News Release: Missouri Alzheimer’s State Task Force releases report and recommendations

More than 120,000 individuals in Missouri are currently living with Alzheimer’s or related dementia. With the aging of the baby boomer population, that number will escalate to more than 130,000 by 2025. A recent report, Missouri Alzheimer’s State Task Force Report and Recommendations identifies areas with strategies for the State of Missouri to address and respond to the escalating public health crisis regarding Alzheimer’s.

Commissioned by the 101st General Assembly, the Alzheimer’s State Task Force members were appointed by Governor Parson. Task force members were commissioned to:

  • Assess the current and future impact of Alzheimer’s disease on Missourians.
  • Examine existing services and resources for persons with Alzheimer’s and their caregivers.
  • Develop recommendations to respond to the public health crisis of Alzheimer’s in Missouri.
  • Ensure inclusion of all ethnic and racial populations that have a higher risk.
  • Identify opportunities for the state to partner with federal government entities.
  • Provide information and coordination across all state agencies regarding Alzheimer’s.
  • Examine dementia-specific training requirements across health care, adult protective services workers, law enforcement and all other areas in which staff are involved with the delivery of care to those with Alzheimer’s disease and other dementias.
  • Develop strategies to increase the diagnostic rate of Alzheimer’s disease in Missouri.

“Alzheimer’s disease poses a grave and growing challenge to Missouri and our nation,” said Paula F. Nickelson, acting director of the Missouri Department of Health and Senior Services. “The Task Force did a tremendous job gathering information and developing recommendations that will assist in the treatment and prevention of Alzheimer’s and benefit those with Alzheimer’s, their caregivers and their family members.”

Upon completion of reviewing current services and resources related to Alzheimer’s and other dementias and hearing the needs of Missourians through eight community forums, the Alzheimer’s State Plan Task Force identified four focus areas.

  • Advance Risk Reduction, Early Detection and Timely Diagnosis
  • Increase Access to Care, Support, and Treatment
  • Improve Quality of Care
  • Ensure a Coordinated Statewide Response

“Gathering input from persons living with Alzheimer’s disease, family caregivers and stakeholders from across the state was a critical part of the planning process,” said Nickelson. “The voices of those who spoke during the in-person town hall-style community forms and those who completed surveys are considered throughout the plan.”

HQI/ASCP Webinar Invite

January 31, 2023: Clearing the Path for a Healthy New Year: Improving Bivalent Booster Rates in Long-Term Care

Join a FREE interactive panel discussion with frontline pharmacists and nursing home staff who will discuss effective strategies for improving bivalent COVID-19 vaccine rates in skilled nursing homes. You will have the opportunity to pose questions to these national and frontline leaders.

This session will be led by American Society of Consultant Pharmacists (ASCP) Chief Executive Chad Worz, PharmD, BCGP, FASCP and Health Quality Innovators (HQI) Vice President and Senior Consulting Manager Sheila McLean, MBA, LNHA, CPHQ.

We invite nursing home administrators, directors of nursing, infection preventionists and pharmacists to join this session to learn new tactics and workflows that reduce staff stress, and how to improve vaccination rates by building and expanding on already established pharmacy partnerships.


Health Education Unit Updates

The DHSS Health Education Unit is conducting Weekly Instructor Info Webinars/Q&A Meet-Ups. These sessions will be held same day and time each week – Tuesdays at 2:00 p.m.

January 31, 2023: Instructor Info Meet Up Meeting
February 7, 2023: Instructor Info Meet Up Meeting
February 14, 2023: Instructor Info Meet Up Meeting
February 21, 2023: Instructor Info Meet Up Meeting
February 28, 2023: Instructor Info Meet Up Meeting


Series of the Month Webinar
February 9, 2023: Regional Test Sites Vs. Closed Test Sites
2:00-3:00 p.m.

Please see the CNA Registry webpage for past meetings and more information.

If you have questions, please call our office at 573-526-5686.

