MoreWABON Weekly Bulletin - August 2, 2024
AL SNF | Weekly bulletin: news, information, and resources about nursing in Washington. Read MoreDSHS/ALTSA "Dear Provider" Letters
AL SNF | Information regarding the above topics are now available online. Read MoreCMS Issues FY 2025 SNF Final Payment Rule
AL SNF | Last week, the Centers for Medicare & Medicaid Services (CMS) issued the final rule for the skilled nursing facility (SNF) prospective payment system (PPS) fiscal year (FY) 2025 update. Read MoreObservation Stays Appeals Update
SNF | AHCA/NCAL and several coalition partners submitted comments to CMS last December supporting the observation stay appeals process. More details can be found here. Read MoreNew SNF QRP Resources Available: FY/CY 2025 Updates and PHQ-2 to 9© Tutorial
SNF | The Centers for Medicare & Medicaid Services (CMS) is offering two new education resources for the Skilled Nursing Facility Quality Reporting Program (SNF QRP). Read MoreJust The Facts: Federal Staffing Mandate For Nursing Homes Threatens Access To Care For America's Seniors
SNF | Since the Biden Administration announced its Nursing Home Minimum Staffing Rule, there has been strong opposition from nursing homes, other health care sectors, and lawmakers on both sides of the aisle who have raised concerns that the unfunded mandate would jeopardize access to care for our nation’s seniors. Read MoreMDS 3.0 Videos From the 08/01/2024 Webinar Now on YouTube!
SNF | Topics include acronyms, item sets, timeline expectations and Section A: Identification Information. Read MoreFor the Greater Good: UW LTC Nurse Focus Groups
If you are an RN or LPN working in long-term care, the University of Washington is hoping to hear from you! The purpose of the... Read MoreWHCA Members Share Expertise and Experience with DSHS and Governor’s Office Staff
AL SNF | Earlier this month, Lauri St. Ours, WHCA’s EVP for Government Relations and Communications, hosted tours of AL and SNF facilities for Medicaid payment experts from DSHS and the Governor’s Office of Financial Management. Read MoreBCCU July 2024 Newsletter Available Now
AL SNF | The Background Check Unit’s quarterly newsletter for members is available now! Read MoreDSHS Seeks Caregiver Survey Testers
SNF | DSHS is designing a survey to learn about what current and former caregivers think about their jobs, their work conditions, and other important elements that affect their work life. Please complete the survey by August 7. Read MoreAnnouncing the Summer 2024 RCS Provider Forums with AL and SNF
AL SNF | WHCA is pleased to partner with DSHS/ALTSA and LeadingAge of Washington to bring you the Summer 2024 NH, and ALF Forums on August 28, 2024 Read MoreDSHS/ALTSA "Dear Provider" Letters
AL SNF | Information regarding the above topic is now available online. Read MoreQ2 '24 Revised Preliminary CMID Reports are coming soon….
SNF | The 2nd Quarter '24 (Q2 '24) Revised Preliminary (Case Mix Index Detail) CMID report will be generated during the week of 08/12/2024. Read MoreSurvey Tip - Transfer and Discharge
SNF | A new survey tip has been posted to the AHCA Survey Regulatory page for your review. Read MoreNondiscrimination in Health Programs Rule and Voice Translation Services
AL SNF | AHCA/NCAL has information to help members comply with the final rule titled Nondiscrimination in Health Programs and Activities, under Section 1557 of the Affordable Care Act. They have released two new resources to help understand the new rule. Read MoreUnderstanding the Regulatory Requirements for Compliant Nursing Facility Assessments
SNF | In May, CMS issued the Minimum Staffing Standards for Long-Term Care (LTC) final rule. The rule included expanded regulatory requirements for nursing facility assessment, effective August 8, 2024. Read MoreUnlock Excellence: 2025 Quality Award Applications Are Now Available
AL SNF | The National Quality Award Program is excited to announce the opening of the 2025 application cycle! Access their new and enhanced educational materials on the Quality Award website to set yourself on the path to success. Read MoreThe Q2 '24 Preliminary CMID Reports are Available Now
SNF | The Q2 '24 Preliminary Case Mix Index Detail (CMID) Reports are distributed. Read MoreNWHRN Quarterly Outreach Session: July 24
AL SNF | The Northwest Healthcare Response Network (NWHRN) would like to invite you to participate in a conversation with them and their long-term care advisory group on July 24, 2024, about emergency preparedness. Read More2025 Medicare Physician Fee Schedule Proposed Rule
SNF | On July 10, the Centers for Medicare and Medicaid Services issued a proposed rule for Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues. Read MoreDSHS Releases Two New "Dear Administrator" Letters
AL SNF | You can read letters on Guidance for 911 Outages and an Upcoming Substance Use Disorder Training Opportunity now. Read MoreMeet the New President & CEO of AHCA/NCAL: Clifton J. Porter, II
AL SNF | Outgoing AHCA/NCAL CEO Mark Parkinson introduces his successor Clif Porter in this leadership message. Read MoreJul 11 2024 | CMS Minimum Staffing Requirements - Waiver Criteria
When the minimum staffing rules take effect as referenced in June’s Survey & Regulatory article and in the Centers for Medicare and Medicaid Services (CMS)... Read MoreWHCA/IHCA Fall Conference Registration Now Open!
AL SNF | Register now! Join us in Spokane, WA, at the Historic Davenport Hotel for three days of inspiring education sessions, invaluable networking, and fun-filled nights for all! Read MoreDon’t Whiff Your Shot at Attending the WHCA-PAC Fall Golf Invitational
AL SNF | Fall in Spokane means brilliant hues, sunny skies and air so crisp you can taste it – but that’s not all! This fall will bring the sweet, sweet thwack of golf balls sailing above the green to raise money for the PAC. Read MoreCDC Releases Vaccine Recommendations for This Fall/Winter
AL SNF | Even though summer is in full swing, it’s time to start looking towards our fall vaccination efforts. Last week, the Centers for Disease Prevention & Control (CDC) released updated recommendations for COVID-19, flu, and RSV vaccines. Read MoreCMS Proposes to Continue NHSN Reporting for Nursing Homes in the CY 2025 Home Health Proposed Rule
SNF | On June 26th, CMS posted an unpublished version of the Proposed Rule: CY 2025 Home Health Prospective Payment System Rate Update etc. to the Federal Register. Read MoreGet Ready for the August 14 Payroll-Based Journal Deadline
SNF | Staffing data for Q2 2024, April 1 – June 30, 2024, is due by 11:59 PM EST on August 14. Skilled nursing providers are advised to submit their data early and consult the staffing reports in CASPER to confirm the accuracy and completeness of their submissions. Read MoreCMS Revises PBJ Staff Turnover Definition
SNF | This week, the Centers for Medicare and Medicaid Services (CMS) released QSO-24-14-NH regarding updates coming to Nursing Home Care Compare and Data.CMS.gov on July 31, 2024. The updates reflect previously announced changes that CMS made public in September 2023. Read MoreNew LTC Facility Assessment Resources Now Available
SNF | AHCA has developed several new member resources to assist skilled nursing facilities in preparing to meet the new requirements of the long-term care facility assessment, which were revised by CMS under the Minimum Staffing Standards for Long-Term Care Facilities final rule. Read MoreDSHS/ALTSA Update: Public Health Emergency Rules Memorialized in CR-103P Permanent Rulemaking
SNF | Information regarding the above topic is now available online. Read MoreWA DOH News Release: Stay Safe and Cool This Independence Day!
