2025 RCS Management Bulletins
| MB# | Issue Date | Subject | Type |
|---|---|---|---|
| R25-127 | 12/18/2025 | UPDATED NURSING HOME (NH) DISCHARGE OR TRANSFER NOTICE FORM | Information |
| R25-126 | 12/18/2025 | DISCONTINUATION OF THE NURSING HOME (NH) LICENSEE HISTORY MEMO | Information |
| R25-125 | 12/18/2025 | WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN NURSING HOMES (NH) | Information |
| R25-124 | 12/18/2025 | WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ICF/IID FACILITIES | Information |
| R25-123 | 12/18/2025 | WASHINGTON STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ENHANCED SERVICES FACILITIES (ESF) | Information |
| R25-122 | 12/18/2025 | WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION BY CERTIFIED COMMUNITY RESIDENTIAL SERVICES AND SUPPORTS (CCRSS) PROVIDERS | Information |
| R25-121 | 12/18/2025 | WA STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ASSISTED LIVING FACILITIES (ALF) | Information |
| R25-120 | 12/18/2025 | WASHINGTON (WA) STATE DEATH WITH DIGNITY ACT (DWDA) – IMPLEMENTATION WITHIN ADULT FAMILY HOMES (AFH) | Information |
| R25-119 | 12/16/2025 | CR-105 FILED TO REPEAL SECTIONS OF CHAPTER 388-97 WAC THAT HAVE EXPIRED (NURSING HOMES) | Information |
| R25-118 | 12/16/2025 | UPDATES TO THE CIVIL MONEY PENALTY REINVESTMENT PROGRAM (CMPRP) | Information |
| R25-117 | 12/16/2025 | 2025 QI STATEWIDE ANNUAL REPORT FOR RCS | Information |
| R25-116 | 12/12/2025 | HOME AND COMMUNITY BASED SERVICES RULEMAKING: CONTACT INFORMATION FOR LEGAL SERVICES, LTC OMBUDS AND UPDATED DSHS FORMS | Information |
| R25-115 | 12/10/2025 | Social Workers as Mental Health Providers in Enhanced Services Facilities | Information |
| R25-114 | 12/08/2025 | CR 102 FILED (FORMAL PHASE) TO AMEND AND ADD SECTIONS TO CHAPTER 388-76 WAC, CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC | Information |
| R25-113 | 11/20/2025 | Standardized records request form and attestation for personal health information (PHI) from acute care facilities: DSHS form 17-351 | Information |
| R25-112 | 11/13/2025 | CR-105 FILED TO REPEAL SECTIONS OF CHAPTER 388-97 WAC THAT ARE NO LONGER IN USE (NURSING HOMES) | Information |
| R25-111 | 11/04/2025 | CLARIFYING TUBERCULOSIS (TB) REQUIREMENTS FOR ADULT FAMILY HOMES (AFHs) | Information |
| R25-110 | 11/04/2025 | CLARIFYING TUBERCULOSIS (TB) REQUIREMENTS FOR ASSISTED LIVING FACILITIES (ALFs) | Information |
| R25-109 | 10/31/2025 | Home Care Aide (HCA) Testing-in-Training Pilot Program | Information |
| R25-108 | 10/30/2025 | CR 102 FILED (FORMAL PHASE) TO ADD SECTIONS TO CHAPTER 388-78A WAC, CHAPTER 388-97 WAC, CHAPTER 388-107 WAC | Information |
| R25-107 | 10/20/2025 | CLARIFICATION ON INFECTION PREVENTION AND CONTROL GUIDELINES IN LONG-TERM CARE SETTINGS | Information |
| R25-106 | 10/16/2025 | UPDATED GUIDANCE FOR MELATONIN USE IN NURSING HOMES (NHs) | Information |
| R25-105 Superseded |
10/16/2025 | Clarification of Washington Name and Date of Birth Background Checks and National Fingerprint-Based Background Check Requirements | Information |
| R25-104 | 10/16/2025 | ADDRESSING PENDING PRE-ADMISSION SCREENING AND RESIDENT REVIEW (PASARR OR PASRR) LEVEL II EVALUATIONS | Information |
| R25-103 Superseded |
10/14/2025 | CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECK AND NATIONAL FINGERPRINT BACKGROUND CHECK REQUIREMENTS IN ASSISTED LIVING FACILITI | Information |
| R25-102 Superseded |
10/14/2025 | CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECK AND NATIONAL FINGERPRINT BACKGROUND CHECK REQUIREMENTS IN ASSISTED LIVING FACILITI | Information |
| R25-101 Superseded |
10/15/2025 | CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS | Information |
| R25-100 | 10/13/2025 | PRE-ADMISSION SCREENING AND RESIDENT REVIEW (PASRR) WEBINAR SET FOR NOVEMBER 2025 | Information |
