Category: Long Term Care Blog

CNA Training Agency Renewals

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Just a reminder from the Health Education Unit!

Regulatory Guidance: 19 CSR 30-84.010 (9) Training agencies shall be approved for a two- (2-) year period and shall submit a new application for approval thirty (30) calendar days prior to the expiration of approval.

Please check your training applications to ensure they are current for holding the CNA Training Program. Failure to keep your training applications up-to-date may delay the ability to train and/or test CNA’s from your facility. Please see the link below to our website which includes information on training applications:

https://health.mo.gov/safety/cnaregistry/pdf/580-2469.pdf

You may contact the Health Education Unit for questions at 573-526-5686 or the CNARegistry@health.mo.gov.

2022 SLCR Annual Provider Meetings

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We are currently in the planning phase to host in-person provider meetings in all regions this year and are considering the best topics to provide the most beneficial information. We would like to hear from you about what LTC related topics and info you believe would be helpful and educational!

Please take a moment to answer complete a short questionnaire by May 31, 2022 at https://www.surveymonkey.com/r/9287QZQ.

New Changes coming in May for the COVID-19 Module Surveillance Pathways and Weekly HCP & Resident COVID-19 Vaccination Module

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There will be various revisions to the LTCF COVID-19 Module surveillance pathways and COVID-19 Vaccination Modules for residents and healthcare personnel in the upcoming NHSN May release. CDC will be conducting training webinars next month. Please attend a training session to learn how data entry forms will change and receive instructions for accurate reporting. Below are a few changes you will see starting next month in the COVID-19 Module surveillance pathways.

NHSN COVID-19 Module Surveillance Pathway Forms will be Revised
New Changes Coming in May!!

What are the main changes?

Simplifications

  1. REMOVAL of Supplies and PPE Pathway
    1. Users will no longer need to report data to this pathway
  2. The Resident Impact and Facility Capacity Pathway (RIFC) and the Staff and Personnel Impact Pathway will have several data elements removed:
    1. COVID-19 test type
    2. Vaccine manufacturer (RIFC only)
    3. COVID-19 re-infections
    4. Other respiratory illness
    5. Testing performed and time for receiving results

Possible Additions

  1. Expand vaccination status options for boosters.
  2. Include simplified PPE shortage question.

How should I prepare for the upcoming changes?

  • Review ALL E-mail communication from NHSN
  • Attend COVID-19 Module trainings
  • Review the TOIs to assist with reporting elements
  • Update your CSV files as applicable
  • Templates will be updated on the COVID-19 webpage in May

How can I learn more?
CDC will be conducting training webinars in May. More information on these webinars will be shared in the coming weeks, so stayed tuned!

If you have questions, please send an e-mail to NHSN@cdc.gov with ‘COVID-19 Surveillance Pathway Forms’ in the subject line. Below are the changes that will also take place in the COVID-19 Vaccination Module starting next month.

 

NHSN Weekly COVID-19 Vaccination Cumulative Summary Forms will be Revised
New Changes Coming in May!!

What are the main changes?

Simplifications

  1. COVID-19 vaccination data will no longer be reported by vaccine manufacturer for questions on primary vaccine series and additional/booster doses.
  2. Questions on vaccine supply will be removed.
  3. Completing monthly reporting plans for COVID-19 vaccination modules in the Long-Term Care Facility Component will no longer be required. Instead, upon saving or uploading data, users will agree to the following:
    1. The data reported are consistent with definitions outlined in NHSN surveillance protocols (including tables of instructions and frequently asked questions).
    2. The data will be sent to the Centers for Medicare and Medicaid Services (CMS) to fulfill CMS quality reporting requirements (when applicable).

Additions

  1. Adding a note at the top of form specifying that data can be submitted by completing the questions on the data collection form or by using the new event-level COVID-19 vaccination forms.
  2. Adding a question for facilities to report the cumulative number of individuals who are up to date with COVID-19 vaccination.
  3. Adding two fields to question #4 to report the cumulative number of individuals who received only one booster dose and two or more booster doses of COVID-19 vaccine (Note: For residents only)

How should I prepare?
Facilities should develop or update data tracking mechanisms to collect weekly COVID-19 vaccination data on residents and healthcare personnel for the additional questions.