AL SNF | As we head into the Fourth of July, the Washington State Department of Health (DOH) encourages everyone to take precautions and prepare for outdoor activities to ensure your summertime fun does not end at the emergency room or worse. Read MoreGovernor Inslee’s Complex Discharge Task Force Submits Interim Report
AL SNF | Pursuant to a budget provision approved last year, the Complex Discharge Task Force was established to oversee a pilot program and make recommendations to the Governor and appropriate committees of the Legislature about how to address statewide challenges with discharging patients from different care settings. Read MoreDSHS/ALTSA Update: CMAR Reports Will Resume
AL SNF | Case Mix Accuracy Review (CMAR) RN consultants will report error rates again as of Q3 '24. Visits concluding on or after July 1, 2024 will include a % error rate calculated as a result of the case mix accuracy review visit. Read MoreProvider Alert: Increasing Cases of Candida auris in Washington State
AL SNF | Washington Department of Health has issued a Provider Alert regarding an increase in locally acquired Candida auris (C. auris) cases in 2024. Read MoreALTSA/DSHS Update: Q2 '24 Preliminary CMID Reports are coming soon….
SNF | The 2nd Quarter '24 (Q2 '24) Preliminary (Case Mix Index Detail) CMID report will be generated during the week of 07/15/25024. This CMID report will break out each digit of the HIPPS codes. Read MoreAHCA Leads Coalition in Pushing Back Against CMP Enforcement Proposal
SNF | This week, AHCA and 11 other national organizations sent a letter to CMS Administrator Chiquita Brooks-LaSure, urging the agency to withdraw its proposal to increase enforcement through excessive civil monetary penalties (CMPs). Read MoreCMS Alerts Providers to Watch Out for Fake Medical Records Requests
SNF | In its weekly MLN Matters publication, the Centers for Medicare and Medicaid Services (CMS) issued an alert for providers titled, Medical Records Request Scam: Watch out for Phishing. Read MoreInitial Implementation Dates for Nondiscrimination Rules are Fast Approaching
SNF | Health and Human Services (HHS), the Office of Civil Rights (OCR) and the Centers for Medicare and Medicaid (CMS) have released two new rules advancing protections against discrimination in healthcare. Read MoreNew Resource Available to Prepare for LTC Facility Assessment
SNF | AHCA recently developed a new member resource to assist skilled nursing facilities in preparing to meet the new requirements of the facility assessment. Read MoreWashington State Board of Nursing Updates Nurse Delegation Requirements
AL SNF | WHCA is pleased to announce updates to the nurse delegation regulations in Washington that will ease timelines for assisted living providers and expand blood glucose monitoring delegation to all care settings, including skilled nursing facilities. Read MoreDSHS/ALTSA Correction: Nursing Facility Rates and PDPM
SNF | A previous version of this message contained an error that has been corrected and underlined below. The 9% increase and 15-16% cap apply to the direct care component, not the total rate as previously stated. Read MoreNew DSHS/ALTSA "Dear Provider" Letter
AL SNF | Information regarding emergency preparedness considerations for wildfires is now available online. Read MoreNow Available – Antipsychotic Medication Management Toolkit
SNF | Antipsychotic medications remain an area of high focus for CMS. Therefore, the AHCA Clinical and Regulatory Team has refreshed the Antipsychotic Medication Management Toolkit. Read MoreStrengthen Your Qualifications with QAPI Certification
SNF | AHCA/NCAL offers members the opportunity to become a Quality Assurance and Performance Improvement (QAPI) Certified Professional (QCP) through a partnership with American Association of Post-Acute Care Nursing (AAPACN). Read MoreCMS Updates SNF Consolidated Billing Codes – Effective October 2024
SNF | CMS announced an update to the list of Healthcare Common Procedure Coding System codes that are excluded from SNF Medicare Part A consolidated billing provisions, and that can be billed to Medicare Part B separately. Read MoreAHCA/NCAL Submits Comments on Federal Health IT Strategic Plan
AL SNF | The U.S. Department of Health and Human Services (HHS) Office of the National Coordinator of Health Information Technology (ONC) earlier this year issued a draft for public comment of the Agency’s Federal Health IT Strategic Plan 2024-2030. Read MoreLeadingAge Joins AHCA, Texas Organizations in Lawsuit Against the Federal Government’s LTC Staffing Mandate
SNF | AHCA announces that LeadingAge, the association of nonprofit providers of aging services, is now a co-plaintiff in AHCA’s lawsuit against the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services. Read MoreWA DOH's Plan For Washington's 2024 ASPR Funding Application
AL SNF | The Washington State Department of Health would like to share an important decision shaping the future of the DOH's Healthcare Readiness and Response strategy across Washington state. Read MoreJun 17, 2024 | CMS Minimum Staffing Rule-Requirements
As noted in last month’s Survey & Regulatory Update addressing the facility assessment requirements for minimum staffing, on April 22, 2024, the Centers for Medicare... Read MoreWho is Your Field Manager?
AL SNF | Every assisted living and skilled nursing facility has a dedicated staff person at DSHS’s Residential Care Services (RCS) who oversees the licensing/survey teams. If you are new in your leadership role in your facility or company, or you have not yet met your field manager, it is important you do so. Read MoreDSHS/ALTA Dear Provider Letters on Wildfire Mitigation & Preparedness
AL SNF | Information regarding emergency preparedness for wildfires and notice of public power safety shutoffs is now available online. Read MoreNew DSHS/ALTSA Dear Provider Letters for SNF Providers
SNF | Information regarding updates to the Nursing Home State Survey Report and clarification to the Pre-Admission Screening and Resident Review (PASARR or PASRR) Level 1 Screening Process is now available online. Read MoreWHCA's New Member Portal is Here
Watch the helpful quick start guide to get rolling on our new member portal! Read MoreExcellence in Service Award Winners
AL SNF | Last month at our Annual Convention in Spokane, we were able to properly honor our 2024 Excellence in Service Awards winners. We wanted to take another moment to celebrate these incredible individuals who serve the vulnerable adults in long term care facilities every day. Read MoreRegister for Survey Boot Camp Now!
AL SNF | SURVEY BOOT CAMP, scheduled July 30-31 via Zoom, is an opportunity for you and your team to learn from the experts on how to manage the inspection process in your building. If you’ve not been through a full survey before, or it’s been a long time since your team has experienced a full survey, you won’t want to miss this two-day intensive symposium on all-things survey! Read MoreCDC Updates FAQs on Enhanced Barrier Precautions in Nursing Homes
SNF | The Centers for Disease Control and Prevention (CDC) has updated their Frequently Asked Questions (FAQs) on Enhanced Barrier Precautions (EBP) in Nursing Homes. Read MoreNow Available-Draft MDS 3.0 RAI User’s Manual Version 1.19.1
SNF | The Centers for Medicare and Medicaid Services has posted the draft Minimum Data Set 3.0 Resident Assessment Instrument User’s Manual version (v)1.19.1. The MDS 3.0 RAI User's Manual v1.19.1 will be effective beginning October 1, 2024. Read More2024 AHCA/NCAL Bronze National Quality Award Winners
AL SNF | Congratulations to our members who won AHCA's Bronze National Quality Award for 2024! WHCA is proud to serve and represent these thirteen facilities. Read MoreAHCA Files Lawsuit Against Federal Staffing Mandate
SNF | Nursing home associations and providers ask court to vacate minimum staffing rule that would reduce access to long term care. Read MoreDSHS Update: Revisions to the Special Focus Facility Program
SNF | Information regarding the above topic is now available online. Read MoreMay 31 2024 | CMS Minimum Staffing Rules-Facility Assessment Requirements Go Into Effect Soon! What you Need to Know!
