Missouri Long-Term Care Information Update

April 2nd, 2021

Community testing events serve the residents of Missouri. There is no eligibility other than to have a Missouri address. The testing is free. There is no fee collected or charged to insurance for administration of the test. DHSS makes this testing available in order to offer an opportunity for anyone desiring testing to do so without any financial barriers other than getting to the testing site. Even as the number of new positive case counts decrease and more individuals are vaccinated, it is important to be tested to give yourself peace of mind that you are not asymptomatic and carrying a virus that could make someone else sick. If you are symptomatic you most definitely should seek testing. Many camps, events, and travel now require evidence of a test result before participation.

Testing locations can be found here.

April 2nd, 2021

Missouri Nursing Home Advisory Council has created a second installment in their Infection Preventionist Roadmap Series for long-term care facilities. This second installment will focus on the system of prevention, identification, reporting, investigating, and controlling infections. See the Tip Sheet.

March 26th, 2021

The Section for Long-Term Care Regulation will be releasing a series of Life Safety Code Information. Please see the entire document for reference.

Today’s subject is:

The Life Safety Code requires a facility with a generator to manually exercise all breakers and itemize all of the electrical panels used for the generator.

1. How often does this need to occur?
2. Does the facility have to have to follow the same procedure for all panels, even if they are not connected to the generator?

The LSC requires annual inspection and annual testing on all electrical panels attached to the generator unless the manufacturer’s guide states otherwise.

This only applies to the panels the generator utilizes (which will include the panels used for the Life Safety branches).

NFPA 99, 2012 edition:
6.4.4.1.2.1* Circuit Breakers. Main and feeder circuit breakers shall be inspected annually, and a program for periodically exercising the components shall be established according to manufacturer’s recommendations.
A.6.4.4.1.2.1 Main and feeder circuit breakers should be periodically tested under simulated overload trip conditions to ensure reliability.

March 26th, 2021

The Missouri Department of Health and Senior Services (DHSS), in collaboration with the Brain Injury Association of Missouri (BIA-MO) and the University of Missouri-Kansas City Institute for Human Development (UMKC-IHD), has received grant funding to conduct a healthcare access and experiences survey with survivors of Traumatic Brain Injury (TBI) in Missouri. Results from this survey will inform the development of a Missouri Plan to improve healthcare access and equity for people living with TBI and their families.

As a professional who provides supports and services to TBI survivors and their families, we hope that you can assist with disseminating this survey. With your assistance, we would like to reach as many survivors and families as possible to best identify areas of need and shape statewide initiatives in the coming years. Below, you will find survey information and weblinks for distribution. We have also linked a paper version of the survey in the text for those who prefer to complete and mail in a hard copy. Postage paid envelopes are available upon request. If you have any questions, please contact Dr. Kelli Barton from the UMKC Institute for Human Development at bartonkn@umkc.edu.

On behalf of the project team, thank you for your continued partnership and support!

English Survey
Encuesta en Español

Printable English Survey
Encuesta en Español para Imprimir

March 25th, 2021

The guidance incorporates the new visitation guidance recently released by CMS as well previous guidance related to reopening, beauty and barber shop services, communal dining and group activities, and resident outings. In addition to updates to the visit guidance, several updates have been made in other areas as well, so please review carefully for the most up-to-date guidance. All prior guidance documents have been removed from the DHSS LTC COVID-19 webpage and replaced with this document.

Clarification on CMS Visit Guidance related to County Positivity Rates – CMS has provided clarification on this language in the visit document: Facilities should allow indoor visitation at all times and for all residents (regardless of vaccination status), except for a few circumstances when visitation should be limited due to a high risk of COVID-19 transmission (note: compassionate care visits should be permitted at all times). These scenarios include limiting indoor visitation for: Unvaccinated residents, if the nursing home’s COVID-19 county positivity rate is >10% and <70% of residents in the facility are fully vaccinated.

