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Bed Classification Forms – SLCR Process Change

Effective immediately the survey and inspection teams will no longer have facilities complete or verify their Licensed and Certified Bed Classification forms (DA 113) at the time of inspection/survey.  Instead, we will ask facilities to review and verify the accuracy of the most recent approved bed listing that we have on file during the relicensure-application process every two years.  The most recent approved listing will be provided to facilities in their relicensure packet for easy reference.

We hope this change will make it easier to verify the continued accuracy of our records and it will be one less thing to worry about during the onsite survey process for you and our staff.

CMS Memorandum S&C 14-43-NH: Completion of Minimum Data Set(MDS) 3.0 Discharge Assessments for Transfer from Medicare- and/or Medicaid-Certified Beds to Non-Certified Beds

CMS reinforces the need to do MDS discharge assessments in the attached Survey & Certification memo 14-43-NH dated August 25, 2014.  Specifically, if a resident is moving from a certified bed to a non-certified bed in the same facility, then a discharge assessment is completed and transmitted.  The reverse then would apply:  If the resident moves from a non-certified bed to a certified bed, the OBRA MDS process begins.  The MDS is required to be completed and transmitted only for certified beds.  Furthermore, if a facility chooses to do the MDS for a non-certified bed, then they must not transmit that MDS.

View the memo here:  S&C 14-43-NH or visit

Social Service Designee Training Course

November 3 – 7, 2014:  Jefferson City, Mo.
Visit the Missouri Association of Nursing Home Administrators (MANHA) at

Missouri Assisted Living Association’s Annual Fall Conference

October 12 – 14, 2014:  Cruising to Smooth Seas with MALA
Location:  Camden on the Lake, Lake of the Ozarks, Mo.
Visit for more information.

Activity Director Training Program

October 6 – 10, 2014: Jefferson City, Mo.
Visit the Missouri Association of Nursing Home Administrators (MANHA) at

New Dining Standards Toolkit Available Now from Pioneer Network

Medical evidence from recent research studies has demonstrated that restrictive diets for elder individuals in long-term care are of little benefit, and in fact can be detrimental.  Please visit

Guardianship Dealing With The Tough Issues

September 4, 2014:  Blue Springs, Mo.
September 5, 2014:  Macon, Mo.
September 18, 2014:  St. Charles, Mo.
September 30, 2014:  Springfield, Mo.
Visit the Missouri Association of Nursing Home Administrators (MANHA) at for more information.