LTC Bed Availability Portal Reminder

Reminder: After submitting the initial survey, a confirmation email will be provided for a link to update your survey each day (instead of submitting a new survey). Submitting a new survey results in multiple surveys showing on the map with different bed numbers. This makes it difficult to know which totals are current. Please use the link emailed after the initial submission to edit facility bed availability. Please do not submit an “initial” submission more than once. If information does not change from day to day, the submitter can simply update the date and submit – the prior day’s information will populate.

The survey information will populate an accompanying dashboard that will be available to hospitals to use as a tool in finding placement for those patients who would be best served in a long-term care setting. This dashboard may be accessed at https://mophep.maps.arcgis.com/apps/opsdashboard/index.html#/f1e0745f93fe46b482d8ff4585f821bf. To view instructions on utilizing the dashboard, click on ‘Instructions’ under the map for information.

Action Pact’s Conversations with Carmen

September 17, 2021: Living Life Outside of Groups – Dispelling the Pressure to Hold Them

Most residents end up spending most time in their room, with or without a pandemic. We have needed to hone helping people live life outside of groups all along. Groups can never be 24/7 or meet everyone’s needs anyway. Gift residents with lots of ideas of things to do beyond the norm and beyond television. Encourage people with time on their hands to try something new, do things they have not done in a while, refocus their capabilities, live out passions in adaptive ways and not lose their taste for life no matter their abilities. Work with people to tell their life story, share wisdom, leave a legacy, develop the invention, book or song in their heart, armchair travel, plan, sing, study, sort photos, serve others, and more. What a great moment in time to get creative and go deeper with people. Learn how to have every team member honor and validate every individual’s’ life role/contribution to your community.

DHSS COVID-19 Vaccination Booster Doses Survey

The Department of Health and Senior Services is planning for the upcoming approval of booster COVID-19 vaccination doses and long-term care facilities will be a priority. The federal pharmacy program used to administer first and second doses will not be available, so it is important to ensure long-term care facilities receive the needed support for the administration of booster doses. We are asking for your feedback regarding your facility’s readiness to administer booster doses. https://www.surveymonkey.com/r/VTT296F

For those SNFs (Medicaid/ Medicare certified) that already completed the NHSN survey, we already have your results no further action is needed.

For questions regarding this survey, please contact Lana Hudanick at Lana.hudanick@heatlh.mo.gov or 314-982-8260. Please reply by September 15, 2021.

COVID-19 After Action Report (AAR) Survey – Deadline Extended

The deadline to complete the DHSS COVID-19 After Action Report (AAR) Survey has been extended to Friday, September 3, 2021. Your assistance in helping us gather this important data is greatly appreciated. Please feel free to share the link with your state, regional, and local partners in the following categories:

  • Public Health/LPHA
  • Hospital
  • EMS
  • Emergency Management
  • Behavioral Health
  • Healthcare Coalition Leadership
  • State Agency Partners

https://survey123.arcgis.com/share/d20126ad3a05496d87dbf3b4b65d7592?portalUrl=https://mophep.maps.arcgis.com

Please let us know if you have any questions or difficulties with the survey.
John Whitaker – John.Whitaker@health.mo.gov
Brendan Bagby – Brendan.Bagby@health.mo.gov

Changes to Missouri’s Adult Abuse and Neglect Hotline Hours of Operation

The Department of Health and Senior Services (DHSS) is revising the hours of operation for the Missouri Adult Abuse and Neglect Hotline to 7:00 a.m. to 8:00 p.m., 365 days a year, effective September 1, 2021. The Hotline’s former hours of operation were 7:00 a.m. to midnight, 365 days a year. This change will allow the Department to better serve those who need to report concerns of abuse, neglect, and exploitation of vulnerable individuals 60 and older and people with disabilities between 18 and 59.

During fiscal year 2020, DHSS received and investigated 40,714 community and facility reports of abuse, neglect, bullying, and exploitation, involving seniors and adults with disabilities. That amounts to an average of over 111 reports every day. The number of cases continues to rise, but still vastly understates the extent of the problem as experts believe that for every case of adult abuse or neglect reported, as many as 23 cases go unreported.