SLCR received questions regarding whether the county positivity rate of >10% referred to the actual positivity rate or to those counties designated as “red”. CMS has stated that the CDC’s county percent test positivity characterization methodology (color-coded system) may be used to determine how visitation should be implemented. Using the color-coded system, facilities in the “red” category should limit visitation for unvaccinated residents if <70% of residents in the facility are fully vaccinated.

Please note: both criteria need to be met before a facility should limit indoor visitation for unvaccinated residents – county positivity rate is >10% and <70% of residents in the facility are fully vaccinated.

March 19th, 2021

The Section for Long-Term Care Regulation will be releasing a series of Life Safety Code Information.

Today’s subject is:

Does Life Safety Code allow candles in a certified facility?

Facilities may not use candles with wicks for décor. If a facility chooses to use candles as décor, the candle shall not have a wick, and the wick must be pulled out. It is not acceptable to have the wick cut flush to the candle.

Facility staff may use lit candles for a birthday celebration, but facility staff must continually supervise the candles while lit.

If a facility uses candles for religious purposes, these lit candles must be supervised 24/7 or be in a different occupancy with a 2-hour wall that separates it from the rest of the facility. The facility has the option to utilize an electric candle when it is not possible or practical to supervise the lit candles.

Please feel free to reach out to your regional office with any questions.

March 19th, 2021

The Missouri Department of Health and Senior Services continues to offer FREE COVID-19 testing to Missouri residents. Individuals seeking this testing opportunity should visit our website at www.health.mo.gov/communitytest for a listing of events and a link to register. Residents are encouraged to visit this website frequently as new events will be added regularly. While registration guarantees testing, walk-ins to the event will be accommodated if registration slots are still available.

Upcoming events include:

Date	Time	City	County	Location
March 22, 2021	9AM – 4PM	St. Louis	St. Louis City	CareSTL Health
March 22, 2021	8AM – 5PM	Lexington	Lafayette	Health Care Collaborative of Rural Missouri
March 22, 2021	8:30AM – 2PM	Salem	Dent	Salem Community Center @ the Armory
March 22, 2021	8:30AM – 11:30AM	Florissant	St. Louis County	James J. Egan Civic Center
March 22, 2021	9AM – 1PM	Branson	Taney	Cox Health
March 22, 2021	10AM – 6PM	Sedalia	Pettis	Katy Trail Community Health
March 22, 2021	9AM – 11AM	Marshfield	Webster	Marshfield Fairgrounds
March 23, 2021	9AM – 3PM	New London	Ralls	Forget-Me-Not Senior Center
March 23, 2021	12PM – 3PM	St. Louis	St. Louis City	Affinia Healthcare
March 23, 2021	9AM – 4PM	St. Louis	St. Louis City	CareSTL Health
March 23, 2021	8AM – 12PM	Springfield	Greene	Jordan Valley Community Health Center
March 24, 2021	9AM – 1PM	St. Louis	St. Louis County	NAACP St. Louis County Building
March 24, 2021	9AM – 6PM	Kansas City	Clay County	Worlds of Fun
March 24, 2021	8:30AM – 11:30AM	Florissant	St. Louis County	James J. Egan Civic Center
March 24, 2021	1PM – 3PM	Camdenton	Camden	Mid-County Fire
March 25, 2021	12PM – 3PM	St. Louis	St. Louis City	Affinia Healthcare
March 25, 2021	10AM – 1PM	St. Charles	St. Charles	Harvester Christian Church
March 26, 2021	9AM – 1PM	Lamar	Barton	ACCESS Family Care
March 26, 2021	12PM – 4PM	Kansas City	Jackson	Kansas City Zoo (Near the Bandstand Pavilion)
March 26, 2021	10AM – 2PM	St. Joseph	Buchanan	St. Joseph Aquatic Center

March 19th, 2021

April 6, 2021: Virtual Healthcare Job Fair

The Missouri Office of Workforce Development is hosting another healthcare virtual job fair to support the needs of the healthcare industry across the state on April 6, 2021. Employers may now engage with job-seekers through the chat feature, or initiate video chat sessions.

