☰ Revisor of Missouri
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 Title XII PUBLIC HEALTH AND WELFARE

 Chapter 198 Nursing Homes and Facilities 
GENERALLY
198.003   Citation of law. (8/28/1979)
198.005   Assisted living facilities, statutory references to residential care ... (8/28/2006)
198.006   Definitions. (8/28/2022)
198.009   Department to administer — promulgation of rules, procedure — cooperation ... (8/28/1995)
198.012   Provisions of sections 198.003 to 198.136 not to apply, when — exempt ... (8/28/2011)
198.015   License, when required — duration — content — effect of change of ownership ... (1/1/2017)
198.016   Information on home- and community-based services to be provided prior to ... (8/28/2010)
198.018   Applications for license, how made — fees — affidavit — documents required ... (8/28/2014)
198.022   Licensure applications, department duties — department may copy records at ... (8/28/2022)
198.026   Noncompliance, how determined — procedure to correct — notice — ... (8/28/2022)
198.027   On-site revisit not required, when. (8/28/2003)
198.029   Noncompliance — notice to operator and public, when — notice of ... (8/28/2014)
198.030   Posting of inspection reports at the facility. (8/28/2003)
198.032   Records, what confidential, what subject to disclosure — procedure — ... (8/28/2003)
198.036   Revocation of license — grounds — notice required. (8/28/2022)
198.039   License refused or revoked — review by administrative hearing commission — ... (8/28/1979)
198.042   Medical supervision for residents relying on spiritual healing not required. (8/28/1979)
198.045   Participation in Medicare or Medicaid optional — survey for certification ... (8/28/1979)
198.048   Different classifications of facility may exist on same premises, when. (8/28/1984)
198.052   Records of facilities — when examined or audited — retention, how long — to ... (8/28/1979)
198.053   Assisted living facilities, notification of posting of latest Vaccine ... (8/28/2017)
198.054   Influenza vaccination for employees, facilities to assist in obtaining. (10/14/2016)
198.055   Inspection by department valid for certain mental health patients, when. (8/28/1984)
198.058   Certain facilities exempt from construction standards, when. (8/28/2010)
198.061   Penalty for providing services without license — penalty for interfering ... (8/28/1979)
198.064   Duplicate payments — how determined — procedures for repayment. (8/28/1979)
198.066   Sanctions for violations authorized. (8/28/2003)
198.067   Noncompliance with law — injunction, when — civil penalties, how ... (8/28/2003)
198.069   Resident returned to facility from a medical facility, physician orders, ... (8/28/2007)
198.070   Abuse or neglect of residents — reports, when, by whom — contents of report ... (8/28/2018)
198.071   Death of a resident, persons to contact prior to transfer of deceased. (8/28/2003)
198.073   Persons eligible for care in residential care facility or assisted living ... (8/28/2007)
198.074   Sprinkler system requirements — fire alarm system requirements. (8/28/2009)
198.075   Fire safety standards loan fund created, use of moneys. (8/28/2009)
198.076   Department of social services to establish standards and regulations for ... (8/28/2007)
198.077   Department to maintain facility compliance records. (8/28/2014)
198.079   Department to establish standards and regulations for intermediate care and ... (8/28/2007)
198.080   Assessment procedures developed — rulemaking authority. (8/28/2014)
198.082   Nursing assistant training programs, requirements — training incomplete, ... (8/28/2019)
198.085   Categories of standards for each type of licensed facility. (8/28/1995)
198.087   Uniformity of application of regulation standards, department's duties. (8/28/2014)
198.088   Facilities to establish policies and procedures, scope, content — rights of ... (8/28/1994)
198.090   Personal possessions may be held in trust, requirements, disposal of — ... (8/28/2014)
198.093   Violations of resident's rights — complaints — legal action — damages. (8/28/1979)
198.096   Bond required for facility holding resident's property in trust — ... (8/28/2009)
198.097   Misappropriation of funds of elderly or disabled nursing home residents, ... (1/1/2017)
198.099   Petition for appointment of receiver — when. (7/1/1979)
198.103   Department may appoint monitor. (7/1/1979)
198.105   Petition for appointment of receiver, contents — hearing — appointment of ... (8/28/2003)
198.108   Ex parte appointment of receiver in emergency, when — notice — hearing. (7/1/1979)
198.112   Powers of receiver. (7/1/1979)
198.115   Executory contracts, receiver not required to honor — when — hearing. (7/1/1979)