In November of 2019, DHSS implemented the Adult Abuse and Neglect Hotline online reporting system allowing concerned citizens and mandated reporters to electronically submit reports of abuse, neglect, and exploitation in an efficient, secure, and confidential manner on a web-based platform. The online reporting portal is available 24 hours a day, 7 days per week and provides an alternative to calling the Adult Abuse and Neglect Hotline both during and outside of normal business hours. Since the implementation of online reporting, approximately one-third of all reports are submitted this way. While online reporting has helped to ease the Adult Abuse and Neglect Hotline’s call volume demands, additional efforts are still needed to ensure that no call goes unanswered. The new operational hours for the Hotline will allow for increased staffing during times of highest call volume. This will help reduce wait times for those reporting and make it easier to reach a trained intake professional between 7:00 a.m. and 8:00 p.m. Please note that 9-1-1 should be accessed for emergencies as the Adult Abuse and Neglect Hotline online reporting system is not intended for emergency response.

If you suspect abuse, neglect or financial exploitation of the elderly or an adult with a disability, you may call the Adult Abuse and Neglect Hotline toll-free at (800) 392-0210 or visit www.health.mo.gov/abuse/ to make a report online.

If you have any questions regarding the change in the hours of operation for the Adult Abuse and Neglect Hotline, please reach out to the Department at 573/526-3625 or DSDSOfficeofConstituentServices@health.mo.gov.

Public Health: Better Health. Better Missouri.

Changes to the Weekly NHSN COVID-19 Vaccination Data Collection Forms for Long-Term Care Facilities

Changes are underway for CDC’s Weekly NHSN COVID-19 Vaccination Modules. In anticipation of recommendations for additional COVID-19 vaccine series, new questions on COVID-19 vaccine doses will be added to the current data collection forms in August 2021. The main changes to the forms for all three facility types are listed below:

  • Added question #4 for facilities to report on the cumulative number of individuals eligible to receive an additional dose or booster of COVID-19 vaccine.
  • Added question #5 for facilities to report on the cumulative number of individuals who received an additional dose or booster of COVID-19 vaccine (by manufacturer type).

To help facilities prepare for these changes, CDC is conducting listen-only training webinars.

Topic: Changes to the Weekly NHSN COVID-19 Vaccination Data Collection Forms for Long-Term Care Facilities
Date: Wednesday, Aug 25, 2021
Time: 2:30 – 3:30 PM ET
https://cdc.zoomgov.com/webinar/register/WN_tC-VNNB_QIaHs5IslpwmcQ

MHCA’s Annual Convention

August 22-25, 2021: MHCA 73rd Annual Convention & Trade Show
Location: Branson Convention Center, Branson

The long-term care industry faced enormous challenges in 2020 due to the COVID-19 pandemic. Thanks to your hard work and perseverance, along with widespread access to vaccines, we feel comfortable about gathering in person in Branson.

Click HERE to view a message from MHCA Executive Director, Nikki Strong, regarding an update to safety protocols and masking requirements for the MHCA 73rd Annual Convention & Trade Show.

Empowering Elder Well-Being with Supportive Technology

August 26, 2021: Empowering Elder Well-Being with Supportive Technology

Today’s elders have more ways than ever to stay connected with their loved ones, but tech support at Life Plan Communities and other senior living campuses isn’t always geared toward them – and common resources online may not include solutions unique to their needs.

Even though the strict lockdowns at nursing homes and other communal settings have eased considerably, the pandemic revealed the very real need for elders to master technology in order to combat loneliness, provide entertainment, and even stay on top of their health through apps and wearables.

On August 26 at 3 p.m. ET, Join GroovyTek, The Green House Project, and the Pioneer Network for a can’t-miss discussion on empowering elders with technology.

Using the International Council on Active Aging’s Seven Dimensions of Wellness as a guide, we’ll:

  • Explore the current state of older adults’ relationship with technology,
  • Discuss strategies to overcome barriers to adopting common tech tools,
  • Discover how tech can promote elders’ independence, wellbeing, and health,
  • Hear directly from an elder about her personal experience with tech,
  • And much more.

Pioneer Network’s Virtual Symposium

September 22, 2021: Envisioning the Future: Finding Meaning & Purpose

Pioneer Network is proud to present the third in its series of four Symposia for 2021, each based on the theme, Envisioning the Future. In this symposium, the focus is on Finding Meaning & Purpose. Speakers include residents and innovators in the field who will draw on their experiences, including the collective experiences encountered as we all lived through the pandemic. They will explore how to find meaning and purpose for those who live and work in senior living communities as well as how we can move forward in a way that assures that isolation becomes a thing of the past, acknowledging that wherever we may reside, life is lived best in community.

