The Board of Nursing Home Administrators has been notified of administrators receiving spam emails. The subject line contains the name BNHA and the emails are from an AOL email account. Please do not open the emails and notify your IT staff at once.

The process to submit a change in condition is now online.

DMH will no longer accept the Change in Condition PDF through the PASRR email. Any forms submitted by PDF will receive a message directing them to the online form to complete. This will optimize the process making it more efficient and effective, similar to the online process for the Level I/Level. Please use the following link for the online Change in Condition form: Resident Review of Change in Condition: Nursing Facility Notification to Missouri Department of Mental Health (redcapdd.azurewebsites.net). This will also be at the DMH website at Pre-Admission Screening and Resident Review (PASRR) | http://dmh.mo.gov.

Please see the most frequently cited deficiencies report from the first quarter of 2024.

Long-Term Care Facilities (all levels of care) are strongly encouraged to complete an electronic survey weekly to report how many beds they have available, and which residents they can serve, i.e., memory care, behavioral health, bariatric, etc. This information is used to generate a dashboard that is beneficial to facilities, families, hospital discharge planners and the general public to determine bed availability and services throughout the state. Please access the survey at this link: survey. To view the dashboard access this link: dashboard.

If you have any questions about the survey, please contact the Long-Term Care Ombudsman Program via email LTCOmbudsman@health.mo.gov or call 800-309-3282.

This is a great opportunity to share what your facility has to offer!

We have recently received in influx of questions related to the qualifications for director of food and nutrition services in skilled nursing facilities. The federal regulation (F801) requires one of the following qualifications (if a qualified dietician or other clinically qualified nutrition professional is not employed full-time):

1. A certified dietary manager; or
2. A certified food service manager; or
3. Has similar national certification for food service management and safety from a national certifying body; or
4. Has an associate’s or higher degree in food service management or in hospitality, if the course study includes food service or restaurant management, from an accredited institution of higher learning; or
5. Has 2 or more years of experience in the position of director of food and nutrition services in a nursing facility setting and has completed a course of study in food safety and management, by no later than October 1, 2023, that includes topics integral to managing dietary operations including, but not limited to, foodborne illness, sanitation procedures, and food purchasing/receiving.

CMS has noted that the approved certifications and course requirements would be the equivalent of a ServSafe Food Manager certification. Additional food manager courses we have found to meet the requirements include: AAA Food Handler, Learn2Serve, and State Food Safety.

Please see the most frequently cited deficiencies report from the fourth quarter of 2023.

The online application link (Level 1 form/Level of Care) for applications submitted prior to 07/16/2023 (green link) will no longer be available after 02/01/2024.

Skilled Nursing Facilities will want to ensure they have printed/saved a copy of the processed Level 1 form/Level of Care form and Level 2 screening (if applicable) for resident records as these are required per regulation and may be requested during the state survey process.

• Additionally, please remember that all processed applications are to be deleted from the COMRU online application system 60 days after completion.

COMRU website: https://health.mo.gov/seniors/nursinghomes/pasrr.php.

Should you have any questions, please contact COMRU via email (COMRU@health.mo.gov).

Please see the DHSS Health Alert, entitled, “Emerging Candida auris Infection Cases in Missouri Health Care Facilities.”

Should you have any questions, please contact 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).

Reminder that the Missouri Department of Health and Senior Services (DHSS) in moving into the next Phase of the COVID Prevention and Response Project. Phase II is an effort to provide iPads, conference video cameras, electronic stethoscope and digital blood pressure unit to all Missouri Skilled Nursing Facilities, Intermediate Care Facilities, Assisted Living Facilities and Residential Care Facilities.

The deadline for ordering is December 8, 2023.

These kits are being provided to your facility at no charge by the Nursing Home & Long-Term Care Facility Strike Team and Infrastructure Project. Should you have any questions regarding this project, please contact Mary Menges, Project Specialist, at mary.menges@health.mo.gov.

Please see the most frequently cited deficiencies report from the third quarter of 2023.

Please log into TMU and check your CNA status on the registry to ensure you are not inactive or expired.

In January 2023, the registry had 74,443 CNAs active. September 2023, the registry is showing 48,732 CNAs currently active. This shows approximately 25,000 CNA’s did not renew their certification.

Information on how to log into the registry, what documents are required to be uploaded and instructions on how to renew your CNA certification are provided in the links below.

Link to TMU: MO TMU (tmutest.com)
MO Renewal Guide – Instructions
CNA Renewal Documentation

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

New Rule Change – effective 06/30/23

19 CSR 73-2.130 – Notice of Change of Contact Information and Missouri Administrator Employment

1. Each administrator shall notify the board office of his/her current contact information within ten (10) calendar days of change for any of the following:
   1. Personal contact information, which shall include administrator license number, personal mailing address, email, and telephone number(s); and
   2. Missouri administrator employment, which shall include, administrator license number, facility name, mailing address, telephone number(s), and employment dates.

Please visit https://health.mo.gov/bnha/contactupdate.php for the online form for BNHA.

Please note: The Board of Nursing Home Administrators and the Section for Long Term Care Regulation (SLCR) each have requirements for reporting a Change of Administrator/Manager in a Long Term Care Facility. Please be sure to follow the requirements for each Section.

For SLCR, please submit the change of administrator or manager via a letter or by using the online form. Forms/letters can be submitted via email to LTCApplication@health.mo.gov or by mail to Department of Health and Senior Services, Section for Long-Term Care Regulation, Licensure and Certification Unit, PO Box 570, 920 Wildwood, Jefferson City, MO 65102.