Medicare from Start to Finish

January 17, 2023: Live Virtual Workshop
March 22, 2023: In-Seat Workshop
July 12, 2023: In-Seat Workshop
September 13, 2023: In-Seat Workshop
November 8, 2023: Live Virtual Workshop

This workshop will review the SNF QRP reports from CASPER that provides information about the Medicare Part A stays in your SNF. It will also explore factors impacting SNF PPS assessment schedule, PDPM basics, and consolidating billing that can impact the financial facet of the facility. It also explains Medicare eligibility, coverage, and skilling criteria. The completion of the MDS is becoming more difficult and confusing, this workshop will help clear up the confusion surrounding this process. This workshop is geared towards those individuals working in long‐term care who have a leadership role such as ADM, DON, ADON, or MDS Coordinator.

Free Mental Health Education

January 19, 2023 (1:00 p.m.): Registration
January 26, 2023 (9:30 a.m.): Registration

Tools of Choice is an evidence-based program focused on the implementation of universal positive practices. This two-hour introductory training is open to community members, parents, and professionals. It covers key concepts of the Tools of Choice curriculum such as: What is behavior, building positive relationships, and how to increase desirable behavior. Join the Positive Support Consultants in learning strategies to make positive change by implementing universal positive practices. Information presented at each training will be the same and is being offered two different dates for convenience.

Presenter: Kathleen Deppeler, Director of Positive Supports
Target Audience: Anyone interested in learning more about Tools of Choice

Action Pact – Conversations with Carmen

January 20, 2023: Back to Food = Love, Life, Health and Wellbeing = Compliance and Culture Change

This is the first in the 2023 series, Back to the Future: Moving Dining Forward.

From token to true choice, using regulations and standards to help people living in long-term care to eat what they want to eat, and to live the lives they want to live.

Come out of the pandemic better. Take advantage of this time and do it different. Learn how to shift your culture to honor each individual and get back to normal, to HOME, particularly in all things dining and vibrant daily living.

Each webinar will be framed by culture change practices, the Dining Practice Standards, leaning into CMS requirements and the Artifacts of Culture Change 2.0, the domains of wellbeing embedded in the CMS RoPs, and Kitwood’s basic human needs.

RAI Process from Start to Finish

February 7-8, 2023: Live Virtual Workshop
April 4-5, 2023: In-Seat Workshop
August 8-9, 2023: In-Seat Workshop
October 17-18, 2023: In-Seat Workshop
December 5-6, 2023: Live Virtual Workshop

This workshop will look at the RAI process from beginning to end and at each item of the MDS. The MDS is used for both a clinical and a financial assessment and will discuss the rules on scheduling these assessments and meeting the clinical & financial requirements. This includes a basic understanding of PDPM and how it correlates within the RAI process. This workshop reviews how to gain access to and read the MDS reports from CASPER to self-audit your RAI process and look at your QMs. This workshop is designed for the MDS Coordinator and Care Plan Coordinator, or for the DON or ADM who needs a better understanding of the complexity of the RAI Process.

Virtual MC5 Meeting

January 17, 2023: Changing the Culture of Aging Through Meaningful Engagement
Presenter: Joan Devine, RN, Former Director of Education, Pioneer Network

Historically as we age, society has told us that our days of contributing are over and it’s time to sit back, relax and become the receiver of care and services. Based on this belief, the goal for many providers of senior services has been to design passive activities, things to keep people busy; to help pass the time. Communities around the country and around the world have heard the voice of Elders, and that voice is telling them that keeping busy is not enough!

It’s about engagement, meaning and purpose, and a chance to contribute to the greater good. What communities are learning is that when Elders are part of a “community commitment”, it not only benefits them and their senior living community, it sends a message that Elders are still valuable members of society.

This virtual session will explore what active engagement looks like based on the principles of the Citizenship Model as well as by the stories of nursing homes and assisted living communities that were recipients of the Pioneer Network’s Community Commitment Awards.

LeadingAge Webinar Series – Essentials of the LTC Director of Nursing Role

January 18-19, 2023: Essentials of the LTC Director of Nursing Role

LeadingAge Missouri is pleased to offer a joint education with LeadingAge Iowa in a virtual series that will aid in developing the Director of Nursing (DON) role in nursing homes. Elements of this series will focus on budgeting and quality assurance; survey processes and regulations; and human resources, customer service, and leadership.