MC5 – Special Virtual Meeting

September 22, 2021: Finding and Keeping Great Co-Workers
Presenter: Clint Maun, CSP

Healthcare Providers have taken the needed action to fight a global pandemic and have established the required systems to contain and prevent the spread of the Corona Virus. The never-before-seen challenges we have experienced in 2020 has made it more vital than effort to have superior staff in all roles in 2021. We know healthcare professionals and staff can work together to achieve amazing success at workforce stabilization which will also benefit our customers. Join Clint Maun for an overview of proven teaming strategies during this time of opportunity, including processes to build workforce resilience and reduce burnout.

Join us for this important Virtual meeting.

Payroll-Based Journal (PBJ) Submission Deadline Reminder

Nursing homes are required to electronically submit direct care staffing information to the Payroll-Based Journal (PBJ) system. Submissions must be received by the end of the 45th calendar day (11:59 PM Eastern Standard Time) after the last day in each fiscal quarter to be considered timely. PBJ data for 4/1/21 through 6/30/21 is due August 14, 2021. Please submit PBJ data as soon as possible to avoid delays. CMS recommends running staffing reports in CASPER prior to the submission deadline to ensure the accuracy and completeness of submissions. Please remember, the Final File Validation Report verifies that the submission was successful.

PLEASE NOTE: If you need assistance with the PBJ quarterly submission and the deadline falls on a weekend, you must contact the QIES/iQIES Service Center no later than the Friday before the submission deadline. The Service Center will be unable to assist on the weekend. Therefore, phone and email support will be concluded as of Friday August 13, 2021 at 8:00 p.m. (ET).

More information about PBJ can be found on the following webpages:

SNF Quality Reporting Program (QRP) Submission Deadline Reminder

SNFs are required to report data to meet the SNF QRP requirements. The submission deadline for the SNF QRP is approaching. MDS data for 1/1/21 through 3/31/21 must be submitted no later than 11:59 p.m. on August 16, 2021.

The Minimum Data Set (MDS) 3.0 must be transmitted to CMS through the Assessment Submission and Processing (ASAP) system to the Quality Improvement Evaluation System (QIES). No additional reporting is required.

As a reminder, it is recommended that providers run applicable CASPER reports prior to each quarterly reporting deadline, in order to ensure that all required data has been submitted.

Swingtech sends informational messages to IRFs, LTCHs, and SNFs that are not meeting APU thresholds on a quarterly basis ahead of each submission deadlines. If you need to add or change the email addresses to which these messages are sent, please email QRPHelp@swingtech.com and be sure to include your facility name and CMS Certification Number (CCN) along with any requested email updates.

More information about SNF QRP can be found on the following webpages:

Conversations with Carmen

August 20, 2021: A Beautiful Day in the Neighborhood
Guest: LaVrene Norton, Action Pact Founder & Executive Leader and Megan Hannan, Action Pact Consultant; with Host Carmen Bowman

Need help getting everyone out of the doldrums of COVID? Let free the spirit of joy and love – work together to bring back the simple pleasures of home. Create team on the fly. Let music and laughter rock the halls. Wave!

Think Neighborhood. Have a block party.

We begin again with a short presentation on the Artifacts of Culture Change as they can offer us a measurable road map. We will then head down the path to Neighborhood where culture change begins. Where good neighbors work together to enjoy and share the simple pleasures of daily life.

CNA Update Training – Staffing Series 2: Take off on the Journey to Improve Staffing

September 14, 2021: Staffing
Location: Ameristar Hotel, St. Charles

September 15, 2021: Staffing
Location: Oasis Hotel, Springfield

September 28, 2021: Staffing
Location: Stoney Creek Hotel & Conference Center, Independence

September 29, 2021: Staffing
Location: Comfort Inn, Macon

CNA Training Update in Missouri

We have been waiting a long time and finally we see the results coming at us from our efforts to update and improve the training of Missouri CNA’s. The process has changed significantly effective August 31, 2021 “technically”. Administrators, DON’s, RN Instructors, HR Staff and CNA Training Organizations will want to understand how these changes affect them and their programs. The CNA Registry process for verification of employment in the last 24 months has also changed and will be handled through a third party site. You should already be registered as an employer and your CNA’s in the new system. This session will review all the new regulations, the new forms and the new testing/registry process through TMU Headmaster.