Tip: Using the new event-level COVID-19 vaccination forms in NHSN’s Long-Term Care Facility Component can simplify the tracking and reporting of data on multiple booster doses and up to date status.

How can I learn more?
CDC will be conducting training webinars in May. More information on these webinars will be shared in the coming weeks, so stayed tuned so you can register for the sessions.

If you have questions, please send an e-mail to NHSN@cdc.gov with ‘COVID-19 Vaccination Data Reporting’ in the subject line.

SNF Quality Reporting Program (QRP) Submission Deadline Reminder

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SNFs are required to report data to meet the SNF QRP requirements. The submission deadline for the SNF QRP is approaching. MDS and NHSN data for 10/1/21 through 12/31/21 must be submitted no later than 11:59 p.m. on May 16, 2022.

The Minimum Data Set (MDS) 3.0 must be transmitted to the Centers for Medicare & Medicaid Services (CMS) through the Assessment Submission and Processing (ASAP) system to the Quality Improvement Evaluation System (QIES). Data for the National Healthcare Safety Network (NHSN) measures must be submitted to the Centers for Disease Control and Prevention (CDC). No additional data submission is required for the claims-based measures.

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 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:

Payroll-Based Journal (PBJ) Submission Deadline Reminder

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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 1/1/22 through 3/31/22 is due May 15, 2022. 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, as the Service Center will be unavailable to assist on the weekend.

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

CDC Health Advisory 463: Updated Info of Treatments COVID-19

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Please see the CDC Health Advisory, number 463, dated 2/25/2022, entitled “Updated Information on Availability and Use of Treatments for Outpatients with Mild to Moderate COVID-19 Who are at Increased Risk for Severe Outcomes of COVID-19.”

Missouri healthcare providers and public health practitioners: Please contact your Local Public Health Agency or the Missouri Department of Health and Senior Services’ Bureau of Communicable Disease Control and Prevention at 573-751-6113 or 800-392-0272 (24/7) with questions regarding this Health Advisory.

Summary of Key Points: New Optional Event-Level COVID-19 Vaccination Forms in NHSN (replacing the Excel Data Tracking Worksheets)

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The NHSN Vaccination Team hosted two office hours webinars for the Event-Level COVID-19 Vaccination Forms on Tuesday, April 12th and Tuesday, April 19th. During these webinars, CDC provided long-term care facilities with an overview of how to use this feature to manage person-level vaccination data directly in the application for the COVID-19 Vaccination Modules and discussed frequently asked questions in detail.

The slides used during the webinars are linked under the “Educational Resources” section of this message, and webinar recordings will be posted on the NHSN website at a later date.

Summary of Key Points:

  • The Event-Level COVID-19 Vaccination Forms are available in the NHSN application for long-term care facilities (other modules coming soon) to manage person-level vaccination data and simplify summarizing data for weekly COVID-19 Vaccination Modules.
  • There are three ways to report data: directly into the COVID-19 Vaccination Modules, via .CSV upload, or by selecting the ‘View reporting summary and submit’ button of the Event-Level COVID-19 Vaccination Forms.
  • SAMS Level 3 access is required to complete reporting using the Event-Level COVID-19 vaccination forms. If your facility does not have a Level 3 user, please contact the SAMS Help Desk between the hours of 8:00 AM and 8:00 PM EST Monday through Friday (excepting U.S. Federal holidays) at the following: Toll Free: 877-681-2901; E-mail: samshelp@cdc.gov. You can also find additional information in the SAMS User FAQs published on the SAMS Homepage at https://sams.cdc.gov.
  • Data are entered line by line in the optional Event-Level COVID-19 Vaccination Forms, similar to the Excel Data Tracking Worksheet.
  • You can complete a one-time upload of any current data in the Excel Data Tracking Worksheet to the NHSN Event-Level COVID-19 Vaccination Forms. Once your data are transferred to the NHSN application, do not continue to use/re-upload the Excel Data Tracking Worksheet because the two tools do not function the same way.
  • You can export a .CSV file and upload data via .CSV .CSV files templates and examples for healthcare personnel and residents of long-term care facilities are available on the NHSN website: https://www.cdc.gov/nhsn/pdfs/ltc/covidvax/c19-event-layout-508.pdf.
  • There is no need to enter a new line for an individual each week or when their status changes; instead, Event-Level COVID-19 Vaccination Forms capture changes in individuals’ vaccination status over time.