The deadline to register is March 26, 2021. Please register at https://returnstrongmo.getyourbooth.com/.

The Missouri Office of Workforce Development will promote the virtual job fairs and recruit job seekers who may be interested in a healthcare career. Job seekers register at https://returnstrongmo.easyvirtualfair.com/prefair/.

March 11th, 2021

Yesterday- CMS, in conjunction with the Centers for Disease Control and Prevention (CDC), updated visitation guidance with emphasis on the importance of maintaining infection prevention practices, given the continued risk of COVID-19 transmission. The new guidance includes the impact of COVID-19 vaccination. DHSS will be updating its guidance as well and it will be consistent with the CMS guidance. Facilities certified for Medicare and Medicaid are required to follow the CMS memo. All long-term care communities (SNF, ICF, ALF and ICF) may utilize the CMS guidance until the DHSS guidance is updated. CMS hosted a Stakeholder Discussion today regarding the new guidance. A transcript of the session will be uploaded to CMS’ website on 3/12/20 at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts.

Key Changes include:

Facilities should allow indoor visitation at all times and for all residents (regardless of vaccination status), except for a few circumstances when visitation should be limited due to a high risk of COVID-19 transmission (note: compassionate care visits should be permitted at all times).
CMS and CDC continues to recommend facilities, residents, and families adhere to the core principles of COVID-19 infection, including physical distancing (maintaining at least 6 feet between people). This continues to be the safest way to prevent the spread of COVID-19, particularly if either party has not been fully vaccinated. However, they acknowledge the toll that separation and isolation has taken. They also acknowledge that there is no substitute for physical contact, such as the warm embrace between a resident and their loved one. Therefore, if the resident is fully vaccinated, they can choose to have close contact (including touch) with their visitor while wearing a well-fitting face mask and performing hand-hygiene before and after. Regardless, visitors should physically distance from other residents and staff in the facility.
Provides guidance to describe how visitation can still occur when there is an outbreak, but there is evidence that the transmission of COVID-19 is contained to a single area (e.g., unit) of the facility.
Notes that compassionate care visits and visits required under federal disability rights law should be allowed at all times, for any resident (vaccinated or unvaccinated).
States that while visitor testing and vaccination can help prevent the spread of COVID-19, visitors should not be required to be tested or vaccinated (or show proof of such) as a condition of visitation.

Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination

CDC has released new guidance, related to vaccinated individuals and the need to quarantine in LTCF. The Updated Healthcare Infection Prevention and Control Recommendations in Response to COVID-19 Vaccination guidance can be used by LTCF. In using this guidance, long-term care communities should carefully think about how they will determine if the person has had prolonged close contact with someone who was positive.

“Quarantine is no longer recommended for residents who are being admitted to a post-acute care facility if they are fully vaccinated and have not had prolonged close contact with someone with SARS-CoV-2 infection in the prior 14 days.”

https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-after-vaccination.html

The revised guidance is attached.

March 10th, 2021

March 22, 2021 marks the one year anniversary of the first known COVID positive resident identified in a long-term care facility. So much has happened in 365 days. Each of you know better than anyone else what a humbling, scary, frustrating, and grief stricken year it has been. You also know that this past year has also created deep bonds between your administrative teams, personal moments of strength that you did not know were possible, and moments of humanity and deep kindness that still make you speechless. It is a year that has reminded us of the importance of family, friends, and our health. This week is National Long-Term Care Administrator’s Week. There is no better time for all of us in the Section for Long-Term Care Regulation to share with you our appreciation of each and every one of you. We are thankful for your leadership, kindness, and support of others during the most extraordinary time of our professional lives. We are thankful for your partnership and for the partnership of our long-term care associations who worked tirelessly alongside with us. Thank you for all you have done to protect health and keep the residents of long-term care in Missouri safe.

