On 5/1/2021, the following long-term care facility waivers will either end or implementation guidance has been revised. See the implementation guidance(s) below for full details.
Effective 05/01/2021, the following regulatory waivers will end for all facilities (including Medicare/Medicaid certified):
Residential Care Facilities and Assisted Living Facilities
19 CSR 30-86.022(3) fire extinguisher inspections/maintenance
19 CSR 30-86.022(4)(A) and (C) range hood extinguishing system testing
19 CSR 30-86.022(9)(C) and (D) fire alarm system inspections/certification
19 CSR 30-86.022(11)(D),(E) and (F) and §198.074.2-4 RSMo., sprinkler system inspections/certification
19 CSR 30-86.032(13) electrical inspections
19 CSR 30-86.042(37) residential care facility documentation of the resident’s current medical status and any special orders or procedures
19 CSR 30-86.047(26) assisted living facility documentation of a physical examination prior to admission
Skilled Nursing Facility and Intermediate Care Facility (certified and state licensed only)
19 CSR 30-85.022(8) fire extinguisher inspections/maintenance
19 CSR 30-85.022(9) range hood extinguishing system testing
19 CSR 30-85.022(10)(C) fire alarm system inspections/certification
19 CSR 30-85.022(11)(A) sprinkler system inspections/certification
19 CSR 30-85.032(31)(B) electrical inspections
19 CSR 30-85.042(7) written agreements with outside resources used to provide services to the residents.
19 CSR 30-85.042(21) comprehensive orientation program within sixty (60) days of employment with nursing assistants who have not successfully completed the state-approved training program.
Adult Day Care Programs
19 CSR 30-90.050(8)(D)3.C- orders concerning treatments and medications
19 CSR 30-90.070(2)(A) annual written approval from the appropriate local fire safety officials, certifying that the facility complies with local fire codes
19 CSR 30-90.070(2)(C) fire extinguisher inspections/maintenance
Effective 05/01/2021, the following regulatory waiver implementation guidance has been amended for all facilities (including Medicare/Medicaid certified):
RCF-ALF-ICF-SNF and ADC
Tuberculosis testing: 19 CSR 30-85.042 (27), 19 CSR 30-86.042 (17) and (18), 19 CSR 30-86.047(18) and (19), and 19 CSR 30-90.040(7)
SNF
Regular visiting hours: 19 CSR 30-85.042 (11)
19 CSR 30-86.022 and 86.032 Waivers revised eff 5-1-2021
19 CSR 30-86.042 RCF waivers effective 5-1-21
19 CSR 30-86.047 ALF waivers effective 5-1-2021
19 CSR 30-85 SNF-ICF Waiver eff 5-1-2021
19 CSR 30-85.042-27 SNF-TB testing revised eff 5-1-2021
19 CSR 30-90 ADC waivers effective 5-1-2021