What the rule requires
- After an assessment identifies a significant change in the resident’s physical or mental condition
- When the plan, or part of the plan, no longer addresses the resident’s needs and preferences
- At the resident’s or resident representative’s request
- At least every 12 months
What this means for an AFH
The home should not rely only on an annual calendar reminder. A significant change, an outdated instruction, or a resident request can require earlier review and revision.
How SNS can help
SNS can provide annual reassessment, care-plan update, and significant-change assessment support. This work can provide current clinical information and updated care-plan content; the AFH remains responsible for its ongoing review and regulatory process.
This resource is provided for general informational purposes. Washington requirements may change. Providers should review the current WAC and DSHS guidance applicable to their circumstances.
Related SNS Service
Annual Care Plan Update
An annual review and update of the resident’s individualized or negotiated care plan.
View Annual Care Plan UpdateRelated resources
SNS Guide
Initial Assessment vs. Annual Reassessment
Compare an initial Adult Family Home RN assessment with an annual reassessment.
Read GuideSNS Guide
When Is a Significant-Change Assessment Needed?
Learn when a focused RN reassessment may be appropriate after a significant change in an AFH resident’s needs.
Read GuideWAC 388-76-10375
Negotiated Care Plan Signature Requirements for Washington AFHs
Learn who must agree to, sign, and date a completed negotiated care plan in a Washington Adult Family Home.
Read Guide