On April 22, 2024, the Centers for Medicare and Medicaid Services (CMS) released the anticipated final rule, Minimum Staffing Standards for Long-Term Care Facilities and... Read MoreMonica Chopra Selected as Future Leader in Long Term and Post-Acute Care by AHCA/NCAL
AL SNF | Congratulations to Monica Chopra, VP of Health and Wellness at Cascadia Senior Living & Development, for being selected to participate in AHCA/NCAL’s Future Leaders Program. Read MoreWHCA Board Election Results
AL SNF | WHCA is proud to announce the 2024-2025 Board Election results! Congratulations to each new board member. Read MoreDSHS/ALTSA Update on CMS Final Rule (CMS 3442-F)
SNF | Information regarding the above topic is now available online. Read MoreAnalysis: Final Nursing Home Staffing Rule Would Require 102,000 Additional Caregivers, Cost $6.5 Billion Per Year
SNF | AHCA/NCAL released an analysis on the impact of the Centers for Medicare and Medicaid Services' (CMS) federal staffing mandate on nursing homes. Read MoreSurvey Tip: Documenting Protection on Abuse Reporting
SNF | A new survey tip has been posted to the AHCA Survey Regulatory page. You will find tips to ensure you are protecting resident(s) from further abuse, and sufficiently documenting the protection you have provided to the State Survey Agency. Read MoreNew CMS Resources Available for the SNF QRP: Social Determinants of Health Explainer Video & Post-Event Materials
SNF | CMS has released a 4-minute animated explainer video titled "Social Determinants of Health (SDOH) Items: Using Sources Other Than the Resident to Code," for SNF providers. Read More2024 AHCA/NCAL Awards Program Nomination Deadline Extended!
AL SNF | The deadline for submitting your nominations for the 2024 AHCA/NCAL Awards Program is rapidly approaching on Friday, May 31, 2024. Read MoreThe Assisted Living Care Academy: Perfect for New Wellness Staff
AL ESF SNF | Join WHCA’s Elena Madrid and Vicki McNealley, along with medication systems guru Kelli Carr from Consonus Pharmacy, in June for the Assisted Living Care Academy. This virtual seminar, conveniently scheduled over four nonconsecutive days, offers insight into the overall operations of the wellness center. Read MoreThree New DSHS/ALTSA "Dear Provider" Letters Available
AL ESF SNF | Three new "Dear Provider" letters from DSHS/ALTSA are available online, regarding Emergency Preparedness for Extreme Heat, Wildfire Smoke, and Rapid Response Teams in LTC settings. Read MoreUpcoming Webinars on Enhanced Barrier Precautions with CDC
SNF | Save the dates for two upcoming webinars on Enhanced Barrier Precautions with the CDC! May 22 and June 5. These webinars are designed for anyone involved with or working in long-term care facilities who seeks to deepen their understanding of Enhanced Barrier Precautions. Read MoreWHCA's Annual Convention Happening Next Week!
AL ESF SNF | Please note that due to Convention and Memorial Day, WHCA staff availability will be extremely limited from May 20-27. There will be delays in responses to emails, phone calls, and messages during this time, and there will be no WHCA newsletters next week. Read MoreAdult Protective Services Functions and Grants Programs: Final Rule Issued
AL ESF SNF | The final rule related to Adult Protective Services Functions and Grants Programs was published on Wednesday, May 8, 2024. It is effective June 7, 2024, and creates the first mandatory federal standards to govern Adult Protective Services policies, procedures, and practices. Each state must comply with this final rule by May 8, 2028, to receive Federal Funding. Read MoreAre You Prepared for Measles?
AL ESF SNF | Measles can occur in healthcare settings. Measles planning and preparedness is easy for long-term care providers in all levels of care with the new pamphlet designed specifically for use in resident care settings Measles In Long-Term Care (wa.gov). Read MoreRCS Hires New Deputy Director to Provide Oversight to Inspection & Survey Staff
AL ESF SNF | RCS is very excited to announce that they have hired a new Deputy Director, Miriam Mina. Miriam will be starting with RCS on June 7th and RCS looks forward to introducing her properly as soon as she gets settled. Read MoreLatest "Your Top-Line" Publication Now Available!
SNF | Your Top-Line is a LTC Trend Tracker℠ publication that includes metrics and graphics outlining skilled nursing center's progress on Five Star performance, the AHCA/NCAL Quality Initiative, their journey through the Quality Awards program, and other necessary data to help skilled nursing centers achieve their desired goals. Read MoreLong-Term Care Award Enrollment and Reporting Now Open for 2023-2024!
AL ESF SNF | Now is the time to apply for recognition with the new LTC Respiratory Immunization Award. The award is open to LTC providers from all levels of care. You can enroll and report any time through June 3, 2024. The data reporting period is from May 1, 2023 to April 30, 2024. Read MoreThe DSHS Background Check Central Unit Website Updates
AL ESF SNF | BCCU has updated their website! Their new site is built for easy access to important information and updates. Read MoreFacility Assessment Action Brief – Now Available
SNF | On April 22, 2024, the final rule for Minimum Staffing Standards for Long-Term Care Facilities was released. In response to these changes, AHCA has prepared an Action Brief to help nursing facilities navigate the new requirements. Read MoreWashington Equal Pay and Opportunity Act – Reminder for Providers
AL ESF SNF | This week we heard from a provider who had questions about Washington’s Equal Pay and Opportunity Act. Here is the Department of Labor and Industries Administrative Policy that provides guidance on compliance. Read MoreWABON is Now Accepting Spring Quarter Applications for the Student Nurse Preceptorship Grant
AL ESF SNF | Please join WABON for a 30-minute information session starting this spring 2024 through summer 2024. The information sessions will go through updates, step-by-step how to apply, common errors, and Q&A at the end. Read MorePartnering for Progress in Addressing Dementia – Webinars On Washington’s Action Plan for Dementia
AL ESF SNF | DSHS' Dementia Action Collaborative is hosting a webinar you won't want to miss. Discover Washington State's comprehensive plan for addressing dementia and learn how YOU can make a difference. Read MoreAHCA Provides Resources for NHSN Reporting
SNF | AHCA has updated their NHSN Tip Sheet to include more information for members and created a new job aid in collaboration with the CDC for submitting questions/concerns to the NHSN Help Desk. Read MoreEmployment Updates: FTC’s Final Non-Compete Rule and DOL’s Overtime Rule
AL ESF SNF | On April 23, 2024, the Federal Trade Commission’s Final Non-Compete Rule and U.S. Department of Labor’s (DOL’s) Overtime Rule were released. AHCA/NCAL commented on the proposed rules during the open comment periods and has developed a summary of the final rules. Read MoreThe Background Check Central Unit April Newsletter
AL SNF | The Background Check Central Unit has released their newest "BCCU Buzz." Read MoreRecruitment for Public Member - Board of Nursing Home Administrators
AL SNF | The Department of Health has an opening for a public member on the Board of Nursing Home Administrators. This is an unpaid volunteer position. Applications are due by June 1, 2024. Read MoreMental Health Resources for Nurses
AL ESF SNF | Working in healthcare is rewarding, but also stressful. Resources can be difficult to locate when needed. So, WABON has put together a helpful list. Read MoreNurses Week is May 6-12. Let's Get Ready to Celebrate!