March 10th, 2021

Over the past 12 months, the State of Missouri Department of Health and Senior Services (DHSS) and the Missouri State Emergency Management Agency (SEMA) have been providing personal protective equipment (PPE) at no cost through our Strategic National Stockpile (SNS) program to healthcare providers in order to protect staff and patients during the COVID-19 pandemic. PPE supply chains have been disrupted due to many factors, but have begun to normalize. In order to determine future operations and sustainment of the Missouri DHSS PPE Request System and PPE Reserve, we are conducting a survey to assess the current state of the healthcare personal protective equipment (PPE) supply chain from the perspective of our healthcare providers.

This survey is being directed to those agencies and organizations that have been working with individual providers and individual providers. We are particularly interested in responses from smaller rural and independent facilities, clinics, and healthcare providers who have had the most difficulty obtaining PPE resources. We ask that the survey be completed by March 24, 2021.

Survey Link: https://www.surveymonkey.com/r/9YCHYVP.

March 8th, 2021

March 8-12, 2021 is National Long-Term Care Administrator’s Week. During this week, staff, residents, families and volunteers have the opportunity to say “thank you” and honor the administrators who lead our nation’s long-term care communities. This year, Long-Term Care Administrator’s Week holds added significance due to the COVID-19 pandemic. Our nation’s long-term care leaders have been at the forefront of the response, taking responsibility for the care of the most vulnerable.

Missouri’s administrators manage the daily care of over 55,000 people who reside in long-term care facilities across the state. Administrators are key players in the care team and are entrusted with the responsibility of managing the care of our loved ones. They touch the lives of residents and families, and most importantly, ensure that their staff provides the highest level of quality care to a vulnerable population. To become an administrator takes commitment and dedication.

Rachel Patterson with JMS Senior Living said, “It would be amazing if we could all take the time to thank an administrator for their hard work. These healthcare heroes have rolled up their sleeves and filled whatever role necessary to keep their residents safe and their staff supported. They have poured their heart and souls into their work, often working weeks at a time without a break, and doing it without question or a second thought. Showing appreciation can be as simple as a card, or even an email, but it can really brighten an administrator’s day.”

For more ideas about how to recognize the administrator in your life, visit the American College of Health Care Administrators website.

March 5th, 2021

June 6-9, 2021: People, Purpose, and Passion: The Pathway to Success

Missouri Association of Nursing Home Administrators is pleased to invite you to attend our Annual Convention. We have all experienced a very challenging year and need to recharge. 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.

March 5th, 2021

April 30, 2021: Dementia Hacks: Expert Strategies for the Most Difficult Symptoms & Behaviors

Memory Care Home Solutions is proud to offer this event in partnership with Saint Louis University & the Gateway Geriatric Education Center.

Join us on April 30^th for Dementia Hacks: Expert Strategies for the Most Difficult Symptoms & Behaviors, an interactive six-hour virtual continuing education event to explore the most puzzling and challenging dementia symptoms! Memory Care Home Solutions clinicians will provide training and coaching in management of common behavioral and psychological symptoms including resistance to care, agitation, refusal to bathe, and more. This event will feature guest speakers including Washington University geriatrician Dr. Timothy Holden to discuss the medical management of dementia symptoms and Project Present founder Ann Marie Mohr on creative communication strategies. Attendees will leave with new knowledge and skillsets in behavioral management strategies to immediately apply in their work and caregiving roles.

Included with event registration, participants will have access to a Dementia Hacker Chat Drop-in session on May 14^th with clinical experts to brainstorm and discuss their experiences in applying the strategies and refining approaches.

Course approval applications are being submitted for continuing education credit for nursing home administrators, physical therapists, physicians, psychologists, occupational therapists, speech therapists, and social workers. For more information on course objectives and to register, visit our website at https://memorycarehs.org/events/ceu/.

