DSHS Form 10-670 Nursing Home Facility License Application - Washington

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What Is DSHS Form 10-670?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 10-670?
A: DSHS Form 10-670 is the Nursing Home Facility License Application for the state of Washington.

Q: Who needs to complete DSHS Form 10-670?
A: Nursing homes in Washington State need to complete DSHS Form 10-670.

Q: What is the purpose of DSHS Form 10-670?
A: The purpose of DSHS Form 10-670 is to apply for a license to operate a nursing home facility in Washington State.

Q: Is there a fee for submitting DSHS Form 10-670?
A: Yes, there is a fee associated with submitting DSHS Form 10-670. The fee amount will depend on the number of beds in the nursing home facility.

Q: What information is required on DSHS Form 10-670?
A: DSHS Form 10-670 requires information such as the name and address of the nursing home facility, contact information, ownership details, staffing information, and more.

Q: Are there any additional documents or requirements for DSHS Form 10-670?
A: Yes, there are additional documents and requirements for DSHS Form 10-670. These may include a floor plan of the facility, proof of financial stability, and criminal background checks of facility personnel.

Q: How long does it take to process DSHS Form 10-670?
A: The processing time for DSHS Form 10-670 can vary. It may take several weeks to several months to complete the review and licensure process.

Q: What happens after submitting DSHS Form 10-670?
A: After submitting DSHS Form 10-670, the application will be reviewed by the Washington State Department of Social and Health Services. An on-site inspection may also be conducted.

Q: How long is a nursing home facility license valid in Washington State?
A: A nursing home facility license is typically valid for one year in Washington State. It needs to be renewed annually.

Form Details:

Released on May 1, 2021;
The latest edition provided by the Washington State Department of Social and Health Services;
Easy to use and ready to print;
Quick to customize;
Compatible with most PDF-viewing applications;
Fill out the form in our online filing application.

Download a printable version of DSHS Form 10-670 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.