| R25-099 | 10/31/2025 | Impacts From Federal Government Shut Down | Information |
| R25-098 | 10/01/2025 | TRANSFORMING EPISODE ACCOUNTABILITY MODEL (TEAM) 3-DAY SKILLED NURSING FACILITY (SNF) RULE WAIVER | Information |
| R25-097 | 09/30/2025 | CMS RELEASED ADMIN INFO-25-11-ALL, FISCAL YEAR MISSION & PRIORITIES DOCUMENT (MPD) – TRANSITION TO WEB-BASED UPDATE | Information |
| R25-096 | 09/30/2025 | PLAN OF CORRECTION FOR ENHANCED SERVICES FACILITIES | Information |
| R25-095 | 09/25/2025 | EXPIRED CENTERS FOR MEDICARE AND MEDICAID (CMS) MEMOS AND UPDATED PRACTICE GUIDANCE | Information |
| R25-094 | 09/22/2025 | RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON | Information |
| R25-093 | 12/08/2025 | IMPLEMENTATION OF SENATE BILL (SB) 5672: HOME CARE AIDE CERTIFICATION REQUIREMENTS AND EXTENSION OF DEADLINES | Information |
| R25-092 | 09/16/2025 | LONG-TERM CARE FACILITIES AND KEEPING NALOXONE (NARCAN) IN STOCK | Information |
| R25-091 | 09/16/2025 | Requirements for Nursing Homes Keeping Naloxone (NARCAN) in Stock | Information |
| R25-090 | 08/28/2025 | CR 103P Filed for Chapter 388-76 WAC, Chapter 388-78A, and Chapter 388-107 WAC (HCBS Permanent Rule Adoption) | Information |
| R25-089 | 08/21/2025 | Admin Info: 25-04-ALL – Release of Fiscal Year 2024 (FY24) State Performance Standards Systems (SPSS) Findings | Information |
| R25-088 | 08/21/2025 | QSSAM-25-03-NH REVISED: TEMPORARY PAUSE IN NURSING HOME (NH) CARE COMPARE UPDATES | Information |
| R25-087 | 08/21/2025 | QSO-25-20-NH REVISED: UPDATES TO NURSING HOME (NH) CARE COMPARE | Information |
| R25-086 | 08/14/2025 | Expired QSO-23-10-NH – Strengthened Enhanced Enforcement for Infection Control Deficiencies | Information |
| R25-085 | 08/14/2025 | CR 103P (Permanent Rule) Filed to Amend and Add Sections to Chapter 388-76 WAC, Chapter 388-78A WAC, Chapter 388-97 WAC, Chapter 388-107 WA | Information |
| R25-084 | 08/08/2025 | Nursing Facility (SNF) Prospective Payment System Final Rule (CMS-1827-F) | Information |
| R25-083 | 08/08/2025 | Revised QSO-25-23-ALL: Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE) | Information |
| R25-082 | 08/08/2025 | QSO 19-07-NH: Enhanced Oversight & Enforcement of Non-Improving Late Adopters | Information |
| R25-081 | 08/08/2025 | Home Care Aide Certification Timeline Extended to 365 days from Date of Hire | Information |
| R25-080 | 08/01/2025 | Updates to SOP Chapter 20 - Complaint Investigations | Procedure |
| R25-079 | 08/01/2025 | Updates to SOP Chapter 18 - Across All Settings | Procedure |
| R25-079 Superseded |
02/14/2025 | Updates to Standard Operating Procedure Chapter 18: Across All Settings | Procedure |
| R25-078 | 07/30/2025 | Updates to SOP Chapter 1 - Administration | Procedure |
| R25-077 | 07/18/2025 | QSO-25-19-ALL - Release of CMS 2567: Statement of Deficiencies and Plan of Correction | Information |
| R25-076 | 07/17/2025 | CR-101 Filed to Propose Amending & Adding Sections of Chapters 388-76, 388-78A, 388-107 and 388-97 WAC | Information |
| R25-075 | 07/11/2025 | Withdrawal of CR-101 on Death with Dignity (DWD) Act Medication in LTC Facilities | Information |
| R25-074 | 07/11/2025 | CR-101 Filed to Propose Writing Assisted Living Facilities Memory Care Services Certification Rules | Information |
| R25-073 | 07/11/2025 | CR-101 Filed to Propose Amending and Adding Sections of Chapter 388-76 WAC, AFH Minimum Licensing Requirements | Information |
| R25-072 | 11/20/2025 | Clarification on Infection Prevention and Control Guidance in LTC Settings | Information |
| R25-071 | 06/30/2025 | WA State 24/7 Registered Nurse (RN) Staffing Exception Process - Updated | Information |
| R25-070 | 06/30/2025 | Reinstating the Temporary Process for Verification of Nursing Assistant Registered (NAR) Eligibility Past 4 Months in a NH | Procedure |