AL ESF SNF | WABON is excited to celebrate Washington nurses and the joys of practice during Nurses Week 2024. They will highlight both on their upcoming social media launch and through other communication avenues. Read MoreOpportunity to Help Improve the Safe Medication Return System
AL ESF SNF | The Safe Medication Return system at the Department of Health launched an awareness survey of health care providers (including veterinarians and pharmacists) and law enforcement staff. Your input will help the department assess awareness, attitudes, and use of Safe Medication Return services and benefits. Read MoreCandidates for the WHCA Board of Directors for the 2024-2026 period
AL ESF SNF | Candidates for the WHCA Board of Directors for the 2024-2026 period have been selected. Ballots will be sent via email on May 1, 2024, to all voting members.
Read MoreIt’s Here! AHCA Overview of Federal Minimum Staffing Rule for SNF
SNF | AHCA/NCAL President & CEO Mark Parkinson has released a full statement on the Federal Minimum Staffing Rule for SNF. Read MoreWCN Washington Clinical Practice Initiative Regional Meetings in May
AL ESF SNF | The WCN Clinical Placement Initiative is underway! See the attached flyer for the full schedule here. Read MoreApr 12 2024 | Enhanced Barrier Precautions-Now Required in Skilled Nursing Facilities
On March 20, 2024, the Centers for Medicare & Medicaid Services (CMS) released QSO-24-08-NH in reference to Enhanced Barrier Precautions in Nursing Homes. The release... Read MoreCMS Released Enhanced Barrier Precautions in Nursing Homes
SNF | Information regarding the above topic is now available online. Read MoreA message from the Department of Health’s Healthcare Enforcement and Licensing Management System (HELMS) team
AL ESF SNF | There's only 2 weeks left until the launch of HELMS Lite on Wednesday, April 24th! To ensure everyone is prepared, the DOH is sharing information about what is not and what is changing with the launch of HELMS Lite and how you can learn more. Read MoreConstruction Review Services at DOH: Box.com Now Includes Terms of Service
AL ESF SNF | On Friday, April 5, 2024, DOH rolled out new security features for external Box.com users that requires acceptance of new Terms of Service. Read MoreAmplify the LTC Workforce Crisis: Complete the Sentinel Network Survey by 4/17!
AL ESF SNF | It is critical that policymakers understand the dilemmas of a system that does not support workers. The Health Workforce Sentinel Network is open and collecting workforce data through April 17, 2024. We urge you to take 15 minutes to complete the latest survey. Read MoreCDC Call for Cases Due to Bacterial Infection
SNF | The CDC, in collaboration with state and local health departments, is investigating multi-jurisdictional clusters of infections due to Burkholderia multivorans. Read MoreDSHS/ALTSA Update on NAC and HCA Credentialing Backlogs
AL ESF SNF | Information regarding the above topic is now available online. Read MoreWHCA Board of Directors Call for Nominations
AL ESF SNF | If you are a WHCA member in good standing and have an interest in this important leadership role, the WHCA Call for Nominations is open. Read More2024 AHCA/NCAL Awards Program Now Open!
AL SNF | Nominations for the 2024 AHCA/NCAL Awards Program are now open! AHCA/NCAL members are strongly encouraged to nominate those inspiring leaders and unsung colleagues who go above and beyond to provide exceptional service in the long term care profession. Read MoreThis Affordable Course Unravels Facility Assessment Challenges
SNF | Facility assessments are mentioned more than 100 times in the CMS State Operations Manual and F838 – Facility Assessment – specifically outlines facility assessment requirements. Is your team proficient at developing compliant nursing facility assessments? Read MoreCDC Adds Resources and Information to Implement Enhanced Barrier Precautions
SNF | The Centers for Disease Prevention and Control (CDC) has a suite of tools and resources to assist nursing homes with implementing Enhanced Barrier Precautions (EBP) as outlined in CMS’ recent memo QSO-24-08-NH. Read MoreOSHA Regulation of Infectious Disease in Long Term Care
AL ESF SNF | While the Occupational Safety and Health Administration (OSHA) does not currently have a specific infection prevention standard tailored for long term care facilities, it regulates employee exposure to infectious disease through the OSHA General Duty Clause and other existing standards. Read More2024-2025 AHCA Elections and Solicitation for Candidates Now Open
AL SNF | The 2024-2025 election cycle has officially opened for AHCA members in good standing interested in running for the AHCA Board of Governors. Applicants must complete and electronically submit by close of business on April 19, 2024. Read MoreCMS Issues FY 2025 SNF Proposed Payment Rule
SNF | The Centers for Medicare & Medicaid Services (CMS) has issued the proposed rule for the skilled nursing facility prospective payment system (PPS) for fiscal year 2025. Read MoreGrassroots Update: Help Us Help You
AL ESF SNF | Take this quick survey to help us make advocacy work better for you. Read MoreJoin the New DOH Quarterly Long-Term Care Call: Infection Prevention
AL ESF SNF | The DOH is launching a new quarterly long-term care call. Join April 1 to review the updated CDC respiratory virus guidance with the DOH and additional subject matter experts. Read MoreCOVID-19 Vaccines Updates Webinar: April 2
AL ESF SNF | NHSN is hosting a webinar on Tuesday, April 2 providing an overview of important updates to the definition of long-term care reporting for COVID-19 vaccines. Read MoreDSHS Releases Important "Dear Provider/Administrator" Updates
AL ESF SNF | DSHS has released several new "Dear Provider/Administrator" letters. Read MoreWHCA Board of Directors Call for Nominations Opens April 3
AL ESF SNF | If you are a WHCA member in good standing and have an interest in joining the Board of Directors, watch for the Call for Nominations to open on April 3, 2024. Read MoreWashington Case Mix Scores Update
SNF | The Department changed the report to address several issues. We do now know if the Department is now pulling the corrected MDS given all the technical issues in October and November 2023. Providers should review these revised reports. Read MoreCMS Implements Enhanced Barrier Precautions Effective April 1, 2024
SNF | The Centers for Medicare and Medicaid Services (CMS) issued QSO-24-08-NH regarding the implementation of enhanced barrier precautions (EBPs) in nursing homes to prevent the spread of multi-drug resistant organisms (MDROs). Read MoreAHCA/NCAL Provides More Regulatory Resources for LTC Providers in 2024
SNF | In 2024, the AHCA/NCAL Regulatory and Clinical Team is providing long term care (LTC) providers with recently published resources. Read MoreAddressing the Challenge: Workplace Violence in LTC Settings
AL SNF | This article will cover some of the practical and regulatory issues with workplace violence in LTC settings, exploring its history, expectations, and anticipated action for prevention and intervention. Read More2024 AHCA/NCAL Award Nominations Open April 1
AL SNF | Nominations for the 2024 AHCA/NCAL Awards Program will open on April 1 and run through May 31, 2024. Read MoreUpcoming Change to NHSN Up to Date Definition for LTC COVID-19 Vaccine Reporting
SNF | The National Healthcare Safety Network (NHSN) is changing the definition of "up to date" for COVID-19 vaccine reporting in long term care (LTC) beginning Quarter 2 of 2024 (week of April 1, 2024). Read MoreNew DSHS/ALTSA "Dear Provider" Letter
SNF | DSHS/ALTSA have released a new Provider letter regarding the following topic: Temporary Process for Verification of Nursing Assistant-Registered (NAR) Eligibility to Continue Working Past 4 Months in a Nursing Home (NH). Read MoreHealth Workforce Educators, Policymakers, and Advocates Want to Hear From You
AL ESF SNF | Share your health workforce needs with those who can help solve them! The WA Sentinel Network invites you to participate by sharing insights on several topics. Read MoreSurvey Tips for F689 and Past Noncompliance
SNF | AHCA’/NCALs Quality and Regulatory Department is offering a bi-weekly blog series with important survey tips. Read MoreThe Center of Excellence Releases New March Education Events
SNF | The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF) released new education events for the month of March that offer ACCME (Accreditation Council for Continuing Medical Education) credits. Read MoreNew Fact Sheet: Medicare Billing for Respiratory Vaccines in SNF