198.118   Compensation of receiver. (7/1/1979)
198.121   Bond of receiver. (7/1/1979)
198.124   License may be issued to facility operated by receiver — duration. (7/1/1979)
198.128   Termination of receivership, when. (7/1/1979)
198.132   Accounting by receiver, when — contents — liability for deficiency — ... (7/1/1979)
198.136   Operator or affiliate not liable for acts of receiver — liability of ... (7/1/1979)
198.139   Medicaid moneys not to be used for other purposes. (7/1/1979)
198.142   Health care provider and vendor not to misrepresent or conceal facts or ... (7/1/1979)
198.145   Kickbacks, bribes and rebates prohibited, when. (7/1/1979)
198.148   Offering or making kickbacks, bribes or rebates prohibited, when. (7/1/1979)
198.151   Usual trade discounts and employment benefits not kickbacks, bribes or rebates. (7/1/1979)
198.155   False statements by health care provider prohibited, when. (7/1/1979)
198.158   Penalties for violation of sections 198.139 to 198.155. (1/1/2017)
198.161   Fraud investigation division created — director — compensation — assistance ... (7/1/1979)
198.165   Medicaid payments stopped by division, when — hearing. (7/1/1979)
198.168   Fraud investigation director may petition for appointment of receiver, when ... (7/1/1979)
198.171   Civil restitution of Medicaid funds, when. (7/1/1979)
198.174   Fraud investigation director may hold hearings, take oaths — procedure on ... (7/1/1979)
198.177   Compelling of testimony — grant of immunity, when. (7/1/1979)
198.180   Audit and inspection of records, when — warrant. (7/1/1979)
198.183   State agencies and law enforcement officers to cooperate with fraud ... (7/1/1979)
198.186   Local crime investigation powers not diminished. (7/1/1979)
198.187   Criminal background checks for residents permitted. (8/28/2009)
198.189   Medicaid payment system for assisted living facilities to be implemented — ... (8/28/2014)
NURSING HOME DISTRICTS
198.200   District created, how — territory included — name — nursing home defined. (8/28/1984)
198.210   Petition of voters for district, where filed, contents. (8/28/1978)
198.220   Notice of hearing on petition — costs of notice. (8/28/1963)
198.230   Procedure where several petitions filed — amendment. (8/28/1963)
198.240   If petition sufficient county commission to order election. (8/28/1978)
198.250   Notice of election, contents. (8/28/1985)
198.260   Form of ballot. (8/28/1985)
198.263   Increase in tax levy, procedure — ballot of submission, form. (8/28/1985)
198.270   Results of election to be filed. (8/28/1978)
198.280   Election districts — election of directors — terms — qualifications — ... (8/28/2001)
198.290   Powers of board of directors — first meeting — officers — bylaws — time for ... (8/28/1963)
198.300   Powers of nursing home district. (8/28/1991)
198.301   Whistleblower protection for employees — availability of information on ... (8/28/2003)
198.305   Unsuitable site, may be changed, when. (8/28/1991)
198.310   Indebtedness for nursing home — election — ballot — limits — tax to pay. (8/28/2013)
198.312   Revenue bonds authorized, when. (8/28/1978)
198.314   Revenue bonds not an indebtedness of the issuing authority. (8/28/1978)
198.316   Revenue bonds, form of, interest rate — to be negotiable instruments. (8/28/1978)
198.318   Board of directors to prescribe form, make necessary covenants, ... (8/28/1978)
198.320   Annexation of territory to district — election. (8/28/1978)
198.330   Records of district — officers and employees to give bond. (8/28/1963)
198.340   Board as trustee may accept and hold property donated — duties. (8/28/1963)
198.345   Apartments for seniors, districts may establish (counties of third and ... (8/28/2013)
198.350   Citation of law. (8/28/1963)
198.360   Dissolution of district. (8/28/1978)
NURSING FACILITY REIMBURSEMENT ALLOWANCE
198.401   Nursing facility reimbursement allowance, definitions. (8/28/1994)
198.403   Formula set forth in rules. (8/28/1994)
198.406   Records required, transmittal to department — elements of report, ... (8/28/1994)
198.409   Determination of amount due — notification, payments — offset allowed. (8/28/1994)
198.412   Finality of determination, protest — hearing, reconsideration, appeal. (8/28/1994)
198.416   Forms and content set forth in rule. (8/28/1994)
198.418   Remittance of amount — nursing facility reimbursement allowance fund, ... (8/28/1994)
198.421   Allowance period, notification by department, delinquent allowance — lien, ... (8/28/2014)
198.424   No effect upon tax-exempt status. (8/28/1994)
198.427   Medicaid provider agreements, payments, rate, computation. (8/28/1994)