The one exception is for extended leave. If a healthcare worker goes on leave for longer than 2 weeks (14 days) and returns to work after more than 2 weeks, or if a resident is discharged or leaves the facility for any reason for longer than 1 week (7 days) and returns or is re-admitted after more than 1 week:

– You should enter a discharge/end date on the day they were discharged or left.

– When they return or are re-admitted, you should duplicate their row (using the + button next to their row) and enter a new admission date on their new row.

  • These forms allow users to record religious exemption as a reason for declining COVID-19 vaccination.
  • 2nd booster dose fields will be added to the forms.

Coming Soon – May 2022 Release:

  • The Event-Level COVID-19 Vaccination Forms will include new columns to record second and third booster doses.
  • The weekly summary form will include a question on “number of individuals who are up to date on COVID-19 vaccines.” This field will be auto-calculated for those using and submitting data with the Event-Level COVID-19 Vaccination Forms.
  • The weekly resident summary form will include questions on number of residents who received only one booster dose, and number of residents who received two or more booster doses. These fields will be auto-calculated for those using and submitting data with the Event-Level COVID-19 Vaccination Forms.
  • Rows will no longer appear green after submission for individuals with a discharge date earlier than 3/28/2022.

Note: NHSN encourages facilities to enter the same IDs for residents and healthcare personnel as those used for reporting the POC Tool and the RIFC Event-Level Form when applicable.

Educational Resources:

For specific information about CMS reporting requirements for long-term care facilities, please contact CMS at: DNH_TriageTeam@cms.hhs.gov.

Reporting of Positive COVID-19 Cases – Changes Effective Monday, April 18th

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Effective April 18, 2022, the existing Electronic COVID-19 Case Reporting System (ECD-1) will be disabled. This system will be replaced by the Missouri Disease Reporting Online Portal (MODROP). MODROP can be accessed directly from https://modrop.health.mo.gov/ or by using the existing ECD-1 link at https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/case-reporting.php and selecting the MODROP button.

NOTE: The recommended browser for use of MODROP is Google Chrome. Other browsers may cause issues with MODROP.

Facilities will need to register for a MODROP account the first time they use the new portal. MODROP allows reporting of only COVID-19 cases. Reports of other reportable conditions may be faxed to 573-751-6417.

Facilities performing their own COVID-19 testing (antigen testing) must report positive results through one of the following portals:

  • MODROP
  • In bulk via HL7 or CSV file using the DHSS- Electronic Lab Reporting process
  • National Healthcare Safety Network (NHSN) or the Association of Public Health Laboratories (APHL) Informatics Messaging Services (AIMS) Platform.

Facilities using an external laboratory (PCR testing) must enter positive case information into MODROP.

We are excited for this change and elimination of duplicate reporting of positive cases! If you have any questions or encounter any issues utilizing MODROP or for questions about HL7 or CSV reporting, please reach out to the EpiTrax Help Desk via e-mail at epitrax@health.mo.gov. The EpiTrax Help Desk e-mail account is monitored from 8AM-5PM CST Monday-Friday.

Please see the FAQ and thank you for your efforts to provide complete and accurate COVID-19 data to public health.

Office Hours and Frequently Asked Questions Webinar for the Optional Event-Level

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The NHSN Vaccination Team is providing two webinars on Tuesday, April 12th and Tuesday, April 19th at 2:00 PM Eastern Time to provide additional training on the Event-Level COVID-19 Vaccination Forms in the COVID-19 Vaccination Modules and to answer frequently asked questions. These worksheets are available in the NHSN application for long-term care facilities (other modules coming soon!) to manage person-level vaccination data and simplify data for weekly COVID-19 Vaccination Modules.

During this session, the team will review key points about the forms and provide answers to frequently asked questions raised during the training webinars held in March 2022. Users attending the training can also ask questions in in the Q&A box.

Registration information for both webinars is listed below. The content for both webinars will be the same, but individuals are welcome to register for and join both for additional reinforcement if they choose.

When: Tuesday, April 12, 2022 at 02:00 PM Eastern Time (US and Canada)
Topic: Event-Level COVID-19 Vaccination Forms: Office Hours and FAQs

Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_CQN5faRJTRictvPA512RmA
After registering, you will receive a confirmation email containing information about joining the webinar.