This is meant to be an ongoing education series and each segment of this series is designed to provide in-depth information and discussion on each topic without taking the series in a sequential order or taking all three sections of the series. By making each of the three segments standalone, you can better address succession planning by having individuals attend as their nurse leadership skills are identified. Additional sections in this series will be added to the events calendar in March and June.

VOYCE’s Upcoming Education Events

February 14, 2023: Choosing a Nursing Home
Location: St. Louis County Library Rock Road Branch

February 14, 2023: During Long-Term Care
Location: YMCA at 1900 Urban Drive, Brentwood

February 28, 2023: Choosing a Nursing Home
Location: St. Louis County Library Thornhill Branch

March 14, 2023: Understanding Nursing Home Residents’ Rights
Location: St. Louis County Library Daniel Boone Branch

March 16, 2023: The Who’s Who of Long-Term Care

March 23, 2023: After Long-Term Care
Location: YMCA at 1900 Urban Drive, Brentwood

March 28, 2023: Understanding Nursing Home Residents’ Rights
Location: St. Louis County Library Florissant Valley Branch

LeadingAge Management Strategies for Workers Compensation in Today’s Long Term Care Environment

February 15, 2023: Day 1 Registration
February 16, 2023: Day 2 Registration

June 7, 2023: Day 1 Registration
June 8, 2023: Day 2 Registration

August 9, 2023: Day 1 Registration
August 10, 2023: Day 2 Registration

October 11, 2023: Day 1 Registration
October 12, 2023: Day 2 Registration

Learn the elements of Total Safety Management, a comprehensive behavior-based safety program, to reduce employee injury and minimize workers compensation expense. Learn about claims management and the HCFM workers compensation insurance trust.


Click on the Zoom link above for both days of the desired session to register.

Financial Planning Webinar for Older Missourians

January 24, 2023: Financial Planning Webinar for Older Adults

Financial planning is for everyone. This includes taking the steps necessary to ensure that your desires regarding the future of your personal care, medical care, property, and resources are accurately recorded for your loved ones to follow.

Latasha Barnes with Legal Services of Eastern Missouri will discuss how you can use simple estate planning tools to plan for the future.

Health Education Unit Updates

The DHSS Health Education Unit is conducting Weekly Instructor Info Webinars/Q&A Meet-Ups. These sessions will be held same day and time each week – every Tuesday at 2:00 pm.

Please see the link to join these weekly meetings provided on our CNA Registry webpage (in the announcements towards the bottom of the homepage).

If you have questions, please call our office at 573-526-5686.

Infection Control and Assessment and Response (ICAR)

QIPMO has formed an Infection Control and Assessment and Response (ICAR) team with a primary goal to assist Missouri Long-Term Care Facilities navigate the challenges of the COVID-19 pandemic and other infectious diseases.

Members of the ICAR Team are available for voluntary, no cost visits (virtual and/or in-person) to any residential care, assisted living, and skilled nursing facility in Missouri. These visits are intended to consultative and collaborative in nature with a non-regulatory focus to evaluate inflection control practices. Visits will consist of:

  • completion of a standardized assessment of infection control processes, focusing on highly-transmittable infectious diseases
  • observations of infection control practices
  • preliminary feedback with supplemental educational resources

See flyer for full details.

Health Education Unit – CNA Testing Results

The Health Education Unit would like to share pass/fail results of CNA tests taken over the last three months. The CNA test consists of two parts, the Knowledge Test and Skills Test. Also included below are the most missed skills and vocabulary words.

