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Category Archives: SLCR Guidance

Administrator Licenses Expire June 30, 2016

Administrator licenses expiring June 30, 2016 are up for license renewal.  Renewal reminder postcards were mailed early April.  Please visit the Missouri Board of Nursing Home Administrator’s web page for the renewal instructions and renewal application at

LPN Licenses Expire May 31, 2016

LPN licenses expire May 31, 2016.  Approximately 25,000 renewal postcards were mailed to LPNs in early March.  The postcard provides online renewal instructions, including the PIN you need to renew online.

Please visit the Missouri Division of Professional Registration, Board of Nursing’s web page here for details.

CMS Memo S&C 16-11 ALL: Exit Conferences- Sharing Specific Regulatory References or Tags

The Centers for Medicare & Medicaid Services (CMS) has clarified guidance to surveyors regarding the procedures for conducting exit conferences, specifically related to the sharing of regulatory tags.  There are significant changes to the exit conference process in this memo.  In addition to the guidance in this memo, CMS has also given direction that the staff identifier list is not to be released even if requested.  This guidance applies to Medicare/Medicaid certified homes only.  The Section for Long-Term Care Regulation will implement these changes no later than March 31, 2016.

Please see the memo and attachments below or visit

SC16-11-ALL Memo
SC16-11-ALL.02 SOM Chapter 2
SC16-11-ALL.03 SOM Chapter 5
SC16-11-ALL.04 SOM Appendix P

CMS Memo S&C 16-13-NH: Payroll-Based Journal (PBJ) – Implementation of required electronic submission of Staffing Data for Long Term Care (LTC) Facilities

Information about the requirement for LTC facilities to electronically submit staffing data through the PBJ:

Please see the memo here for details.

CMS Five-Star Quality Rating System Improvements

Please see the PowerPoint presentation below regarding improvements to the Nursing Home Compare Five-Star Quality Rating System.

Most Frequently Cited Deficiencies Report – 4rd Quarter 2015

Please view the quarterly report from the Section for Long-Term Care Regulation here.

New Licensure and Certification Unit Manager

The Section for Long Term Care Regulations welcomes Shay Patterson as the manager for the Licensure and Certification Unit.  Shay has been with the Section for several years, starting in Region 6 as a Facility Surveyor and most recently as part of the Regulation and Compliance Unit.  Shay is replacing Tracy Niekamp who accepted a position with the Department of Mental Health.  Please contact Shay with any licensure or certification questions; she will be happy to assist you.