When: Tuesday, April 19, 2022 at 02:00 PM Eastern Time (US and Canada)
Topic: Event-Level COVID-19 Vaccination Forms: Office Hours and FAQs

Register in advance for this webinar: https://cdc.zoomgov.com/webinar/register/WN_asYca_YuTj2gzJbMiFM7ow
After registering, you will receive a confirmation email containing information about joining the webinar.

For specific questions about registration for this webinar, please e-mail NHSN@cdc.gov and place in the subject line: Event-Level COVID-19 Vaccination Form Office Hours.

CNA Renewals/Work Updates

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Note: The requirement to renew the CNA certification every 24 months is not a new regulation; however, the process to renew has been updated and a fee has been added.

**Please see this link for information on how to renew.

When a CNA passes the final examination, the individual’s name is placed on the CNA active registry. For nurse aide certification to remain active, CNAs are required to submit documentation (e.g., pay stubs, W-2, letter from employer, etc.) of their work in nursing or nursing related services for at least one (1) day (e.g. eight (8) hours) within each twenty-four- (24-) consecutive month time-period. Documentation shall be submitted to the department approved third party test administrator and a fee will be assessed for each renewal.

  • If you are a CNA needing to renew your certification and work in a facility: Log into your profile in TMU and enter your employment under the employment tab, upload your documents for proof of 8 hours of work and then pay the required fee. After the fee is processed, you will show active on the registry.
  • If you are a CNA needing to renew your certification with out of state employment: Log into your profile and select “out of state employment” and send an email from your employer with name, date of birth, employment dates and hours worked to missouri@hdmaster.com.
  • If you are CNA working private duty: Log into your profile in TMU and select private duty from a drop down menu. You will need to process the payment then email the proof of work documents to missouri@hdmaster.com. After work is confirmed, your certification will show active on the registry.
  • If you are a facility wanting to pay for multiple CNA’s renewal: You will need to fill out the form Employer Renewal Payment. If you have additional questions please email them at missouri@hdmaster.com or call at 800-393-8664 and ask for the Missouri team.

CNA Upcoming Testing

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Headmaster D & S: 1-800-393-8664 – Please ask for the Missouri Team!

  • April 9, 2022 – St. John
  • April 12, 2022 – St. Louis(Knowledge) & Jefferson City
  • April 13, 2022 – Trenton & Kansas City
  • April 14, 2022 – Gladstone & St. John
  • April 15, 2022 – Kansas City
  • April 21, 2022 – Gladstone, Kansas City & St. John
  • April 23, 2022 – St. Louis
  • April 24, 2022 – Kansas City
  • April 25, 2022 – Kansas City
  • April 28, 2022 – Gladstone, Kansas City, Jefferson City, St. John & Hillsboro
  • April 29, 2022 – Kansas City
  • April 30, 2022 – Kansas City

All Regional dates are viewable on the online calendar at https://mo.tmutest.com/calendar.

To help with scheduling your testing event, contact Headmaster a few days after the CNA course starts.

Health Update: Reporting COVID-19 Cases and SARS-CoV-2 Test Results

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April 6, 2022: Update: Reporting COVID-19 Cases and SARS-CoV-2 Test Results

The Missouri Department of Health and Senior Services (DHSS) is issuing this Health Update to provide reporting laboratories and healthcare providers information regarding the changes in the reporting requirements for COVID-19 and SARS-CoV-2 test results in Missouri.

During the early stages of the pandemic response there were several changes to the reporting rules that were established through waivers during the State of Emergency issued by Governor Parson. The changes included the requirement that both negative and positive test results for COVID-19 were to be reported to DHSS within twenty-four hours. Additionally, reporters were required to only report directly to DHSS rather than having the option to report to either the Local Public Health Agency (LPHA) or DHSS. After the State of Emergency was lifted by Governor Parson, DHSS filed an emergency amendment to allow these requirements to continue. However, on April 1, 2022, DHSS terminated this emergency amendment and as a result, these requirements no longer exist. Please consider the following guidance regarding the reporting of COVID-19 and laboratory tests results for SARS-CoV-2.