SNF | After many discussions between AHCA/NCAL and CMS about the confusing payment policies associated with administering preventive vaccines to short- and long-term residents in nursing facilities, CMS has issued a concise and helpful fact sheet that addresses several complex billing scenarios. Read MoreDOH Continues to Have Resources for Fit Testing and Respiratory Protection Programs
AL ESF SNF | While the Department of Health is no longer able to offer free medical evaluations through 3M, they do have a variety of classes to support long-term care facilities with their respiratory protection program. Read MoreWA State Department of Health Quarterly Call
AL ESF SNF | The Washington State Department of Health and other infection prevention partners are implementing a quarterly call for long-term care settings. Read MoreWHCA Board Member Selected for Joint Commission Nursing Care Center & AL Community Advisory Counsil
AL SNF | Ana de la Cerda, VP of Regulatory Affairs for Aegis Living and WHCA board member, has been selected to serve on the Joint Commission Nursing Care Center and Assisted Living Community Advisory Council. Read MoreNurse Licensure Compact Information
AL ESF SNF | WABON continues to hear from nurses that they are unaware of the ability or logistics to obtain a multistate license in Washington State. Attached is a flyer to help support a better understanding of this licensure option. Read MoreOpportunity to Serve: Nursing Home Administrator Board Seeks Members
AL ESF SNF | The Washington State Board of Nursing Home Administrators is currently seeking board members. Applications are due by April 5, 2024. Read MoreUpcoming Webinar: PBJ Tune-Up for SNF - Understanding the Connection to WA Staffing Requirements
SNF | This session is designed to provide an update about PBJ reporting standards—and will ensure that providers understand how to report payroll data, and why it is important to get it right! Read MoreQuarter 4 Case Mix Report Update
SNF | The Quarter 4 '23 Revised Preliminary (Case Mix Index Detail) CMID report will be generated during the week of 03/18/2024. The Q4 '23 Revised Prelim CMID Report will include MDS assessments from 10/01/2023 to 03/14/2024 that have been transmitted to CMS/QIES by 03/18/2024. Read MoreReminders for Residents with Electronic Cigarettes
AL ESF SNF | Electronic cigarettes are being used more frequently by residents in skilled nursing facilities. Here are some reminders on regulations and safety concerns related to e-cigarettes in facilities. Read MoreUpcoming Webinar: Independent Contractors Final Rule and LTC Provider Impact
AL ESF SNF | Last month, the U.S. Department of Labor published a final rule, entitled Employee or Independent Contractor Classification Under the Fair Labor Standards Act, which goes into effect on March 11, 2024. Read MoreDSHS/ALTSA New LTC Provider Information
AL ESF SNF | DSHS/ALTSA has published new information on two important topics pertaining to long-term care. Read MoreSafety Net Assessment Increase Slated for March 1
SNF | The upper level of the SNA will increase from $23.00 to $29.00. This change will be effective March 1, 2024. Read MoreNational Skilled Nursing Care Week Resources & Exclusive Products Now Available
SNF | The American Health Care Association (AHCA) is excited to announce that resources for this year’s National Skilled Nursing Care Week® (NSNCW), including the Planning Guide, marketing tools, and special products, are now available at NSNCW.org. Read MoreFeb 28 2024 | Federal Arbitration Regulations-F847 & F848
Arbitration agreements have historically been a topic of confusion in our state that would garner the attention every few years with surveyors and facilities. With... Read MoreNew DSHS "Dear Provider" Letters
AL ESF SNF | A new provider/administrator letter is now available online regarding the above topic. Read MoreA Message from AHCA/NCAL's Mark Parkinson
AL SNF | Mark Parkinson, President and CEO of AHCA/NCAL, has made the decision to retire at the end of this year. Read his official statement now. Read MoreWhat to Know About the Independent Contractors Final Rule
SNF | Last month, the U.S. Department of Labor published a final rule, entitled Employee or Independent Contractor Classification Under the Fair Labor Standards Act, which goes into effect on March 11, 2024. Read MoreDOH Continues to Offer Respiratory Protection Program (RPP) Resources
AL ESF SNF | While the Department of Health is no longer able to offer free medical evaluations through 3M, they do continue to have a variety of classes to support long term care facilities with all aspects of their respiratory protection program. Read MoreLast Chance to Apply for the AHCA/NCAL Diversity Executive Leadership Program
AL SNF | This week is your last chance to apply for the AHCA/NCAL Diversity Executive Leadership Program (DELP). If you are a mid- to senior-level or C-suite professional with a vision for leadership and a drive to make a significant impact, DELP is for you. Read MoreFeb 13 2024 | Become Familiar with and Prepared for a DOSH Inspection
Washington State Labor and Industries’ Division of Occupational Safety and Health (DOSH) has instituted a Local Emphasis Program (LEP) for enforcement that targets industrial hygiene... Read MoreFeb 15 2024 | Become Familiar with and Prepared for a DOSH Inspection
Washington State Labor and Industries’ Division of Occupational Safety and Health (DOSH) has instituted a Local Emphasis Program (LEP) for enforcement that targets industrial hygiene... Read MoreJoin the Washington State Board of Nursing
AL ESF SNF | WABON is seeking new members! If you are interested in protecting the public’s health and safety by regulating the competency and quality of licensed practical nurses, registered nurses, advanced registered nurse practitioners and nursing technicians, you are encouraged to apply. Read MoreCMS Releases FAQs Clarifying 2024 Medicare Advantage Final Rule
SNF | This week, CMS released frequently asked questions (FAQs) pertaining to coverage criteria and utilization management requirements in the 2024 Medicare Advantage (MA) final rule. Read MoreComplete AHCA/NCAL’s State of the Sector Survey
AL SNF | AHCA/NCAL is asking providers (SNF, AL, ID/DD) to complete a 10-minute survey to gauge your operations and how we can prioritize key issues. Please complete the survey by end of day on Friday, February 16. Read MoreSNF Medicaid Reimbursement Alert: Cost Report and Wage Equity Review Settlement Guidance from Bill Ulrich
SNF | WHCA SNF Reimbursement consultant Bill Ulrich is providing important guidance regarding cost report and wage equity settlements. Read MorePharmerica’s Guide for MDS Changes
SNF | At PharMerica, one of their goals is to help you and your team stay on top of the ever-changing regulatory landscape. From new requirements to more scrutiny from surveyors, there’s a lot to track. Read MoreWA State LTC Ombudsman Releases Regional Roster and Contact Information
AL ESF SNF | The state LTC Ombuds, Paticia Hunter has released an updated contact list and regional roster of Ombuds persons. Read MoreWHCA SNF Executive Quality & Regulatory Advisory Committee Meeting-Needs You!
SNF | This committee meets at least four times a year and as needed to serve as an advisory panel to the WHCA CEO on all things regulatory and quality within the skilled nursing profession and community. Read MoreCandida Auris Identified in Multiple Counties-Guidance for SNF Ventilator Units
SNF | Be aware that several locally acquired cases of Candida auris (C. auris) have been recently identified in multiple counties, including Snohomish and King counties. Read MoreCold Temperature Sprinkler and Pipe Safety Message from the Washington State Fire Marshal
AL ESF SNF | Recent severe cold weather resulted in many residential care facilities and homes in our state with broken pipes and/or damaged sprinkler systems. Our State Fire Marshal has prepared some tips to help you prevent any future damage to property and interruption in operations because of severe inclement weather. Read MoreEmpowering LTC Providers in the Fight Against Respiratory Diseases with #GetVaccinated Resources
AL SNF | AHCA/NCAL has developed comprehensive resources to assist LTC providers in promoting vaccinations, educating and offering vaccines to staff and residents (also fulfilling a regulatory requirement), and navigating the complicated commercial market for COVID-19 vaccines. Read MoreJoin the WCN Clinical Placement Initiative!