Knowledge Test
September – 151 passed/101 failed
October – 186 passed/116 failed
November – 186 passed/96 failed

Skills Test
September – 187 passed/37 failed
October – 186 passed/22 failed
November – 186 passed/32 failed

Most missed skills: taking blood pressure, pulse and respirations
Most missed vocabulary words: diet and ischemia

** Please remember to use the Headmaster Student Handbook for preparation of the knowledge and skills exam. The handbook contains information such as the ID requirements, examples of test questions, audio and virtual options for the knowledge test, testing policies, vocabulary words and test results. The handbook on Headmaster’s website can be found at D&S – Missouri Nurse Aide (

FREE Training on Mental Health First Aide

In-person Adult MHFA Courses:
December 3, 2022 | 9:30a – 5:30p | Doniphan – Register Here
December 7, 2022 | 9:00a – 5:00p | St. Joseph, MO – Register Here
December 12, 2022 | 9:30a – 5:30p | Cape Girardeau – Register Here

In-person Youth MHFA Courses:
December 6, 2022 | 10:00a – 4:30p | Cape Girardeau – Register Here
December 7, 2022 | 8:30a – 3:30p | St. Louis – Register Here

Virtual Adult MHFA Courses:
December 9, 2022 | 8:30a – 3:30p | Virtual – Register Here
December 15, 2022 | 8:30a – 3:30p | Virtual – Register Here

Free trainings sponsored by Missouri’s Department of Mental Health and other sponsors. They are only available to individuals who live or work in Missouri. To find additional courses click here.

MALA Train the Trainer

January 4, 2023: 2023 Train the Trainer
March 1, 2023: 2023 Train the Trainer
May 10, 2023: 2023 Train the Trainer
July 12, 2023: 2023 Train the Trainer
September 6, 2023: 2023 Train the Trainer
November 1, 2023: 2023 Train the Trainer

Participants must receive approval in order to attend this workshop. Those wishing to attend must submit the application and all other necessary paperwork to MALA at least two weeks prior to the workshop date.


2023 MANHA Winterfest

February 1-3, 2023: Navigating the Storm

Missouri Association of Nursing Home Administrators is pleased to invite you to attend our Winterfest Convention and Trade Show. The goal of this conference is to provide long-term care administrators and their staff practical and inspirational education hours along with the opportunity to network and socialize with colleagues. It is also the only MANHA sponsored conference that provides you a chance to view the latest technology, products, and services offered by suppliers.

New QIPMO Newsletter – November 2022

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls (Volume 10, Issue 1).

In this issue:

  • Punching Out Parkinson’s and Other “Therapies”
  • Will the Flu Strike You?
  • Remember Your Why
  • Employee Engagement
  • ICAR Corner

Please visit QIPMO’s website here for this and other previous newsletters.

Nursing Home Administrator License Renewals for 2023 and forward

Administrators due to renew in 2023 and forward are required to complete all required continuing education (CE) clock hours in-seat or can complete a maximum of half of the total required hours through online continuing education programs (web-based, teleconference, self-study and webinar).

Refer to the “License Renewal Checklist” on the website

Please contact the Board of Nursing Home Administrators with any questions or concerns at

COMRU Updates

Applications Being Deleted

Please ensure all processed online applications and Level 2 screenings have been printed/saved for your records. Facilities (SNFs) will need to have copies of these documents prior to them being deleted.

Processed applications will be deleted from the COMRU online system 60 days after completion.

Additionally, effective November 4, 2022, if a correction has not been resubmitted back to COMRU within 60 days of notification, the online application will be deleted.

COMRU Webinar Training

There will be a webinar/Q&A session regarding the online process on Tuesday, November 15, 2022, 1:00 pm – 2:30 pm.

Join from the meeting link

Join by meeting number
Meeting number (access code): 2474 027 7616
Meeting password: W4mbfuJ2Hk5

Join by phone
1-650-479-3207 Call-in toll number (US/Canada)
+1-312-535-8110 United States Toll (Chicago)

VOYCE’S Upcoming Community Education

November 8, 2022: Protecting Seniors from Financial Abuse and Fraud
Presenter: Lauree Peterson-Sakai, VOYCE Board Chair

Financial fraud is the fastest-growing form of elder abuse. Broadly defined, financial elder abuse is when someone illegally or improperly uses a vulnerable senior’s money or other property. Financial scams targeting seniors are prevalent and costly. The FBI estimates that seniors lose more than $3 billion each year to fraudsters. Scammers go after seniors because they believe older adults have a significant amount of money in their accounts. Unfortunately, seniors are susceptible to financial fraud due to higher levels of trust in those appearing to be official representatives of legitimate organizations and due to the ever increasingly complex methods fraudsters use to appear legitimate.


