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Category Archives: SLCR Guidance

Certificate of Need (CON) Quarterly Survey

The 3rd Quarter 2015 CON quarterly survey opened on October 1, 2015 and is due by October 15, 2015.  Facility administrators will be receiving a post card in the mail with the Facility Number and PIN, which are needed to log in.  This information can be found above the facility name on the post card.  The Facility Number and PIN have not changed, so you can also obtain this information from past survey letters.  Be sure to record and save these numbers for future surveys.

Survey instructions are available once you are logged in, and can be found by pressing HELP at the bottom of the survey.  If you have any questions, please send an email to or call 573-526-8553.

Per 19 CSR 30-82.010 (8) Every skilled nursing facility, intermediate care facility, residential care facility and assisted living facility issued a license or temporary operating permit by the department shall submit the required certificate of need quarterly surveys to the department on or before the fifteenth day of the first month following the previous Social Security quarter.

 Failure to respond could cause the facility to become ineligible for expansion under CON law.  It could also result in a competitor being granted a CON to build or expand in the facility’s service area.

SLCR Region 1 Manager Announcement

It is with great pleasure that SLCR announces the appointment of Ruth Tuttle as the SLCR manager for Region 1 located in Springfield.  Ruth’s promotion was effective September 16, 2015.  Ruth has been with the section for several years and has held positions as a Facility Inspector, Facility Surveyor II and most recently as a Facility Surveyor III.  In her most recent role as an FSIII, Ms. Tuttle supervised the Complaint Team and the Assisted Living and Residential Care Inspection Team.  Ms. Tuttle welcomes your telephone calls at (417)895-6435.

Region 5 – 2015 Annual Long-Term Care Provider Meeting

Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation

October 2, 2015:  Region 5
Location:  Macon, MO

As requested, SLCR will be hosting separate meetings for ICF/SNF and RCF/ALF care providers this year.  Advance registration is not required.

Handouts will not be provided at the meeting so please print them and bring them with you.  Please see the agenda and handouts for this specific location below.

2015 Provider Meeting Agenda- Region 5
Misappropriation: Medication Theft
Money Follows the Person
Social Media in Long-Term Care
Path to Safety, Minimal Assistance, More than Minimal Assistance

Most Frequently Cited Deficiencies Report – 2nd Quarter 2015

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

2015 Annual Long-Term Care Provider Meetings – Save the Date Updated


Sponsored by the Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation

Coming to the following locations:
October 2, 2015:  Region 5 – Macon, MO
October 23, 2015:  Region 1 – Springfield, MO
October 28, 2015:  Region 4 – St. Joseph, MO
October 29, 2015:  Region 3 – Kansas City, MO
November 3, 2015:  Region 2 – Cape Girardeau, MO
November 4, 2015:  Region 7 – St. Louis, MO
November 16, 2015:  Region 6 – Jefferson City, MO

As requested, SLCR will be hosting separate meetings for ICF/SNF and RCF/ALF care providers this year!  Advance registration is not required.  Times for each meeting have been set and added to the flyer.  Please see the updated flyer here for more details.

CMS Updated Medical Coverage Requirements

The Centers for Disease Control and Prevention (CDC) has issued new recommendations for the pneumococcal vaccine in adults over the age of 65.  The CDC recommends that providers now use two pneumococcal vaccines for adults aged ≥65.  These vaccinations are 13-Valent Pneumococcal Conjugate Vaccine (PCV13) and 23-Valent Pneumococcal Polysaccharide Vaccine (PPSV23).  The CDC recommendations are located at

CMS has updated the Medicare coverage requirements to align with this recommendation.  These Medicare coverage requirements were implemented on February 2, 2015 as posted in the MLN Matters document: MM9051.

Please visit to see that specific MLN Matters document.

CMS has instructed providers to continue to code item O0300 as instructed in the current RAI User’s Manual.

New QIPMO Newsletter – April 2015

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 2, Issue 3.  Topics in this issue include MDS Spotlight: Did You Know?; What People are Saying; Validation Reports; IMPACT Act; Nicky Martin’s Questions from the Field; Medication Errors; and Advanced Care Planning.  Please visit QIPMO’s website here for this and other previous newsletters.