The assisted living facility must:

1. (1) Develop an initial resident service plan, based upon discussions with the resident and the resident's representative if the resident has one, and the preadmission assessment of a qualified assessor, upon admitting a resident into an assisted living facility. The assisted living facility must ensure the initial resident service plan:

   1. (a) Integrates the assessment information provided by the department's case manager for each resident whose care is partially or wholly funded by the department or the health care authority;
   2. (b) Identifies the resident's immediate needs; and
   3. (c) Provides direction to staff and caregivers relating to the resident's immediate needs, capabilities, and preferences.
2. (2) Complete the negotiated service agreement for each resident using the resident's preadmission assessment, initial resident service plan, and full assessment information, within thirty days of the resident moving in;

3. (3) Review and update each resident's negotiated service agreement consistent with WAC 388-78A-2120:

   1. (a) Within a reasonable time consistent with the needs of the resident following any change in the resident's physical, mental, or emotional functioning; and
   2. (b) Whenever the negotiated service agreement no longer adequately addresses the resident's current assessed needs and preferences.
4. (4) Review and update each resident's negotiated service agreement as necessary following an annual full assessment;

5. (5) Involve the following persons in the process of developing and updating a negotiated service agreement:

   1. (a) The resident;
   2. (b) The resident's representative to the extent he or she is willing and capable, if the resident has one;
   3. (c) Other individuals the resident wants included;
   4. (d) The department's case manager, if the resident is a recipient of medicaid assistance, or any private case manager, if available; and
   5. (e) Staff designated by the assisted living facility.

6. (6) Ensure:

   1. (a) Individuals participating in developing the resident's negotiated service agreement:

      1. (i) Discuss the resident's assessed needs, capabilities, and preferences; and
      2. (ii) Negotiate and agree upon the care and services to be provided to support the resident; and
   2. (b) Staff persons document in the resident's record the agreed upon plan for services.

[Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2130, filed 6/18/13, effective 7/19/13; WSR 12-01-003, § 388-78A-2130, filed 12/7/11, effective 1/7/12. Statutory Authority: RCW 18.20.090 (2004 c 142 § 19) and chapter 18.20 RCW. WSR 04-16-065, § 388-78A-2130, filed 7/30/04, effective 9/1/04.]