198.428   Medicaid eligibility presumed pending approval or denial of application, when. (8/28/2014)
198.431   Contingent application of requirements — disbursement of fund, when. (8/28/1994)
198.433   Imposition of allowance, when. (8/28/1994)
198.436   Rules, regulations, promulgation, procedure. (8/28/1995)
198.439   Expiration date. (8/28/2024)
ALZHEIMER'S SPECIAL CARE DISCLOSURE ACT
198.500   Citation of law. (8/28/1996)
198.505   Definitions. (8/28/1996)
198.510   Disclosure required, by whom — licensing department, duties — department of ... (8/28/2014)
198.515   Alzheimer's facilities, informational documents required — department, ... (8/28/2014)
INSPECTION REQUIREMENTS
198.525   Inspection of certain long-term care facilities, when — restrictions on ... (8/28/2022)
198.526   Annual inspections — reevaluation of inspection process — disclosure of ... (8/28/2022)
198.527   Inspectors and surveyors of long-term care facilities — uniformity of ... (8/28/2012)
198.528   Long-term care facility information to be provided on department internet ... (8/28/2003)
MANAGED CARE SERVICES PROVIDED IN FACILITIES
198.530   Managed care services provided in long-term care facilities, when, ... (8/28/1999)
INVESTIGATION OF COMPLAINTS
198.532   Investigation of complaints — results provided, when. (8/28/2003)
198.533   Conflict of interest, state investigators. (8/28/1999)
198.534   Rulemaking authority. (8/28/1999)
INFORMAL DISPUTE RESOLUTION
198.545   Definitions — contracting with third parties — department to establish IDR ... (8/28/2022)
AUTHORIZED ELECTRONIC MONITORING IN LONG-TERM CARE FACILITIES ACT
198.610   Citation of law — definitions. (8/28/2020)
198.612   Placement of electronic monitoring device — immunity from liability, when — ... (8/28/2020)
198.614   Unauthorized placement of electronic monitoring device — immunity from ... (8/28/2020)
198.616   Acknowledgment form, contents. (8/28/2020)
198.618   Resident sole authority to request monitoring — exception for lack of ... (8/28/2020)
198.620   Request procedure — form, contents — consent requirements — recordkeeping ... (8/28/2020)
198.622   Facility to permit monitoring, requirements. (8/28/2020)
198.624   Abuse or neglect of resident, use of footage, reporting requirements. (8/28/2020)
198.626   Admissibility of footage in court or administrative proceeding, when. (8/28/2020)
198.628   Notice of electronic monitoring to be posted. (8/28/2020)
198.630   Sanctions, when — administrative penalty, when. (8/28/2020)
198.632   Unauthorized acts, electronic monitoring devices and data — penalties — ... (8/28/2020)
SUPPLEMENTAL HEALTH CARE SERVICES AGENCY
198.640   Definitions. (8/28/2022)
198.642   Supplemental health care services agency, registration required — procedure. (8/28/2022)
198.644   Agency criteria — revocation and nonrenewal of registration, when — appeal ... (8/28/2022)
198.646   Complaints, reporting system. (8/28/2022)
198.648   Rulemaking authority. (8/28/2022)
 - Cross References
Advance health care directives registry, 459.250
Advocacy and assistance office — established in lieutenant governor's office, 660.620 to 660.625
AIDS patients, nursing homes limited to AIDS treatment, certificate of need not required, 197.316
All license, permit and certificate applications shall contain the Social Security number of the applicant, 324.024
Certificate of need not required for certain facilities controlled by religious organization, 197.312
Certificate of need, St. Louis residential care facilities and assisted living facilities, no certificate of need required, 197.312
Comprehensive emergency medical services systems act, 190.001 to 190.245
Family care safety registry and access line, 210.900 to 210.936
Financial exploitation of the elderly, crime of, 570.145
Health care assistance payments fraud and abuse, 191.900 to 191.914
Identification badges, health care facilities personnel required to wear, when, 197.705
License for administrator of assisted living facilities required, limitations, 344.020
Long-term care facility residents, office of state ombudsman, protection and care of residents, powers and duties, 192.2300 to 192.2315
Long-term care insurance premium tax credit, 135.096
Nursing home employees, criminal history background checks required, persons with criminal history not to be hired, when, 192.2495
Nursing home Medicaid per diem rate, recalculation, amount, 208.225
Sexual contact or intercourse with a skilled nursing or Alzheimer's resident, crime of, penalties, consent not a defense, 566.116
Skilled nursing care facilities, a license for assisted living facilities insufficient, 344.020
Tuberculosis testing rules for nursing homes, 199.350

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