Washington Skilled Nursing Agency Policy Manual

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The Washington Skilled Nursing Agency Policy Manual provides a comprehensive operational framework for agencies delivering skilled nursing services to individuals with acute, chronic, or complex medical needs across Washington State. This manual aligns with the regulations established by the Washington State Department of Health (DOH) and the Washington State Department of Social and Health Services (DSHS), and complies with Medicaid requirements and federal Medicare Conditions of Participation (42 CFR Part 484) for certified home health and skilled nursing providers. The manual includes policies and procedures governing agency licensure and certification, patient eligibility and referral intake, comprehensive nursing assessments, individualized plan of care development, medication administration, wound care, chronic disease management, post-surgical care, infection prevention and control, coordination with physicians and other care team members, staff licensure, training, and supervision, patient rights and protections, documentation and billing, incident reporting, emergency preparedness, and quality assurance. It emphasizes safe, evidence-based, and person-centered care delivered in the home or residential setting, with the goal of maintaining or improving health status and reducing the need for institutional care. This manual serves as a foundational resource for skilled nursing providers in Washington, ensuring the delivery of high-quality, compliant services that support independence, health stabilization, and improved quality of life.