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Wash. Admin. Code (WAC) 246-335-440 - Home care plan of care

WashingtonregulationWashington State Department of Health

What this rule requires your agency to do

  • 1The agency must review and update the plan of care at least annually or whenever significant changes to client care needs are identified. (WAC 246-335-440)(Wash. Admin. Code (WAC) 246-335-440 - Home care plan of care)
  • 2The agency must ensure the plan of care is developed by appropriately trained or credentialed agency personnel and is based on an on-site visit. (WAC 246-335-440)(Wash. Admin. Code (WAC) 246-335-440 - Home care plan of care)
  • 3The agency must include in the plan of care the client's functional limitations and the specific nonmedical services to be provided and their frequency. (WAC 246-335-440(3))(Wash. Admin. Code (WAC) 246-335-440 - Home care plan of care)
  • 4The agency must develop and implement a written home care plan of care for each client with the client's input and written approval. (WAC 246-335-440(1))(Wash. Admin. Code (WAC) 246-335-440 - Home care plan of care)
  • 5The agency must include in the plan of care nutritional needs and food allergies relevant to meal preparation, and home medical equipment and supplies relevant to the plan of care. (WAC 246-335-440(3))(Wash. Admin. Code (WAC) 246-335-440 - Home care plan of care)
  • 6The agency must indicate in the plan of care whether the client has a signed advance directive or POLST, and any nurse delegation tasks, if applicable. (WAC 246-335-440(3))(Wash. Admin. Code (WAC) 246-335-440 - Home care plan of care)

Applies to: home care

WAC 246-335-440 requires a licensed home care agency to develop and implement a written plan of care for each client, prepared by trained agency personnel following an on-site visit, with defined content elements and periodic review/update.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.