AL ESF SNF | WCN is looking for state-wide stakeholders to join our Clinical Placement Initiative. This Initiative aims to transform clinical placement opportunities for nursing programs in Washington State. Read MoreHHS Office for Civil Rights Releases Visitation Guidance Resources
SNF | This week, the Health and Human Services (HHS) Office for Civil Rights (OCR) released new materials pertaining to visitation guidance. Read MoreWA Board of Nursing Rules Filed - Effective February 23, 2024
SNF | The Board of Nursing Home Administrators has passed rules that will become effective on February 23, 2024. Read MoreJoint Employer Rule Overview: What You Need to Know
AL SNF | Last year, the National Labor Relations Board (NLRB) issued the final joint employer rule that broadens the NLRB's definition of employer. Read MoreJan 26 2024 | OIG Report - Washington State Failed to Ensure that Nursing Homes Complied with Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control
In the fall of 2022, twenty Washington skilled nursing facilities had unexpected visits from auditors representing the Office of Inspector General (OIG). These surprise visits... Read MoreLAST CHANCE to Apply for 2024 AHCA/NCAL National Quality Award
AL SNF | All Bronze, Silver, and Gold level applications must be finalized and submitted by 8 p.m. EST on Thursday, January 25, 2024. Read MoreProvider Letter on COVID-19 Outbreak Reporting Requirements
AL ESF SNF | A new provider letter is now available online regarding the above topic. Read MoreDementia Action Collaborative Survey Now Open
AL ESF SNF | The Dementia Action Collaborative (DAC) is seeking input from providers about barriers and challenges of screening, diagnosing, and caring for people living with dementia. Read MoreWA Board of Nursing Preceptor Grant Process Update
AL ESF SNF | WA Board of Nursing is now accepting submissions for Winter 2024! The deadline to apply for grant reimbursement is April 15, 2024. Read MoreNew Health Equity Continuing Education Requirement
AL ESF SNF | Washington nurses must meet health equity continuing education to renew their license. These requirements must be done during the renewal period and can't carry over. Read MoreTacoma-Pierce County Health Dept. Updates for LTC Providers
Stay up to date with vaccines Get vaccinated against flu, RSV and COVID-19: Protect against flu, RSV, and COVID-19 flyer. COVID-19, flu, RSV, Pneumococcal... Read MoreAHCA/NCAL Diversity Executive Leadership Program Now Accepting Applications
AL SNF | The American Health Care Association/National Center for Assisted Living (AHCA/NCAL) is excited to announce the opening of applications for the next class of the Diversity Executive Leadership Program (DELP). Read MoreDOSH Emphasis Program for Long-Term Care Facilities
AL ESF SNF | More information is forthcoming, but WHCA has been informed through our partners at ERNWest that there is an emphasis program regarding industrial hygiene for skilled nursing and assisted living facilities. Read MoreLTC Staff Vaccine Access Resources
AL ESF SNF | A new factsheet which aims to help explain health insurance plan coverage details for updated COVID-19 vaccines and COVID-19 vaccine accessibility has been added to the CDC website. Read MoreWA Multistate License Application Opens Jan. 31, 2024
AL ESF SNF | Starting Jan. 31, 2024, nurses whose primary state of residence (PSOR) is Washington will be able to apply for a multistate license. Read MoreSave the Date: Diversity Executive Leadership Program Nominations Open Mid-January
AL SNF | AHCA/NCAL will open nominations for the second class of its Diversity Executive Leadership Program (DELP) on January 14, 2024. Fifteen exceptional individuals will be selected to participate in the program next year Read More2024 Quality Award Application Deadline: January 25
AL SNF | There's still time to submit your application for the AHCA/NCAL 2024 National Quality Awards. Applications and fees are due by Thursday, January 25. Read MoreAHCA/NCAL Member Benefits Updates
AL SNF | Provider members of WHCA also enjoy the benefits of membership in American Health Care Association/National Center for Assisted Living. Read MoreNotice of Outbreak Definition Change for Long-Term Care
AL ESF SNF | The Department of Health has adopted the updated COHRA/CSTE outbreak definition for healthcare on January 1st. Read MoreWinter Weather Advisory
AL ESF SNF | The National Weather Service (NWS) reports an extremely active period of weather will begin in earnest today as the region will see heavy mountain snow, lowland rain, strong winds, and possible coastal flooding through midweek. Read MoreGrassroots Update: Starting Session Right
Monday, January 8, marked the start of the 60-day 2024 legislative session, and WHCA members came out swinging. Read MoreHow to Get Reimbursed for Paxlovid
SNF | With the commercialization of Paxlovid, reimbursement for Paxlovid for Medicare beneficiaries is now covered under Part D. Read MorePersonal Protective Equipment, Hazard Assessment Standard, and the Hierarchy of Controls
AL ESF SNF | OSHA's Personal Protective Equipment (PPE) Standard closely relates to the general duty clause in that it is up to the employer to recognize (or assess) the hazards specific to their center and then control those hazards. However, it is important to note that before we begin to select and distribute PPE to employees, we are required to first conduct a Hazard Assessment. Read MoreNotice of Upcoming SNF QRP Measure Removals
SNF | The Centers for Medicare & Medicaid Services (CMS) is alerting Skilled Nursing Facility (SNF) providers of upcoming measure removals from the SNF Quality Reporting Program (QRP). Read MoreCMS Issues Proposed Rule on Beneficiary Appeal Process for Reclassified Hospital Stay
SNF | CMS issued a proposed rule on December 27, 2023, Medicare Program: Appeal Rights for Certain Changes in Patient Status, which establishes appeals processes for Medicare beneficiaries whose inpatient hospital stays were later reclassified to outpatient receiving observation services. Read MoreNew BCCU Video Tutorial on Additional Needed Notifications
BCCU is excited to announce the release of their new YouTube tutorial on Additional Needed notifications. Read MoreNursing Home Capital Expenditure Minimum Dollar Threshold for Nursing Home Projects
SNF | Each year, the CN Program updates the capital expenditure minimum dollar threshold for nursing home projects following the procedure in Washington Administrative Code (WAC) 246-310-900. The following information applies to nursing projects that will begin in calendar year 2024. Read MoreDec 20 2023 | What’s Needed for A Compliance and Ethics Program?
19Not so long ago, in November of 2019, Phase 3 of the Requirements of Participation became effective. Part of those requirements expanded the expectations for... Read MoreCDC Health Alert & Advisory
AL ESF SNF | The Centers for Disease Control and Prevention has issued a Health Advisory through the Health Alert Network (HAN) addressing concerning trends for influenza, COVID-19, and respiratory syncytial virus (RSV). This alert refers to all healthcare providers and settings. Read MoreDSHS Provider Letter: Vaccine Reminder
A provider letter regarding the following topic is now available online: COVID-19, Influenza, RSV, and Pneumococcal Vaccination Reminder Read MoreDOH Support for 3M Online Medical Evaluations Ends This Month.