March 3rd, 2021

As we anxiously await guidance from CDC and CMS on changes, they will recommend and/or require of long-term care communities related to testing, visitation, quarantine, etc. – a reminder that homes should use previous visitation guidance to support opening up their communities to visitors. This week, the CMS spreadsheet of county positivity rates shows MO with 63 green, 49 yellow and 3 red counties. Homes in green and yellow counties should allow visitation according to the core principles of COVID-19 infection prevention and facility policies, if they are not in outbreak status. As soon we receive updated guidance, we will communicate the information via the long-term care facility listserv. Keep in mind DHSS has issued guidelines- not regulatory requirements related to visitation. You know your long-term care community and can best assess and make a plan to help residents reconnect with loved ones based on their wants/needs, availability of PPE, staffing, etc.

Additional guidance related to frequent questions we receive:

COVID recovered in past 3 months

If a resident has tested positive and has recovered (no longer on transmission based precautions) in the past 90 days, CDC guidance states they do not need to quarantine or get tested again for up to 3 months as long as they do not develop symptoms again. https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html Homes can use this guidance in developing policies related to visitation and quarantine for residents as well to help expand visitation within their communities and to allow residents to resume some normalcy in their routines.

For residents that have had COVID in the past 3 months and are off of transmission based precautions, they would not need to quarantine if they left for a home visit or went out for dinner- based on CDC guidance for quarantine. We encourage facilities, families and residents to continue to use the infection control practices outlined in the attached memo. Even though someone has had COVID- we do not know a lot about reinfections and those measures (mask, social distancing, and good hand hygiene) help protect from influenza as well.

Home Visits and Outings

If a resident chooses to leave the facility to visit family or for an outing, we recommend nursing homes use the recommendations from the holiday leave guidance when they return to the nursing home:

Screen and increase monitoring for signs and symptoms.
Test a resident for COVID-19 if signs or symptoms are present or if a resident or their family reports possible exposure to COVID-19 while outside the nursing home. A nursing home may also opt to test residents without signs or symptoms if they leave the nursing home frequently or for a prolonged length of time, such as over 24 hours. For more information on testing guidelines, see CMS memorandum QSO-20-38-NH.
Place the resident on transmission-based precautions (TBP) if the resident or family member reports possible exposure to COVID-19 while outside of the nursing home, or if the resident has signs or symptoms of COVID-19 upon return. Please note that residents and loved ones should report to the nursing home staff if they have had any exposure to COVID-19 while outside of the nursing home.
Consider placing residents on Transmission Based Precautions BP if they were away from the nursing homes for more than 24 hours.

https://www.cms.gov/files/document/covid-facility-holiday-recommendations.pdf

https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/pdf/ltcf-holiday-guidance.pdf

Vaccination and Infection Control measures

At this time, there are still many questions unanswered regarding vaccination that make infection control changes uncertain right now. Current CDC can be found here: https://www.cdc.gov/vaccines/covid-19/toolkits/long-term-care/index.html.

Vaccination is one important tool (not the only) in our tool belt to address COVID-19 infections. Vaccinating healthcare personnel and residents is essential to helping prevent individuals (who may not be able to recover) from getting COVID-19. For long-term care facilities, vaccinations are vital to protecting healthcare capacity. Staff who are sick cannot work and provide the necessary case and services to residents to ensure their health and safety.

The toolkit includes some helpful information for staff and residents/loved ones regarding the vaccine as well.

https://www.cdc.gov/vaccines/covid-19/toolkits/long-term-care/downloads/answering-staff-questions.pdf

https://www.cdc.gov/vaccines/covid-19/toolkits/long-term-care/downloads/answering-residents-loved-ones-questions.pdf