| R25-069 | 06/30/2025 | iQIES NH/LTC Launch July 14, 2025: Guidance to Surveyors & Survey, Certification and Enforcement Staff | Information |
| R25-068 | 06/26/2025 | Update to SOP Chapter 29: Behavioral Health Support Team (BHST) Services and Supports | Procedure |
| R25-067 | 06/25/2025 | Updates to SOP Chapter 8: Policy | Procedure |
| R25-066 | 06/25/2025 | Updates to SOP Chapter 14: CCRSS | Procedure |
| R25-065 | 06/25/2025 | Update to SOP Chapter 23: Records Management | Procedure |
| R25-064 | 06/18/2025 | Updated Level 1 Pre-Admission Screening and Resident Review (PASRR or PASARR) Form | Information |
| R25-063 | 06/13/2025 | Medication Assistance Rule Update for Community-Based and In-Home Care Settings | Information |
| R25-062 | 06/17/2025 | Payroll-Based Journal (PBJ) and Direct Care Nursing (DCN) HPRD Data Audit Training (NH) | Information |
| R25-061 | 05/23/2025 | Update and Training to SOP Chapter 21: Occupational Health and Safety | Information |
| R25-061 | 06/13/2025 | CR-101 Filed to Propose Amending and Adding Sections of Chapter 388-78A, Assisted Living Facility Licensing Rules | Information |
| R25-060 | 06/11/2025 | Clarification from CMS Regarding Guidance for F801 Qualified Dietician or Other Clinically Qualified Nutrition Professional | Information |
| R25-059 | 06/05/2025 | Updates to the Long-Term Care Quality Improvement Program (LTC QIP) | Information |
| R25-058 | 06/05/2025 | Interested Parties Meetings on Background Check Requirements Temporarily Postponed | Information |
| R25-057 | 05/29/2025 | 2025 Passed Legislation Related to Adult Family Homes | Information |
| R25-056 | 05/29/2025 | Home Care Aide Certification Timeline Extended to July 31, 2025 | Information |
| R25-055 | 05/27/2025 | CR 102 Filed: Disaster Preparedness Project 2 | Information |
| R25-054 | 05/23/2025 | Notifying HCS and/or DDA when Concerns Related to Nurse Delegation are Suspected or Confirmed | Procedure |
| R25-053 | 05/23/2025 | Nursing Home (NH) Complaint Investigation Preparation and Ombuds Notification Procedure | Procedure |
| R25-052 | 05/23/2025 | Assisted Living Facility Assessments | Information |
| R25-050 | 05/23/2025 | CR-101 Filed to Update Background Check Requirements | Information |
| R25-049 | 05/22/2025 | LICENSE FEE INCREASE IN THE OMNIBUS OPERATING BUDGET ACT (AFH, ALF, NH) | Information |
| R25-048 | 05/09/2025 | Update to Standard Operating Procedures Chapter 13: Assisted Living Facilities and Inspection Forms. | Procedure |
| R25-047 | 05/09/2025 | SOP Chapter 15 Update: Enhanced Services Facilities | Procedure |
| R25-046 | 05/09/2025 | CR 102 FILED (FORMAL PHASE) TO AMEND AND ADD SECTIONS TO CHAPTER 388-76 WAC, CHAPTER 388-78A WAC, CHAPTER 388-107 WAC | Information |
| R25-045 Superseded |
05/16/2025 | Death with Dignity Rule Making Interested Parties Meetings | Information |
| R25-044 | 05/02/2025 | CR-101 Filed to Propose Amending and Adding Sections of Chapter 388-76 WAC | Information |
| R25-043 | 05/02/2025 | CR-101 Filed to Propose Amending and Adding Sections to Chapter 388-76 WAC, AFH Minimum Licensing Requirements | Information |
| R25-042 | 04/25/2025 | Dear Provider Letters Referenced in Statement of Deficiencies (SODs) | Information |
| R25-041 | 04/11/2025 | Updated Medical Test Site Waiver (MTSW) Regulatory Guidance | Information |
| R25-040 | 04/11/2025 | Updates to Chapter 21 SOP - Occupational Health and Safety | Procedure |
| R25-039 | 04/11/2025 | Withdrawal of CR-101 to Develop a Certification Program for Emergency Transitional Support Services (ETSS) | Information |
| R25-038 | 04/11/2025 | Changes to Criminal Justice Training System (CJIS) Security Awareness Training | Information |
| R25-037 | 04/11/2025 | Communication with Medicaid Fraud Control Unit (MFCU) | Information |
