The Board of Nursing Home Administrators (BNHA) is accepting online payments for all fees at health.mo.gov/about/online-payment.php. Visit BNHA’s website at health.mo.gov/bnha for up-to-date instructions in submitting online payments and the necessary paperwork to complete a transaction.
Category: SLCR Guidance
Top Deficiencies Report – 4th Quarter 2018
Please see the most frequently cited deficiencies report from the fourth quarter of 2018.
Online Payments Now Accepted
SLCR is pleased to announce that online payments for licensure fees, certification fees, and adult day care licensure fees are now accepted! To access the online payments webpage, follow the link: health.mo.gov/about/online-payment.php.
Feel free to contact the Licensure and Certification Unit with any questions at LTCapplication@health.mo.gov or (573) 526-8508.
Electrical Receptacle Testing In Long-Term Care Facilities
Please see this Electrical Receptacle Testing document referring to the requirements from NFPA 99, 2012 edition.
Quality Assurance and Education Manager
SLCR is pleased to announce Sheila Winchester has accepted the role of Quality Assurance and Education Unit Manager in Central Office. Sheila began her duties in mid-December, replacing Carla Jennings who retired after 23 years of state service. Please join us in welcoming Sheila to her new role!
Final Nursing Facility Level of Care Stakeholder Meeting
Final SNF LOC Stakeholder Meeting
The final Nursing Facility Level of Care Stakeholder Meeting was held November 27, 2018. The presentation materials from the meeting are below. At this meeting, a revised method for determining nursing facility level of care was discussed. Please take time to review the information presented. Around the holidays, the revised method along with an algorithm will be sent to you to pilot test. Please take advantage of this opportunity – we want to make sure the right people are getting the right services at the right time in the right setting – that’s a lot of “rights” to get right! More to come closer to the holidays!
Adult Day Care Program Manual Updated
Adult Day Care Program Manual Updated
The Adult Day Care Program Manual has been updated and posted under the Laws, Regulations & Manuals page.
The following changes were made:
- DSDS and DHSS regional maps were updated.
- ADC sample form letters were updated on current letterhead.
- Broken hyperlinks were updated to reflect web address changes.
- Chap 192, RSMo. was updated to reflect revisions made to the statutes in August 2018.
Top Deficiencies Report – 3rd Quarter 2018
Top Deficiencies Report – 3rd Quarter 2018
Please see the most frequently cited deficiencies report from the third quarter of 2018.
Resident Funds
Resident Funds
Question: When a resident who receives a monthly personal allowance from Social Security is discharged from a facility, should the facility send all of the resident’s funds with the resident or back to Social Security?
Answer: The facility should keep detailed records, which will assist the facility in determining what funds should be returned to Social Security. Only Social Security funds need to be returned to Social Security based on secure.ssa.gov/apps10/poms.nsf/lnx/0200603140. Not all funds in the resident trust fund account need to be returned to Social Security, such as birthday money, workshop earnings, money from family, etc.
The amount of SSA conserved funds may also be turned over to the beneficiary or the new payee. Social Security does grant exceptions when a resident needs the Social Security funds for their next stay. The facility must call Social Security in advance to request the exception. Once Social Security approves the exception, the facility may give all funds to the resident.
Third Party Liability Account Balance Form
Third Party Liability Account Balance Form
Facilities must submit the Personal Funds Account Balance Report (TPL Form) to MO HealthNet for any expired resident that was a MO HealthNet participant; or was a recipient of aid, assistance, care, services; or if the resident had money expended on his/her behalf by the Department of Social Services. This does not apply to discharged residents.
If a resident had no personal funds remaining at the facility, in any account, with whatever title the account may be known when they expired, then a TPL form does not need to be sent.
Certified facilities must submit the TPL Form within 30 days of expiration, while state licensed facilities must submit within 60 days of expiration.
The TPL form can be found at manuals.momed.com/forms/Personal_Funds_Account_Balance_Report.pdf.
2018 Annual Provider Meetings – Updated
2018 SLCR Annual Provider Meetings
October 2, 2018: Region 2 Agenda
Location: Drury Plaza Hotel Cape Girardeau Conference Center, Cape Girardeau
October 3, 2018: Region 7 Agenda
Location: Holiday Inn St. Louis SW – Route 66, St. Louis
October 10, 2018: Region 5 Agenda
Location: Quality Inn & Suites, Hannibal
October 11, 2018: Region 6 Agenda
Location: Capitol Plaza Hotel & Convention Center, Jefferson City
October 23, 2018: Region 1 Agenda
Location: Oasis Hotel and Convention Center, Springfield
October 24, 2018: Region 3 Agenda
Location: Adams Pointe Conference Center, Blue Springs
October 25, 2018: Region 4 Agenda
Location: Red Lion Hotel, St. Joseph
Please see the updated information regarding our 2018 Annual Provider Meetings below.
**Earn up to 5.25 CEUs (depending on the session(s) attended).
***Advanced registration is not necessary. There is no cost to attend any of these meetings.
2018 Annual Provider Meetings Flyer
Handouts – These handouts attached will not be provided at the meeting so please print them and bring them with you.
Resident Funds
Protective Oversight-What Does That Really Mean
Opioid Crisis, “Talk About It”
Ombudsman (The things we do)
Complaint by the Numbers 2.0-A look at FY18 Complaints
Home Health and Hospice/Discharge Updated 10/10/18
Meet the Engineers
LTC Survey Process (One Year Later)
Life Safety Code Updates
Nursing Facility Level of Care Stakeholder Meetings – November
Nursing Facility Level of Care Stakeholder Meetings – November
November 27, 2018: Nursing Facility Level of Care Stakeholder Meeting
Location: Capitol Plaza Hotel, Jefferson City
Please see the November Stakeholder Invitation with the updated information for the final LOC Stakeholder meeting scheduled for November.