Visitation Guidance 9-22-20
CMS Memo – Nursing Home Visitation – COVID-19

March 2nd, 2021

This recall involves Potter Electric Addressable Pull Stations. When manually pulled, these red-colored devices are intended to activate a fire alarm in commercial and other buildings. Recalled models include: (1) Potter Electric Addressable Dual Action Pull Station, Model PAD100-PSDA, Part Number 3992720, with a date code Dec 03 2020; and (2) Potter Electric Addressable Single Action Pull Station, Model PAD100-PSSA, Part Number 3992721, with date codes Nov 10 2020, Nov 25 2020, Dec 01 2020, and Dec 03 2020. “Potter” is printed on the front of all devices. The date code is located inside the device.

https://www.cpsc.gov/Recalls/2021/Potter-Electric-Recalls-Addressable-Pull-Stations-Single-Dual-Action-Due-to-Failure-to-Alert-to-Fire

March 2nd, 2021

Starting January 26, 2021, the MFP Program requirement of a 90 day stay in a nursing facility prior to transition has been reduced to 60 days. Additionally, days at a nursing facility which were considered short-term rehabilitation days can now count toward fulfillment of the 60 day stay requirement.

For more information on the MFP program, please visit the Missouri Money Follows the Person Demonstration Grant webpage.

March 2nd, 2021

Upcoming events include:

Date	Time	City	County	Location
March 2, 2021	12PM – 3PM	St. Louis	St. Louis City	Affinia Healthcare
March 2, 2021	8:30AM – 2PM	Cuba	Crawford	Mace Supermarket
March 2, 2021	9AM – 4PM	St. Louis	St. Louis City	CareSTL Health
March 2, 2021	8AM – 12PM	Springfield	Greene	Old Price Cutter Building
March 3, 2021	8:30AM – 4PM	St. Louis	St. Louis County	NAACP St. Louis County Building
March 3, 2021	9AM – 3PM	Jefferson City	Cole	American Legion
March 3, 2021	9AM – 6PM	Kansas City	Clay	Worlds of Fun
March 3, 2021	8:30AM – 11:30AM	Florissant	St. Louis County	James J. Egan Civic Center
March 4, 2021	12PM – 3PM	St. Louis	St. Louis City	Affinia Healthcare
March 4, 2021	10AM – 4PM	St. Charles	St. Charles	Harvester Christian Church
March 5, 2021	9AM – 4PM	St. Louis	St. Louis City	CareSTL Health
March 5, 2021	9AM – 1PM	Joplin	Jasper	ACCESS Family Care
March 5, 2021	10AM – 4PM	Kansas City	Jackson	Kansas City Zoo (Cheetah Parking Lot)
March 5, 2021	8:30AM – 2PM	Cuba	Crawford	Mace Supermarket
March 8, 2021	9AM – 4PM	St. Louis	St. Louis City	CareSTL Health
March 8, 2021	9AM – 3PM	Kansas City	Jackson	Bruce R. Watkins Cultural Center
March 8, 2021	8AM – 5PM	Lexington	Lafayette	Health Care Collaborative of Rural Missouri
March 8, 2021	8:30AM – 11:30AM	Florissant	St. Louis County	James J. Egan Civic Center
March 8, 2021	9AM – 1PM	Branson	Taney	Cox Health
March 8, 2021	8AM – 10AM	Kansas City	Jackson	Bartle Hall (Front Entrance on 13th Street)
March 9, 2021	12PM – 3PM	St. Louis	St. Louis City	Affinia Healthcare
March 9, 2021	9AM – 3PM	Hannibal	Marion	Clemens Field
March 9, 2021	10AM – 6PM	Marshall	Saline	Katy Trail Community Health
March 9, 2021	8:30AM – 2PM	Salem	Dent	Salem Community Center @ the Armory
March 9, 2021	9AM – 4PM	St. Louis	St. Louis City	CareSTL Health
March 9, 2021	8AM – 12PM	Springfield	Greene	Old Price Cutter Building
March 10, 2021	8:30AM – 4PM	St. Louis	St. Louis County	NAACP St. Louis County Building
March 10, 2021	9AM – 6PM	Kansas City	Clay	Worlds of Fun
March 10, 2021	10AM – 6PM	Versailles	Morgan	Katy Trail Community Health
March 10, 2021	8:30AM – 11:30AM	Florissant	St. Louis County	James J. Egan Civic Center
March 10, 2021	1PM – 3PM	Camdenton	Camden	Mid-County Fire
March 11, 2021	12PM – 3PM	St. Louis	St. Louis City	Affinia Healthcare
March 11, 2021	10AM – 6PM	Warsaw	Benton	Katy Trail Community Health
March 11, 2021	10AM – 4PM	St. Charles	St. Charles	Harvester Christian Church
March 12, 2021	9AM – 4PM	St. Louis	St. Louis City	CareSTL Health
March 12, 2021	9AM – 1PM	Lamar	Barton	ACCESS Family Care
March 12, 2021	10AM – 4PM	Kansas City	Jackson	Kansas City Zoo (Cheetah Parking Lot)
March 12, 2021	10AM – 6PM	Sedalia	Pettis	Katy Trail Community Health
March 12, 2021	10AM – 2PM	St. Joseph	Buchanan	St. Joseph Aquatic Center
March 12, 2021	12PM – 3PM	Columbia	Boone	Moser’s Foods Parking Lot

