Can the registered nurse provide or delegate care in an assisted living facility (ALF)?

An ALF may choose to provide, but is not required to provide, intermittent nursing services. The registered nurse may provide nursing care and in an ALF within the registered nurse’s scope of practice and carryout medical regimens under the direction of an authorized health care practitioner. Only the registered nurse may delegate nursing activities to a nursing assistant-certified (NA-C), nursing assistant-registered (NA-R), or home care aid-certified (HCA-C) in an ALF. See the RCW 18.20 Assisted Living Facilities and WAC 388-78A Assisted Living Facility Licensing Rules for more information.