Staffing Series 2: Take off on the Journey to Improved Staffing

In Series 1, we explored Staffing Turnover and Retention and formulated a Roadmap to take us on a journey to improve staffing, increasing stability and quality of care, life and service for our residents. In this series we will take off on the journey and concentrate on the areas that Series 1 attendants identified as needing the most work; Recruitment and On-Boarding/Training. We will rethink where we are spending recruiting dollars, share ideas for improving landing quality applications and then build on reducing turnover and improving retention with improved and best practice ideas for Staff on-boarding/Orientation and training. Administrators and HR Staff will benefit from this interactive session. If you missed the first session, you can view it on-line on SDS Training site through MANHA.

Trauma-Informed Care: Nursing Home Responsibilities & Plan of Action

October 5, 2021: Trauma Informed Care
Location: Oasis Hotel, Springfield

October 6, 2021: Trauma Informed Care
Location: Comfort Inn, Macon

October 7, 2021: Trauma Informed Care
Location: Ameristar Hotel, St. Charles

October 12, 2021: Trauma Informed Care
Location: Stoney Creek Hotel & Conference Center, Independence

Sponsored by Missouri Health Care Association & Missouri Association of Nursing Home Administrators

We will review the regulatory requirements, available resources and necessary policy and procedure changes to keep your facility on the right side of Trauma Informed Care Compliance.

Infection Control Assessment and Response Project

QIPMO has collaborated with the Missouri Department of Health and Senior Services (DHSS) in response to the novel Coronavirus known as COVID-19. In doing so, QIPMO has formed a new Infection Control Assessment and Response (ICAR) team with a primary goal of assisting Missouri Long-Term Care Facilities to navigate the challenges of the COVID-19 pandemic and other infectious diseases.

Please see the flyer or visit the following QIPMO webpage – https://nursinghomehelp.org/icar-project/.

Caring for the Older Adult Across the Continuum Conference

August 20-21, 2021: CARING for the OLDER ADULT Across the Continuum (Caring for the Frail Elderly) & 17th Annual Health Ethics Conference
Location: Holiday Inn Executive Center, Columbia, MO – (This is a Hybrid event, attend in-person or virtual)

The conference will provide a forum for updating interdisciplinary health professionals caring for older adults in the community, regardless of living situation, in the ethical care and treatment of older adults including, medical management, interdisciplinary care, research, and system change.

Quality Reporting Program: Non-Compliance Letters for FY 2022 APU

CMS is providing notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2020, which will affect their FY 2022 Annual Payment Update (APU). Non-compliance notifications are being distributed by the Medicare Administrative Contractors (MACs) and were placed into SNFs’ CASPER folders in QIES on July 14, 2021. Facilities that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59 pm, August 13, 2021.

If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notice of non-compliance and on the SNF Quality Reporting Reconsideration and Exception & Extension webpage.

MHCA Webinars

Cultivating LTC Leaders Webinar Series

This 12-month webinar series addresses hot topics in nursing home operations to develop skills in managing current clinical-regulatory, legal and compliance risks. A team of expert presenters offers insight on systems and strategies to advance preparedness for the varied challenges facing LTC leaders, with practical solutions, templates, tools and resources. Recordings of live sessions are included with the webinar purchase.

 

Standards of Care Webinar Series

This 12-month webinar series focuses on nursing facility systems of care and managing common conditions treated in the LTC setting. Each session addresses standards of care, staff training/competency focus areas, critical nursing assessment/documentation principles, care planning guidance, recommended QA activities, and practical daily operations guidance with extensive use of case examples. Recordings of live sessions are included with the series purchase.

NHSN Deadline Tracking & Troubleshooting Assistance

The Centers for Medicare & Medicaid Services (CMS) requires nursing homes to submit information each week to the National Healthcare Safety Network’s (NHSN) COVID-19 Vaccination Data Reporting Module. The deadline for reporting the previous week’s cumulative vaccination rates is every Sunday by 11:59 p.m. ET.