Access to your DOH sponsored 3M account will stop on December 30, 2023. Please update your account now by archiving the employees that have left... Read MoreUrgent Background Checks Update
AL ESF SNF | In March of 2020, Governor Inslee introduced an emergency proclamation that temporarily suspended the law that requires long-term care workers to complete fingerprint-based background checks. On October 27, 2022, the emergency proclamation was lifted, and BCCU is planning to reintroduce closing (expiring) background check inquiries beginning January 1st, 2024. Read MoreSupplemental Budget Slated for Release This Week
AL SNF | Governor Jay Inslee is slated to release his 2025 supplemental operating budget this week. The proposal will update the state’s two-year operating proposal, including Medicaid funding for the period of July 1, 2024-June 30, 2025. Read MoreGrassroots Update: The Advocacy Exchange
The Advocacy Exchange, an all-new quarterly publication specifically focusing on WHCA’s year-round advocacy community, will arrive in your inbox next Tuesday, December 19. Read MoreSpeak Up Award Nominations
AL ESF SNF | The Washington Patient Safety Coalition invites you to nominate healthcare workers who have fearlessly spoken up for patient safety. Your nominations not only recognize their dedication but also pave the way for their statewide acknowledgment. Read MoreFree COVID-19 Tests Still Available from HHS
AL SNF | As the spread of respiratory viruses increases this fall/winter, AHCA/NCAL is reminding providers about the availability of free COVID-19 tests through the department of Health and Human Services (HHS) Abbott BinaxNOW Test Kit Program. Read MoreCMS Publishes CY 2025 Medicare Advantage Proposed Rule
SNF | CMS recently published its contract year 2025 Medicare Advantage and Part D proposed rule, which furthers beneficiary protections in several ways. Comments are due January 5, 2024. Read MoreAHCA/NCAL’s Parkinson Named “Most Influential” for 2023
AL SNF ESF | Mark Parkinson, President and CEO of the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) has been recognized by Modern Healthcare as one of the 100 Most Influential People in Healthcare of 2023. This is Parkinson’s fourth year in a row to receive this honor. Read MoreMeet the New RAI Coordinator: Tara Hawks, RN
SNF | The new Resident Assessment Instrument (RAI) Coordinator, Case Mix Accuracy Review (CMAR) Unit Manager, and LTC Quality Improvement (QIP) Unit Manager Read MoreNew DSHS "Dear Administrator" Letters
| AL | SNF | DSHS has issued two new letters for long-term care facility administrators. Read MoreCOVID-19 and Flu Vaccination Update
The WA DOH appreciates all the collective work and effort done to protect LTC residents from vaccine-preventable diseases. However, there is more work to be done. Read MoreNew WA DSHS Resources for SNF Providers
WA Department of Social and Health Services has published new provider letters regarding the following topics:- Quality, Safety and Education Portal (QSEP)
- Strengthened Enhanced Enforcement for Infection Control Deficiencies and Quality Improvement
- Nursing Home Visitation: COVID-19 (Revised)
Nominate Your Staff for the 2023 National Ceca Award
AL SNF ESF | Do you know a caregiver working in a health care community who has made a difference in someone’s life because of the care they provide? If so, Ceca wants to share your stories of exceptional care! Read MoreCMS Guidance for Federal Monitoring Surveys Released
SNF | The Centers of Medicare and Medicaid Services (CMS) released Admin Memo: 24-05-NH to provide guidance to surveyors on areas of focus for Federal Monitoring Surveys (FMS). Read MoreOur Warmest Thanks to You!
This Thanksgiving season, we wanted to take a moment and express our genuine gratitude for all of our wonderful members. Read MoreUpdated Visitation Videos for Long-Term Care Settings
AL SNF ESF | The Strategic Partners Program in the Healthcare-Associated Infections and Antimicrobial Resistance section of the Washington State Department of Health is pleased to announce the release of three updated educational videos to help visitors to long-term care settings learn about basic infection control measures for preventing COVID-19, flu, and other infectious diseases. Read MoreU.S. Antibiotic Awareness Week Resources
AL SNF ESF | The Washington State Department of Health’s Antimicrobial Stewardship Team would like to wish you a Happy U.S. Antibiotic Awareness Week! Their team is proud to announce that two new resources are available now. Read MoreAHCA/NCAL Building Trust Leadership Academy Applications due Dec 8th
AL SNF | This Leadership Academy is designed to teach facility leaders practical skills to help them build trust with their staff. This virtual 15-week interactive program is filled with easy-to-use tools and resources that leaders can apply to improve outcomes at their organization. Read MoreCMS Finalizes Additional SNF Transparency Requirements Regarding Ownership, Disclosable Parties, and Public Reporting
SNF | On November 15, the Centers for Medicare and Medicaid Services (CMS) issued a display copy of a final rule, titled Medicare and Medicaid Programs: Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers' and Suppliers' Disclosure of Private Equity Companies and Real Estate Investment Trusts. Read MoreA Guide to Federal OSHA and State OSH Programs
AL SNF ESF | AHCA/NCAL has published a guide for OSHA regulations for long-term care providers to easily reference. Read MoreNov 15 2023 | E-Tags and Emergency Preparedness
In September 2016, CMS published the Emergency Preparedness final rule which established consistent emergency preparedness requirements for health care providers participating in Medicare and Medicaid. These requirements then went into effect in November of 2017. Read MoreRCS & Providers Connect This November 29
AL ESF SNF | Join RCS leadership to learn more about their strategies and to share issues and challenges providers face. Read MoreDeadline Reminder: SNF Quality Reporting Program Due 11/15
SNF | Skilled nursing facilities (SNFs) are required to report Q2 2023 (March 27, 2023 – June 25, 2023) Weekly Healthcare Personnel COVID-19 Vaccination Summary data to the National Healthcare Safety Network (NHSN) by 11:59 PM this Wednesday, November 15, 2023. Read MoreDSHS Letter Regarding Pilot Project for Nursing Homes
SNF | A letter to NH administrators is now available online. Read MoreWashington State DOH Medical Evaluation Deadline
SNF | November is the last month DOH will be adding new facilities to the DOH sponsored 3M account for medical evaluations. Read MoreThank You for Submitting Comments to CMS
The comment period for CMS’ proposed SNF staffing mandate has now ended, and the WHCA staff thanks you for making your voice heard. Read MoreNursing Home Administrators – Rules Changes to Licensing Standards
SNF | The Washington Nursing Home Administrator Board governs the practice of skilled nursing facility administrators in Washington. The Board has issued draft rules related to this licensure. Read MoreRegister for NHSN's Monthly Call
SNF | National Healthcare Safety Network is hosting their monthly User Group Call this Thursday, November 9, at 11am. Read More2023 IHCA/WHCA Fall Conference
We would like to express our gratitude for the sponsors, speakers, supporters, and attendees who helped make the 2023 Fall Conference a resounding success. Read MoreAHCA/NCAL Quality Awards
AL SNF | Remember: the intent-to-apply deadline for the 2024 Quality Awards is Thursday, November 16. Read MoreBCCU October Newsletter
The Washington State Department of Social and Health services has published their October 2023 Background Check Central Unit Newsletter. Read MoreCOVID-19 Vaccination Update
The approval of the new COVID-19 vaccines for 2023-2024 has triggered a change in the NHSN surveillance definition of "up to date" with the COVID-19 vaccine. Read MoreFood Safety Alert: Salmonella Outbreak
AL SNF ESF | The Centers for Disease Control (CDC) and Food and Drug Administration (FDA) have issued a food safety alert regarding a Salmonella outbreak linked to fresh diced onions. Read MoreRCS Updates: CMP Fund Guidelines, Five-Star Quality Rating Changes
SNF | Residential Care Services (RCS) has issued two new Dear Administrator/Provider letters for Skilled Nursing Facilities. Read MoreCMS Reopens CMP Reinvestment Program with Updates
SNF | Last week, the Centers for Medicare and Medicaid Services (CMS) released QSO-23-23-NH, which reopens the Civil Money Penalty Reinvestment Program (CMPRP) with many updates to the structure of the program. Read MorePublic Rule Workshops: Nursing Credential Opportunities
The Washington State Board of Nursing (board) filed a CR-101 on August 4, 2023, under WSR 23-17-011 to consider amendments to nursing education rules in response to Engrossed Second Substitute Senate Bill (E2SSB) 5582 (Chapter 126, Laws of 2023). Read MoreContinuity of Case Mix Determinations
SNF | CMS discontinued support for RUG categorization for nursing facility residents effective September 30, 2023. Read MoreFederal Staffing Proposal Threatens Seniors’ Access to Care
In September, the Centers for Medicare and Medicaid Services (CMS) released proposed skilled nursing facility (SNF) staffing requirements for all U.S. care centers. Read MoreAHCA/NCAL Quality Awards
WHCA would like to congratulate two of our members, Park Rose Care Center and Willow Springs Care and Rehabilitation, on achieving the 2023 Bronze National Quality Award! Read MoreNursing Assistant Exam Process Clarification: More Facility Types Can Test!
