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 79,000 beds licensed and inspected by the Section. Of these facilities, 500 are skilled nursing facilities, 30 are intermediate care facilities, 397 are residential care facilities, 217 are assisted living facilities and 12 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.

Application for Licensure for Long Term Care Facility

Laws and Regulations for Licensing and Certifying Facilities

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.


Licensed Facility Directory
Licensed Facility Directory
Licensed Facility Directory by City
Licensed Facility Directory by County
Licensed Facility Directory by Region

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.

Alzheimer's Special Care Unit Directory

Adult Day Care Directory

ICF-ID Directory

Adult Day Care Programs

For more information on nursing home licensing and certification, please visit our Frequently Asked Questions or contact us.