AGING AND LONG-TERM SUPPORT ADMINISTRATION
The Nurse Aide Registry
The purpose of the Washington Nurse Aide(NA) Registry is to maintain a database of individuals who meet the federal requirements to provide caregiving to residents residing in skilled nursing facilities in Washington State. The Registry also informs nursing home staff, through an inquiry process, of persons who are ineligible to work in a skilled nursing home due to findings of abuse, neglect or misappropriation of property.
For each Nursing Assistant Certified (NAC) the registry contains:
- Basic identifying information;
- Care giving work history;
- Eligibility status for working in a nursing facility;
- Findings of abuse, neglect or misappropriation of property;
The Nurse Aide Registry contains information about more than 95,000 individuals involved in care giving as Nursing Assistants- Certified in Washington and other states. The registry also contains identifying information for persons who are ineligible to work as caregivers.
A nursing assistant’s name is added to the registry by:
- Completing NAC training and passing both written and skills exams;
- Being inter-state endorsed to Washington from another state;
- Becoming ineligible to work in a nursing facility due to state disciplinary action or findings of abuse or neglect in Washington or another state;
- Becoming Federally sanctioned from working in a nursing facility.
Once a nursing assistant candidate passes the written and skills exam, Washington’s testing contractor (currently Pearson Vue) provides the Registry with test results for downloading into the registry. This download enters the individual’s identification information and their NA exam results into the Washington Nurse Aide Registry.
Inquiry process for skilled nursing facility staff
The Nurse Aide Registry inquiry process enables skilled nursing facilities to check the Registry status of each prospective NAC employee during the hiring process. This check fulfills a Federal regulation [42 CFR 483.75 (e) (5)] that says that nursing facilities must inquire of the Nurse Aide Registry before employing any NAC.
Screening for persons with State substantiated findings of abuse, neglect or misappropriation of property
The second purpose of this process is to provide nursing facility staff an opportunity to update the NAC’s care giving work history on the registry. Faxing or mailing an inquiry form (DSHS 16-193) to the registry initiates inquiries.
Nurse Aide Registry staff check the Registry database for each person listed on the inquiry form. When care giving work history information is included with the inquiry the individual's Registry work status is updated. Registry status results are then faxed back to the inquiring HR usually within 12 to 24 hours of receipt. The Nurse Aide Registry Inquiry Form (16-193) is available on the Internet and may be printed from the following web address:
As the result of these inquiries most NAC’s will be able to begin work immediately. If an NAC has not worked as a caregiver for pay in the last 24 months they will be told that they must re-train and re-test in order to again be eligible to work in a skilled nursing facility. The Nurse Aide Registry inquiry results also informs HR staff when a person has a finding of abuse, neglect or misappropriation of property in the registry and are ineligible to work in a nursing facility.