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WASHINGTON · CARE PROGRAM

Nursing Homes and Nursing Facilities

Anyone employed directly or by contract, and volunteers or students, who may have unsupervised access to residents (chapter 388-97 WAC).

NURSING FACILITY · ON FILE
Registries named
7
Required
4
Expected
3
Screened by ezOIG
5 of 7
Rules checked
October 16, 2026

Required checks

Named by a regulation, a statute or the state's Medicaid agency

  1. List of Excluded Individuals/Entities

    HHS Office of Inspector General

    SCREENED BY EZOIG Federal exclusion check against the HHS-OIG list
    WHEN
    MONTHLY Before hiring or contracting, and monthly, Apple Health enrolled nursing facilities
    BASIS
    WAC 182-502-0016(1)(g); nursing facilities are an Apple Health provider type under WAC 182-502-0002(2)(ee)

    (g) Screen employees and contractors with whom they do business prior to hiring or contracting, and on a monthly ongoing basis thereafter, to assure that employees and contractors are not excluded from receiving federal funds as required by 42 U.S.C. 1320a-7 and 42 U.S.C. 1320c-5;

    Read the source app.leg.wa.gov

  2. DSHS background check (Background Check Central Unit)

    Department of Social and Health Services, Background Check Central Unit

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before employment or acceptance as a volunteer or student, then every two years; the home may instead rely on a recent former employer's or nurse pool's inquiry completed within two years, unless it has reason to think the person is disqualified
    BASIS
    WAC 388-97-1800(2), (3); WAC 388-97-1820(1)(b)(i); RCW 74.39A.056(2)(a)

    (3) A nursing home licensed under chapter 18.51 RCW, or nursing facility or skilled nursing facility must make a background inquiry request to one of the following: (a) The department;

    Read the source app.leg.wa.gov

  3. Nursing assistant credentials (NA-R and NA-C)

    Washington State Board of Nursing (Department of Health until 30 June 2026)

    SCREENED BY EZOIG Nurse aide registry check
    WHEN
    AT HIRE Before an individual serves as a nurse aide
    BASIS
    42 CFR 483.35(d)(4); 42 CFR 483.12(a)(3)(ii); WAC 388-97-1660(3)(c)

    Before allowing an individual to serve as a nurse aide, a facility must receive registry verification that the individual has met competency evaluation requirements

    Read the source ecfr.gov

  4. Provider Credential Search

    Washington State Department of Health

    SCREENED BY EZOIG License verification
    WHEN
    AT HIRE At hire, licensed staff: no disciplinary action in effect for abuse, neglect, exploitation, mistreatment or misappropriation
    BASIS
    42 CFR 483.12(a)(3)(iii)

    Have a disciplinary action in effect against his or her professional license by a state licensure body as a result of a finding of abuse, neglect, exploitation, mistreatment of residents or misappropriation of resident property.

    Read the source ecfr.gov

Expected checks

Standard practice, or implied by a provider's enrollment duties; no rule names them outright

  1. Provider Termination and Exclusion List

    Washington State Health Care Authority and Department of Social and Health Services

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for Apple Health providers; HCA's list page says a provider terminated from Medicaid 'is not permitted to provide services to Medicaid recipients', but no rule names the list as a staff check

  2. Washington State Registered Sex and Kidnapping Offender website

    Washington Association of Sheriffs and Police Chiefs

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire
    BASIS
    Implied by WAC 388-97-1820(1)(b)(viii): a registered sex offender may not be employed or accepted as a volunteer or student

  3. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for Medicare and Medicaid providers; no Washington rule names it

Also required

Not registry lookups; ezOIG doesn't run these
  • Disclosure statement signed under penalty of perjury before employment (WAC 388-97-1800(6)(a); RCW 43.43.834)
  • Character, competence and suitability determination for nondisqualifying convictions or pending charges (WAC 388-97-1790)
  • Nursing assistant training and competency evaluation within four months, and DOH registration applied for within three days of employment (WAC 388-97-1660(3))
  • Tuberculosis testing of staff (WAC 388-97-1380)

Why some registries are not screened yet

The registry blocks automated access
The registry's website turns away automated lookups. We don't work around that, so for now your staff search it themselves.
Requires an employer account
Searches go through the employer's own account with the agency, so ezOIG doesn't run them for you.

Guidance, not legal advice

This page summarizes ezOIG's research into Washington's rules for this program, checked against the regulations as of October 16, 2026. Rules change, and an agency's own contract or license can add to them. Confirm what applies to you with Washington State Health Care Authority (Apple Health) or your own counsel before relying on it.

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