To help keep your reporting weeks organized at-a-glance, the Health Quality Innovation Network (HQIN) has developed a printable NHSN Weekly COVID-19 Vaccination Data Reporting sheet outlining the NHSN submission deadlines for 2021.

HQIN has provided NHSN reporting assistance to many facilities across the state. If you would like to receive no-cost assistance, we encourage you to join the HQIN Nursing Home NHSN Reporting Group. This will enable HQIN to view your data for problem-solving and quality improvement purposes. Download How to Join the HQIN Nursing Home Reporting NHSN Group for easy instructions on how to join.

As your dedicated Quality Innovation Network-Quality Improvement Organization (QIN-QIO), HQIN is available to support you and your facility with the required COVID-19 vaccine administration reporting. If you have questions, please contact HQIN.

About the Health Quality Innovation Network

Led by Health Quality Innovators and its quality improvement partners, the Carolinas Center for Medical Excellence, KFMC Health Improvement Partners, and the Kansas Healthcare Collaborative, HQIN is the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Kansas, Missouri, South Carolina and Virginia. To learn more visit https://www.hqin.org.

COVID-19 FREE Testing

Testing remains a key tool to keeping Missourians safe and open for activity. Testing is not only for those who are symptomatic, but important for periodic surveillance especially when interacting with vulnerable populations and crowds. Many camps, events, and travel now require evidence of a test result before participation.

A simple test can provide peace of mind. Missouri provides several options for obtaining a free COVID-19 PCR test without any symptom criteria. The opportunities for testing include:

More information about testing can be found at www.health.mo.gov/communitytest.

Conversations with Carmen

July 16, 2021: Lots of Ideas for Getting Outdoors – An Artifact of Culture Change
Guest: Maggie Calkins, PhD, EDAC, Ideas Institute

Join us to grow your list of possibilities for getting people outdoors. We all know it is important but consider during this conversation taking a step into making it a priority for your culture. Getting outside benefits all of us. Do you ensure getting outdoors is on each person’s care plan?

This is a new Artifact of Culture Change along with the already existing artifacts of raised gardens and a walking/wheeling path. Don’t let your expensive courtyards or your vast grass lawns become wasted space. We’ve also learned we are all at lower risk of infection when spending time outdoors. Dine outside and hold meetings and other events in the great outdoors. Hear some of the insights from Dr. Calkins’ new white paper “Designing Gardens to Attract Activity: A primer for elder care communities.”

Pioneer Network’s Hot Topics Webinar

July 15, 2021: Giving and Receiving: Creating a Culture of Relationship with Persons Living with Dementia
Speakers: Anna Ortigara, RN, MS and Chris Mulrooney, MPS, PhD

Direct care workers face many challenges every day. Leaders also face many challenges if we are to be in right relationship with direct care workers. Do we understand, and are we sensitive to the needs of the direct care workforce? Do we provide education and support to help staff to be their best selves? Do care staff believe in us?

Anna and Chris will begin this webinar by discussing these and similar questions to assess where we are from an “organizational relationship” perspective post-pandemic. They will then explore the components of outstanding person-directed and relationship-based care, as well as identify what is different or added to these components for those who work with individuals living with dementia.

Attendees will gain an understanding of theories and applications they can draw on. These will include the work of Tom Kitwood, as well as Chris’ own research on the characteristics that distinguish outstanding caregivers, such as service orientation and empathy.

If you are looking for practical tools to help you create a culture of relationship, you won’t be disappointed.

 

August 12, 2021: Innovative Intergenerational Arts Programming in Response to the Pandemic: Five Programs in Three Countries
Speakers: Elizabeth “Like” Lokon, MGS, PhD, Founder/Director of Opening Minds through Art (OMA), Scripps Gerontology Center; Cindy Paulin, Executive Director for Art for the Journey (AFJ); Amy Skeels, third-year medical student at Marian University College of Osteopathic Medicine (MUCOM); Kathryn Bender, Recreationist, Trinity Village Care Centre in Kitchener, Ontario, Canada; Chloé Bradwell, Drama Practitioner, PhD Candidate at the University of Exeter in the United Kingdom; and Meghan Young, MGS, Associate Director of Opening Minds through Art (OMA), Scripps Gerontology Center

Five organizations responded to the challenge created by the pandemic: How to maintain intergenerational connections around the arts when in-person visits are not possible? Three programs went virtual and two programs did not. All five programs are rooted in person-centered philosophy, yet distinct from one another. They address the older adults’ needs for social and creative engagement while providing students with opportunities to develop communication skills and to build relationships with older adults, with and without dementia, outside their own families.