Coronavirus Disease 2019 (COVID-19) remains an immediately reportable condition in Missouri. All positive laboratory results are required to continue to be reported to DHSS or the LPHA in accordance with rules established in 19 CSR 20.20.020. Healthcare providers, laboratories, and other mandated reporters should continue to report all COVID-19 positive test results including results from all Nucleic Acid Amplification Tests such as RT-PCR tests, and all rapid and antigen tests results for SARS-CoV-2. The reporting of positive home use tests is optional. However, DHSS will no longer require, or accept, negative laboratory results for SARS-CoV-2. In addition, DHSS is no longer requesting the routine reporting of positive or negative antibody tests results for SARS-CoV-2.

DHSS greatly appreciates the continued collaboration of our partners in healthcare and clinical laboratories. For questions regarding this Health Update and the reporting of COVID-19 in Missouri, please contact the DHSS Bureau of Communicable Disease Control and Prevention at 573-751-6113 or 800-392-0272 (24/7), or contact your local public health agency.

CMS Memo: QSO-22-15-NH & NLTC & LSC

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Update to COVID-19 Emergency Declaration Blanket Waivers for Specific Providers

  • CMS continues to review the need for existing emergency blanket waivers issued in response to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE).
  • Over the course of the COVID-19 PHE, skilled nursing facilities/nursing facilities (SNFs/NFs), inpatient hospices, intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs), and end-stage renal disease (ESRD) facilities have developed policies or other practices that we believe mitigates the need for certain waivers.
  • Applicable waivers will remain in effect for hospitals and critical access hospitals (CAH).
  • CMS will end the specified waivers in two groups:
    • 60 days from issuance of this memorandum
    • 30 days from issuance of this memorandum

Please see the full memo at https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/update-covid-19-emergency-declaration-blanket-waivers-specific-providers.

Report Release Webinar: The National Imperative to Improve Nursing Home Quality

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April 6, 2022: The National Imperative to Improve Nursing Home Quality: Report Release Webinar

Join the National Academies of Sciences, Engineering, and Medicine’s Committee on The Quality of Care in Nursing Homes as it discusses the soon to be released report, The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families and Staff.

This new report examines how our nation delivers, finances, regulates, and measures the quality of nursing home care with particular emphasis on challenges that have arisen in light of the COVID-19 pandemic.

A public report release webinar will be held on Wednesday, April 6, 2022 from 10:00 AM to 11:00 AM (Central Time) during which members of the committee will provide an overview of key findings, conclusions, and recommendations, followed by a moderated question and answer period.

MHCA Developing New Leaders in Your Facility-The Skills That Make All the Difference

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May 17-June 1, 2022: Developing New Leaders in Your Facility

Ensuring that potential or new supervisors have the skills to lead is vital to the achievement of your clinical, financial, regulatory, and resident experience goals. Far too often staff are promoted simply because they were exceptional in their current roles. A great nurse, cook, or admission coordinator may not yet be ready to be a great unit manager, food service or marketing director. This webinar series will help your people make that leap – and familiarize you with the strategies you need to help them succeed!

MHCA’s Federal Review Course for NHA’s

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June 27-28, 2022: Federal Review Course for Nursing Home Administrators Examinees

The purpose of the Review Course is to help attendees prepare for the nursing home administrators federal licensure exam. Theoretical, philosophical and practical aspects of long-term care administration are discussed. The instructor will review sample test questions from the study workbook, which is provided free to all attendees. Study tips will be suggested throughout the workshop, therefore, it is recommended that attendees allow sufficient time to study on their own after attending the review course and before sitting for the exam. Review course materials have been revised and updated to reflect the structure of the current examination. This workshop is being offered both in-seat and virtually.

Upcoming NHSN Long-term Care Release March 2022

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Attached below is important information for the Long-term Care Facility COVID-19 Module regarding modifications for the NHSN release that will occur March 2022. Resources on the NHSN LTCF COVID-19 Module website will be updated, where indicated, with revised forms, instructions, FAQs and CSV templates. Information regarding training opportunities is also available on the NHSN LTCF COVID-19 Module Website.

NHSN LTC COVID-19 Facility Module Modifications-March 2022

HQIN COVID-19 Vaccine Office Hours

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Have You Had Your Weekly Dose?

