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Most Frequently Cited Deficiencies Report – 3rd Quarter 2015

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

Submitting Exceptions & Second Business Requests

The Regulation Unit has established an email account that providers can now submit all their requests to one email address:  Providers are to begin utilizing this email as soon as possible.

The main number for contacting the Regulation Unit has also been updated.

The instructions for submitting the Exceptions and Second Business requests have both been updated.  Please see those instructions below.

Instructions for Exceptions Request
Instructions for Second Business Request

Updated MDS Information – additional

On October 1, 2015 a new version of the RAI Manual became effective, Version 1.13.  Most of the changes were minor but there is one important change to point out.  Prior to the update, Significant Change MDS’s were required if a resident enrolled in or discontinued hospice.  Those rules are still in effect, but now, a Significant Change MDS is also required when a resident changes hospice providers and remains a resident at the nursing home.  This new rule is in the RAI manual in Chapter 2 on page 21.  A Significant Change MDS may also be required in situations when the hospice providing services is purchased by another hospice provider.

The new manual can be found at:  Scroll to the bottom of the page.  The first link is the ENTIRE Manual.  The second link is just the pages that have been changed as of October 1, 2015.  You will also find a summary of the changes in the second link.

If you have any questions, you may contact Stacey Bryan, BSN, RN, State RAI Coordinator, Department of Health & Senior Services, Telephone 573-751-6308 or E-mail

TMF Readmissions/Medication Safety/Behavioral Health Open Forum

November 17, 2015:  Medication Management During the Transition from Hospital to Primary Care
Presenter:  Becky L. Armor, PharmD, CDE, BCACP

Join this webinar to learn about a pilot study assessing types of medication discrepancies and adverse drug events in patients recently discharged from the hospital.

Please see the event registration page here for more details.

Hot Topics: Culture Change in Action Webinar

November 11, 2015:  The Impact of the Green House Project and Action Pact;s Household Model
Presenters:  Susan Frazier Ryan, BSN, MA, Senior Director, The Green House Project
Megan Hannan, MS, Executive Leader, Action Pact

The Green House model and Action Pact’s Household model both provide self-directed living for the frailest among us. Each has unique characteristics, but also commonalities. Households and Green House homes both result in new physical layout, organizational redesign, and resident directed life. Join Senior Director of The Green House Project, Susan Frazier Ryan and Action Pact’s Megan Hannan, to gain insight into lessons learned about the process for creating deep and sustainable change. High involvement and serious investment from many stakeholders in the organization is the path to changing habits and systems that create new and sustainable culture. Regardless of the current physical layout, it is essential that cross discipline teams are engaged in the process and able to apply what they learn to their day to day work. Participants will leave this webinar with an understanding about the importance of transforming the thinking of the organization first in order to produce those changed behaviors that result in in quality resident directed living.

Please see the Hot Topics events page here for more registration details.

Nursing Home Quality Improvement Spotlight On…

TMF QIN-QIO CDI Webinar now Available

The TMF QIN-QIO’s September webinar, “Key Interventions and Strategies for the Prevention of Clostridium difficile Infections,” by Robin Jump, MD, PhD, has been posted to the TMF QIN-QIO YouTube channel for viewing. Please click the following link to access the presentation:  TMF QIN-QIO Recorded Event.

You can also access this and other recordings by visiting the HAI Recorded Events page.

Region 7 – 2015 Annual Long-Term Care Provider Meeting

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

November 4, 2015:  Region 7
Location:  St. Louis, MO

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

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

2015 Provider Meeting Agenda- Region 7
Ameren Missouri
Money Follows the Person
Social Media in Long-Term Care
Path to Safety, Minimal Assistance, More than Minimal Assistance