000000; text-transform: none; text-indent: 0in; letter-spacing: normal; padding-top: 0.5em; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">6108-00 Nursing homes and skilled nursing centers

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Classification 6108 applies to skilled nursing facilities (SNF). This includes nursing homes, rehabilitation centers, and similar facilities. While the level of care is less urgent than for patients requiring hospitalization, SNFs, such as nursing homes, provide 24-hour supervised nursing care. They also provide personal care, therapy, nutritional management, organized activities, and social services to individuals unable to care for themselves due to injury, illness, or advanced age. These facilities are inspected and licensed by the Washington department of social and health services (DSHS); their administrators are licensed by the Washington department of health (DOH).

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Types of workers employed in nursing homes often include, but are not limited to:

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Activity directors;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Administrative staff;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Caregivers;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Chaplains;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Cooks and chefs;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Dietary aides;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Dieticians;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Dishwashers;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Housekeepers;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Janitors;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Laundry workers;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Lawn care workers;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Maintenance personnel;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Nurses' aides and assistants;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Practical nurses;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Registered nurses;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Social workers;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Therapists and therapists' assistants.

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Medical services provided to residents generally include:

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Checking and monitoring for wellness;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Dispensing medicine;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Medical exams;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Rehabilitative therapies;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Total nursing care due to illness, injury, or surgery.

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">Personal care provided to residents may include performing or assisting with:

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Bathing;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Brushing teeth or hair;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Dressing;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Feeding;

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Shaving.

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">This classification excludes:

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Residences providing varying levels of medical services or basic personal care but not licensed by DSHS as SNF or nursing home, that are to be reported separately in classification 6509.

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Hospitals inspected and licensed by the DOH which are classified in 6105, 6120, 6121, 7200, or 7400 (assigned only by the hospital underwriter).

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Home care providers working in their clients' homes who are to be reported separately in classification 6511 or 6512.

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">• Home health and nursing providers working in their clients' homes who are to be reported separately in classification 6110.

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">For administrative purposes, classification 6108 is divided into the following subclassification(s):

000000; text-transform: none; text-indent: 0.25in; letter-spacing: normal; font-family: 'Open Sans', Helvetica, Arial, sans-serif; font-size: 16px; font-style: normal; font-weight: 400; margin-left: 0in; word-spacing: 0px; white-space: normal; box-sizing: border-box; orphans: 2; widows: 2; background-color: #ffffff; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-style: initial; text-decoration-color: initial;">6108-00 DSHS licensed nursing homes.