The Health Quality Innovation Network’s Weekly Dose Office Hours webinar series provides current updates on COVID-19 guidance and vaccine information. As a Medicare Quality Innovation Network – Quality Improvement Organization (QIN-QIO), HQIN is dedicated to helping you increase your vaccination rates.

This forum for vaccine and booster questions features interactive, peer-to-peer collaboration following a brief presentation. Each session includes best practices and innovative idea sharing as well as tips for improving resident and staff safety. Weekly Dose Office Hours are held Wednesdays at 1:00 p.m. CT/2:00 pm. ET. Register for the next Office Hours, as well as upcoming sessions, at this link: https://tinyurl.com/575d66tn.

For a 30-second overview of the Office Hours, watch this brief video: https://tinyurl.com/2p83yhjy.

MHCA Developing New Leaders in Your Facility-The Skills That Make All the Difference

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May 17-June 1, 2022: Developing New Leaders in Your Facility

Ensuring that potential or new supervisors have the skills to lead is vital to the achievement of your clinical, financial, regulatory, and resident experience goals. Far too often staff are promoted simply because they were exceptional in their current roles. A great nurse, cook, or admission coordinator may not yet be ready to be a great unit manager, food service or marketing director. This webinar series will help your people make that leap – and familiarize you with the strategies you need to help them succeed!

MHCA LTC Administrator Training

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May 25, 2022: Long-Term Care Administrator 101

If you are like most administrators, your endless daily to-do’s get longer and longer. This course is a new administrator’s one-stop-shop! It is also a great review for an experienced administrator. This course will review operational and administrative topics such as requirements of participation (ROPs), the survey process, CASPER reports (including how to access them), Five-Star Quality Rating System (all three domains!), Care Compare, QAPI and SO MUCH MORE! You will also be guided through all the resources available at your fingertips. Join us for this full day of education that will promote your administrator knowledge to the next level. This workshop is being offered both in-seat and virtually.

 

MHCA’s Federal Review Course for NHA’s

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June 27-28, 2022: Federal Review Course for Nursing Home Administrators Examinees

The purpose of the Review Course is to help attendees prepare for the nursing home administrators federal licensure exam. Theoretical, philosophical and practical aspects of long-term care administration are discussed. The instructor will review sample test questions from the study workbook, which is provided free to all attendees. Study tips will be suggested throughout the workshop, therefore, it is recommended that attendees allow sufficient time to study on their own after attending the review course and before sitting for the exam. Review course materials have been revised and updated to reflect the structure of the current examination. This workshop is being offered both in-seat and virtually.

CNA Upcoming Testing

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The following are updated CNA Testing sites.

Note: These are not the only test sites available. Please contact Headmaster D&S if you are need a different testing location.

Headmaster D & S: 1-800-393-8664 – Please ask for the Missouri Team!

All Regional dates are viewable on the online calendar at https://mo.tmutest.com/calendar.

To help with scheduling your testing event, contact Headmaster a few days after the CNA course starts.

Gladstone

      • March 24
      • April 7
      • April 17
      • April 21
      • April 28

St John/ St. Louis Area

      • April 9
      • April 12
      • April 23

Bolivar

      • March 23

Kirkwood

      • March 24

Kansas City

      • March 21
      • March 24
      • March 25
      • March 29
      • March 31
      • April 1

Trenton

      • April 13
      • May 14

MANHA’s 2022 Annual Convention

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June 5-8, 2022: Mandatory PPE – People Pride Endurance
Location: Camden on the Lake, Lake Ozark

Missouri Association of Nursing Home Administrators is pleased to invite you to attend our 2022 Annual Convention. This conference is a focus on the Administrators and staff after an unprecedented 2 years. The goal of this conference is to provide meaningful, forward thinking, and real-time education to pave the path forward while acknowledging the past and working through hard topics, together.

VOYCE 2022 Long-Term Care Conference

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June 15, 2022: Care – Who We Are. What We Do. Where We Go From Here.
Location: Maryland Heights Community Center, St. Louis

The program will explore and highlight insights and learned experiences from internationally renowned geriatricians, educators, and leaders in the long-term care community. Join us as we reflect on the journey we have made together as a community and gain inspiration for the steps that we are yet to take.

Other presentation topics include residents’ rights, addressing loneliness and isolation for long-term care residents, and the interplay between ageism as a social determinant of health and end-of-life care.