Please see the attached document regarding regulations pertinent to the care of persons with severe mental illness in nursing homes. The purpose of the document is simply to harmonize the practices of individual surveyors, regional offices and providers with federal and state regulations governing the operation of nursing homes here in Missouri. An initial draft of this guidance was shared with attendees at the 2010 Annual Surveyor Training. It is excerpted from state and federal regulations, and we hope that you’ll find it valuable. If you have any questions regarding this guidance, please contact your SLCR regional office. Guidance Caring for Person in Long-Term Care with Severe Mental Illness Diagnoses