LPN licenses expire May 31, 2016. Approximately 25,000 renewal postcards were mailed to LPNs in early March. The postcard provides online renewal instructions, including the PIN you need to renew online.
Please visit the Missouri Division of Professional Registration, Board of Nursing’s web page here for details.
The Centers for Medicare & Medicaid Services (CMS) has clarified guidance to surveyors regarding the procedures for conducting exit conferences, specifically related to the sharing of regulatory tags. There are significant changes to the exit conference process in this memo. In addition to the guidance in this memo, CMS has also given direction that the staff identifier list is not to be released even if requested. This guidance applies to Medicare/Medicaid certified homes only. The Section for Long-Term Care Regulation will implement these changes no later than March 31, 2016.
Please see the memo and attachments below or visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-16-11.html?DLPage=2&DLEntries=10&DLSort=3&DLSortDir=descending.
SC16-11-ALL Memo
SC16-11-ALL.02 SOM Chapter 2
SC16-11-ALL.03 SOM Chapter 5
SC16-11-ALL.04 SOM Appendix P
Information about the requirement for LTC facilities to electronically submit staffing data through the PBJ:
Please see the memo here for details.
Please see the PowerPoint presentation below regarding improvements to the Nursing Home Compare Five-Star Quality Rating System.
Please view the quarterly report from the Section for Long-Term Care Regulation here.
The Section for Long Term Care Regulations welcomes Shay Patterson as the manager for the Licensure and Certification Unit. Shay has been with the Section for several years, starting in Region 6 as a Facility Surveyor and most recently as part of the Regulation and Compliance Unit. Shay is replacing Tracy Niekamp who accepted a position with the Department of Mental Health. Please contact Shay with any licensure or certification questions; she will be happy to assist you.
Please view the quarterly report from the Section for Long-Term Care Regulation here.
Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
November 4, 2015: Region 7
Location: St. Louis, MO
As requested, SLCR will be hosting separate meetings for ICF/SNF and RCF/ALF care providers this year. Advance registration is not required.
Please see the agenda and handouts for this specific location attached. These handouts attached will not be provided at the meeting so please print them and bring them with you.
2015 Provider Meeting Agenda- Region 7
Ameren Missouri
Money Follows the Person
Social Media in Long-Term Care
Path to Safety, Minimal Assistance, More than Minimal Assistance
Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
October 28, 2015: Region 4
Location: St. Joseph, MO
As requested, SLCR will be hosting separate meetings for ICF/SNF and RCF/ALF care providers this year. Advance registration is not required.
Please see the agenda and handouts for this specific location attached. These handouts attached will not be provided at the meeting so please print them and bring them with you.
The agendas and handouts for the other provider meeting locations will be announced closer to their meeting dates.
2015 Provider Meeting Agenda- Region 4
Request Denied- Simple Environmental Changes to Increase Active Engagement
Money Follows the Person
Social Media in Long-Term Care
Path to Safety, Minimal Assistance, More than Minimal Assistance
Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
October 29, 2015: Region 3
Location: Kansas City, MO
As requested, SLCR will be hosting separate meetings for RCF/ALF and ICF/SNF care providers this year. Advance registration is not required.
Please see the agenda and handouts for this specific location below. These handouts attached will not be provided at the meeting so please print them and bring them with you.
The agendas and handouts for the other provider meeting locations will be announced closer to their meeting dates.
2015 Provider Meeting Agenda- Region 3
Money Follows the Person
Social Media in Long-Term Care
Path to Safety, Minimal Assistance, More than Minimal Assistance
Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
October 23, 2015: Region 1
Location: Springfield, MO
As requested, SLCR will be hosting separate meetings for RCF/ALF and ICF/SNF care providers this year. Advance registration is not required.
Please see the agenda and handouts for this specific location below. These handouts attached will not be provided at the meeting so please print them and bring them with you. **The Partnering for the Protection of the Vulnerable Population presentation handouts are not included but will be provided at the meeting.
2015 Provider Meeting Agenda- Region 1
Path to Safety, Minimal Assistance, More than Minimal Assistance
Social Media in Long-Term Care
Money Follows the Person
Partnering for the Protection of the Vulnerable Population
The 3rd Quarter 2015 CON quarterly survey opened on October 1, 2015 and is due by October 15, 2015. Facility administrators will be receiving a post card in the mail with the Facility Number and PIN, which are needed to log in. This information can be found above the facility name on the post card. The Facility Number and PIN have not changed, so you can also obtain this information from past survey letters. Be sure to record and save these numbers for future surveys.
Survey instructions are available once you are logged in, and can be found by pressing HELP at the bottom of the survey. If you have any questions, please send an email to consurvey@health.mo.gov or call 573-526-8553.
Per 19 CSR 30-82.010 (8) Every skilled nursing facility, intermediate care facility, residential care facility and assisted living facility issued a license or temporary operating permit by the department shall submit the required certificate of need quarterly surveys to the department on or before the fifteenth day of the first month following the previous Social Security quarter.
Failure to respond could cause the facility to become ineligible for expansion under CON law. It could also result in a competitor being granted a CON to build or expand in the facility’s service area.
