The adult family home must:

(1) Obtain a written assessment that contains accurate information about the prospective resident’s current needs and preferences before admitting a resident to the home;

(2) Not admit a resident without an assessment except in cases of a genuine emergency;

(3) Ensure the assessment contains all of the information required in WAC 388-76-10335 unless the assessor can not:

1. Obtain an element of the required assessment information; and
2. The assessor documents the attempt to obtain the information in the assessment.

(4) Be knowledgeable about the needs and preferences of each resident documented in the assessment.

Stardig Nursing Services provides Nursing assessments in compliance with WAC 388-76-10335, including the following resident assessment topics.

The adult family home must ensure that each resident’s assessment includes the following minimum information:

(1) Recent medical history;

(2) Current prescribed medications, and contraindicated medications, including but not limited to, medications known to cause adverse reactions or allergies;

(3) Medical diagnosis reported by the resident, the resident representative, family member, or by a licensed medical professional;

(4) Medication management:

1. The ability of the resident to be independent in managing medications;
2. The amount of medication assistance needed;
3. If medication administration is required; or
4. If a combination of the elements in (a) through (c) above is required.
5. Food allergies or sensitivities;

(6) Significant known behaviors or symptoms that may cause concern or require special care, including:

1. The need for and use of medical devices;
2. The refusal of care or treatment; and
3. Any mood or behavior symptoms that the resident has had within the last five years.

(7) Cognitive status, including an evaluation of disorientation, memory impairment, and impaired judgment;

(8) History of depression and anxiety;

(9) History of mental illness, if applicable;

(10) Social, physical, and emotional strengths and needs;

(11) Functional abilities in relationship to activities of daily living including:

1. Eating;
2. Toileting;
3. Walking;
4. Transferring;
5. Positioning;
6. Personal hygiene;
7. Dressing; and
8. Bathing.

(12) Preferences and choices about daily life that are important to the resident, including but not limited to:

1. The food that the resident enjoys;
2. Meal times; and
3. Sleeping and nap times.

(13) Activities.

Medication assessments provided in conjunction with Washington regulation WAC 388-76-10440. Which requires a RN to complete a Medication—Assessment and identify the amount of assistance needed when taking medications. Including the following ;

(1) The adult family home must:

1. Ensure each resident assessment identifies the amount of assistance the resident needs when taking medications; and
2. Let the practitioner know when the following may affect the resident’s ability to take their medications:
3. Resident’s physical or mental limitations; and
4. The setting or environment where the resident lives.

(2) The amount of assistance needed by a resident when taking their medications is as follows:

1. Independent self-administration is when the resident does not need help taking medications and is able to directly take medications by eating or drinking, inhaling, by shot, through the skin or other means;
2. Self-administration with assistance, as described in chapter 246-888 WAC, is when a resident is assisted in taking their medication by a nonpractitioner; and
3. Medication administration is when medications are administered to the resident by a person legally authorized to do so, such as but not limited to a physician, nurse or pharmacist or through nurse delegation.

(3) The home must contact the resident’s practitioner who will decide if a reassessment is necessary when:

1. The resident has a change in the health status, medications, physical or mental limitations, or environment that might change the resident’s need for medication assistance; or
2. There is a need for a resident to have more than one type of medication assistance.WAC 388-76-10350

Assessment—Updates are required when:

The adult family home must ensure each resident’s assessment is reviewed and updated to document the resident’s ongoing needs and preferences as follows:

(1) When there is a significant change in the resident’s physical or mental condition;

(2) When the resident’s negotiated care plan no longer reflects the resident’s current status, needs and preferences;

(3) At the resident’s request or at the request of the resident’s representative; or

(4) At least every twelve months.