Centers for Medicare and Medicaid Services (CMS) clarified that skilled nursing facilities and nursing homes can take part in the new exam process. Read MoreNWHRN Offers Upcoming Emergency Exercise
The Northwest Healthcare Response Network (NWHRN) would like to remind you about an upcoming emergency exercise scheduled for Friday, November 3rd at 9:00am Read MoreNWHRN Offers Upcoming Emergency Exercise
The Northwest Healthcare Response Network (NWHRN) would like to remind you about an upcoming emergency exercise scheduled for Friday, November 3rd at 9:00am Read MoreCMS Updates MDS Manual to Correct Errors
The Centers for Medicare and Medicaid Services (CMS) has posted errata updates to the Minimum Data Set Resident Assessment Instrument (MDS-RAI) Manual, version 1.18.11 on the MDS 3.0 RAI Manual page effective October 1, 2023. Read MoreOct 20 2023 | Room and Roommate Changes - What You Need to Know
October 2023 | As many of you know, a major focus on the regulatory changes contained within the Requirements of Participation (ROP) involve Resident Rights and the facility’s need to ensure each resident remains the locus of control regarding decision-making, their care and services, and discharge planning. An area to highlight is room/roommate changes, this was a Phase 1 requirement. Read MoreUpdate: Implementation of the Nurse Licensure Compact (NLC)
Earlier this year, Washington enacted the Nurse Licensure Compact (NLC) into law. Read MoreDOH Consultation Support for Respiratory Protection Needs
The Department of Health (DOH) HAI/AR Occupational Health team will continue to provide consultation support for your respiratory protection needs through June 30, 2024. Read MoreCMS Staffing Minimum Congressional Hearing
On Wednesday, October 25 at 11am PDT, the Health Subcommittee of the US House of Representatives Energy & Commerce Committee is holding a hearing on CMS’ proposed staffing minimums in skilled nursing. Read MoreSept 29 2023 | Pharmacy Services-F758- Free from Unnecessary Psychotropic Medications/PRN Use
In 2017, the Centers for Medicare and Medicaid Services (CMS) expanded the category of antipsychotic medications to the new category of psychotropic medications. In doing... Read MoreAug 22 2023 | Dining and Food Service-Phase 3 Requirements of Participation
The Centers for Medicare & Medicaid Services (CMS) made changes and clarifications to the food service and dining requirements in the Phase 3 implementation of the... Read MoreJul 24 2023 | Trauma Informed Care-Requirements Under F699 for Skilled Nursing Facilities
There is a continuing focus and pressure from regulatory agencies to ensure that facilities provide trauma informed and culturally competent care. The federal requirements outline... Read MoreJun 12 2023 | F700 Guidance—Bedrails
The Phase 2 changes and Phase 3 Requirements of Participation (ROP) that took effect in October 2022 for all nursing homes included clarification and regulatory... Read MoreMay 8 2023 | Additions & Changes to Quality of Care FTags
Moving into 2023, it is important to note the changes the Centers for Medicare & Medicaid Services (CMS) made to the State Operations Manual (SOM)... Read MoreMar 21 2023 | Psychosocial Outcome Severity Guide and Citations at F600-Abuse
The Centers for Medicare & Medicaid Services (CMS) released the psychosocial outcome and severity guide (POSG) in conjunction with the Phase 2 ROP (Requirements of... Read MoreMar 1 2023 | CMS Requirements of Participation (ROP) Overview of Abuse and Neglect Changes
It is very important to keep in mind our specific Washington State requirements related to mandatory reporting (RCW 74.34), the WACs in Chapter 388-97, and the... Read MoreJan 3 2023 | ROP Phase 3-§483.15 Admission, Transfer, and Discharge
Like many other portions of the requirements of participation (ROP), CMS published changes to the requirements regarding resident admissions, transfers, and discharges, implementation of which... Read MoreNov 3 2022 | CMS Requirements of Participation (ROP) Changes - Residents Rights
As you are aware, on October 24, the changes to Phase 2 and the Phase 3 ROP became effective. Residential Care Services (RCS) will be... Read MoreNov 3 2022 | Transferring Residents to Other Settings
There seems to be ongoing confusion surrounding the intricacies of involuntarily discharging a resident. Clarity was attempted through this article, with cited rules and step-by-step instructions provided.... Read MoreNov 3 2022 | Transferring Residents to Other Settings
There seems to be ongoing confusion surrounding the intricacies of involuntarily discharging a resident. Clarity was attempted through this article, with cited rules and step-by-step instructions provided.... Read MoreApr 3 2022 | Resident Rights - Visitation
Over the last two years, no topic has been more controversial and frequently altered than the guidance surrounding resident visitation. With the retirement of the... Read MoreMar 3 2022 | Resident Smoking
Smoking is still a topic that is fraught with personal opinions, safety hazards, resident rights, and multiple regulations. Every facility needs to remain hypervigilant related... Read MoreFeb 3 2022 | Transfer/Discharge Notice Requirements - Notification of the Ombuds
30With the adoption of the Centers for Medicare & Medicaid Services (CMS) Requirements of Participation (RoP), several rules were written to address resident transfers and... Read MoreJan 3 2022 | Grievance System
Outlined in section CFR 483.10 Resident Rights in the Federal Register/Vol.81, No.192 are the requirements for all skilled nursing facilities related to management of grievances/complaints. While F585... Read MoreSept 3 2021 | State Enforcement Remedies for SNFs
Civil fines or Civil Monetary Penalties (CMP) are the most common state enforcement. Except as otherwise provided in statute, the range for a per-day civil fine is... Read MoreJul 3 2021 | Discharge Notice Guidance for Assisted Living and Skilled Nursing
33Issuing a discharge notice to a resident and his/her surrogate decision maker is never an easy task. Not only is it emotionally difficult for all... Read MoreJul 3 2021 | Discharge Notice Guidance for Assisted Living and Skilled Nursing
Issuing a discharge notice to a resident and his/her surrogate decision maker is never an easy task. Not only is it emotionally difficult for all involved... Read More
Pre-registration Open Now!
Listen to the Latest
Take LTC Connections on the go! Listen to (or right-click to download) the October 22, 2025 issue here:
Upcoming Events
Washington Clean Building Performance Standard: WHCA + LeadingAge WA Webinar
October 23, 2025 | Zoom
Informal Dispute Resolution: Intro to the Online Request Form (WHCA Webinar)
October 28, 2025 | Zoom
RCS Survey Agency Fall Forum: SNF | AL
November 12, 2025 | Zoom