It is with great pleasure that SLCR announces the appointment of Ruth Tuttle as the SLCR manager for Region 1 located in Springfield. Ruth’s promotion was effective September 16, 2015. Ruth has been with the section for several years and has held positions as a Facility Inspector, Facility Surveyor II and most recently as a Facility Surveyor III. In her most recent role as an FSIII, Ms. Tuttle supervised the Complaint Team and the Assisted Living and Residential Care Inspection Team. Ms. Tuttle welcomes your telephone calls at (417)895-6435.
Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
October 2, 2015: Region 5
Location: Macon, MO
As requested, SLCR will be hosting separate meetings for ICF/SNF and RCF/ALF care providers this year. Advance registration is not required.
Handouts will not be provided at the meeting so please print them and bring them with you. Please see the agenda and handouts for this specific location below.
2015 Provider Meeting Agenda- Region 5
Misappropriation: Medication Theft
Money Follows the Person
Social Media in Long-Term Care
Path to Safety, Minimal Assistance, More than Minimal Assistance
Please view the quarterly report from the Section for Long-Term Care Regulation here.
*UPDATED*
Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
Coming to the following locations:
October 2, 2015: Region 5 – Macon, MO
October 23, 2015: Region 1 – Springfield, MO
October 28, 2015: Region 4 – St. Joseph, MO
October 29, 2015: Region 3 – Kansas City, MO
November 3, 2015: Region 2 – Cape Girardeau, MO
November 4, 2015: Region 7 – St. Louis, MO
November 16, 2015: Region 6 – Jefferson City, MO
As requested, SLCR will be hosting separate meetings for ICF/SNF and RCF/ALF care providers this year! Advance registration is not required. Times for each meeting have been set and added to the flyer. Please see the updated flyer here for more details.
The Centers for Disease Control and Prevention (CDC) has issued new recommendations for the pneumococcal vaccine in adults over the age of 65. The CDC recommends that providers now use two pneumococcal vaccines for adults aged ≥65. These vaccinations are 13-Valent Pneumococcal Conjugate Vaccine (PCV13) and 23-Valent Pneumococcal Polysaccharide Vaccine (PPSV23). The CDC recommendations are located at www.cdc.gov/vaccines/vpd-vac/pneumo/default.htm.
CMS has updated the Medicare coverage requirements to align with this recommendation. These Medicare coverage requirements were implemented on February 2, 2015 as posted in the MLN Matters document: MM9051.
Please visit www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9051.pdf to see that specific MLN Matters document.
CMS has instructed providers to continue to code item O0300 as instructed in the current RAI User’s Manual.
The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 2, Issue 3. Topics in this issue include MDS Spotlight: Did You Know?; What People are Saying; Validation Reports; IMPACT Act; Nicky Martin’s Questions from the Field; Medication Errors; and Advanced Care Planning. Please visit QIPMO’s website here for this and other previous newsletters.
Please view the quarterly report from the Section for Long-Term Care Regulation attached.
Please view the quarterly report from the Section for Long-Term Care Regulation here.
Effective immediately the survey and inspection teams will no longer have facilities complete or verify their Licensed and Certified Bed Classification forms (DA 113) at the time of inspection/survey. Instead, we will ask facilities to review and verify the accuracy of the most recent approved bed listing that we have on file during the relicensure-application process every two years. The most recent approved listing will be provided to facilities in their relicensure packet for easy reference.
We hope this change will make it easier to verify the continued accuracy of our records and it will be one less thing to worry about during the onsite survey process for you and our staff.
Please view the quarterly report from the Section for Long-Term Care Regulation here: Most Frequently Cited Deficiencies Report Second Quarter 2014
The Section for Long-Term Care Regulation (SLCR) has recently received questions related to the procedure for releasing medications upon a resident’s discharge from a Medicare/Medicaid certified facility. Please find the article addressing this issue here: Medications and Discharge
(see bolded, italicized information below)
The Section for Long-Term Care Regulation (SLCR) wants to make certified providers aware that updated guidance from CMS (S&C: 14-01-NH) now requires “certification” of some nursing home staff as part of the nursing home’s compliance with regard to CPR. Previously, if a question arose during a federal regulatory process regarding whether someone could perform CPR properly, a surveyor may have needed to ask for an explanation of appropriate technique from some available staff member to verify compliance with that requirement, but verifying the certification of a particular staff member typically was not necessary.
This most recent memo states that “certification” of some staff members is mandatory, but the memo does not clarify which certifying agencies are acceptable (i.e., American Heart Association). SLCR and the Kansas City Regional CMS office requested a clarification of this point.
We have received guidance indicating that the purpose of this memo was to, “…ensure that facilities do not implement facility-wide ‘no CPR’ policies and that facilities have CPR-certified staff available at all times,” but that CMS does not intend to review or approve all certification agencies.
A wide range of organizations offer CPR certification – some are based online and some are conducted in-person. To this point, CMS has clarified that while S&C: 14-01-NH does not require the use of any specific certifying agency, there are two components that are required with regard to CPR certification:
The American Heart Association certification is acceptable under this guidance, but it is not the only acceptable certification. Many homes in Missouri are currently obtaining CPR certification through the American Safety & Health Institute (ASHI), which is also acceptable, as are others, as long as they are designed for professional healthcare providers.
In addition, this guidance also applies to nursing home residents who are being transported or accompanied by facility staff to various appointments, outings or events. Nursing homes will need to ensure that staff who are CPR certified accompany residents during such transports.
You may view the memo here: CMS Memo S&C: 14-01-NH, or visit
View all CMS Memos at http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions.html.