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Missouri
Missouri
What is it called?
· Residential Care Facility
o Two levels: Level I and Level II
What services are provided?
· Level I
o Protective oversight and care during short-term illness
o Medication administration
§ Must be administered by either a physician, nurse, certified medication technician, or medication aide
· Level II
o Same as Level I
o Protective oversight and care during short-term illness
o Assistance with personal care
o Supervision of physician-directed health care
· Third-party services
o Home health services may be provided in both types
Who can be admitted?
· Physically and mentally capable of evacuation
Who is inappropriate?
· Must be refused admission or evicted
o Levels I and II
§ Mentally and physically incapable of finding safety when necessary
§ Need for skilled nursing care
§ Needs the facility cannot meet
§ Danger to self or others
· Exceptions to disqualifying conditions
o Levels I and II
§ With physician approval, facility may temporarily (up to 45 days) allow a resident to stay even if resident is incapable of exiting the facility unassisted in case of an emergency
o Level II
§ May accommodate Alzheimer’s or related dementia if resident is physically capable of finding safety, but mentally incapable (specialized regulations must be satisfied)
What training is required for direct care staff?
· Initial training
o Level I and II
§ Orientation (at least one hour) to include:
· Emergency procedures
· Infection control
· Reporting abuse
o Level II
§ At least 24 hours training, 12 relating to care of dementia residents
· Continuing training
o Level II: at least four hours of in-service training each quarter
Is any public payment available?
· Yes, a Medicaid state plan may pay for personal care and advanced personal care services
More Information
Department of Health and Senior Services Missouri Long Term Care Ombudsman
Division of Senior Services and Regulation (800) 309 - 3282
(573) 526 – 8524 www.dhss.mo.gov/Ombudsman/
www.dhss.state.mo.us/showmelongtermcare