Licensing and Certification
The Department of Health and Senior Services, Section for Long Term Care Regulation is responsible for inspecting and issuing state licenses to residential care facilities (RCF and RCF*), assisted living facilities (ALF and ALF**), intermediate care facilities (ICF), skilled nursing facilities (SNF), and long term care units operating inside hospitals in the state. The Section also performs activities at intermediate care and skilled nursing facilities in order to certify them to provide services to eligible Medicare and Medicaid beneficiaries.
There are approximately 1,144 long term care facilities with more than 78,000 beds licensed and inspected by the Section. Of these facilities, 498 are skilled nursing facilities, 30 are intermediate care facilities, 414 are residential care facilities, 202 are assisted living facilities and 14 are hospital-based long-term care units. Approximately 500 facilities participate in the Federal Medicaid and/or Medicare programs.
The Licensure and Certification Unit maintains the responsibility for licensing these long term care facilities and for certifying those facilities participating in the Medicare and/or Medicaid programs. The Unit receives applications for licensure and certification, issues licenses to facilities meeting licensure criteria, certifies facilities for Medicare/Medicaid participating, and maintains state and federal databases.
Intermediate Care Facilities for the Intellectually Disabled
The Section for Long Term Care Regulation is also responsible for certifying and inspecting Intermediate Care Facilities for the Intellectually Disabled (ICF/ID). These Medicaid certified facilities care for persons with developmental disabilities.
The Department of Mental Health (DMH) licenses these facilities based on the outcome of the Section for Long Term Care's annual inspection. For more information regarding the licensing of ICF/ID facilities, visit the DMH web site.
Show-Me Long Term Care
Locate a Missouri long term care facility and view inspection results for state licensed facilities by county, city, or zip code.
For more information on nursing home licensing and certification, please visit our Frequently Asked Questions or contact us.