Care-facility inspections
How nursing homes and care facilities in Missouri are inspected, licensed, and held to account.
6 laws · 6 enforcement actions · 3 guides · 3 court decisions
See the details
The laws 6
- RSMo Chapter 198, "Nursing Homes and Facilities" (formerly captioned "Convalescent, Nursing and Boarding Homes") — the licensing chapter for stand-alone Missouri long-term care facilities, sections 198.003 through 198.529+, covering definit… revisor.mo.gov
- RSMo 198.026, "Noncompliance, how determined — procedure to correct — notice — reinspection — probationary license" — the statutory procedure DHSS must follow once an inspection finds a facility out of compliance: exit interview, written no… revisor.mo.gov
- RSMo 198.036, "Revocation of license — grounds — notice required" — the grounds on which DHSS may revoke a long-term care facility license, including failure/refusal to comply with Class I, II, or III standards presenting imminent danger or… revisor.mo.gov
- RSMo 198.528, "Long-term care facility information to be provided on department internet website" — the statutory mandate that DHSS publish, on its own website, the most recent survey and any deficiency findings for every licensed long-term… revisor.mo.gov
- RSMo Chapter 192, sections 192.2200–192.2275, "Adult Day Care Program" — Missouri's adult-day-care licensing act (definitions, department licensure and inspection authority, standards, and enforcement for adult day care programs); revisor.mo.gov
- RSMo Chapter 197, sections 197.010–197.120, "Medical Treatment Facility Licenses" — governs long-term care units operating inside Missouri hospitals (a distinct licensing track from stand-alone Chapter 198 facilities) revisor.mo.gov
Know your rights 3
- DHSS "Nursing Home Inspections" page — explains how Missouri's ~1,101 licensed long-term care facilities (483 SNFs, 18 ICFs, 268 RCFs, 332 ALFs, plus 8 hospital-based LTC units) are inspected: the twice-per-fiscal-year state inspection requ… health.mo.gov
- DHSS "Level of Licensure for Long Term Care Facilities" page — defines Missouri's four facility license tiers (Residential Care Facility, Residential Care Facility* (former RCF II), Assisted Living Facility, and Assisted Living Facility** (… health.mo.gov
- DHSS Nursing Home / Long-Term Care "Frequently Asked Questions" page — organized FAQ categories for Adult Day Care Program, Certificate of Need, Construction and Remodeling, Nursing Home Certification, Nursing Home General Information, Nurs… health.mo.gov
Enforcement actions 1
Orders & settlements 5
- 19 CSR 30-82, "General Licensure Requirements" — Missouri Code of State Regulations, Department of Health and Senior Services, Division 30 (Division of Regulation and Licensure); s1.sos.mo.gov
- 19 CSR 30-85, "Intermediate Care and Skilled Nursing Facility" — the construction, fire-safety, and operating-standards rule chapter for Missouri's intermediate care and skilled nursing facilities s1.sos.mo.gov
- 19 CSR 30-86, "Residential Care Facilities and Assisted Living Facilities" — the construction, fire-safety, physical-plant, staffing, and resident-care rule chapter for Missouri RCFs and ALFs s1.sos.mo.gov
- 19 CSR 30-90, "Adult Day Care Program" — the licensure, definitions, staffing, and participants'-rights rule chapter implementing Chapter 192's Adult Day Care Program statute s1.sos.mo.gov
- 19 CSR 30-81, "Certification" — the federal/state joint certification-survey rule chapter (general certification requirements, resident assessment instrument, Title XIX evaluation/assessment measures) that runs alongside state licensure for… sos.mo.gov
Court decisions 3
- Whispering Oaks RCF Management Company, Inc. v. Missouri Department of Health and Senior Services, 444 S.W.3d 492 (Mo. Ct. App. W.D. 2014), No. courtlistener.com
- Department of Social Services (MO HealthNet Division) and Department of Health and Senior Services v. Peace of Mind Adult Day Care Center, 377 S.W.3d 631 (Mo. Ct. App. W.D. 2012), No. courtlistener.com
- Union Manor, A Sole Proprietorship v. Missouri Department of Health and Senior Services, Mo. Ct. App. W.D. No. courtlistener.com
Official notices
None on file yet — the federal backstop still applies.