Presenters include faculty members, a recreationist, a visual artist, and students, representing universities, a non-profit arts organization, and retirement communities in three countries, the USA, Canada, and the UK.

The goal of this workshop is to inspire attendees to think outside the box and consider limitations imposed by the pandemic as opportunities to diversify offerings. Videos, example artistic creations, research findings, and tools for replication will be shared.

COVID-19 FREE Testing

Of special note, because of the increase in cases in the Southwest region, there will be one additional testing day this week and one next week, Friday, July 2 in Joplin, and Tuesday, July 6 in Wright County– see below.

Testing remains a very important tool in fighting the COVID-19 pandemic. The Missouri Department of Health and Senior Services is now offering two options for FREE COVID-19 testing.

First, there are in-person testing events hosted around the state. Individuals are not required to pre-register or have an appointment, simply show up to one of the events below to receive the test. A government issued ID is not a requirement for this testing, but having one available onsite speeds up the registration process. Additional testing sites (with regular or one-time opportunities) may be added as indicators suggest the need for additional testing. The following events listed below are scheduled as of today. The latest information can always be found at www.health.mo.gov/communitytest.

Second, Missouri residents may order a free test to be mailed to their Missouri address. These are PCR kits that are designed for self-collection with a return FedEx shipping container. Once received back by the laboratory, the result is returned to the person tested (via email provided) within 48 hours. More information about the at home self-collection kits and a link to order are also found at www.health.mo.gov/communitytest.

In-person Testing Events Scheduled as of June 29, 2021:

St. Louis Area

    • Every Monday – 11:00 am – 7:00 pm
      IBEW Local #1
      5850 Elizabeth Avenue
      St. Louis, MO 63110
    • Every Tuesday 11:00 am – 7:00 pm
      “Legacy Bar & Café”
      Delmar Plaza
      5261 Delmar Blvd
      St. Louis, MO 63108
    • Every Thursday – 11:00 am – 7:00 pm
      Laborers Local #110
      4532 S Lindbergh Blvd
      St. Louis, MO 63127
    • Every Saturday – 11:00 am – 7:00 pm
      Machinist Lodge #777
      12365 St Charles Rock Rd
      Bridgeton, MO 63044

Central Area

    • Sunday (dates below)
      11:00 am – 7:00 pm

      July 18
      August 8, 22
      September 12, 26
      American Legion #1423
      Tanner Bridge Road
      Jefferson City, MO 65101

Southwest Area

    • Tuesday – July 6
      9:00 am – 5:00 pm
      Wright County Health Department Annex
      602 East State Street, Suite B
      Mountain Grove, MO 65711
    • Every Tuesday – 11:00 am – 7:00 pm
      Mother’s Brewing Company
      Open Lot located on the corner of West College and Grant Avenue
      Springfield, MO
    • Wednesday (dates below)
      9:00 am – 4:30 pm

      June 30
      Webster County Health Unit
      233 E. Washington Street
      Marshfield, MO 65706
    • Friday – July 2
      11:00 am – 7:00 pm
      “The Roxy” Parking Lot
      108 N. Joplin
      Joplin, MO 64801
    • Every Friday – 11:00 am – 7:00 pm
      Branson/Lakes Area Chamber of Commerce
      4100 Gretna Rd
      Branson, MO 65616

Kansas City Area

    • Every Monday – 11:00 am – 7:00 pm
      Heavy Construction Laborers, Local #663
      7820 Prospect
      Kansas City, MO 64132
    • Every Thursday – 11:00 am – 7:00 pm
      Heavy Construction Laborers, Local #663
      7820 Prospect
      Kansas City, MO 64132
    • Every Saturday – 11:00 am – 7:00 pm
      Teamsters Local #955
      4501 Emanuel Cleaver II Blvd
      Kansas City, MO 64130

Southeast Area

    • Sunday (dates below)
      11:00 am – 7:00 pm

      July 11, 25
      August 1, 15
      Red Show Barn
      410 Kiwanis Drive
      Cape Girardeau MO 63701