December 13, 2022: Signs of Abuse – How to Identify the Signs of Abuse and Protect Your Loved One
Presenter: Robin Pendelton, Training Technician, Missouri Department of Health and Senior Services

Abuse can happen to any older person. Knowing how to identify the different types of abuse, how to recognize the signs, and where to get help is vital. Abuse can happen to any older person, by a loved one, a hired caregiver, or a stranger. Abuse can happen at home, at a relative’s home, or in an eldercare facility. There are many different types of abuse including physical, emotional, sexual, abandonment, financial, and neglect.

Free CE Webinar – Enhanced Barrier Precautions in Nursing Homes

November 15, 2022: Implementation and Use of Enhanced Barrier Precautions in Nursing Homes
Presenters: Abimbola (Bola) Ogundimu, DrPH, RN, CIC, CPHQ; Division of Healthcare Quality Promotion, CDC; Heather Jones, DNP, NP-C; Division of Healthcare Quality Promotion, CDC; and Linda Behan BSN, RN, CIC; Consultant; Long Term Care Infection Prevention, LLC
Moderator: Kara Jacobs Slifka, MD, MPH; Division of Healthcare Quality Promotion, CDC

You are invited to a webinar discussing Enhanced Barrier Precautions in nursing homes. Enhanced Barrier Precautions protect nursing home residents and staff from germs that can cause serious infections and are hard to treat.

Join for a detailed review and discussion about this CDC infection prevention and control recommendation. In addition, hear directly from a long-term care Infection Preventionist about her successes and challenges implementing Enhanced Barrier Precautions in several nursing homes. Presentations will be followed by a conversation with the experts about frequently asked questions from the field.

MC5 Meetings

West Central MC5 Region

November 2, 2022: Are We Making Progress or Spinning Our Wheels?
Presenter: Carol Scott, BS, Former MO Ombudsman, Trainer

This presentation will take a look at the past and discuss what the future can hold. Culture change doesn’t have an end date. It’s a continuous road that organizations must commit to on a daily basis.


Farmington MC Region

November 4, 2022: Psychiatry and Culture Change
Presenter: Gabe Crawford, NP

This program will give attendees the opportunity to learn new approaches to psychiatry related to culture change. Attendees will learn alternate treatments for dementia residents and will learn how to decrease the use of psychotropics.

Show-Me ECHO

Show-Me ECHO (Extension for Community Healthcare Outcomes) uses videoconferencing to connect interdisciplinary teams of experts with clinicians and other healthcare professionals. Together participants and teams collaborate in interactive, individualized, case-based learning environments to develop skills and discuss best practices. Some ECHOs meet every week, some twice a month, and some have a completely different timeline. We know how challenging it can be to commit time away from your other responsibilities, but by building and supporting a strong community of learners, the ECHO model improves care access, quality, and efficiency. Show-Me ECHO learning sessions offer free continuing education and are provided at no cost to participating sites and individuals. Check out the ECHO schedule to see when you can attend the next session!

PAC/LTC: Post-Acute & Long-Term Care
2nd & 4th Thursdays: 9:30 am – 10:30 am

Topics or Learning and Discussion:

  • Post-Vaccination Practices: Including Visitation Policies and PPE practices
  • Ongoing COVID-19 Identification and Treatment: Plans for Recognizing Patients with COVID, Post-COVID Syndromes, Testing, Treatment and Cohorting
  • Emotional and Organizational Support for Staff
  • Vaccinations: Vaccine Confidence, Testing, Logistics, Ongoing Compliance and Complications
  • Addressing and Supporting Needs of Residents, Families or Care Partners: Isolation and Family Communication
  • Stopping the Spread (Infection Control): Building Sustainable Infection Control Practices
  • Leadership Communication for COVID-19: Huddles, Rounding, Etc.
  • Leadership Behaviors to Support Teams During COVID-19: Teamwork, Roles and Psychological Safety