| R25-036 | 04/04/2025 | Rescinding QSO-23-03-ALL: The Importance of Timely Use of COVID-19 Therapeutics | Information |
| R25-035 | 04/04/2025 | Nursing Home Facility-Reported Incident (FRI) Investigation Pilot | Information |
| R25-034 | 03/28/2025 | CR 103P Filed (Permanent Rule) Filed to Amend Sections of Chapter 388-101 | Information |
| R25-033 | 03/28/2025 | Update to RCS Staff Wearing Masks in LTC Settings During Respiratory Illness Season | Information |
| R25-032 | 03/19/2025 | Revised CMS Training Plan for Internet Quality Improvement and Evaluation System (iQIES) Launch in LTC | Information |
| R25-031 | 03/19/2025 | QSO-25-14-NH, Revised: LTC Surveyor Guidance - Significant Revisions to Enhance Quality and Oversight of the LTC Survey Process | Information |
| R25-030 | 03/14/2025 | Portable Electric Space Heaters | Information |
| R25-029 | 03/07/2025 | Updates to Standard Operating Procedures Chapter 19: Staff Training | Procedure |
| R25-028 | 02/28/2025 | CMS Released Admin Info: 25-06-NH, Revised: Guidance for Federal Monitoring Surveys for Fiscal Year 2025 | Information |
| R25-027 Superseded |
02/28/2025 | Rescinding the Temporary Process for Verification of NAR Eligibility to Continue Working Past 120 Days in a NH | Procedure |
| R25-026 Superseded |
02/14/2025 | Certified Community Residential Services and Supports | Procedure |
| R25-024 | 02/14/2025 | CMS Released Admin Info: 25-05-ALL, FY2025 Mission and Priorities Document | Information |
| R25-023 | 02/14/2025 | CR 103 Filed (Permanent Rule) to Amend Sections of Chapter 388-76 WAC (AFH Medication Disposal) | Information |
| R25-022 | 02/14/2025 | RIQAP and Smoke Alarms in AFH | Information |
| R25-021 | 02/14/2025 | CR-102 FILED (FORMAL PHASE) TO AMEND WAC 388-101-3020 COMPLIANCE, AND ADD NEW SECTION WAC 388-101-30201 INFECTION CONTROL | Information |
| R25-020 | 02/14/2025 | Field AA3 Staff Draft and Post Nursing Home (NH) Citation Notice Letters When There is “Opportunity to Correct” | Procedure |
| R25-019 Superseded |
02/14/2025 | Update to SOP Chapter 23: Records Management | Procedure |
| R25-018 | 02/14/2025 | WAC 388-97-0660 through 388-97-0840 are No Longer in Use by RCS | Information |
| R25-017 | 02/07/2025 | CR 103 (Permanent Rules) Chapter 388-76 WAC (Sprinklers and ESHB 2015) | Information |
| R25-016 | 02/07/2025 | CR-103P (Permanent Rule) Filed to Amend Sections of Chapter 388-76 WAC (Toilets) | Information |
| R25-015 | 02/07/2025 | Increased Regulatory Focus by Office of the State Fire Marshal | Information |
| R25-014 | 02/07/2025 | Increased Regulatory Focus by Office of the State Fire Marshal | Information |
| R25-013 | 02/07/2025 | Increased Regulatory Focus by Office of the State Fire Marshal | Information |
| R25-012 | 02/07/2025 | Increased Regulatory Focus by Office of the State Fire Marshal | Information |
| R25-011 | 02/06/2025 | Updates to SOP Chapter 12 - Adult Family Homes | Procedure |
| R25-010 | 01/31/2025 | CR-101s Filed to Consider Amending Chapters 388-76, 388-78A, 388-97 and 388-107 WAC to Implement SHB 1218 | Information |
| R25-009 | 01/31/2025 | Written Consultation in Lieu of Statement of Deficiency (SOD) | Procedure |
| R25-008 | 01/31/2025 | Increased Regulatory Focus by Office of the State Fire Marshal (OSFM) | Information |
| R25-007 | 01/31/2025 | QSO-25-11-NH, Long-Term Care (LTC) Facility Acute Respiratory Illness Reporting Requirements | Information |
| R25-006 | 01/24/2025 | Establishment of SOP Chapter 28: Long- Term Care Quality Improvement Program | Procedure |
| R25-005 | 01/24/2025 | 2024 Quality Improvement (QI) Statewide Annual Report for RCS | Information |
| R25-004 | 01/24/2025 | TB Rulemaking and Community Partner Engagement Continues in 2025 | Information |
| R25-002 | 01/08/2025 | 2025 ALTSA QA SCHEDULE AND UPDATES FOR RCS | Information |