February 26th, 2021

The proposed rule for 19 CSR 30-91.010 Authorized Electronic Monitoring in Long-Term Care Facilities was published in the Code of State Regulations on January 29, 2021. The official new rule can be found on the Office of the Secretary of State’s website at: http://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp.

The rule is located under Division 30 in Chapter 91. The effective date for the rule will be February 28, 2021.

If you have any questions regarding implementation of the rules, please contact the Section for Long-Term Care Regulation at 573-526-8524.

February 26th, 2021

Please see this letter from the Ombudsman Program regarding monthly transfer notices from facilities.

February 25th, 2021

Do you…..

❍ need a leadership course that addresses the unique challenges SNF leaders face?
❍ want to feel inspired and passionate about leading your SNF?
❍ want to connect with other SNF leaders and have access to free professional development, tools, and resources?
❍ want free CE credit without sacrificing quality and practical application?
❍ want to have the flexibility to learn at the pace and place the works best for you?

If you answer YES to any of these questions, this course may be for YOU!

For more information visit our web site, download the postcard or contact Todd Winterbower at winterbowert@missouri.edu, 573-882-0216.

Take the survey now to see if you qualify for FREE registration.

February 25th, 2021

March 12, 2021: Aging in a Changing Environment

Communities nationwide are tasked with accommodating our growing older adult population while simultaneously adapting to our changing climate. Modifying environmental factors that pose challenges and opportunities for older adult health and well-being may mitigate older adults’ vulnerability to extreme weather events. Identifying environmental factors that cultivate individual and social resiliency can guide public and institutional policies in the effort to adapt, cope and recover from extreme climate events.

February 25th, 2021

March 23, 2021: Long-Term Care: Dementia-related Psychosis Call

During this call, learn about the appropriate assessment, accurate diagnosis, and approaches to care for dementia-related psychosis in the long-term care setting. Hear about customized care strategies for nursing home residents. A question and answer session follows the presentations.

Speakers: Dr. George Grossberg, Dr. Alexis Eastman, Susan Scanland, and Dr. Chad Worz from The Gerontological Society of America’s Workgroup on Dementia-related Psychosis

Target Audience:

Consumer and advocacy groups
Nursing home providers
Surveyor community
Prescribers
Professional associations
Other interested stakeholders

February 25th, 2021

March 24, 2021: Envisioning the Future: Exploring Lessons Learned

Pioneer Network is offering a one-day symposium. This virtual event is designed to provide valuable learning within a 6-hour window through four general sessions, followed by an opportunity to gather together to join one of four interactive forums hosted by the general session speakers, designed to explore the topics more deeply.

Missouri Long-Term Care Information Update

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