1. (1) Tube feeding services are an optional service that an assisted living facility may provide.

2. (2) The assisted living facility must provide intermittent nursing services to develop and implement the nursing component of the negotiated service agreement, administer feedings and necessary medications, and provide routine care of the tube insertion site whenever any resident requiring tube feeding is not able to:

   1. (a) Independently and safely manage:

      1. (i) Maintenance of the tube insertion site;
      2. (ii) Necessary medication administration through the tube; and
      3. (iii) Feeding administration through the tube.

   2. (b) Arrange for an outside resource to provide:

      1. (i) Maintenance of the tube insertion site;
      2. (ii) Necessary medication administration through the tube; and
      3. (iii) Feeding administration through the tube.
3. (3) The assisted living facility is not required to provide nursing services to a resident simply because the resident requires tube feeding if the resident can either independently manage or arrange for an outside resource to perform the tasks specified in subsection (2)(a) and (b) of this section.

[Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2330, filed 6/18/13, effective 7/19/13. Statutory Authority: RCW 18.20.090 (2004 c 142 § 19) and chapter 18.20 RCW. WSR 04-16-065, § 388-78A-2330, filed 7/30/04, effective 9/1/04.]