Administrator Workforce Survey
Administrator Workforce Survey
If you are a Missouri licensed administrator, please complete a short survey from the Missouri Board of Nursing Home Administrators. Your input is valuable to the Board and very much appreciated.
Survey link – www.surveymonkey.com/r/L28VFLT
Nursing Facility Level of Care Stakeholder Meetings – Postponed
Nursing Facility Level of Care Stakeholder Meetings – Postponed
In an effort to properly address the feedback received in previous stakeholder meetings, the August 21, 2018 Nursing Facility Level of Care (LOC) Stakeholder Meeting has been postponed until further notice.
The Department received over 500 comments concerning the proposed Nursing Facility LOC system. The Department wants to ensure all feedback is properly analyzed.
Further information regarding future meetings will be announced.
New QIPMO Newsletter – August 2018
New QIPMO Newsletter – August 2018
The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 5, Issue 4.
In this issue:
- Wanted: RN Coverage
- The Revolving Door of MO Nursing Home Administrators
- CPR – Let’s Do It or NOT
- Alzheimer’s and Dementia
- Resources for Infection Control
- Caring for a Resident with a Pacemaker
- Committees? Tasks?
Please visit QIPMO’s website here for this and other previous newsletters.
Top Deficiencies Report – 2nd Quarter 2018
Top Deficiencies Report – 2nd Quarter 2018
Please see the most frequently cited deficiencies report from the second quarter of 2018.
Nursing Facility Level of Care Stakeholder Meetings
Nursing Facility Level of Care Stakeholder Meetings
For those of you unable to attend, we encourage you to review the presentations below.
NFLOC Stakeholder PPT (June 25, 2018)
NFLOC Stakeholder PPT (July 13, 2018)
**Also, the August 2nd meeting has been rescheduled for August 21 at the Governor’s Office Building in Jefferson City. Please see the updated flyer here.
Provider Feedback Survey
Provider Feedback Survey
The Section for Long-Term Care Regulation is seeking input from long-term care providers. We are asking for your help to identify areas in our Section where excellent customer service is provided and areas where we need to focus on improving our customer service experience.
Please take a couple minutes to complete our Provider Feedback Survey at www.surveymonkey.com/r/7TWRHGG by June 30, 2018.
CMS Fire Safety Information
CMS Fire Safety Information
CMS provided updated Fire Safety information for distribution to surveyors and providers. Please see the information here.
Note: Missouri’s state regulation for implementation of an approved fire watch in a SNF is more stringent than the federal regulations. Facility’s must comply with state requirements:
19 CSR 30-85.022(11) (E) requires: When a sprinkler system is to be out of service for more than four (4) hours in a twenty-four- (24-) hour period, the facility shall immediately notify the department and the local fire authority and implement an approved fire watch in accordance with NFPA 101, 2000 edition, until the sprinkler system has returned to full service. I/II
Administrator Licenses Expire June 30, 2018
Administrator Licenses Expire June 30, 2018 – RENEW NOW
Administrator licenses expiring June 30, 2018 are up for license renewal. License renewal notifications were sent via email to the email address on file. Please note that once the renewal is complete, an electronic license will be issued via email. The Board office no longer mails paper licenses.
Please visit the Missouri Board of Nursing Home Administrator’s web page for the renewal instructions and renewal application at http://health.mo.gov/bnha. Remember to notify the Board office at BNHA@health.mo.gov with changes in your contact information, especially the email address.
Top Deficiencies Report – 1st Quarter 2018
Top Deficiencies Report – 1st Quarter 2018
Please see the attached most frequently cited deficiencies report from the first quarter of 2018.
LPN Licenses Expire May 31, 2018
LPN Licenses Expire May 31, 2018 – RENEW NOW
Approximately 25,000 renewal postcards were mailed to LPNs in early March. The postcard contains online renewal instructions. You must either renew online or with a paper renewal. If you did not receive your postcard or need a paper renewal, complete this form and email, mail or fax it to our office. It takes 3-4 business days after your renewal is received before your license is renewed. You will not receive a license card. Go to www.nursys.com and enroll yourself in e-Notify as a Nurse in order to receive notification when your license is actually renewed. As an added benefit, you will also receive license renewal reminders and notification of any changes to your license or discipline status by enrolling yourself in this free service.
Top Deficiencies Report – 4th Quarter 2017
Top Deficiencies Report – 4th Quarter 2017
Please see the attached most frequently cited deficiencies report from the fourth quarter of 2017.
Influenza
Influenza
During a recent call with CMS, they advised SLCR of some important items found on surveys to share with surveyors and providers.
Influenza A and B have been reported in LTC facilities across the state. A reminder that when you are dealing with the flu and other diseases, you want to make certain staff and residents have access to equipment to keep them safe and healthy. This includes knowing when to use soap and water and when alcohol-based hand sanitizers can be used.
Check out the information from Centers for Disease Control and Prevention: www.cdc.gov/handwashing/pdf/hand-sanitizer-factsheet.pdf. Ensure the hand sanitizers used in your facility contain at least 60% alcohol in order to kill organisms.
Priming Insulin Pens
Priming Insulin Pens
During that same call, CMS also reported they have observed a lack of staff priming insulin pens, prior to each use and after changing the needle. If insulin pens are not primed to remove the air from the needle and cartridge, residents may not get the correct amount of insulin. Manufacturer instructions include directions related to this.
There are many different tools and resources online. We found one from Becton-Dickinson that can be found here: www.bd.com/resource.aspx?IDX=10256.