QIES Security Notice: Disabling and Deleting Accounts (posted 05/16/2017)

To better secure our applications, QIES security will require each user to successfully login every 60 days, effective June 26, 2017. If this does not occur, the account will be disabled and can only be re-enabled by contacting the QTSO Help Desk at (800)339-9313.

Accounts that have no activity for more than 365 days will be deleted. Once your account is deleted, you will not be able to use or re-enable the account. If your account is deleted, you will need to request access through CMS as you did originally; you will be assigned a new User ID and password when the access is granted.


If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or (800) 339-9313.


New SNF QRP Report Category and SNF Review and Correct Report

Effective June 1, 2017, a new report category called the SNF (Skilled Nursing Facility) Quality Reporting Program is available in the CASPER Reporting application. This report category contains the new SNF Review and Correct report.


The SNF Quality Reporting Program report category and SNF Review and Correct Report are available to all certified nursing-home and swing bed-based SNFs, corporate and third-party users responsible for submitting MDS 3.0 data for SNF providers, state users; QIO users, CMS Central Office and Regional Office users.


Data Calculation and Display

The SNF Review and Correct report displays facility-level results for the assessment-based quality measures listed below. MDS 3.0 data are used to calculate the quality measures.

  • Percent of Residents or Patients with Pressure Ulcers That Are New or Worsened (Short Stay) (NQF #0678).
  • Application of Percent of Residents Experiencing One or More Falls with Major Injury (Long Stay) (NQF #0674).
  • Application of Percent of Long-Term Care Hospital (LTCH) Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function (NQF #2631).


If you have any questions concerning this information, please contact the QTSO Help Desk at help@qtso.com or 1 (888) 477-7876.

Delayed-Egress Locking Systems

National Fire Protection Association (NFPA) 101 2012 Delayed-Egress Locking Systems.  shows: Approved listed delayed-egress locking systems shall be permitted to be installed on door assemblies serving low and ordinary hazard contents in buildings protected throughout by an approved, supervised automatic fire detection system in accordance with Section 9.6 or an approved supervised automatic sprinkler system in accordance with Section 9.7 and where permitted in Chapters 11 through 43, provided that all of the following criteria are met:

  1. The door leaves shall unlock in the direction of egress upon actuation of one of the following:
    1. Approved, supervised automatic sprinkler system in accordance with Section 9.7
    2. Not more than one heat detector of an approved, supervised automatic fire detection system in accordance with Section 9.6
    3. Not more than two smoke detectors of an approved, supervised automatic fire detection system in accordance with Section 9.6
  2. The door leaves shall unlock in the direction of egress upon loss of power controlling the lock or locking mechanism.
  3. *An irreversible process shall release the lock in the direction of egress within 15 seconds, or 30 seconds where approved by the authority having jurisdiction, upon application of a force to the release device required in under all of the following conditions:
    1. The force shall not be required to exceed 15 lbf (67N).
    2. The force shall not be required to be continuously applied for more than 3 seconds.
    3. The initiation of the release process shall activate an audible signal in the vicinity of the door opening.
    4. Once the lock has been released by the application of force to the releasing device, relocking shall be by manual means only.
  4. *A readily visible, durable sign in letters not less than 1 in. (25 mm) high and not less than 1⁄8 in. (3.2 mm) in stroke width on a contrasting background that reads as follows shall be located on the door leaf adjacent to the release device in the direction of egress: PUSH UNTIL ALARM SOUNDS DOOR CAN BE OPENED IN 15 (or 30) seconds.


Facilities may receive approval for 30 second release egress doors from the Authority Having Jurisdiction.  For the facility to receive 30 second release approval, the facility must submit in writing to the Section for Long-Term Regulation (SLCR), a letter detailing the risk(s) to the residents and/or hardship.  It will be the SLCR’s final decision on the approval of the extension and will be reflected in a letter to the facility.  It will be the facility’s responsibility to retain the SLCR approval letter for future reference.


Failure to obtain an approval letter from the SLCR will place the facility in noncompliance with Federal participation requirements and in the event of a recertification survey or federal monitoring survey for life safety code, result in a citation.


The facility letter detailing the risk(s) to the residents and/or hardship and facility layout indicating affected doors, can be submitted to be Scott.Wiley@health.mo.gov

Lacoba Homes (II)

While attending an MC5 Southwest regional meeting in Springfield, Lacoba Homes Administrator Mike Baldus invited me to visit to see their new addition and renovations. I had previously visited Lacoba in 2013…read more and view photos, click here: Lacoba II

MANHA Annual Convention

  • June 4-7, 2017: Taking Charge In A Whole New World
  • Location:  Camden on the Lake, Lake Ozarks

Please see the brochure on the MANHA event page.

HealthCare-Associated Infections Summer Workshops

  • June 6-7, 2017:  Central District HAI, Primaris, Columbia
  • June 20-21, 2017:  Southeastern District HAI, Saint Francis Medical Center, Cape Girardeau
  • June 27-28, 2017:  Eastern District HAI, Forest Park Drury Inn, St. Louis
  • July 20-21, 2017:  Northwestern District HAI, St. Joseph Medical Center, Kansas City
  • July 25-26, 20107:  Southwestern District HAI, Cox North Hospital, Springfield


Healthcare-Associated Infections (HAIs) cut across all care settings – acute, ambulatory and long-term. All settings are currently (or soon will be) required to have an infection control and prevention program including an antimicrobial stewardship plan. These workshops will provide the latest evidence regarding the prevention of HAIs across settings with a strong focus on incorporating this evidence in clinical practice. Regulatory considerations and specific strategies to bridge the gap in coordinating care when patients transition from one setting to another will be included.


Please see more information including the brochure and registration on the MU Sinclair School of Nursing’s page.

VOYCE Conference

  • June 8-9, 2017: 2017 Changing the Landscape of Long Term Care Conference
  • Location:  Renaissance St. Louis Airport Hotel and Friendship Village Sunset Hills

Hear national and local experts discuss dynamic strategies, innovative tools and available long-term care options.

The format has been set with two educational tracks throughout the day; one for professionals working in long-term care and one for the general public who are looking for answers to the complexity of long-term care.

See the registration packet for the full description of the topics and the national and local expert speakers.

Throughout the day there are multiple opportunities to interact with exhibitors who showcase long-term care services across Greater St. Louis.

In addition to hearing thought-provoking speakers, facility administrators and social workers earn 7.25 CEUs.

Registration for all includes breakfast and lunch.


Please see the VOYCE event page for more information.


2017 ALF Resident Assessment Trainings

  • June 26-28, 2017:  Best Western Capital Inn, Jefferson City
  • October 30-31, 2017:  Best Western Capital Inn, Jefferson City

As required by 198.005 RSMo and 19 CSR 30-86.047, residents of Assisted Living Facilities are required to undergo a community based assessment performed by an appropriately trained and qualified individual. This individual must complete a DHSS approved 24-hour training program prior to performing resident assessments. The MALA ALF Resident Assessment Training satisfies this regulatory requirement.

DON/Charge Nurse/CNA Conference – Readiness: Make it Happen!

  • September 20-21, 2017:  St. Louis

We are excited to invite Directors of Nursing, Charge Nurses, and Certified Nursing Assistants to attend an educational event catered to YOUR needs! This conference will be energetic and hands-on all while being in a learning environment. You will be given useful information to take back and implement in your home right away to better serve your residents. We will give you the confidence, knowledge, direction, and motivation needed to help you enhance your role of caring for the elderly.


Please see the full details including registration on MLN’s conference webpage.