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Category Archives: SLCR Guidance

Medications and Discharge

The Section for Long-Term Care Regulation (SLCR) has recently received questions related to the procedure for releasing medications upon a resident’s discharge from a Medicare/Medicaid certified facility.  Please find the article addressing this issue here:  Medications and Discharge

2014 Annual Long-Term Care Provider Meetings – Save the Date

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

Coming to a location near you: 

September 17, 2014:  Region 7 – St Louis

September 19, 2014:  Region 1 – Springfield

September 22, 2014:  Region 5 – Hannibal

September 26, 2014:  Region 2 – Cape Girardeau

September 29, 2014:  Region 3 – Kansas City

September 30, 2014:  Region 4 – St Joseph

October 2, 2014:  Region 6 – Jefferson City

Registration is not required.  Please view the flyer here:  2014 Annual Provider Meetings Save the Date.

Cardiopulmonary Resuscitation (CPR) in Nursing Homes – Updated Guidance Clarification Addressing Transportation

 (see bolded, italicized information below)

The Section for Long-Term Care Regulation (SLCR) wants to make certified providers aware that updated guidance from CMS (S&C: 14-01-NH) now requires “certification” of some nursing home staff as part of the nursing home’s compliance with regard to CPR.  Previously, if a question arose during a federal regulatory process regarding whether someone could perform CPR properly, a surveyor may have needed to ask for an explanation of appropriate technique from some available staff member to verify compliance with that requirement, but verifying the certification of a particular staff member typically was not necessary.

This most recent memo states that “certification” of some staff members is mandatory, but the memo does not clarify which certifying agencies are acceptable (i.e., American Heart Association).  SLCR and the Kansas City Regional CMS office requested a clarification of this point.

We have received guidance indicating that the purpose of this memo was to, “…ensure that facilities do not implement facility-wide ‘no CPR’ policies and that facilities have CPR-certified staff available at all times,” but that CMS does not intend to review or approve all certification agencies.

A wide range of organizations offer CPR certification – some are based online and some are conducted in-person.  To this point, CMS has clarified that while S&C: 14-01-NH does not require the use of any specific certifying agency, there are two components that are required with regard to CPR certification:

  • The certification must be designed for healthcare providers (therefore, CPR courses for laypersons which teach chest compressions, but not mouth breathing, are not sufficient); and
  • Nursing home policies should address how staff members should maintain and document their CPR certification.

The American Heart Association certification is acceptable under this guidance, but it is not the only acceptable certification.  Many homes in Missouri are currently obtaining CPR certification through the American Safety & Health Institute (ASHI), which is also acceptable, as are others, as long as they are designed for professional healthcare providers.

In addition, this guidance also applies to nursing home residents who are being transported or accompanied by facility staff to various appointments, outings or events.  Nursing homes will need to ensure that staff who are CPR certified accompany residents during such transports.

You may view the memo here: CMS Memo S&C: 14-01-NH, or visit

http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-14-01.html?DLPage=4&DLSort=2&DLSortDir=descending.

View all CMS Memos at http://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions.html.

MDS Tips from the Section for Long-Term Care Regulation

Are you a new MDS Coordinator?  Are you unsure where to begin?  Print and save the helpful tips below from the Section for Long-Term Care Regulation:

New Generations Quarterly Newsletter – Spring 2014

The Section for Long-Term Care Regulation has published New Generations – Volume 12, Issue 2, Spring 2014.

A complimentary color copy will be distributed via regular mail to each licensed home in Missouri. The spring issue is now available on the Department’s website, along with an archive of previous issues.  Please visit http://health.mo.gov/seniors/nursinghomes/providerinfo.php.