In January 2026, advocates filed a legal action urging Washington State to fix gaps in rules that fail to fully protect long-term care residents from unwanted discharge, transfer, or eviction. While federal law requires residents in community-based care settings—such as assisted living facilities and adult family homes—to receive eviction protections comparable to landlord-tenant laws, current Read More
Discharge Postcard HCBS 15-458 Frequently Asked Questions Beginning January 1, 2026, assisted living facilities, adult family homes, and enhanced services facilities must notify the State LTC Ombuds of transfers and discharges of Medicaid recipients under new state regulations. The new WAC requirements can be found at WAC 388-78A-2661 (assisted living facilities); WAC 388-76-10617 (adult Read More
This document provides an overview of Washington State laws and resident rights related to evictions from long-term care facilities in 2025. It explains when an eviction is legal, what notices must be provided, the protections residents have, and the steps to take if you believe an eviction is improper or unfair. Use this guide to Read More
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We demand that facilities and licensors ensure, as already required under law, that all long-term care residents routinely receive adequate amounts of a variety of fresh and whole foods, macronutrients and micronutrients (proteins, fats, vitamins and fiber-dense foods). This includes meals, snacks, and beverages consistent with the resident’s dietary needs; and, centering on resident choice Read More
On June 23, 2025, formal comments were submitted regarding Washington State’s proposed rules related to resident discharges from Home and Community-Based Services (HCBS) settings. The comments advocate for stronger, clearer protections for all residents—Medicaid and private-pay alike—especially around eviction procedures. They emphasize the need for the state to align with federal regulations requiring legally enforceable Read More
Support SB 5337 to improve memory care services in Washington! Currently, over 126,000 Washingtonians live with Alzheimer’s or other forms of dementia, requiring specialized care and support. However, “Memory Care” is not legally defined, leading to confusion for families. SB 5337 will establish a standardized definition, require annual dementia training for staff, and strengthen oversight Read More
Thank you to all who participated in our first-ever Ombuds Advocacy Day in Olympia! . We’ve received lots of great feedback and words of thanks from participants.  The real “thanks” goes to all of you for your amazing extra effort to travel to Olympia, and speaking with legislators and their staff about your concerns, and Read More
Recent state reviews of nursing homes in Kitsap County have uncovered various issues affecting the quality of care for residents. From staffing shortages to regulatory violations, these findings highlight ongoing challenges in ensuring safe and adequate care for vulnerable populations. The reports underscore the need for improvements and stricter oversight to address these concerns and Read More
The rising costs of assisted living in the Seattle area are placing significant financial pressure on families. With price tags reaching record highs, many are struggling to afford the care their loved ones need. This trend reflects a broader challenge in the U.S. as demand for assisted living services increases, but affordability continues to be Read More